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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: VT Last updated: 2/28/2024

Section D. Additional Verification Questions Number 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): Vermont does use data sources before requiring paper documentation from the individual. If there is an inconsistency identified from the data sources, paper documentation may be required. 2 Please describe how the state uses PARIS? Vermont uses its data connection with PARIS to show if a member is enrolled in coverage in another state which could be an indication of a potential change in residency post-enrollment. VT also utilizes the VA and Federal (Champva, TriCare, and Federal Insurance benefits) matches. 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

If (YES), please submit a letter to CMS requesting such approval describing how the the state meets the following requirements: 1) Reduces administrative costs and burdens on both individuals and the State, 2) Maximizes accuracy and minimizes delay, 3) Meets the requirements related to confidentiality, disclosure, maintenance and use of information, and 4) Promotes coordination with other insurance affordability programs.

N/A 4 Please indicate (YES) or (NO) if the State intends to request Secretarial approval to use a mechanism other than the federal data services hub for information that is available through the hub. YES