Section 210-RICR-50-00-4.6 - Submitting the ApplicationA. Completion of Forms and Signature. All application forms must be complete and signed before being submitted. To ensure equity between people who apply on-line versus through the DHS-2, an application that is not completed and signed will not be accepted and will be returned. The IES accepts electronic signatures.B. Valid Information. Information provided on the application must be validated in accordance with one or more of the following methods to determine eligibility: 1. Attestation - Applicants must attest to the truthfulness and accuracy of the information they provide by signing, under penalty of perjury, the paper application and supplemental forms in ink, or if applying on-line, through an electronic signature. An applicant's responses on the signed application (so-called "attestations") are accepted as valid without further verification or proof for a limited range of eligibility factors, such as State residency and marital status or relationship.2. Electronic Data Matches - Applicant attestations related to income, immigration status, Medicare coverage, private health insurance, and several other eligibility factors are verified automatically through the IES using electronic matches with various federal and State data sources. Applicants are asked to provide their consent for these electronic data matches on the paper and on-line forms. If these matches fail to validate applicant attestations, the applicant will receive a written request for additional clarifying or supporting documentation before action is taken on eligibility through an ADR.3. Supporting Paper Documentation/Proof - In instances in which eligibility factors cannot be electronically verified due to a lack of data sources or an information discrepancy, an applicant must submit additional documentation to prove the truthfulness and accuracy of attestations or the full scope of information necessary to evaluate an eligibility factor. The application forms for LTSS identify eligibility factors that require paper documentation.C. Privacy of Application Information - Application information must only be used to determine eligibility and the types of coverage a person is qualified to receive. Accordingly, the EOHHS, the agencies under its umbrella, and all other entities serving as its agents in the Medicaid eligibility process maintain the privacy and confidentiality of all application information in the manner required by applicable federal and State laws and regulations.210 R.I. Code R. 210-RICR-50-00-4.6