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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: South Carolina 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* YES NO YES Both are above, at or below the applicable income standard. Percent Threshold 10% YES YES When attestation below income standard and data source above, if difference between attestation and source is <=10%, accept attestation that is reasonably compatible, otherwise request explanation. Paper Documentation is required only if Reasonable Explanation is questionable. Self-Attestation Accepted without Additional Verification: If data sources for income are not available, accept self-attestation for income equal to or below $300. For income above $300 request explanation and if applicable paper documentation if not reasonably compatible with data sources. The process when an individual attests to income above the applicable standard and data source indicates income below the standard is that the state will take the attestation and make the person ineligible and screen for APTC. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1