MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1 MAGI-BASED ELIGIBILITY VERIFICATION PLAN Program: Medicaid & CHIP State: Nebraska Last updated by Nebraska 09/04/2019 Section A. Verification Procedures for Factors of Eligibility 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 Income* NO NO YES Both are above, at or below the applicable income standard. Percent Threshold 10% YES YES If individual attests to income below the applicable standard and data indicates income above the applicable standard, but the the difference between the two is 10% or less, we will consider the information reasonably compatible. If the difference is more than 10% we will request paper documentation. Will allow for reasonable explanation if employment ending in the month (March) before application was made (April). If an individual attests to income above the applicable standard and the data source indicates income below the standard, the individual will be ineligible and screened for APTC (Advance Premium Tax Credits). Residency YES NO NO N/A N/A NO NO In most cases Nebraska accepts self-attestion, however if attested information is inconsistent with information that the agency has from internal data sources, then additional data sources will be checked. If there is still an inconsistency after checking all available data sources, paper documentation will be requested. Age (Date of Birth) NO NO YES N/A N/A NO YES Paper documentation will be requested if the electronic data source (e.g. SSA, Vital Statistics, DMV) for age (DOB) is inconsistent with attested information. Social Security Number ** NO NO YES N/A N/A N/A YES If information is not available from the Federal Data Services Hub (the Hub), paper documentation will be required from the individual.