loading…
loading…
loading…
MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 12 Question Response If (YES), please submit a letter to CMS requesting such approval describing how the the state meets the following requirements: 1) Reduces administrative costs and burdens on both individuals and the State, 2) Maximizes accuracy and minimizes delay, 3) Meets the requirements related to confidentiality, disclosure, maintenance and use of information, and 4) Promotes coordination with other insurance affordability programs. 4 Please indicate (YES) or (NO) if the State intends to request Secretarial approval to use a mechanism other than the federal data services hub for information that is available through the hub. NO If (YES), please submit a letter to CMS requesting such approval describing how the the state meets the following requirements: 1) Reduces administrative costs and burdens on both individuals and the State, 2) Maximizes accuracy and minimizes delay, 3) Meets the requirements related to confidentiality, disclosure, maintenance and use of information, and 4) Promotes coordination with other insurance affordability programs. 5 Describe any additional MAGI-based eligibility verification policies and procedures that have not been covered in this verification plan (optional): a. Incarceration The District will receive data from the Social Security Administration’s Prisoner Update Processing System (PUPS), which is included in the federal data services hub. However, the District will accept an applicant’s attestation that he or she is not incarcerated even if the PUPS information indicates that the applicant is incarcerated. The District chose this course of action after evaluating the reliability and accuracy of the PUPS data. The District currently receives PUPS data monthly, and that information typically contains thousands of names of individuals who are no longer incarcerated. The District does not have the staff capacity to follow up on all of these records. Therefore, the District will accept attestation on incarceration regardless of the PUPS data. b. Local Data Hub The District established a local data hub to verify eligibility factors for Medicaid and its state-based Exchange. The local data hub contains data from: the Department of Employment Services; Child and Family Services Agency; and the Automated Client Eligibility Determination System.