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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Hawaii 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 Application (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollment (Y/N) If Used for Post- Enrollment Frequency Used (i.e. monthly, quarterly) Comments 1. Social Security Administration (SSA) YES YES YES NO NO YES NO NO NO YES NO NO YES NO YES Other (specify in comments) HI uses the Hub to verify SSN and citizenship. For Medicare information post- enrollment checks / matches are made with SSA to identify changes in circumstance(s) as needed. 2. Department of Homeland Security (DHS) - SAVE YES NO NO YES NO NO NO NO NO NO NO NO YES YES NO Hawaii uses the Hub's VLP service for all steps of SAVE. Only used at renewal for statuses that are subject to change. 3. Vital Statistics Limited to Hawaii birth records only, therefore not cost effective as already receiving data NO NO NO NO NO NO NO NO NO NO NO YES NO NO NO matches from national databases such as SSA, SAVE etc.. MOA pending with Dept of Health for death information only. 4. Department of Not available Motor Vehicles NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO (DMV) 5. Temporary Not available Assistance for Needy Families NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO (TANF) MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 7 Last Updated: April 5, 2016