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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 Age (Date of Birth) NO NO YES N/A N/A YES YES Paper documentation is only required from the client if they are unable to provide a satisfactory reasonable explanation for the compatibility issue. For instances where the inconsistency does not affect eligibility, State will not require paper documentation. However, to ensure that the information is correct, as it may have an impact at a later stage, State may reach out to the individual for reasonable explanation. Social Security Number ** NO NO YES N/A N/A N/A YES Citizenship ** NO NO YES N/A N/A N/A YES Immigration Status ** NO NO YES N/A N/A N/A YES Household Composition YES NO YES N/A N/A YES YES For individuals not known to the system, State will accept self- attestation without additional verification. For individuals already known to the integrated system, (i.e. through SNAP or TANF), State will perform verification using an electronic data source. Paper documentation is only required from the client if they are unable to provide a satisfactory reasonable explanation for the compatibility issue. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 2