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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Georgia Last updated 08/30/2016 Section A. Verification Procedures for Factors of Eligibility Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestation Accepted with Post-Eligibility Verification (Y/N) Electronic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standard for Income Ask for a Reasonable Explanation from the Individual (Y/N) Paper Documentation Required from the Individual (Y/N) Comments Income* NO NO YES Both are above, at or below the applicable income standard. N/A YES YES No reasonable compatibility standard other than both stated and income source show above, at or below the applicable income standard. Otherwise Paper documentation would then be required. For Medicaid if individual attests to income above the applicable standard and data source indicates income below the applicable standard, we would take the individual's attestation, make them inelilgible for Medicaid and refer children to CHIP and parent to the FFM if coverage is requested. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1