56.02 Verification process for Medicaid

In determining an individual’s eligibility for Medicaid: Family size.43 For purposes of MAGI-based Medicaid eligibility, attestation of information needed to determine family size in accordance with the procedure set forth in § 55.01 will be accepted (attestation only). (b) Income44 Except as stated in paragraph (b)(2) of this subsection, income will be verified by comparing the individual’s attestations with tax- and non-tax data obtained pursuant to § 56.01. If the attestations are not reasonably compatible, as that term is defined in § 57.00(a)(2) and described in AHS’s verification plans, with such data or if such data is not available, AHS will proceed in accordance with the provisions in § 57.00(c). For purposes of MAGI-based Medicaid eligibility, an individual’s attestation that their income is above the highest income standard under which they may be determined eligible will be accepted without further verification. (c) Resources. For purposes of MABD (non-MAGI-based Medicaid) eligibility, resources will be verified by 43 42 CFR § 435.956(f); 45 CFR § 155.320(c)(2)(i). 44 42 CFR §§ 435.945, 435.948, and 435.952; 45 CFR § 155.320(c)(2)(ii). Eligibility-and-Enrollment Procedures Part 7 – Page 20 (Sec.56.00, Sub.56.03) comparing the individual’s attestations with available data sources. If the attestations are not reasonably compatible, as that term is defined in § 57.00(a)(2) and described in AHS’s verification plan for MABD, with such sources, or if no such sources exist, or if sources exist but are not available, AHS will proceed in accordance with the provisions in § 57.00(c).