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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 Applicatio n (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollme nt (Y/N) If Used for Post- Enrollment Frequency Used (i.e. monthly, quarterly) Comments 5. Temporary Assistance for Needy Families (TANF) YES NO YES YES NO NO NO NO NO NO NO YES YES YES YES Other (specify in comments) Daily Only used for citizenship and immigration status if they have been verified in accordance with Medicaid and CHIP rules. Back up to use when hub sources fail. Citizenship is a one-time verification and not reviewed at renewal or post- enrollment. Immigration status may be reviewed once every 12 months or if there is a change in immigration status. The "other" column indicates data that we receive that the individual is receiving TANF benefits and therefore automatically eligible for MassHealth. 6. Supplemental Nutrition Assistance Program (SNAP) YES NO NO NO NO NO NO NO NO NO NO YES NO YES NO The "Other" column indicates that we receive data from SNAP that is used for purposes of Express Lane Renewals. 7. Office of Child Support Enforcement NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 8