Obsolete 0118 - 731-1 Electronic Match

Effective Date: January 1, 2014 - December 31, 2017 (Was renamed to Electronic Match as of January 1, 2018)

All Medical Assistance Programs

All factors of eligibility must be verified. Verification methods include

Computer interface match;

Hard copy verification;

Client Statement, which means that in your professional judgment based on your knowledge of the client's situation and the reasonableness of the information provided, you have decided the client’s statement is an acceptable form of verification; and

Collateral contact, which is a contact made with a third party who has the knowledge necessary to confirm information the client has provided.

Once the agency verifies a factor of eligibility that is not subject to change, such as birth date or citizenship, do not request verification for it again.

At reviews, verify only those eligibility factors necessary to redetermine continued eligibility.

Do not stop benefits when the client fails to provide verification for changes that result in an increase in benefits (e.g. lower spenddown or MWI premium) and that would not make the client ineligible. However, do not increase benefits unless the verification is received.

Non-MAGI Medicaid Programs

To verify assets for Non-Magi Medicaid programs, see 503-4.

See 703-5 if an applicant provides verification within 30 days of the denial notice.