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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: New Hampshire

Date Submitted: (mm/dd/yyyy) 08/19/2025 Section B1. Use of Electronic Data Sources Financial: Electronic Data Source Determined Useful (Y/N)1 Accuracy Considered (Y/N) Timeliness Considered (Y/N) Ability to Access Considered (Y/N) Age of Data Considered (Y/N) Comprehensive Considered (Y/N) Other Criteria Used (Y/N) (Please Describe in Comments section) Data Source Used at Application (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollment (Y/N) If Data Source Used for Post- Enrollment - Frequency Used (e.g. monthly, quarterly) Comments 1. Internal Revenue Service (IRS) NO NO NO NO NO NO NO NO NO NO The issue with this data source is that the data is old and does not necessarily reflect the individual's current financial circumstances. NH has more current sources of electronic verification of both wages and unearned income. 2. Social Security Administration (SSA) (SSI, Title II) YES YES YES YES YES YES NO YES YES YES Monthly We will use the electronic verification through the HUB and our current Data Exchange Post-Eligibility. For further clarification see details in Section A. 3. State Wage Information Collection Agency (SWICA) YES YES YES YES YES YES NO NO YES YES Other (specify in comments) The information provided in this data source is more current that IRS data. For further clarification see details in Section A. 4. State Unemployment Compensation YES YES YES NO YES YES NO NO YES YES Other (specify in comments) For further clarification see details in Section A. 5. State Administered Supplementary Payment Program YES YES YES YES YES YES NO NO YES YES Other (specify in comments) This would only ever be used if the client's attested income is outside of the 10% income threshold and the program has more current information. *An Implementation Date of 5/31/2025 for reasonable compatibility standard of 10% 6. State General Assistance Programs NO NO NO NO NO NO NO NO NO NO NH does not have a State General Assistance program. 7. Supplemental Nutrition Assistance Program (SNAP) YES YES YES YES YES YES YES NO YES YES Other (specify in comments) This would only ever be used if the client's attested income is outside of the 10% income threshold and the program has more current information. Only used for the raw income data. *An Implementation Date of 5/31/2025 for reasonable compatibility standard of 10% MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 4