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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 Student Status YES NO NO N/A N/A NO NO We will accept self-attestation without additional verification, unless there is information in internal data sources or through the course of other verifications that indicates an inconsistency that would affect eligibility, then we will ask for paper documentation. Medical Support Enforcement NO YES YES N/A N/A YES YES If the client attests that they have resolved the discrepancy with ORS (ORSIS data system) we will query the electronic data again before asking for documentation. We use ORS data to verify cooperation with identifying the absent parent. If the person is not cooperating with ORS, the adult may be sanctioned while the kids remain. Third Party Liability NO NO YES N/A N/A YES YES If the client attests that they have resolved the discrepancy with ORS (ORSIS data system) we will query the electronic data again before asking for documentation. For CHIP only, at application we verify TPL before we approve the case. At renewal we verify post eligibility. * States must check electronic data sources determined useful to verify income in accordance with 42 CFR 435.948 but can be done post-enrollment. If the information obtained from electronic data sources and the information provided by or on behalf of the individual are both above, at or below the applicable income standard, the State must determine the applicant eligible or ineligible for Medicaid/CHIP. (NOTE: this option is prepopulated for the state and is not an option that can be changed). ** States must follow statute, regulations, and guidance for verification of SSN, citizenship and immigration status including obtaining such information through MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 6