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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Massachusetts Section D. Additional Verification Questions 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): The state is accepting self-attesation without additional verification for some factors of eligibility. For those that it doesn't, the state utilizes all available data sources, including back up sources for citizenship. We only request paper documenation when electtonic data is not available or is inconsistent with the attestation and does not meet the reasonable compatibitlity standard when relevant. We believe this strikes the appropriate balance of ensuring program integrity while promoting a streamlined process that minimizes the use of paper verifications. HIV Status and Breast and Cervical Cancer Treatment Program Eligibility: There are no reliable electronic data sources for medical diagnosis. Therefore MA will require paper verification post eligiblity for individuals whose eligibility for the state's 1115 Demonstration programs, HIV-Family Assistance and Breast and Cervical Cancer Treatment Program, depends in part on these factors. 2 Please describe how the state uses PARIS? Massachusetts uses PARIS to compare eligibility with other state Medicaid programs. 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 MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 14