By NextBestFitTask 1.4.1 of 7
Build the enrollment file from SSA (Numident), IRS (filers and dependents), Medicare and Medicaid rolls, and state birth records.
Who does it
UHA / SSA / IRS
When
Month 6–12
Trade-off
Linking SSA, IRS, and state records enrolls nearly everyone automatically but concentrates sensitive data in one file.
Part of: Enroll everyone automatically
Nobody applies. Everyone with a Social Security number or ITIN and a U.S. address is enrolled from existing federal records; others enroll at any provider, Social Security office, or community health center with proof of residence.
This step changes 3 existing laws, programs, or institutions. See the list.