MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Florida Section A. Verification Procedures for Factors of Eligibility Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestatio n Accepted with Post- Eligibility Verificatio n (Y/N) Electroni c Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibili ty Standard for Income Ask for a Reasonabl e Explanatio n from the Individual (Y/N) Paper Documentati on Required from the Individual (Y/N) Comments Income* NO NO YES Both are above, at or below the applicable income standard. Percent Threshold 10% YES YES Self Attestation accepted if reasonably compatible with electronic data. If individual attests to income below the applicable standard and data sources indicate income above the applicable standard, and the difference between the two is 10% or less, will accept attestation. If difference is more than 10%, will first ask for a reasonable explanation and, if necessary, paper documentation from the individual. When the individual attests to income above the applicable income standard and data source indicates income below the standard the State will accept the self attestation, make the person ineligible and forward the application to the FFM for APTC eligibiity. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1