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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: South Dakota 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 NO YES Both are above, at or below the applicable income standard. Other (Specify in Comments) N/A YES YES If the individual attests to income above the applicable standard and the data source indicates income below the standard, the state will take the attestation to make the person ineligible and screen for APTC (Advance Premium Tax Credits). If the individual attests to income below the applicable standard and the data source indicates income above the standard, the state will ask for a reasonable explanation or paper documentation. Residency YES NO YES N/A N/A YES YES Accept self-attestation unless individual is in the SNAP/TANF files and information within the integrated system (SNAP and TANF) conflicts with application. Reasonable explanation is then requested. For example, if a discrepancy such as a P.O. Box or hospital address is found, then they will use an EDS to investigate further. Electronic data sources may include SSA, SNAP, TANF and/or PARIS. If the information that comes back is still questionable, then they will ask for a reasonable explanation or paper documentation. For all other individuals, self-attestation is accepted. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1