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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Maine Date Submitted: (mm/dd/yyyy) 02/21/2019 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/DOB 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 Maine uses its direct connection to BENDEX to Security Administration verify citizenship, SSN, Age / DOB, Medicare and other benefits. Maine uses this connection (SSA) YES YES YES NO NO YES NO NO NO YES YES NO YES YES YES Monthly to resolve any residency inconsistencies as applicable. Maine uses SSA data at renewal and post-enrollment for Medicare and application for other benefits. 2. Department of Homeland Security (DHS) SAVE YES NO YES YES NO YES NO NO NO NO NO NO YES YES YES Other (specify in comments) Maine uses its web-based connection to SAVE at renewal and post-enrollment for statuses that are subject to change or expire. 3. Vital Statistics YES NO YES NO NO YES NO NO NO NO NO NO YES YES NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 10