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Eligibility Factor Source Reasonable Compatibility Plan State Flexibility Reference Deprivatio n (18 Year Old Students) There is no reliable electronic method to verify deprivation Obtain verification 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 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 copy verification 42 CFR 457.535 Age Prior information in eligibility systems SSA AVS If attestation is inconsistent with source, use source. Obtain verification (if age affects eligibility) If electronic verification is not available, the State may request other documents and/or use a reasonable compatibility process. State flexibility to define “reasonably compatible” standard Medicaid Final Rule 42 CFR 435.956(f)