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MAGI-BASED ELIGIBILITY VERIFICATION PLAN Additional Comments 13

Section A. Additional Comments COME: Information from electronic data sources will be available at different times. At the point reasonable compatibility is established between the self-attested income and an electronic data source, Medicaid is assessed st and if ineligible for Medicaid, CHIP is assessed using the same data source and reasonable compatibility standard(s). The comparisons are made as information from data sources becomes available. Income information m the IRS is available first and serves as the primary data source. A hierarchy is applied. TALX data from the federal data services HUB is the secondary source and is used for the reasonable compatibility comparison for rnings, when available and data information obtained from the State Wage Information Collection Agency is used third. Data from the primary source is used to assess reasonable compatibility using the "at, below or above" teria. When both the self-attested income and the data source are at or below the applicable income standard Medicaid is approved. When both are above the applicable income standard, Medicaid is denied. CHIP is proved when both are at or below the applicable CHIP income standard. Otherwise, the individual is screened for APTC/CSR through the Exchange. hen the self-attested income is below the applicable income standard and the electronic data source is above, the $50 threshold is applied. If the difference between the attested income and the data source does not ceed $50, the self-attestation is used to determine eligibility for Medicaid or CHIP eligibility, as applicable. The secondary data source is checked when the reasonable compatibility standard is not met and when the self- ested 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 data source based on the ted hierarchy until data sources are exhausted. he secondary data source(s) fail to meet the reasonable compatibility standard(s) as stated above, the individual is contacted about the discrepancy and asked for a reasonable explanation before determining ineligibility r Medicaid and approving for CHIP or screening for APTC/CSR through the Exchange. If a reasonable explanation supports the self-attested income, the self-attestation is used to make the determination. If efforts to ntact the individual for a reasonable explanation fail or the explanation is not reasonable, documents are requested since a discrepancy remains and no other data sources are available. In addition, in instances of a recent ange in employers or new employment, where wages from the current employer attested to by the individual are not available through an electronic data source, paper documentation is requested. When there is no ta source available for a type of countable income reported by an individual, ( i.e., self-employment, rental income, day labor, cash employment, etc. ), paper documentation is requested. All available electronic data urces for earned and unearned income are checked for reasonable compatibility before contacting the individual or requesting paper documents from the individual. MIGRATION STATUS: The federal data services hub is used for Verify Lawful Presence (VLP) Steps 1, 2 and 3. A 90-day reasonable opportunity period is provided to allow program participation for applicants, who are herwise-eligible, when there is a delayed electronic response or electronic verification is unsuccessful and documents must be submitted to Homeland Security. If the individual provides the needed information late in the -day period, benefits continue pending submission of the documents and a response. In addition, a 30-day extension is available when good-faith efforts are being made to obtain the needed documents. ction B1. Additional Comments ction B2. Additional Comments ction C. Additional Comments IN fir fro ea cri ap

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