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Virginia's SSA Data Match Project: Enhancing Citizenship Verification and System Management

The Virginia SSA Data Match Project aims to enhance the verification of citizenship and identity for Medicaid and CHIP programs through systematic data synergy. Key components include the development of a work plan based on legislative interpretations, enhancements to MMIS for expanded SSN verification processes, and addressing challenges with SSA and eligibility systems for seamless data capture. Through monthly submissions, the project has achieved a remarkable 98%-99% verification rate since its implementation, ensuring greater accuracy and efficiency in managing citizen records and compliance.

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Virginia's SSA Data Match Project: Enhancing Citizenship Verification and System Management

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Presentation Transcript

  1. Virginia’s SSA Data Match Project Project Teams Project Timeline Data Match Process Opportunities/Challenges Results

  2. Project Teams • CHIPRA Workgroup – developed work plan based upon legislative interpretations and CMS guidance • MMIS enhancements • Existing SSN verification process expanded to include citizenship • SSA challenges • Medicaid (DSS) and CHIP (CPU) eligibility systems changes required for capturing data and managing response information

  3. Project Timeline

  4. Data Match Process • SSA Citizenship Verification Extract File • Members added or reinstated since last file submission • Members with renewal date within next two months • Limited to those required to provide citizenship verification • SSA match requires verification of SSN • Name, DOB and SSN must match SSA database • File sent monthly; response file received within two days • If SSN is verified, SSA returns citizenship information • Values A and C (citizenship verified); citizenship field updated in MMIS • Values B and D (citizenship not verified); information is written to a report for follow-up action • Reports are generated for unverified SSNs and unverified citizenship status

  5. Opportunities/Challenges • Resubmission for citizenship verification based on change • Corrected SSNs for new and reinstated members • SSN, name or DOB are updated in the MMIS • CHIP does not require and cannot now require SSN; does not meet maintenance of effort • Development of system generated letter to member for correcting SSN and information not consistent with SSA data

  6. Results • Virginia has completed three exchanges since the March 1st implementation • 98% – 99% of members are verified for citizenship and identity

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