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MAGI-BASED ELIGIBILITY VERIFICATION PLAN Additional Comments 13 Section A. Additional Comments Income: Paper documentation will only be required when the available income information is not reasonably compatible with the applicant’s attestation. The District recognizes that an individual’s income may have changed, and that the change may not be reflected in the available electronic data. Due to system defects, the District was unable to verify income and could not process cases with outstanding income verifications, which created a backlog of applications. Beginning in December 2013, in order to address the backlog issue and prevent the delay of Medicaid coverage for thousands of beneficiaries, the District processed the applications based on attested information and conducted post-enrollment verification. The backlog has been resolved; therefore, beginning March 1, 2014, DHCF will require verification of income pre-enrollment for all individuals as stated in the verification plan. Effective March 1, 2014, the District will no longer enroll individuals based on self-attestation and conduct post-enrollment verification of income . The District recieved a waiver from CMS under section 1902(e)(14) of the Act to allow that for applications submitted between November 1, 2013 and February 28, 2014, the District will enroll based on self-attestation, conduct post-enrollment verification and resolve inconsistencies within 90-120 days while providing benefits. The Dsitrict expericed another system defect and received a subsequent waiver to apply this same procedure for applications submitted Nove 7, 2014 and may 31, 2015. Residency: When applicants initially applied for coverage for DC Medicaid, DHCF selected to verify residency for all applicants 19 and over. Due to system defects DHCF reached out to CMS to discuss a possible policy change to assist caseworkers with processing applications. This policy allowed for the acceptance of self-attestation of residency, regardless of age, beginning in November 2014. The District will consider verifying residency again in the future. Citizenship and Immigration Status:Verification by way of either electronic or paper documentation is always required for citizenship and immigration status. Household Composition: Absent any inconsistency, attestation of household composition will be accepted without further verification. Paper documentation will only be required for household composition when information is not reasonably compatible, meaning that: 1) two tax filers who are not filing jointly attest that they will claim the same individual as a dependent; or 2) two non-filers who do not live together claim that the same individual lives in their household. The District will not use any electronic data sources to verify household composition. Medicare: Attestation on Medicare status will be accepted without further verification. Section A, continued: When paper documentation is required, it may take many forms depending on the individual and whether there is a conflict with another person’s attestation. Acceptable types of documentation include: school or medical records, child care records, statements from non- relatives, leases, mail to or regarding the child or adult dependent, and religious or recreational activity records. For cases where two tax filers attest that they will claim the same person as a tax dependent, a Form 8332 or Form 2120 that applies to the tax year at issue will be conclusive evidence of who may claim that person. Paper documentation will not be required in exceptional circumstances, such as: homelessness, domestic violence, and situations where the noncustodial parent refuses to release the necessary documents. These exceptions will be determined on a case-by-case basis. Age: When the individual attests to an age that is inconsistent with the birth date shown by SSA and it would affect eligibility, paper documentation will be required. Acceptable forms of documentation include: birth certificate, driver’s license, other government-issued photo ID containing date of birth, or any combination of official photo and non-photo ID and/or other documentation that identifies the individual and gives their date of birth (e.g. a copy of school or medical records containing date of birth along with a photo ID that connects the individual with those records).