Page 257

MEDICAL SERVICES POLICY MANUAL,SECTION G

G 100 Verification Standards

If the MAGI household has income (attested or previously verified) under the MAGI limit, the system will determine if a member of the MAGI household is on an open SNAP or TEA benefit case. If one MAGI household member is found on an open SNAP or TEA Cash case, the MAGI household income is considered verified. If a member in the MAGI household is not found on an open SNAP or TEA Cash case, the system will continue the reasonable compatibility process andcheck available electronic data sources. If the household attests to income under the MAGI limit (to include zero income) and the electronic data sources return no record of income or income less than the MAGI limit, the system will consider the MAGI household to meet reasonable compatibility and no further income verification is needed. If the electronic data sources return an amount over the MAGI limit, the system will trigger a pending verification notice to the household for income verification. For all other eligibility groups, sources for verification of income are electronic verification, data matches verified information from the SNAP record and documentation provided by the individual. If the income reported by the applicant exceeds the income limit, it is not necessary to check the verification sources. The applicant’s statement of income may be accepted without further verification.

G-151 Reasonable Compatibility Standards for Electronic Data Sources MS Manual 01/01/22 Income is considered verified when the income reported by the individual is reasonably compatible with the income verified by the electronic data source. Reasonable compatibility is met when the amount reported by the individual and the amount obtained through the electronic process are: 1. Both are equal to or below the income limit; 2. Both are greater than the income limit; or 3. If one (1) is above and one (1) is below the income limit but the difference between the two amounts is within ten percent (10%) of the one hundred percent (100%) Federal Poverty Level (FPL) for the appropriate household size.