MAGI-BASED VERIFICATION PLAN

Contact Sheet

MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Mississippi Last updated 01/04/2021

Section A. Verification Procedures for Factors of Eligibility

Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestation Accepted with Post- Eligibility Verification (Y/N) Electronic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibility Standard for Income Ask for a Reasonable Explanation from the Individual (Y/N) Paper Documentation Required from the Individual (Y/N) Comments When the self-attested income is below the applicable standard and the electronic data source indicates income is above the applicable standard, the $50 threshold is applied. If the difference between the attested income and the data source does not exceed $50, the self-attestation is used to determine eligibility for Medicaid or CHIP eligibility, as applicable. Secondary data sources, such as TALX and SWICA, are checked when the reasonable compatibility standard is not met and when the self-attested income is above the Medicaid MAGI eligibility level, but the data source shows income below the Medicaid limit. The reasonable compatibility standard(s) are applied to each available Both are above, at or below data source until data sources are exhausted. When there is no data source available the applicable income for a type of countable income reported by an individual, ( i.e., self- employment, Income* NO NO YES standard. $50 YES YES rental income, day labor, cash employment, etc.), paper documentation is requested. All available electronic data sources for earned and unearned income are checked for reasonable compatibility before contacting the individual for a reasonable explanation or requesting paper documents from the individual. See Additional Comments. Dollar Threshold