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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Wyoming Section D. Additional Verification Questions 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): In accordance with 42 CFR 435.952(c), information received from the electronic data sources identified in the verification plan will always be accepted when determining or redetermining eligibility. If such information is not reasonably compatible, additional electronic sources will be called upon in order to attempt to resolve the issue, including using vital statistics as a back- up for citizenship verification. If a resolution is not available through electronic means, Wyoming Medicaid has determined that requesting paper documentation is the best method to verify eligibility factors and ensure program integrity. Some reasonable compatibility issues, such as pregnancy status, may be resolved with a reasonable explanation from the individual rather than paper documentation. 2 Please describe how the state uses PARIS? PARIS is primarily used to ensure that only Wyoming residents are receiving Medicaid benefits. It is also used to verify sources of third-party liability coverage in order to keep Medicaid as the payer of last resort. Income information may also be obtained, post-enrollment, in order to ensure program integrity. It may also be used to make referrals for potential VA beneficiaries 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. NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION D- Additional Verification Questions - Financial 13