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MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 9 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: New Mexico Last Updated: (mm/dd/yyyy) 11/01/2018 Section D. Additional Verification Questions Question Response 1 If paper documentation is required when a data source is not available or the information obtained from a data source is not reasonably compatible with the information provided by or on behalf of the individual, briefly describe how the state determined that establishing and using an electronic data source was not effective, considering such factors as cost and program integrity in accordance with 42 CFR 435.952(c): The state accepts self-attestation without additional verification for many factors of eligibility. For those that it doesn't, all available data sources will be used to verify or resolve inconsistencies, and a reasonable explanation will generally be requested prior to requesting paper documentation from the individual. Paper documentation of current income will be requested from applicants when reasonable compatibility standards are not met to ensure compliance with state and federal Medicaid program integrity regulations. 2 Please describe how the state uses PARIS? New Mexico checks PARIS to confirm enrollment in other states for all applicants and beneficiaries. Individuals who are discovered through the PARIS match file as potentially receiving Medicaid in another state are sent a notice requesting residency verification. This is the primary circumstance in which the state requests additional information, and is needed since a household's circumstances may have changed during the quarter (i.e., Individual shows up in PARIS data as receiving benefits in another state but the individual can show that he/she recently moved to New Mexico). Since PARIS data is not real-time and only available on a predetermined quarterly basis, it is not considered a current data source. Additional information will always be sought from individuals who show up in the PARIS data to afford them an opportunity to demonstrate residency prior to initiating a case closure or denial. Once this has been done, New Mexico informs the collateral contact in the other active state that benefits are active in New Mexico and that residency has been verified. 3 Please indicate (YES) or (NO) if the State intends to request Secretarial approval to solely use alternative data sources for financial verification other than those listed in 42 CFR 435.948 (Numbers 1-8 in Section B-1). NO