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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Alaska Section B2. Use of Electronic Data Sources Non-Financial: Electronic Data Source To Be Used (Y/N) Social Security Number Citizenship Immigration Status Residency Age/DOB Pregnancy Household Composition Caretaker Relative Medicare Application for other Benefits Other Data Source Used at Applicatio n (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollme nt (Y/N) If Used for Post- Enrollment Frequency Used (i.e. monthly, quarterly) Comments 1. Social Security Administration (SSA) YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES Only used at renewal for Medicare and post- enrollment for application for other benefits. Can be used for Residency, Age/DOB, Household Comp, Marital Status (if not living in the same house) if an inconsistency is identified in the course of other verifications. 2. Department of Homeland Security (DHS) - SAVE YES NO YES YES NO NO NO NO NO NO NO NO YES YES NO Only used at renewal if there's been a change in status or 5 year bar. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 6