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Eligibility Factor Self- Attestation Accepted without Additional Verification (Y/N) Self- Attestatio n Accepted with Post- Eligibility Verificatio n (Y/N) Electron ic Data Source Used (Y/N) Reasonable Compatibility Standard Used Specify Reasonable Compatibili ty Standard for Income Ask for a Reasonabl e Explanatio n from the Individual (Y/N) Paper Documentati on Required from the Individual (Y/N) Comments Social Security Number ** NO NO YES N/A N/A N/A YES Paper documentation required only if conflicting information exists in the agency record and no reasonable explanation is available. Citizenship ** NO NO YES N/A N/A N/A YES Paper documentation required only if a discrepancy exists between electronic source and client attestation. Immigration Status ** NO NO YES N/A N/A N/A YES Paper documentation required only if a discrepancy exists between electronic source and client attestation. Household Composition YES YES YES N/A N/A YES YES If individual is known to current data sources (i.e. if a member of SNAP and TANF) we utlizize those data sources. We will accept self attestation and use data sources for post-enrollment verification. If there is an inconsistency with the attested information and the information from the data sources, State will ask for a reasonable explanation and/or paper documentation if necessary. If individual is not known to their current data sources, then State will accept Self-Attestation without additional verification. Pregnancy *** YES NO NO N/A N/A NO NO If State identifies inconsistencies from existing information from their other programs (e.g no live births, no mis-carriages or still births), then State may ask for reasonable explanation and/or paper documentation. Caretaker Relative YES YES YES N/A N/A YES YES If individual is known to current data sources (i.e. if a member of SNAP and TANF) we utlizize those data sources. We will accept self attestation and use data sources for post-enrollment verification. If there is an inconsistency with the attested information and the information from the data sources, State will ask for a reasonable explanation and/or paper documentation if necessary. If individual is not known to their current data sources, then State will accept Self-Attestation without additional verification. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2