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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 Application (Y/N) Data Source Used at Renewal (Y/N) Data Source Used Post- Enrollment (Y/N) If Used for Post- Enrollment Frequency Used (i.e. monthly, quarterly) Comments 3. Vital Statistics May use this data source at review, or change report to verify reported changes related to caretaker relative, birth of a YES NO YES NO NO YES NO NO NO NO NO NO YES NO NO child, to verify relationship. Will be used as a back-up to verify citizenship and age if cannot be verified through SSA. 4. Department of Motor Vehicles (DMV) YES NO NO NO YES NO NO NO NO NO NO NO YES NO NO 5. Temporary Assistance for Needy Families (TANF) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO TANF financial assistance eligibility is handled by the same eligibility computer system as Medicaid. 6. Supplemental Nutrition Assistance Program (SNAP) NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO SNAP eligibility is handled by the same eligibility computer system as Medicaid. 7. Office of Child Support Enforcement YES NO NO NO YES YES NO NO NO NO NO YES NO YES YES Other (specify in comments) While it is an available data source it is not used for verification purposes unless the state feels it is necessary, i.e. discrepancies from other data sources or when notified of a change in circumstances for residency, age, household composition (if needed), caretaker relative (if needed). We use this data source to verify cooperation with medical support enforcement. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 11