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Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestatio n Accepted with Post- Eligibility Verificatio n (Y/N) Electron ic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibili ty Standard for Income Ask for a Reasonabl e Explanatio n from the Individual (Y/N) Paper Documentati on Required from the Individual (Y/N) Comments Caretaker Relative YES YES YES N/A N/A YES YES Use of TANF file for electronic verification when applicable. If data source indicates and inconsistency, will ask for a reasonable explanation and paper documentation if necessary. If individual is not in TANF file, will accept self-attestation. The same 6 month post- eligibility process for financial factors will also be used for non-financial excluding the threshold. The State will request a reasonable explanation and/or paper documentation from the individual to resolve any discovered discrepancies Medicare NO NO YES N/A N/A NO NO If an inconsistency, would take the information from the data source over the attestation. Application for Other Benefits YES NO NO N/A N/A NO NO Example of this is applying for unemployment or social security. SA will be accepted MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 3