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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Minnesota 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 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 1. Social Security Administration (SSA) YES YES YES NO NO NO NO NO NO YES NO NO YES YES NO We will not independently verify age/DOB but understand that it will be verified as part of the SSN validation process. SSA verification will only occur at renewal when a change in citizenship or Medicare is reported or known. 2. Department of Homeland Security (DHS) - SAVE YES NO YES YES NO NO NO NO NO NO NO NO YES YES NO DHS/SAVE verification will only occur at renewal when a change in immigration status is reported or known. 3. Vital Statistics NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Due to technology limitations, State does not have the capability for electronic data matching with Vital Statistics as a backup for citizenship documentation. 4. Department of Motor Vehicles (DMV) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 5. Temporary Assistance for Needy Families (TANF) 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 5