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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Maryland Section C . Additional Factors of Eligibility for Separate CHIP Eligibility Factor Self- Attestation Accepted without Additional Verification Self- Attestation Accepted with Post- Enrollment Verification Electronic Data Source Used (Y/N) If Yes, please describe in comments Paper Documentatio n Required from the Individual (Y/N) Non- Applicab le (N/A) Comments 1. Applicant does not have other coverage NO YES YES NO Must be Applied Attestation accepted at application for purposes of eligibility. Post-eligibility, absence of other healthcare coverage is verified continually by TPL contractor via matches with MMIS claims processing. When TPL contractor detects liability of an insurer for a CHIP enrollee, the Medicaid Recoveries and Financial Services unit generate notice for caseworker to follow up and terminate CHIP participation as appropriate. This TPL process is used uniformly across Medicaid and CHIP, although its implications for eligibility are limited to CHIP. (Maryland does not use TPL vendor's data sources directly and therefore can't describe, so originally put "N" in column D.) Process is consistant for Medicaid Expansion. 2. Applicant does not have access to affordable ESI N/A 3. When child has had coverage (as applicable to states' waiting period) N/A 4. Access to public employee coverage N/A 5a. Waiting period exception #1 (describe): N/A MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION C - Additional Factors of Eligibility for Separate CHIP 10