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MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: VT Last updated: 2/28/2024
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 (Please describe in comments section) (Y/N) 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
Vermont has identified that the IRS data is useful and began to use IRS FTI data to verify income for Medicaid/CHIP in August 2015. 2. Social Security Administration (SSA) (SSI, Title II) Yes Yes Yes Yes Yes Yes No Yes Yes No Other (specify in comme nts) Vermont uses the SSA connection through the Hub to verify the receipt and amount of cash benefits provided under Title II of the Social Security Act. If there is an inconsistency, Vermont will use ACCESS for known applicants. If Title II cannot be verified electronically, a notice is sent requesting additional documentation. 3. Stage Wage Information Collection Agency (SWICA) Yes Yes Yes Yes Yes Yes No Yes Yes No Monthly Vermont uses its loaded data from the State Department of Labor (DOL) to verify income. 4. State Unemployment Compensation No Yes Yes Yes Yes Yes No No No No Monthly Vermont does not use state unemployment compensation data currently. Vermont will explore integration of this data as part of continued eligibility system modernization efforts. 5. State Administered Supplementary Payment Program No Yes Yes Yes Yes Yes No No No No
Vermont does not use state administered supplementary payment program data at this time. Vermont will explore integration of this data as part of continued eligibility system modernization efforts. 6. State General Assistance Programs No Yes Yes Yes Yes Yes No No No No
Vermont does not utilize General Assistance Program Data to verify financial eligibility.