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Eligibility Factor Source Reasonable Compatibility Plan State Flexibility Reference Pregnancy Prior information in eligibility systems If attestation is inconsistent with source, obtain verification If no source available, accept attestation Agency MUST accept self- attestation unless not reasonably compatible State defines “reasonably compatible” Medicaid Final Rule 42 CFR 435.956(e) Househol d 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 available, the State may request other documents and/or use a reasonable compatibility process. States may, but are not required to use self- attestation State defines “reasonably compatible” Medicaid Final Rule 42 CFR 435.956(f) The relationshi ps 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 available, the State may request other documents and/or use a reasonable compatibility process. States may, but are not required to use self- attestation State defines “reasonably compatible” Medicaid Final Rule 42 CFR 435.956(f)