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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 NO NO NO NO NO YES YES NO NO NO NO YES YES Other (specify in comments) Used at renewal and post-enrollment within 6 months of application. May use for pregnancy if the state becomes aware of a inconsistency. 6. Supplemental Nutrition Assistance Program (SNAP) YES NO NO NO NO NO NO YES NO NO NO NO NO YES YES Other (specify in comments) Used at renewal and post-enrollment within 6 months of application. 7. Office of Child Support Enforcement YES NO NO NO NO NO NO NO NO NO NO YES NO YES YES Other (specify in comments) Used for medical support cooperation. 8. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Montana does not have this program 9. Women, Infants and Children Program (WIC) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Do not use this source at present time for non-financial data. 10. State Income Tax NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Not available for Montana 11. Commercial database: (Please describe any commercial databases in the space below) MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 9