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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 Renewa l (Y/N) Data Source Used Post- Enrollmen t (Y/N) If Data Source Used for Post- Enrollment - Frequency Used (e.g. monthly, quarterly) Comments 5. State Administered Supplementary Payment Program NO YES YES YES YES YES NO NO NO NO Not used for MAGI. These individuals are considered referrred eligibles from Massachusetts state date exchange (excluded from MAGI calcuation) and are automatically eligible for MassHealth 6. State General Assistance Programs NO YES YES YES YES YES NO NO NO NO Not used for MAGI. These individuals are considered referrred eligibles from Massachusetts Department of Transitional Assistance (excluded from MAGI calcuation) and are automatically eligible for MassHealth. MA has received authority to establish eligiblity for these groups by referral, through our 1115 Demonstration amendment, approved on October 1, 2013. 7. Supplemental Nutrition Assistance Program (SNAP) YES YES YES YES YES YES YES NO YES NO Express Lane Renewals only MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 5