Page 12

MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Florida Section D. Additional Verification Questions Question Response 1 If paper documentation is required when a data source is not available or the information obtained from a data source is not reasonably compatible with the information provided by or on behalf of the individual, briefly describe how the state determined that establishing and using an electronic data source was not effective, considering such factors as cost and program integrity in accordance with 42 CFR 435.952(c): The state accepts self-attestation without additional verification of many factors of eligibility. For those that we do not, the state utilizes all available electronic data sources, included vital statistics as a back-up for citizenship, and asks for a reasonable explanation for income prior to requesting documentation. Data from the electronic sources listed in this document will be used when available and precise enough to meet eligibility needs. Paper documentation will be required when sufficient electronic data is not available or to resolve discrepancies. For example, the new hire data provides the name of the new employer, but not the amount of income so this may be a case when more information is needed. 2 Please describe how the state uses PARIS? The PARIS match file is processed electronically. The Medicaid eligibility system compares issuance information to see if an overlap in benefit issuance occurred. If the case is currently active the notice system generates a notice to the client giving ten days to return information verifying residency. 3 Please indicate (YES) or (NO) if the State intends to request Secretarial approval to solely use alternative data sources for financial verification other than those listed in 42 CFR 435.948 (Numbers 1-8 in Section B-1). NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 12