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Eligibility Factor Source Reasonable Compatibility Plan State Flexibility Reference Earned Income Base Wage New Hire Report SSA – SVES, SOLQI, SDX Arizona Department of Revenue Prior information in eligibility systems See “Health-e-Arizona Plus Application Questions to Clarify Income Inconsistencies” Table Flexibility to determine what Flexibility to Flexibility to Flexibility to determine the Flexibility to define the “reasonably Flexibility to determine how to Flexibility to Flexibility to establish Flexibility to determine what Flexibility to rely on alternate financial reduce maximize accuracy minimize delay meet applicable confidentiality, Medicaid Final Rule 42 CFR 435.948 Medicaid Final Rule 42 CFR 435.952 Unearned Income SSA Railroad Retirement Board Unemployment Insurance Arizona Department of Revenue Arizona Lottery PARIS (if real time) Prior information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, obtain verification Tax payer filing status Arizona Department of Revenue If attestation is inconsistent with source, ask clarifying questions. 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) Dependents on tax return Arizona Department of Revenue If attestation is inconsistent with source, ask clarifying questions. If no source available, accept attestation State flexibility to accept attestation States define “reasonably Medicaid Final Rule 42 CFR 435.956(f) MAGI-BASED ELIGIBILITY VERIFICATION PLAN Additional Comments 19