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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: South Carolina 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): If information cannot be obtained electronically or the self-attestation and data sources are not reasonably compatible and eligibility is impacted, individual will be requested to give an explanation. If the explanation is questionable, paper documentation will be required. The state considered the administrative costs associated with establishing and using the data match vs. administrative costs associated with relying on paper documentation. The state also considered the impact on program integrity as there are potential for ineligible individuals to be approved as well as for eligible individuals to be denied coverage. As a result we decided to accept self-attestation for income equal to or below $300 if there are no data sources. For income above $300, check data sources and request explanation and if applicable paper documentation. State will be using all available data sources before requesting any additional information, including using vital statistics as a back-up for citizenship. 2 Please describe how the state uses PARIS? Interstate Match: Recipients who are receiving Medicaid in more than one participating state for the same time period are reported. Workers are alerted to verify the whereabouts of the recipient during the overlapping period and terminate the Medicaid, if appropriate. Veteran’s Administration & Federal Match: State plans to pursue agreement. 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 MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 14