MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Maryland Section A. Verification Procedures for Factors of Eligibility Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestatio n Accepted with Post- Eligibility Verificatio n (Y/N) Electron ic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standard for Income Ask for a Reasonabl e Explanatio n from the Individual (Y/N) Paper Documentati on Required from the Individual (Y/N) Comments Income* NO NO YES Both are above, at or below the applicable income standard. Other (Specify in Comments) See comments YES YES Reasonable compatibility process for Maryland: First, if no electronic source found, accept attestation. If both attested and electronic income are above the applicable income standard, individual is income ineligible, and if both are at or below the applicable income standard the individual is determined eligible. If attestation is below the applicable income standard and electronic source indicated income above the applicable standard, as shown on the chart at last tab, we accept attestation if the difference is less than or equal to the dollar amount corresponding to 10% of 138% FPL for the appropriate family size (i.e., always based on 138% regardless of the applicable FPL standard). If the difference is greater than the specified amount, the applicant will be asked for reasonable explanation (i.e., change in circumstances). If there is no reasonable explanation for conflicting data source, Maryland will seek documentation from applicant. See Additional Comments for further explanation and chart. When an individual attests to income above the applicable standard and data source indicates income below the standard, the state takes that attestation and make the person ineligible and screen for APTC. Residency YES NO NO N/A N/A NO NO Accept self-attestation, unless information that conflicts is present at time of application in internal data sources from other programs. Where there is a conflict that affects eligibility, require paper documentation. Post-eligibility PARIS alerts reflecting eligibility in other States may also trigger requests for documentation. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1