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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 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 6. Supplemental Nutrition Assistance Program (SNAP) YES NO NO NO YES NO NO NO NO NO NO NO YES YES NO Can be utilized for verification of Age/DOB, Caretaker Relative, and Household Comp is necessary. 7. Office of Child Support Enforcement YES NO NO NO YES NO NO NO NO NO NO NO YES YES YES Other (specify in comments) ON DEMAND. Can be utilized for verification of Caretaker Relative, and Household Comp if necessary. 8. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO N/A No state program 9. Women, Infants and Children Program (WIC) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO No interface 10. State Income Tax NO NO NO NO YES NO NO NO NO NO NO NO NO NO NO No interface available with State Department of Revenue. 11. Commercial database: (Please describe any commercial databases in the space below) THE WORK NUMBER YES NO NO NO YES NO NO NO NO NO NO NO YES YES YES Other (specify in comments) Used Post Enrollment to identify changes and/or PI purposes. 13. Other: (Please describe additional electronic data sources in the space provided below) PARIS* YES NO NO NO YES NO NO NO NO NO YES YES NO NO YES Quarterly Interstate and VA match data; Can be used for Age/DOB if necessary. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 7