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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 Citizenship ** NO NO YES N/A N/A N/A YES Additional verification is requested if there is a discrepancy. For the legacy Medicaid/CHIP population we are using a real time interfaces with state vital records, and batch interfaces with SSA and DHS. Georgia Gateway will be implemented 11/16 and we will use the SSA Composite Service of the HUB. The last resort it to reach out to the individual for paper documentation. A 90 day reasonable opportunity period is also given for any applicant that needs to provide documentation. The application is approved while waiting on documentation if all other eligibility criteria are met. The state has an approved HUB Waiver to use its current process for the Legacy Medicaid/CHIP population. Immigration Status ** NO NO YES N/A N/A N/A YES Additional verification is requested if there is a discrepancy. For the legacy Medicaid/CHIP population, immigration status is verified via the web based SAVE application. The SAVE process requires the individual to be contacted and documentation requested if the individual's status cannot be verified at initial steps. We will begin using a direct interface with the UCIS SAVE web service with the implementation of Georgia Gateway 11/2016. A 90 day reasonable opportunity period is given for any applicant that needs to provide documentation. The state has an approved Hub waiver for the legacy Medicaid/CHIP population. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 3