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MAGI-BASED ELIGIBILITY VERIFICATION PLAN Additional Comments 14 Section B1. Additional Comments To determine and confirm income, the District will first ping the IRS to determine if the individual is below or above the applicable Medicaid income threshold. If the IRS ping places them below the threshold, they proceed directly to the next step. If the ping places them above the threshold, the individual will be asked to attest to their current monthly income before proceeding. After the IRS ping the system will ping all local and federal data sources as described in Section B1 concurrently and break them down by type of income (e.g. earned income, disability benefits, family assistance, unemployment etc…). The individual will then be asked to confirm or deny the income amounts, using Yes/No questions of the following format: “We determined your income from [work/unemployment benefits] to be [X] dollars. Is this correct?” At the end of these questions, the individual will be asked if they have additional income to report. If they answer yes, or if they answered no to any of the Yes/No income questions, they will be sent to an additional page to report income. They will also be sent to this page if there is no income information on them available from federal or local data sources. The data from the IRS and Social Security Adminsistration is not displayed to applicant. On the income reporting page there will be free numerical fields for users to enter income under different categories alongside the data from the income data pings. Once this page is completed, the system will aggregate the all income data given by the applicant and data pings and present it to the individual as a monthly figure. The individual will then be asked if this is accurate. If yes, their attestation is accepted. If no, the individual will again be asked to attest to their total current monthly income. If the amount attested to is more than the total income amount obtained from data sources, or if it is less by no more than 10%, the attestation is accepted. If not, the individual will be required to provide paper documentation to confirm their income attestation. We are only using IRS data to determine if an individual meets financial eligibility for the Medicaid or QHP pathway. Section B2. Additional Comments Citizenship and Immigration Status: The District will use the federal data services hub to verify immigration status. For trafficking victims under age 18, the District will use the Office of Refugee Resettlement telephone line. Other applicants whose status cannot be verified through the federal data services hub will be required to submit paper documentation. Acceptable types of documentation for verificaiton of citizenship will follow proposed regulations at 42 C.F.R. §435.407. The District will provide a 90-day period to provide satisfactory documentation for individuals whose citizenship or immigration status cannot be verified. If it is determined that an applicant is making a good faith effort to obtain the necessary documents, the individual may receive additional time. During this period, Section C. Additional Comments