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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Montana Section D. Additional Verification Questions 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): The state accepts self-attestation without additional verification for many factors of eligibility. For those that it doesn't, the state uses all available electronic data sources, which include, but are not limeted to: Vital Statistics as a back-up for citizenship, SNAP/TANF data, various income verification data sources, etc. For factors that can be verified with electronic data, non- electronic verification is requested only if questionable or not reasonably compatible. The state will attempt to resolve inconsistencies with follow-up questions and reasonable explanations prior to requesting paper documentation. 2 Please describe how the state uses PARIS? PARIS is used to determine duplicate benefits in another state or with Department of Defense (DOD). 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). NO If (YES), please submit a letter to CMS requesting such approval describing how the 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 affordability programs. N/A MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 13