MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Arkansas Last updated 12/08/2017 Section A. Verification Procedures for Factors of Eligibility Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestation Accepted with Post- Eligibility Verification (Y/N) Electronic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standard for Income Ask for a Reasonable Explanation from the Individual (Y/N) Paper Documentation Required from the Individual (Y/N) Comments Income* NO NO YES Both are above, at or below the applicable income standard. Percent Threshold 10% YES YES If attested income is below the applicable standard and data shows income above the applicable standard, if the difference is 10% or less, that is reasonably compatible. If greater than 10%, request a reasonable explanation or paper documentation if necessary. A 10-day notice is issued to provide additional verification at application, renewal, and change of circumstances. State Wage will be used for electronic verification before requiring paper documentation. When an individual attests to income above the applicable standard and data source indicates income below the standard., the state takes that attestation and makes the person ineligible These individuals are referred to the FFE. Residency YES NO NO N/A N/A NO NO Age (Date of Birth) YES NO YES N/A NO NO Self-attestation is accepted for Age/DOB. If an inconsistency arises through the verification of the individual's SSN and If Age/DOB cannot be electronically verified, notice is sent to applicant requesting documentation. Age verification is part of the SSN verification process. Social Security Number ** NO NO YES N/A N/A N/A YES The SSA Composite through the Federal Data Services Hub (Hub) will be used for electronic verification of the individual's SSN. If an inconsistency arises, the individual will be asked to provide paper documentation. Citizenship ** NO NO YES N/A N/A N/A YES The SSA Composite through the Hub will be used for electronic verification of citizenship. If an inconsistency arises, the individual will be asked to provide paper documentation.