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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 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 5. Temporary Assistance for Needy Families (TANF) YES YES YES YES NO YES NO NO YES NO YES NO YES YES NO If information that will impact Medicaid eligibility becomes known to the agency through TANF, Medicaid is notified of the change as a "change in circumstance." TANF data is used post-enrollment for change in circumstances and can be used at application and renewal for SSN, citizenship, immigration status, DOB, residency, pregnancy, household composition, caretaker relative and application for other benefits if needed to resolve inconsistencies. Nebraska only uses TANF data for SSN if the SSN has been verified with SSA and for citizenship and immgration status if they have been verified in accordance with Medicaid and CHIP rules 6. Supplemental Nutrition Assistance Program (SNAP) YES YES YES YES NO YES NO NO NO YES NO NO NO NO NO If information that will impact Medicaid eligibility becomes known to the agency through SNAP, Medicaid is notified of the change as a "change in circumstance." SNAP data is used for SSN, citizenship, immigration status, DOB, residency, household composition and Medicare if needed to resolve inconsistencies. Nebraska only uses SNAP data for SSN if the SSN has been verified with SSA and for citizenship and immgration status if they have been verified in accordance with Medicaid and CHIP rules. 7. Office of Child Support Enforcement YES NO NO NO NO YES NO NO YES NO NO YES YES NO NO Office of Child Support Enforcement data is used to verify caretaker relative and paternity. The Medicaid agency would be informed if the beneficiary is not cooperating with child support enforcement in which a sanction would be imposed. The frequency of post enrollment would vary case by case. This source will be used at application for paternity and cooperation and can be used for residency, and DOB if needed to resolve inconsistencies. 8. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 9. Women, Infants and Children Program (WIC) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO 10. State Income Tax NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO