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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-004

Eligibility Factor Verification Source Reasonable Compatibility Electronic Sources to be Utilized Comments Residency Self-Attestation without additional documentation shall be applied. If the attested information is not reasonably compatible to information known to the agency, additional information shall be required. No electronic data sources are available to verify residency. Paper documentation is required if the self-attested information is not reasonably compatible. I.e. a copy of the clients lease or utility bill that shows the clients address. Age (date of birth) Electronic data sources shall be utilized to verify age if available.

If the attested information is not reasonably compatible to information known to the agency, additional information shall be required. Social Security Administration (SSA), Vital Statistics, Department of Motor Vehicles (DMV), Office of Child Support Enforcement, Medicare Part D Interface. Applicable information gathered from TANF or SNAP in the case file. If the electronic data sources listed are not available or not reasonably compatible, paper documentation shall be required. Social Security Number (SSN) Electronic data sources shall be utilized to verify SSN if available. If the attested information is not reasonably compatible to information known to the agency, additional information shall be required. SSA, Vital Statistics, or applicable information gathered from TANF or SNAP in the case file. A copy of the card is not necessary.