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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Nevada Section B2. Use of Electronic Data Sources Non-Financial: 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 1. Social Security Administration (SSA) YES YES YES NO NO YES NO NO NO YES YES NO YES YES YES Other (specify in comments) Used at renewal and post-enrollment for Application for Other Benefits and Medicare. Frequency used post-enrollment is bi-monthly through current data feed. Can be used as a backup data source for residency if there is a inconsistency with internal data sources. 2. Department of Homeland Security (DHS) - SAVE YES NO YES YES NO YES NO NO NO NO NO NO YES NO YES Other (specify in comments) Used post enrollment only when a known change in status or client reports a change in status. The state is using version 32.2 through the HUB. 3. Vital Statistics YES NO YES NO NO YES NO NO YES NO NO NO YES NO YES Can be used as a backup for age/DOB and citizenship verification only if a discrepancy exists with SSA. Used post enrollment for a back-up for residency and caretaker relative only when a known change in status or client reports a change in status. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 6