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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 Income* NO YES YES

Both are above, at or below

the applicable income standard. Other (Specify in Comments) See comments YES YES

Two-pronged approach; the State gets employment and unemployment data from the Oklahoma Employment Security Commission (OESC). Therefore, current wage data will have a 5 percent

threshold test applied (5% difference between what the individual attests to and what the data source states) and unemployment data will have a 0 percent threshold test applied.

While OK is a self attestation State we will check for income post-enrollment and act on

inconsistencies as Data Exchange (DX) or other information is provided. Earned income is checked

through DX in the quarter after the application or the renewal is made and at the end of the certification period for Reasonable Compatibility in order to perform Passive Renewal.

If a member

is collecting unemployment , we receive unemployment compensation data weekly.

If an individual or family attests income above the threshold for Medicaid, their attestation results in ineligibility for Medicaid and we send for APTC. The State will ONLY require paper if information received from electronic sources are inconsistent with the attestation and are not within the reasonable compatibility threshold if applicable.

Will utilize state internal feed with SSA for income at application rather than the Hub. Residency NO YES YES N/A N/A YES YES

While Oklahoma accepts attestation of residence, the state also matches against PARIS federal interstate match. OK verifies PARIS at least twice in a year and as needed when working with other states. If residency is called into question such that it would affect the individuals' eligibility, reasonable explanation and/or physical document may be required. Postal returned mail indicators may also trigger a request for updated information from the member. Age (Date of Birth) YES NO NO N/A N/A NO NO

Age of applicant is self-attested in Oklahoma. No verification of age is required but may be received

incidental to proof of citizenship, SSN, etc. MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Oklahoma Last updated 07/13/2016 MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1