Resolving Inconsistencies

If there is a mismatch of information between what is provided to the agency by an A/R and the available electronic data sources, the EW must determine which source is most reliable or if the A/R needs to provide additional verification.

If the A/R’s statement and electronic data sources are above the applicable income limit, no additional verification is required. Enter the income as A/R’s attestation.

If both sources are at or below the applicable income limit, no additional verification is needed. Enter the income as A/R’s attestation but code as Other Acceptable Verification (OAV) and document.

If electronic source is above the applicable income limit and client attestation is below the applicable income limit, request 3 rd party verification to verify income and deductions.

If the A/R attests to income over the applicable income limit and electronic data source has income below the applicable limit, take the A/R’s attestation.

Refer ineligible adults or child(ren) to the Federally Facilitated Marketplace (FFM).

If the A/R’s attestation of self-employment income exceeds all applicable income limits, no additional verification is required. Enter the self-employment as the A/R’s attestation.