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Eligibility Factor Source Reasonable Compatibility Plan State Flexibility Reference Marriage Prior household composition information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, accept attestation Agency MUST accept self- State defines “reasonably Medicaid Final Rule 42 CFR 435.956(f) Pregnancy Prior information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, accept attestation Agency MUST accept self- State defines “reasonably Medicaid Final Rule 42 CFR 435.956(e) Household members Prior household composition information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, accept attestation If electronic verification is not States may, but are State defines “reasonably Medicaid Final Rule 42 CFR 435.956(f) The relationships of household members Prior household composition information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, accept attestation If electronic verification is not States may, but are State defines “reasonably Medicaid Final Rule 42 CFR 435.956(f) Deprivation (18 Year Old Students) There is no reliable electronic method to verify deprivation Obtain verification If electronic verification is not States may, but are State defines “reasonably Medicaid Final Rule 435.956(f) American Indian Prior ethnicity (and tribe) information in eligibility systems Use self attestation if CHIP or FTW premiums are not affected. Obtain verification if CHIP or FTW premiums are affected. For CHIP and FTW, state flexibility to accept attestation or require hard 42 CFR 457.535 Age Prior information in eligibility systems SSA AVS Dept of Homeland Sec (DHS) SAVE If attestation is inconsistent with source, use source. Obtain verification (if age affects eligibility) If electronic verification is not available, the State State flexibility to Medicaid Final Rule 42 CFR 435.956(f) The Work Number Flexibility to rely exclusively on IRS Medicaid Final Rule 42 CFR 435.945 MAGI-BASED ELIGIBILITY VERIFICATION PLAN Additional Comments 18