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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 Applicati on (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 2. Department of Homeland Security (DHS) - SAVE YES NO NO YES NO NO NO NO NO NO NO NO YES YES NO Utilized at renewal if 5-year bar is met or post- enrollment as individual reports a status change. State to use current data sources until 12/16/13. State will then begin utilizing Hub. 3. Vital Statistics YES NO YES NO NO NO NO NO NO NO NO NO YES NO NO Utilizes Vital Statistics as a backup source for Citizenship and Age/DOB. 4. Department of Motor Vehicles (DMV) YES NO YES NO NO NO NO NO NO NO NO NO YES NO NO Utilizes DMV as a backup source for Citizenship only for those individuals for whom the state DMV has verified citizenship on their driver's license issuance. 5. Temporary Assistance for Needy Families (TANF) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 6. Supplemental Nutrition Assistance Program (SNAP) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 7. Office of Child Support Enforcement NO NO NO NO NO NO NO NO NO NO NO YES NO NO NO Office of Child Support Enforcement will provide information documenting if an individual has not met CSE cooperation requirements, requiring sanctions, thus affecting individual eligibility. They will also provide updates when sanctioned individuals meet compliance and become eligible again. Updates will be provided as they occur. 8. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 8