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West Virginia Income Maintenance Manual Chapter 7

West Virginia Income Maintenance Manual Page 9 Chapter 7 Verification

Self-attested Income • Step 2: If the percentage difference between the self-attested income and electronic data source income is less than or equal to 10%: o The two figures are considered reasonably compatible. o No additional verification is required. o The self-attested income is used to determine eligibility. 7.2.5.F Reasonable Compatibility Examples Reasonable Compatibility Example 1: Ms. Violet applied for Medicaid as a single adult. She states her income is $1,200 per month. The electronic data source returns income of $1,280 per month. The allowable income limit is $1,238. No further explanation or verification is required. Reasonable Compatibility Test Step Calculation Result STEP 1: Calculate the percentage difference between the self-attested income and the income reported by the electronic data source. $1280 - $1200 x 100 $1200 6.6% STEP 2: Compare the income difference to the Reasonable Compatibility Standard (10%). 6.7% is less than 10%; therefore, the amounts are reasonably compatible. The Worker must use the self-attested income to determine eligibility.

Reasonable Compatibility Example 2: Mr. Clover applied for Medicaid as a single adult. He states his income is $1,200 per month. The electronic data source returns income of $1,340 per month. The allowable income limit is $1,238. The Worker asks Mr. Clover to explain the difference, but he cannot. The income difference affects eligibility, so the Reasonable Compatibility Test must be applied. Reasonable Compatibility Test Step Calculation Result NOTE: If the percentage difference between the self-attested income and electronic data source income is greater than 10%: • The two figures are not reasonably compatible. • Additional verification is required.