Page 12

MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) State: Section D. Additional Verification Questions Medicaid & CHIP Missouri 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): For factors for which we do not accept self-attestation, all available data sources will be utilized before requesting additional information from the individual. Paper documentation will be requested when information affecting eligibility is deemed discrepant by the state and cannot be resolved through electronic resources or a reasonable explanation from the participant. In such cases, the participant is given the opportunity to resolve the inconsistency prior to any adverse action. 2 Please describe how the state uses PARIS? The PARIS report is used to match information to identify and control duplicate participation in Medicaid and ensure that all sources of a claimant's income and medical insurance are identified. State also uses federal match and VA match to follow up for possible sources of income. 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). If (YES), please submit a letter to CMS requesting such approval describing how the state meets the following requirements: 1) Reduces administrative costs and burdens on both individuals and the State, 2) Maximizes accuracy and minimizes delay, 3) Meets the requirements related to confidentiality, disclosure, maintenance and use of information, and 4) Promotes coordination with other insurance affordable programs. NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 12