Illustrating the effectiveness of electronic verification, as of January 2013, a total of 45 states had adopted a data match with the Social Security Administration (SSA) to verify citizenship for enrollment in Medicaid or CHIP, the survey report notes. This new option has eliminated an extensive paper-based documentation process in favor of a real-time lookup or an automated overnight “batch” process that confirms citizenship status on thousands of individual records. Adoption of the new SSA data match, which can be seen as a precursor to the 2014 federal data hub, has been swift, the Kaiser survey found, and states report increased efficiency as well as highly successful match rates. In addition, as of January 2013, a total of 11 states reported having a state data hub that allows access to multiple information sources at once. However, paper still remains the predominant method currently used by states to verify income, according to the Kaiser survey. The move to electronic verification under the ACA will represent a major procedural and cultural change for many states. As states move to these streamlined, data-driven systems, they will need to adjust eligibility worker roles and expectations to align with the new paradigm.