Page 9

MAGI-BASED ELIGIBILITY VERIFICATION PLAN (Insert Medicaid, CHIP, or Both) Medicaid & CHIP State: West Virginia Last Updated 10/20/2016 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 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 1. Social Security Administration (SSA) YES YES YES NO NO YES NO NO NO YES NO NO YES NO NO The state uses the Hub to verify SSN and citizenship. 2. Department of Homeland The state uses SAVE step 1 through the Hub. SAVE steps 2 and 3 are accessed through Security (DHS) - SAVE an existing SAVE data match. WV will integrate steps 2 and 3 into its systems by December 2016. YES NO NO YES NO NO NO NO NO NO NO NO YES YES NO Only utilized at renewal if any changes occur regarding immigration status. 3. Vital Statistics IPACT - for Birth Certificate (West Virginia Births and Marriages). Used as a back up to YES NO YES NO NO NO NO NO NO NO NO YES YES NO YES Weekly for SSA for citizenship verification. Vital Statistics is used for verification of date of death. date of death 4. Department of Motor Vehicles (DMV) The State will not check DMV records for Children under the legal driving age of 16 in West Virginia. The DMV data source will only be used as needed, and will not be required for every applicant. YES NO NO NO YES YES NO NO NO NO NO NO NO NO NO DMV is an available data source to verify residency if the state is made aware of a discrepancy. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 9