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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 Household Composition YES NO NO N/A N/A NO NO Accept self-attestation unless information the state becomes aware of is questionable or inconsistent with other information that the agency has obtained for other verfications. A reasonable explanation would be requested before paper documentation. Florida will verify the multiple expected births only when the pregnant woman's income is too high to be eligible for pregnancy Medicaid counting a single unborn and for assessment of household size for other family members. Pregnancy *** YES NO NO N/A N/A NO NO Caretaker Relative YES NO NO N/A N/A NO NO Accept self-attestation unless information the state becomes aware of is questionable or inconsistent with other information that the agency has obtained for other verfications. A reasonable explanation would be requested before paper documentation. Medicare NO NO YES N/A N/A YES YES SOLQ will be used at the point of application. If there is an inconsistency identified through the electronic data source the individual will be contacted to provide clarification. Paper documentation will be requested if not resolved. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 3