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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Georgia Date Submitted: (mm/dd/yyyy) 08/30/2016 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 for many factors of eligibility. For those that we don't, the state uses all available electronic data sources and paper documentation is only required, due to the electronic database not storing real time data, if data is unavailable or if not passing the reasonable compatibility test and in some cases if a reasonable explanation is not provided. 2 Please describe how the state uses PARIS? We are currently working with the interstate and federal files. File is put in a dashboard and sorted by highest to lowest claim value and staff work to resolve the discrepancy. We are still working on setting up the VA file. The PARIS file is used as a fraud detection tool by Office of Inspector General not for eligibility. This is a post eligibility process and not a part of the enrollment process. OIG uses the file to verify benefits in another state. 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 15