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MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D - Additional Verification Questions 9 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Texas Date Submitted: (mm/dd/yyyy) 07/22/2019 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): Texas accepts self-attestation without additional verification for many factors of eligibility. For the eligibility criteria for which Texas requires verification, HHSC currently leverages an extensive number of electronic data sources wherever they exist, including using vital statistics as a back up for citizenship. States must make major systems changes to implement ACA eligibility requirements. Determining whether additional data sources exist, and then establishing interfaces with those sources would result in substantial administrative burden and costs. As a result, Texas will continue to require paper documentation of certain eligibility factors when electronic data is not available or inconsistant with the individual's attestation, when affecting eligibility, in order to protect the integrity of the Medicaid and CHIP programs. 2 Please describe how the state uses PARIS? The Texas Office of the Inspector General (OIG) administers a quarterly data match with the Public Assistance Reporting Information System (PARIS). OIG provides Texas client enrollment information for the following programs: Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and Medicaid. This information is then matched with client enrollment information from other states. This process is referred to as the Interstate Match. The resulting matches are used to validate client reported circumstances and identify possible candidates for erroneous payments. Texas also participates in the PARIS Veteran's Administration Match. This process provides data on active HHSC SNAP, TANF and Medicaid recipients to the Defense Manpower Data Center (DMDC) for PARIS Matching. The return file is sent back to HHSC who provides the information to the Texas Veteran’s Commission (TVC). 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