808-4 FIVE YEAR WAITING PERIOD
Unless specifically exempt, aliens who enter the United States on or after August 22, 1996, are subject to a five year waiting period from Medicaid. While subject to the five year waiting period from regular Medicaid, a qualified alien may be eligible for treatment of emergency medical conditions in accordance with section 831.
Note:
Children must also meet the five-year waiting period requirement unless the child meets an exemption under section 808-4 (D). SNAP policy differs for children. See SNAP MS 602-1 D(4).
When the five year waiting period begins depends upon the date the alien physically entered the U.S. Aliens who arrived before August 22, 1996 may not be subject to the five year waiting period. Apply the five year waiting period as follows:
808-4 A. QUALIFIED ALIEN ARRIVING ON OR AFTER 8/22/96
An alien who physically arrived and was lawfully admitted to the United States on or after August 22, 1996, must be evaluated for qualified alien status. If the alien was admitted as a qualified alien, and is subject to the five year waiting period, the period starts from the date the alien physically arrived in the U.S.
Note:
Once an immigrant obtains qualified alien status, they do not have to remain continuously present in the United States. The original date of entry is used when determining the five year waiting period for qualified aliens arriving on or after August 22nd, 1996.
If an applicant indicates they have an earlier entry date than what is indicated in the Verification Information System (VIS) and we don’t have earlier verification on file, we should ask the individual if they have other documentation indicating their immigrant status as a qualified alien. If the alien indicates they do not have proof of qualified alien status before the VIS date, we would use the date of entry shown on VIS for the purposes of the five year waiting period.
808-4 B. NON-QUALIFIED ALIEN ARRIVING ON OR AFTER 8/22/96
A non-qualified alien who physically arrived in the United States on or after August 22, 1996, must obtain qualified alien status before the five year waiting period begins. The five year waiting period begins on the date the non-qualified alien obtains qualified alien status, not the date they physically arrived in the U.S.
808-4 C. ALIEN ARRIVING BEFORE 8/22/96
An alien who physically arrived in the United States before August 22, 1996, but obtained qualified alien status on or after that date is not subject to the five year waiting period as long as he or she remained continuously present in the U.S. Any single absence from the United States of more than 30 days, or a total aggregate of absences of more than 90 days, is considered to interrupt continuous presence. However, once an immigrant obtains qualified alien status for public assistance programs, he or she does not have to remain continuously present in the United States in order to avoid application of the five year waiting period. This rule also applies to aliens who entered the country without proper documentation and those who overstayed their visa.
For most legal entrants, the U.S. Citizenship and Immigration Services (USCIS) maintains a record of arrivals to and departures from the country. Verification of continuous presence may be obtained for most legal entrants by filing Form G-845 and Form G-845-Supplement with the USCIS.
The USCIS does not maintain an arrival and departure record for some entrants, such as Canadian and Mexican border crossers, and illegal entrants. In this situation, the alien must submit proof of his or her claimed date of entry and documentation showing proof of continuous presence, such as a letter from an employer or series of pay stubs or utility bills in the immigrant’s name.
808-4 D. ALIENS EXEMPT FROM THE FIVE YEAR WAITING PERIOD
The following qualified aliens are exempt from the five year waiting period for Medicaid, even if the exempt alien's status changes:
Example:
Alex arrived in the U.S. as a refugee and is exempt from the five year waiting period. A year later, he becomes a lawful permanent resident. Even though Alex has had a change in his alien status, he is still exempt from the five-year waiting period.
1. Refugees (most often under Section 207 of the INA).
2. Asylees (most often under Section 208 of INA).
3. Aliens whose deportation has been withheld under Section 243(h) of the INA or whose removal was withheld under section 241(b)(3) of the INA.
4. Cuban and Haitian entrants under the Cuban-Haitian Entrant Program.
5. Aliens admitted to the U.S. as an Amerasian immigrant.
Note:
Amerasian immigrants must have been born between 12/31/1950 and 10/23/1982 to be classified as an Amerasian by USCIS.
6. Qualified aliens who are honorably discharged U.S. military veterans, active-duty military, and their spouses (including a surviving spouse who has not remarried), and unmarried dependent children (including dependent stepchildren).
Note:
Hmong and other Highland Lao tribal people who fought on behalf of the Armed Forces of the United States during the Vietnam conflict and who have been lawfully admitted to the U.S. as permanent residents are considered veterans exempt from the five year waiting period under this paragraph.
7. Victims of trafficking under section 107 (b)(1) of the Trafficking Victims Protection Act of 2000 (including certain family members of victims of a severe form of trafficking).
8. Legal permanent residents who first entered the country under an exempt category (i.e. as a refugee, asylee, Cuban or Haitian entrant, trafficking victim, or alien whose deportation was being withheld) and who later converted to legal permanent resident status.
9. Members of a federally recognized Indian tribe, as defined in 25 U.S.C. 450b(e).
10. American Indians born in Canada under 289 of the Immigration and National Act.
11. Special immigrants from Iraq and Afghanistan admitted under section 101(a)(27) of the INA.
Note:
Acceptable verification for Qualified Alien Status can be found in MS 808-6G. For additional clarification of Qualified Alien Status please contact hss.dpa.policy@alaska.gov.
808-4 E. ADDING INDIVIDUALS AT THE END OF THE FIVE YEAR WAITING PERIOD
Once an individual has met the five year waiting period requirement, they are added to the case using policy for adding a new household member in section 824-1 (A).
Applicants
An individual who applies for assistance is not eligible until they have met all eligibility requirements, including the five year waiting period.
Example:
Maria submitted an application for benefits on May 21, 2011. She has two children who were born in the United States. She entered the country on June 2, 2006. She is not eligible for benefits until she has met the five year waiting period. The application is approved. May benefits are for the two children only with Maria coded as an ineligible alien. Maria meets the five year waiting period as of June 2, 2011. She is added to the case effective June 1, 2011.
On-Going Case
Once a person reports they have met the five year waiting period, the person is added to the case as of the date of request or the date they met the five year waiting period, whichever is later.
Example:
Bruce Lee and his family applied for assistance on January 12, 2010. Bruce entered the United States on May 7, 2006 and is a lawful permanent resident. The rest of his family members are U.S. Citizens. The application was approved and his family has been receiving assistance since January 12, 2010. The family turns in a GEN 72 on May 15, 2011 for the next certification period. The renewal is approved and Bruce is now included in the case because he has met the five year waiting period. Because the report of change was received May 15 (in the form of the GEN 72), Bruce is added to the case beginning May 1.
|
|
||
|
|
|