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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/ Reasonable Explanation Electronic Sources to be Utilized Comments

Citizenship Electronic data sources shall be utilized to verify Citizenship if available. If the attested information is not reasonably compatible to information known to the agency, additional information shall be required. SSA, Department of Homeland Security (DHS)- SAVE, Vital Statistics, State Verification and Exchange System (SVES) or 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. Consider the 90- day reasonable opportunity period. Immigration Status Electronic data sources shall be utilized to verify Immigration if available. If the attested information is not reasonably compatible to information known to the agency, additional information shall be required. DHS-SAVE or applicable information gathered from TANF or SNAP. If the electronic data sources listed are not available or not reasonably compatible, paper documentation shall be required. Consider the 90- day reasonable opportunity period. Household Composition Self- attestation without additional documentatio n shall be applied for household composition. If the attested information is not reasonably compatible with information that is known the agency, additional documentation shall be required. No electronic data sources are available to verify household composition. Paper documentation is required if the self-attested information is not reasonably compatible. I.e. a signed statement from the landlord.