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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Ohio 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 NO NO NO NO YES YES NO YES YES YES Other (specify in comments) IEVS and Bendex Data feed currently received daily for post-enrollment alerts regarding changes. 2. Department of Homeland Security (DHS) - SAVE YES NO NO YES NO NO NO NO NO NO NO NO YES YES NO 3. Vital Statistics NO NO YES NO NO NO NO NO NO NO NO YES NO NO NO Paternity lead for medical child support once interface is available. Projected date is 01/01/14. We will update the Verification Plan at that time. 4. Department of Motor Vehicles (DMV) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Data interface will not be available at go-live, and there is no firm date for availability. 5. Temporary Assistance for Needy Families (TANF) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO TANF program eligibility is not determinative of MAGI-based Medicaid eligibility. No interface is planned between the new Integrated Eligiblity system and the legacy CRISe system, which continues to house SNAP and TANF until they migrate to the new integrated eligibility system. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 5