loading…
loading…
loading…
MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) State: Section D. Additional Verification Questions Medicaid & CHIP Hawaii 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): State utilizes electronic data sources and/or self attestation for all eligibility factors. The individual shall be eligible when all eligibility requirements are met based on the self-attested information provided. Then, post-eligibility verification through electronic sources shall be checked for inconsistencies. State will only require paper documentation when electronic sources are not available or information is not reasonably compatible. State will allow a reasonable opportunity period of 90 days to provide documentation of citizenship or immigration status. In many cases when there is an inconsistency, reasonable explanation is sought before requesting paper documentation. 2 Please describe how the state uses PARIS? A Quarterly PARIS file is received and matched against all active cases. From there, three files (interstate match, federal match and VA match) are created. A notice is sent to the recipient to confirm or provide additional information on the match. Eligibility workers track the response and take appropriate action. 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 If (YES), please submit a letter to CMS requesting such approval describing how the the state meets the following requirements: 1) Reduces administrative costs and burdens on both individuals and the State, 2) Maximizes accuracy and minimizes delay, 3) Meets the requirements related to confidentiality, disclosure, maintenance and use of information, and 4) Promotes coordination with other insurance affordability programs. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 12 Last Updated: April 5, 2016