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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 Immigration Status ** NO NO YES N/A N/A N/A YES At time of application submission, when a customer provides an A#, a real time interface with SAVE occurs and the result is included and populated with the other application data. Utah uses an existing data source (eFIND) for all three steps of SAVE for immigration verification. Utah has been granted a full Hub waiver to use an existig SAVE match rather than using the Hub VLP Service. Household Composition YES NO NO N/A N/A NO NO In most cases the states accepts self-attestation with no additional verfication unless there is information in internal data sources or through the course of other verifications that indicates an inconsistency that would affect eligibility. We will accept client attestation for multiple child pregnancy which would impact household size. Pregnancy *** YES NO NO N/A N/A NO NO We will accept client attestation for multiple child pregnancy. In rare cases, if there are discrepancies in attestation during the application process, or someone attests to being pregnant but we have information that indicates they are not, we may ask for additional documentation. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 4