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West Virginia Income Maintenance Manual Chapter 6
West Virginia Income Maintenance Manual Page 1 Chapter 6 Data Exchanges
6.1 INTRODUCTION There are two main electronic sources that provide verifications to the Department of Human Services (DOHS). These are the Federal Data Hub (FDH) and the Income and Eligibility Verification System (IEVS). The IEVS is a computerized information system that performs data matches against several agency databases to verify certain types of income and/or assets. The information provided by these two main sources overlaps in some areas. The Worker accesses all information through the eligibility system. In general, the two sources are used in the following ways: • When the Worker evaluates for Medicaid eligibility, he tests for Modified Adjusted Gross Income (MAGI) coverage groups first. That requires a check of results primarily from the Hub. • If the test fails for a MAGI coverage group, the Worker evaluates for Non-MAGI coverage groups, which uses data exchange information from IEVS. • Data exchange information available at both application and review may also be used by the Worker to evaluate discrepancies in the client’s statement when it disagrees with Hub data. • For determination of eligibility for benefits other than MAGI Medicaid, Hub data may be used only if it was obtained when trying to determine MAGI Medicaid eligibility. Otherwise, it is not used. It is never used to determine Supplemental Nutrition Assistance Program (SNAP) benefits. 6.1.1 FEDERAL DATA HUB (FDH) The FDH is the primary source the Worker uses to verify reported information for MAGI Medicaid and the West Virginia Children’s Health Insurance Program (WVCHIP). When no information is returned from the Hub or when discrepancies exist that are not reasonably compatible, the Worker must utilize all sources available before requesting verification from the client. See Section 7.2. An electronic data match with the Hub will be triggered when eligibility is being determined for MAGI Medicaid or WVCHIP. When no one in the case is found eligible for MAGI Medicaid or WVCHIP, information returned by the Hub is not used for eligibility purposes for other programs. NOTE: The Federally Facilitated Marketplace (FFM) utilizes the same FDH used by the DOHS.