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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 Social Security Number ** NO NO YES N/A N/A N/A YES Request documentation if the SSN cannot be verified through the Federal Hub. Citizenship ** NO NO YES N/A N/A N/A YES Request documentation if citizenship cannot be verified through the Federal or State Hub. Immigration Status ** NO NO YES N/A N/A N/A YES Request documentation if immigration status cannot be verified through the Federal or State Hub. The State will utilize the Federal Data Service Hub (FDSH) for SAVE steps 1 and 2, but will use the State's existing direct connection to SAVE for step 3. Household Composition YES NO YES N/A N/A NO YES Verify household composition when there is a discrepancy between the State's eligibility determination system and the attestation. State only uses internal data sources (previous records and not external data source). If not known to the internal data sources, will accept self-attestation. Pregnancy *** YES NO NO N/A N/A NO NO Request verification only if the state has information that is not consistent with the attestation. For example, medical records indicate that the woman was sterilized. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2