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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 Citizenship ** NO NO YES N/A N/A N/A YES SSA data match via Data Services Hub; if SSA cannot validate citizenship to the extent that an applicant has information that can be verified through DHS, DHS data match via Hub. If unable to validate citizenship through SSA or DHS, request and adjudicate other data sources or documentation in accordance with standard Medicaid and CHIP regulations. Follow-up with applicant if a discrepancy is found. If not resolved through follow- up, paper documentation will be required. Will follow the steps outlined in rule. Other data sources that may be used at application may include SNAP, TANF if citizenship has been verified in accordance with Medicaid and CHIP rules and/or State Department of Health - Vital Statistics. Immigration Status ** NO NO YES N/A N/A N/A YES DHS data match via Data Services Hub; if DHS cannot verify immigration status, request and adjudicate documentation in accordance with Medicaid and CHIP standards. Follow-up with applicant if a discrepancy is found. If not resolved through follow- up, paper documentation will be required. Will follow the steps outlined in rule. Other data sources that may be used at time of application include SNAP and/or TANF if immigration status has been verified in accordance with Medicaid and CHIP rules. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 3