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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 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 4. Department of Motor Vehicles (DMV) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO This data source only provides residency verification.The state is accepting client statement for verification of residency if not known to the SNAP/TANF. If known to SNAP/TANF and there is an inconsistency, we use other data sources as backup. 5. Temporary Assistance for Needy Families (TANF) YES YES YES YES YES YES NO YES YES NO YES NO YES YES YES Monthly Only use for SSN if verified with SSA first. Only use for citizenship and immigration status if verified in accordance with Medicaid/CHIP rules. For TANF purposes, it is mandatory to verify pregnancy. If a discrepancy is found, TANF can be used for further clarification with the individual to verify pregnancy for Medicaid. TANF can be used as a backup to Vital Statistics in verifying caretaker relative status. 6. Supplemental Nutrition Assistance Program (SNAP) YES YES YES YES YES YES NO YES NO YES YES NO YES YES YES Monthly Only use for SSN if verified with SSA first. Only use for citizenship and immigration status if verified in accordance with Medicaid/CHIP rules. 7. Office of Child Support Enforcement YES NO NO NO YES YES NO YES YES NO NO NO NO NO YES Annually OCSE may be used as a backup source to verify residency and other eligibility factors. 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 MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 7