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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 Applicati on (Y/N) Data Source Used at Renew al (Y/N) Data Source Used Post- Enrollme nt (Y/N) If Data Source Used for Post-Enrollment - Frequency Used (e.g. monthly, quarterly) Comments 10. State Income Tax Louisiana does not have access to, and has ended its efforts to secure data NO NO NO NO NO NO NO NO NO NO from, the Louisiana Department of Revenue (LDR). The data is limited. It provides adjusted gross income (AGI), but does not report whose earnings are included. Aside from the total number of dependents, it does not provide any other data about the dependents. LDR also will not share information about others listed on the return that were not on the Medicaid application/MAGI household. 11. Commercial database: (Pease describe any commercial databases in the space below) TALX-Work Number YES YES YES YES YES YES NO YES YES NO Louisiana utilizes this service through the HUB for applications and renewals that are submitted through the online system. The state will continue to use our separate contract with TALX for renewals, change requests, and case review purposes outside of our automated process. The RRV service will be implemented in our new system expected in 2017. 12. Other: (Please describe any additional electronic data sources in the space below) MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 5