Page 4

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 eligibility a reasonable explanation and/or paper documentation will be requested. No other source has been identified for verifying current household composition so the state will otherwise accept self-attestation. Pregnancy *** Yes No No N/A N/A No No Caretaker Relative Yes No Yes N/A N/A No No No known electronic source is available for non-TANF applicants. Relationship to the 5th degree is accepted. Proof of such relationship would be unduly burdensome if not impossible to produce. No other source has been identified for verifying current caretaker relative so the state will otherwise accept self- attestation. However, if the State identifies a discrepancy through the IES