Page 2

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 Social Security Number ** NO NO YES N/A N/A N/A YES

Paper documentation will only be requested if information received from electronic data sources are discrepant . All measures to obtain the information electronically will be exhausted. Oklahoma uses current SOLQi data feed for verification. State does not utilize the Hub data at this time. Citizenship **

Paper documentation will only be requested if information received from electronic data sources are

discrepant. Once State exhausts electronic options the individual will be given a reasonable opportunity period of 90 days to verify. State plans to use current SOLQi data feed for verification. State will not be utilizing SSA Hub data at this time. NO NO YES N/A N/A N/A YES Immigration Status ** NO NO YES N/A N/A N/A YES Oklahoma uses SAVE through the Hub's VLP service for step 1. If the individual cannot be verified at step 1, Oklahoma uses steps 2 and 3 through its direct connection to SAVE.

Paper documentation

will only be requested if information received from electronic data sources are discrepant. All

measures to obtain the information electronically will be exhausted. The individual will be given a reasonable opportunity period of 90 days to verify.

Household Composition YES NO YES N/A N/A YES YES

Self-attestation will be accepted in many cases, however, Oklahoma has internal systems checks in

place to review all applications. If, during the regular application review, it is discovered that a

member is on another case, then we will request a reasonable explanation from the member. All

measures to obtain the information electronically will be exhausted prior to paper documentation being requested from the member. Pregnancy *** YES NO NO N/A N/A YES YES

If it's discovered, through claims, that OK has paid for more than 2 births in a 12 month period

and/or paid for sterilization and the person attested to an expectation of the delivery of one child

then the state will outreach to the member for an explanation. ONLY if a reasonable explanation can

not be provided by the member and electronic data sources have been exhausted will the state

request paper documentation. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2