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MAGI-BASED ELIGIBILITY VERIFICATION PLANSECTION C - Additional Factors of Eligibility for Separate CHIP 9 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Tennessee Section C . Additional Factors of Eligibility for Separate CHIP Eligibility Factor Self- Attestation Accepted without Additional Verification Self- Attestation Accepted with Post- Enrollment Verification (Y/N) Electronic Data Source Used (Y/N) If Yes, please describe in comments Paper Documentatio n Required from the Individual (Y/N) Non- Applicabl e (N/A) Comments 1. Applicant does not have The electronic data source used includes the TPL contractor's database. Paper documentation other coverage NO YES YES YES Must be Applied will be required to resolve inconsistencies. These verification procedures do not apply to the Medicaid Expansion program under title XXI. In those cases, the state asks for employer documentation if insurance is offered and uses the TPL database to verify . 2. Applicant does not have access to affordable ESI N/A 3. When child has had coverage (as applicable to N/A states' waiting period) 4. Access to public employee coverage NO NO NO NO 5a. Waiting period exception #1 (describe): N/A 5b. Waiting period exception #2 (describe): N/A 5c. Waiting period exception #3 (describe): N/A 5d. Waiting period exception #4 (describe): N/A 5e. Waiting period exception #5 (describe): N/A