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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 and referred to the Marketplace. Residency No No Yes N/A N/A Yes Yes If electronic verification is not available or current (last updated), the State requests a reasonable explanation and/or paper documents to verify residency if the inconsistency would impact the individual's eligibility. State uses the Secretary of State database to establish Illinois residency. Age (Date of Birth) No No Yes N/A N/A Yes Yes The state reviews the DOB data from SSA. If there is a discrepancy between applicant reported DOB and SSA, the state will request an explanation and/or paper documentation from the individual. Social Security Number ** No No Yes N/A N/A Yes Yes If electronic verification indicates a discrepancy, the state requests documents and