Page 4

MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 4 MAGI-BASED ELIGIBILITY VERIFICATION PLAN Column1 Column2 Column3 Column4 Column5 Column6 Column7 Column8 Column9 Column10 Column11 Column12 (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Kansas Date Submitted: (mm/dd/yyyy) 43200 Section B1. Use of Electronic Data Sources Financial: Electronic Data Source Determined Useful (Y/N)1 Accuracy Considered (Y/N) Timeliness Considered (Y/N) Ability to Access Considered (Y/N) Age of Data Considered (Y/N) Comprehensive Considered (Y/N) Other Criteria Used (Y/N) (Please Describe in Comments section) Data Source Used at Application (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollment (Y/N) If Data Source Used for Post- Enrollment - Frequency Used (e.g. monthly, quarterly) Comments 1. Internal Revenue Service (IRS) NO YES YES YES YES YES YES NO NO NO Income format is inconsistent with other sources. The State does not use FTI obtained through IEVS or BEER. 2. Social Security Administration (SSA) (SSI, Title II) YES YES YES YES YES YES NO YES YES YES Other (specify in comments) KEES interfaces with SVES, Bendex and SDX and generates daily tasks to alert staff to potential critical changes in Title II/Title XVI eligibility and income levels. For SSI/TitleXVI, income/eligibility from the annual COLA file is automated and eligibility adjusted accordingly. 3. State Wage Information Collection Agency (SWICA) YES YES YES YES YES YES NO YES YES YES Quarterly Wage information is provided quarterly and all information will be converted to a monthly amount. This is used as an automated verification source to determine if earned income is reasonably compatible. This is used for new applications, renewals and relevant changes. 4. State Unemployment Compensation YES YES YES YES YES YES NO YES YES YES Annually Unemployment Compensation information obtained from existing state interface connection. 5. State Administered Supplementary Payment Program YES YES YES YES YES YES YES YES YES YES Monthly Kansas administers a state supplementary payment program for institutional residents. Eligiblity for the program is tracked in KEES. 6. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO The state does not issue a cash benefit for the General Assistance, but does provide a medical benefit. The medical program, MediKan, has been integrated into the new eligiblity system and all information will be shared with both MAGI and non-MAGI Medicaid and CHIP programs. 7. Supplemental Nutrition Assistance Program (SNAP) YES YES YES YES YES YES NO YES YES NO KEES is an integrated system supporting both medical and non-medical programs, including SNAP. If a SNAP case exists, earned income verification received by the SNAP program is used if it is within 3 months of the medical application. Unearned income verification received by SNAP is used if it received during reasonable timeframes to represent the current benefit amount.