MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: New Mexico Last Updated: (mm/dd/yyyy) 11/01/2018 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 Residency YES NO NO N/A N/A NO NO If impacting eligibility, paper documentation required when attestation is inconsistent with other information received by the agency while not actively looking for residency. Age (Date of Birth) NO NO YES N/A N/A YES YES If impacting eligibility, paper documentation required when data is unavailable, incomplete or incompatible. Social Security Number ** NO NO YES N/A N/A N/A YES Paper documentation required when data are unavailable, incomplete or incompatible. New Mexico uses SOLQ data feed for verification. The state does not use the Hub at this time. If unable to verify through SOLQ, New Mexico uses SVES. Citizenship ** NO NO YES N/A N/A N/A YES Paper documentation required when data are unavailable, incomplete or incompatible. New Mexico uses SOLQ data feed for verification. The state does not use the Federal Data Services Hub (Hub) at this time. New Mexico also has access to Vital Statistics data. YES When the applicant's income attestation is below the applicable income standard but data sources indicate that income is above the applicable income standard, then a reasonable explanation will be requested to explain the discrepancy. This includes a verbal or written statement from the applicant clarifying the difference. If additional verification is needed, then it will be requested at that point. If no electronic data sources are available, paper sources will also be used. When the applicant attests to income above the applicable income standard and data sources indicate that income is below the standard, then the state accepts the attested amount. The Notice of Case Action (NOCA) explains how income was calculated and offers an opportunity for individuals to dispute the income calculation if they disagree. New Mexico's regulations at 8.291.410.24 NMAC (citing 42 CFR 435.952(c)) allows exceptions for special circumstances on a case-by-case basis to accept self-attestation for all eligibility criteria when documentation does not exist such as homelessness, domestic violence, or a natural disaster. Income* NO NO YES N/A YES Both are above, at or below the applicable income standard.