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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Missouri Last Updated: 10/12/23 Section A. Verification Procedures for Factors of Eligibility Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestationn Accepted with Post-Eligibility Verification (Y/N) Electronic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standardfor Income Ask for a Reasonable Explanation from the Individual (Y/N) Paper Documentation Required from the Individual (Y/N) Comments Income* NO NO YES Both are above, at or belowthe applicable income standard. Percent Threshold 10% YES YES If individual attests to income below the applicable income standard and data sources indicate income above the applicable standard, but the difference between the two is 10% or less consider information reasonably compatible and determine eligibility. If the difference is more than 10%, FSD will seek a reasonable explanation from the participant. Paper documentation is required as a last resort. Income is deemed incompatible only if affects eligibility. If the individual attests to income above the applicable standard and data source indicates income below the standard, the participant will be determined ineligible for the program and referred to the FFM. To the extent that no electronic resource is available for an income type (such as, but not limited to self-employment, pensions, short or long-term disability) self-attestation will be accepted. For financial data, information used in other benefit programs and hub data are primary sources of information. If the information from those sources is insufficient to determine eligibility, other no-cost electronic sources may be used, followed by electronic resources requiring an associated cost. Residency YES NO NO N/A N/A YES YES Self- attestation is accepted as a rule. However, if information deemed discrepant by the state is received indicating a participant is no longer a Missouri resident and eligibility is affected, after exploring all available information the state may seek a reasonable explanation from the participant. The state may require paper documentation as a last resort. Age (Date of Birth) YES NO NO N/A N/A YES YES Self- attestation is accepted as a rule. However, if information deemed discrepant by the state is received indicating participant’s age is incorrect and eligibility is affected, after exploring all available information, the state may seek a reasonable explanation from the participant. The state may require paper documentation as a last resort. Social Security Number ** NO NO YES N/A N/A N/A YES Paper documentation required if unable to verify through the electronic data source. Citizenship ** NO NO YES N/A N/A N/A YES Paper documentation required if unable to verify through the electronic data source. Immigration Status ** NO NO YES N/A N/A N/A YES Paper documentation required if unable to verify through the electronic data source. Household Composition YES NO YES N/A N/A YES YES Self- attestation is accepted as a rule. However, if information deemed discrepant by the state is received indicating household composition is incorrect and eligibility is affected, after exploring all available information, the state may seek a reasonable explanation from the participant. The state may require paper documentation as a last resort. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1