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MEDICAL SERVICES POLICY MANUAL,SECTION G

G 100 Verification Standards

G-141 Reasonable Opportunity for Verifying Alien Status MS Manual 01/01/22 When alien status cannot be verified through an electronic source, Systematic Alien Verification for Entitlement (SAVE) or initial documentation provided by the individual, the agency will provide the applicant a “ninety (90) day reasonable opportunity period” to provide the necessary documents to verify alien status. (Refer to Appendix C). NOTE: This reasonable opportunity period will be provided for all Health Care eligibility categories. A notice will be sent to the applicant advising that verification of alien status must be provided within ninety (90) days. The due date must be included on the notice. The reasonable opportunity begins on the date the notice is received by the individual. The date the notice is received is considered to be five (5) days from the date on the notice (day one (1) is the date of the notice). The Health Care begin datewill be the first (1st) day of the monthof application if all other eligibility requirements are met. NOTE:If the individual clearly shows that the notice was not received on the fifth (5th) day, the ninety (90) days will start from the date the notice was actually received. If the needed verification for an individual is not provided within the reasonable opportunity period, then benefits for that individual will be terminated. Timely and adequate notice must be provided. Other eligible members for whom alien status is verified will remain eligible. When the recipient tries in good faith to present satisfactory documentation, but is unable to obtain the necessary documents and needs assistance (for example, homeless, mentally impaired, or physically incapacitated) and lacks someone who can act on their behalf, the eligibility worker should assist the recipient with obtaining the documentation of alien status.

G-150 Income Verification MS Manual 01/01/22 Income verification for MAGI groups will occur in the following manner: If a MAGI household attests to income over the MAGI income limit the system will accept the self-attestation and find the household ineligible due to income. The household will receive the appropriate notice and be referred to the Federally Facilitated Health Insurance Marketplace (FFM).