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MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 6 MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Kansas Date Submitted: (mm/dd/yyyy) 04/10/2018

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/D OB 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 YES NO Data is used at renewal when a change is reported or an inconsistency arises in the renewal process. Final Medicare entitlement and detailed information (such as effective dates) will be obtained through SSA, but is not the primary source of such information. Can be used to verify Caretaker Relative and Application for Other Benefits if an inconsistency is identified in the course of other verifications or change reported to other programs. Kansas uses SSA information from the HUB for SSN, age/DOB, and Citizenship verification. 2. Department of Homeland Security (DHS) - SAVE YES NO NO YES NO NO NO NO NO NO NO NO YES YES YES Other (specify in comments) KS currently uses all three steps of SAVE to verify immigration status. Steps one and two are completed through the HUB's VLP service (KEES) and step three is completed outside of KEES in DHS' SAVE GUI. Kansas intends to transition to the paperless mandate through a KEES change request implemented no later than May, 2019. SAVE is not used at renewal unless a change is reported or discrepant information exists. It is used Post-eligibility as needed to track status adjustments, as report by individual. 3. Vital Statistics YES NO YES NO NO YES NO NO NO NO NO NO YES NO NO Used as a secondary source if HUB information is not available. Data used at renewal only if a change is reported or discrepant information exists. This source can be used if an inconsistency is identified regarding pregnancy. 4. Department of Motor Vehicles (DMV) YES NO NO NO NO YES NO NO NO NO NO NO YES NO YES Other (specify in comments) Can be used if an inconsistency with Residency is identified in the course of obtaining other verification or change reported to other programs. Data could be used at renewal only if a change is reported or discrepant information exists. For post- eligiblity, only used as needed for changes.