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Eligibility Factor

Self-Attestation

Accepted without Additional

Verification (Y/N)

Self-Attestation

Accepted with Post-Eligibility

Verification (Y/N)

Electronic

Data Source Used (Y/N)

Reasonable Compatibility Standard Used

Specify

Reasonable Compatibility Standard for Income Ask for a

Reasonable

Explanation

from the Individual (Y/N) Paper

Documentation Required from the Individual (Y/N) Comments MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) State: Last updated: Medicaid & CHIP Delaware 04/07/2016 Section A. Verification Procedures for Factors of Eligibility MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1