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MAGI-BASE ELIGIBILITY VERIFICATION PLAN

Date Updated: 5/10/2024 (Insert Medicaid, CHIP or Both): Medicaid & CHIP

State: Illinois 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 Attested amount is below the standard but the electronically verified amount is above the standard. Percent Threshold 30% Yes Yes IL allows self-attestation for income when there are no electronic sources available. If the individual attests to income below the applicable standard but the electronic data source indicates income above the applicable standard and the difference between the two is greater than 30%, the state will first request a reasonable explanation from the individual and/or request paper documentation. If the difference between what the individual attests to and what the electronic data source finds is within 30% then the individual is deemed eligible. If an individual attests to income above the standard and data source is below, the individual will be determined ineligible