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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

89 c. Earned Income: Income -may be self-attested by an applicant or member and verified through an electronic data source. Individuals who provide self-attestation of income - may provide a SSN for electronic wage verification purposes. If the self-attested earned income cannot be verified electronically, due to a missing SSN, the applicant must provide documentation of income. Earned income must be verified by wage stubs, tax documents, written documentation from the employer stating the employee’s gross income or a telephone call to an employer. Applicants may request that communication with their employers be made in writing. Estimated earned income shall be used to determine eligibility if the applicant/client provides less than a full calendar month of wage stubs for the application month. A single recent wage stub shall be sufficient if the applicant's income is expected to be the same amount for the month of application. Verification of earned income received during the month prior to the month of application shall be acceptable if the application month verification is not yet available. Actual earned income shall be used to determine eligibility if the client provides verification for the full calendar month. Due to the Coronavirus COVID -19 Public Health Emergency, the Department will not take action on any electronic interfaces that notify that the individual’s income has changed for all Medical Assistance programs in which the individual is currently enrolled. The Department will take action and require documentation from the individual once the federal emergency declaration has concluded. Effective May 11, 2023 the Coronavirus COVID-19 Public Health Emergency has been declared to end. d. Unearned income: Unearned income can be self-attested by an applicant. Certain types of unearned income, such as unemployment and survivor benefits may be verified through electronic data sources. Due to the