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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 Social Security Number ** NO NO YES N/A N/A N/A YES If electronic verification is not satisfied, use paper SSN Card. State utilizes current real time SSA SOLQi data feed to verify SSN. State does not use the Hub at this time. Citizenship ** NO NO YES N/A N/A N/A YES If electronic verification is not satisfied, request paper verification. State utilizes current real time SSA SOLQi data feed to verify Citizenship. State does not use the Hub at this time. Immigration Status ** NO NO YES N/A N/A N/A YES Follow normal process with Homeland Security if electronic verification fails. State plans to utilize current SAVE data feed to verify Immigration Status. State does not plan to utilize the Hub at this time. Household Composition YES NO NO N/A N/A NO NO Self-attestion will be accepted, unless an inconsistancy is identified in the course of verifying other information or if the state is aware that the child is claimed in two households. Will request documentation for pregnant women expecting more than one child. Pregnancy *** YES NO NO N/A N/A NO NO Only if discrepancy is discovered. Request verification from medical provider. Caretaker Relative YES NO NO N/A N/A NO NO Self-attestion will be accepted, unless an inconsistancy is identified in the course of verifying other information. In these situations, will leverage current NC FAST interfaces. If inconsistancy still exists after use of electronic data sources, paper documentation may be required. Medicare NO YES YES N/A N/A NO YES If inconsistancy with electronic verification, will leverage current NC FAST interfaces. Paper would be used if inconsistancy remains. Application for Other Benefits NO NO YES N/A N/A NO YES If inconsistancy with electronic verification, will leverage current NC FAST interfaces. Paper would be used if inconsistancy remains. Other: (Please describe any other eligibility factors in the space below) MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2