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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 Electronic Verification of Vital Events (EVVE) YES NO YES NO NO YES NO NO NO NO NO NO YES NO NO This data source will be used to confirm citizenship/age if it is not available in the Hub or State Vital Records The citizenship verification process is in accordance with the applicable rules. 49 States that will utilize this data source. WYCAPS YES NO NO NO NO NO NO NO NO NO NO YES YES YES NO This data source houses foster care information and will allow for the confirmation of foster care status. Used to verify status for the former foster care group via confirmation that the individual was in state custody at the time of their 18th birthday. State Wage Information Collection Agency Information (SWICA) YES NO NO NO NO NO NO NO NO NO NO YES NO NO YES Quarterly This data source will be used to obtain third- party liability information to ensure that Medicaid is the payer of last resort. It will also provide information on the accessibility of Employer Sponsored Insurance. The State first contacts the employer via a letter to determine if the individual is employed and/or if the individual has access to other insurance (for TPL purposes) when information is inconsistent with the attestation before requesting paper documentation. IRS YES NO NO NO NO NO NO YES YES NO NO NO YES NO NO Through the Hub. * Under 42 CFR 435.945(d), all State Medicaid eligibility systems must conduct a match with PARIS for Interstate benefit information. If used for other purposes, please indicate in Section D. MAGI-BASED ELIGIBILITY VERIFICATION PLAN SECTION B2 - Use of Electronic Data Sources, Non-Financial 10