Page 3

MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: New Jersey Section B1. Use of Electronic Data Sources Financial: d dered idered dered n If Data Source dere idered nsi ccess Co nsi d ( teria Use Y/N) be i section) Data Data Data Source Used for Post- Electronic Data Source Determined Useful (Y/N)1 Accura y Consi c (Y/N) Timeliness Cons (Y/N) Ability to A (Y/N) Age of D a s at Con (Y/N) ive Co Comprehens (Y/N) Othe ri r C (Please Descri ents Comm Source Used at Application (Y/N) Source Used at Renewal (Y/N) Used Post- Enrollment (Y/N) Enrollment - Frequency Used (e.g. monthly, quarterly) Comments 1. Equifax FDSH wage verification service YES YES YES YES YES YES NO YES YES NO Use State-based electronic wage data as primary until this service is implemented. If reasonably compatible, self-attestation of income would be accepted. 2. Social Security Administration (SSA) (SSI, Title II) YES YES YES YES YES YES NO YES YES NO NJ utilizes current SSA feed. 3. State Wage Information Collection Agency (SWICA) YES YES YES YES YES YES NO YES YES NO 4. State Unemployment Compensation YES YES YES YES YES YES NO YES YES NO MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 4