Section 75-02-02.1-34.3 - Reasonable compatibility of income for individuals subject to a MAGI-based methodology1. For purposes of this section, "reasonable compatibility" refers to an allowable difference or discrepancy between the income reported by an applicant or recipient and the income reported by an electronic data source.2. The department may request additional information or documentation from an applicant or recipient only if verification cannot be obtained from an electronic data source or information obtained from the electronic data source is not reasonably compatible with information provided by the applicant or recipient.3. The most recent verification of income from an electronic data source is reasonably compatible if it results in the same eligibility outcome as information reported by the applicant or recipient.4. Any income verification information requested and received by the department as a result of the application or review of other economic assistance programs must be used to determine eligibility for medicaid and children's health insurance program and reasonable compatibility does not need to be determined.5. If an applicant or recipient has multiple types of income and income from different sources, each type of income and each source of income must be compared for reasonable compatibility, and the highest amount from each type and source must be used to determine eligibility.6. When income verification is received quarterly, the income must be converted to a monthly amount to determine reasonable compatibility.7. For purposes of determining reasonable compatibility for earned income, other than self-employment, and unearned income: a. When both the electronic data source and the applicant or recipient report total countable income that is below the budget unit income level, the two data sources are considered to be reasonably compatible and further verification may not be requested. The higher of the two amounts will be used to determine eligibility.b. When both the electronic data source and the applicant or recipient report total countable income that is above the budget unit income level, the two data sources are considered to be reasonably compatible and further verification may not be requested.c. When verification from the electronic data source is above the budget unit income level, but the information reported by the applicant or recipient is less than the budget unit income level, or when verification from the electronic data source is below the budget unit income level but the information reported by the applicant or recipient is higher than the budget unit income level, the two data sources are not reasonably compatible and further verification is required to determine eligibility.d. When the electronic data source does not provide verification of income from the same source and type as the applicant or recipient reported, the two data sources are not reasonably compatible and further verification is required in order to determine eligibility.8. Reasonable compatibility is not determined for self-employment income.N.D. Admin Code 75-02-02.1-34.3
Adopted by Administrative Rules Supplement 2016-361, July 2016, effective 7/1/2016.General Authority: NDCC 50-06-16, 50-24.1-04
Law Implemented: NDCC 50-24.1-37; 42 U.S.C. 1396 a(e)