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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: Rhode Island 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) YES YES YES YES YES YES NO YES YES NO will check IRS if not able to determine eligible using local data sources first State will use this data source at renewal as a secondary option. State understands that to use this data source at renewal, they will need consent from the individual a year in advance. Will be able to use this information for a predetermined number of years. 2. Social Security Administration (SSA) (SSI, Title II) YES YES YES YES YES YES NO YES YES NO 3. State Wage Information Collection Agency (SWICA) YES YES YES YES YES YES NO YES YES YES Quarterly will use local income data sources first before IRS data 4. State Unemployment Compensation YES YES YES YES YES YES NO YES YES YES Monthly will use local income data sources first before IRS data; targeting implementation in December 2013; will require further agreement and technical work with state Dept of Labor & Training 5. State Administered Supplementary Payment Program NO YES YES YES YES YES NO NO NO NO Not available for Phase I (Oct. 1 2013); may add in Phase 2 of system build by May 2015 6. State General Assistance Programs NO YES YES YES YES YES NO NO NO NO Not available for Phase I (Oct. 1 2013); may add in Phase 2 of system build by May 2015 7. Supplemental Nutrition Assistance Program (SNAP) NO YES YES YES YES YES NO NO NO NO Not available for Phase I (Oct. 1 2013); may add in Phase 2 of system build by May 2015 Could use the data source to resolve inconsistencies with other data sources 8. Temporary Assistance for Needy Families (TANF) NO YES YES YES YES YES NO NO NO NO Not available for Phase I (Oct. 1 2013); may add in Phase 2 of system build by May 2015. Could use the data source to resolve inconsistencies with other data sources MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B1 - Use of Electronic Data Sources, Financial 3