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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Wyoming Section A. Verification Procedures for Factors of Eligibility 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 Income* NO NO YES Both are above, at or below the applicable income standard. Other (Specify in Comments) N/A NO YES Paper documentation will be required only if income cannot be verified through electronic data sources or information is not reasonably compatible with data sources. Wyoming is considering it not reasonably compatible if an individual attests to income below the applicable standard but the data source indicates income above the standard. If an applicant attests to income above the applicable standard and data sources confirm them to be under the standard, the income will be clarified by requesting documentation from the individual. A percentage or dollar reasonable compatibility standard will not be applied. Residency NO YES YES N/A N/A NO YES Self-attestation will be accepted with post-enrollment verification through PARIS, DMV, or SSA data sources if inconsistencies are identified by the agency. Post-enrollment verification will operate on a quarterly basis to align with the PARIS file. Use of the data sources will only be used to inform the agency of any data discrepencies or changes in residency status. If the information provided is not compatible with the information from the data sources, paper documentation will be requested. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION A - Verification Procedures for Factors of Eligibility 1