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MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 8

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 Applicati on (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

4. Department of Motor Vehicles NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 5. Temporary Mississippi anticipates using this (TANF) source in the future. NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 6. Supplemental Mississippi anticipates using this (SNAP) source in the future. NO NO NO NO NO NO NO NO NO NO YES NO NO NO NO 7. Office of Child Support Enforcement (OCSE) YES NO NO NO NO NO NO NO NO NO NO YES NO NO YES Other (specify in comments) Mississippi uses OCSE data regarding child support compliance post enrollment if the data affects Medicaid eligibility. 8. State General NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Not applicable in Mississippi