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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) State: Last updated: Medicaid & CHIP Delaware 04/07/2016 Section C . Additional Factors of Eligibility for Separate CHIP Eligibility Factor Self-Attestation Accepted without Additional Verification Self-Attestation Accepted with Post-Enrollment Verification (Y/N) Electronic Data Source Used (Y/N) If Yes, please describe in comments Paper Documentation Required from the Individual (Y/N) Non-Applicable (N/A) Comments 1. Applicant does not have other coverage NO YES YES NO Must be Applied The Medicaid Expansion program allows children to have other insurance. Delaware's expansion covers pregnant women and infants up to 212% FPL. However, for the individuals that are covered from 194% to 212% of FPL, claims cannot be filed. To be clear, we do not cover Pregnant Women under our CHIP State Plan. 2. Applicant does not have access to affordable ESI N/A 3. When child has had coverage (as applicable to states' waiting period) NO YES YES YES N/A Conduct monthly data exchanges with insurance carriers to identify other coverage and monthly data exchanges with CMS for Medicare enrollment. If there is a discrepancy between the application and data source and the state agency is unable to verify through reasonable explanation, the state agency will request paper documentation as a last resort. Verification occurs post-enrollment on a monthly basis and applies to all applicants. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION C - Additional Factors of Eligibility for Separate CHIP 10