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Section D. Additional Verification Questions Question Response CMS Comment 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):

NC uses self-attestation and/or all available data sources and only require

paper documentation when additional electronic sources are not available or if

there are inconsistancies with electronic data sources that have an impact on eligibility.

We are required by state statute to obtain two verifications of state residency for all applicants.

We use electronic data matches unless information is not compatible. Paper documentation would include rent/utility receipts.

For pregnancy, if there is discrepancy, a paper documetation would include statement from medical provider. 2

Please describe how the state uses PARIS?

VA and Interstate Match; possible additional Federal Wage Data in future. Used to verify residency. 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 NO

(Numbers 1-8 in Section B-1).

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. 4

Please indicate (YES) or (NO) if the State intends to request Secretarial approval to use a mechanism other than the federal data

services hub for information that is available through the hub. NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: North Carolina Last updated 05/26/2016 MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 11