808-6 PROOF OF UNITED STATES CITIZENSHIP AND QUALIFIED ALIEN STATUS
Citizenship and qualified alien status must be verified for most individuals. Verification of satisfactory immigration status is not required for an individual applying for Emergency Treatment for Aliens (See section 831). In addition, some U.S. citizens are exempt from the requirement to provide proof. See section 808-6 (A) below.
Once a person’s U.S. citizenship is documented and recorded, it is not necessary to get proof again unless that person’s citizenship becomes questionable.
Proof of U.S. citizenship or qualified alien status is only needed for the individuals who will receive Medicaid benefits, not for individuals applying for or renewing Medicaid on behalf of someone else.
If a mandatory household member is found ineligible for Medicaid for lack of verification of citizenship and identity, or immigration status, that individual’s needs and income continue to be included in the financial eligibility determination for the household.
Reminder:
If an individual claims he or she is an U.S. citizen or qualified alien and the proof of status cannot be promptly verified through a computer match or other acceptable documentation, the individual must be given a reasonable opportunity period (90 days) to provide acceptable proof of their citizenship or qualified alien status. See section 808-7.
808-6 A. WHEN PROOF OF U.S. CITIZENSHIP IS NOT REQUIRED
The following U.S. citizens are exempt from the requirement to provide proof:
1) A current Supplemental Security Income (SSI) recipient
2) An individual entitled to or enrolled in any part of Medicare
3) An individual receiving Social Security Disability Insurance (SSDI) benefits
4) Children in state foster care or Title IV-E adoption assistance
5) Children receiving Newborn Medicaid coverage
Qualified aliens receiving these benefits are still required to provide proof of their qualified alien status.
808-6 B. ELECTRONIC AND INTERFACE VERIFICATION FOR U.S. CITIZENSHIP
Data Matches and Interfaces
Verification of an individual’s citizenship is first pursued through an electronic interface.
1) Federal Data Services HUB
In most cases, proof of citizenship will be immediately available in ARIES through a data match with the federal data services hub.
2) State Verification Exchange System (SVES) with the Social Security Administration (SSA)
If proof is not available through the federal data services hub in ARIES , it is possible that acceptable proof may be available through other data matches in EIS , but only if the individual is already known to EIS .
For individuals whose Medicaid eligibility is being determined in EIS , proof of citizenship or qualified alien status must be sought through electronic data interfaces in EIS .
Proof of citizenship will be available within a few days through a SVES data match with SSA . If the SVES response does not verify citizenship, the ET must confirm that the correct name and SSN was used for the data match. If not, the ET must make the corrections in either ARIES or EIS and request a new data match.
The SVES interface in EIS may be used to verify a person's SSN , U.S. citizenship and identity. The ET may accomplish this by submitting a SVES inquiry for one or more persons on the INME/SVIR or SSDO screens.
808-6 C. PROOF OF U.S. CITIZENSHIP
If proof through an electronic data match or interface is not promptly available, verification of the individual’s citizenship or qualified alien status may be obtained through documentary proof.
When accepting documentary proof, a photocopy, fax, scanned, or other copy of a document must be accepted to the same extent as an original document, unless there is good reason to question the document or the information on the document. Although some documents contain a statement, DO NOT COPY, DPA staff may copy and file these documents in the case file for the official purpose of establishing Medicaid eligibility.
808-6 D. DOCUMENTARY PROOF OF U.S. CITIZENSHIP
The following documents are considered acceptable evidence of citizenship. For other DPA programs requiring proof of identity, these documents are acceptable evidence for both citizenship and identity.
1) A U.S. Passport, including a U.S. Passport Card issued by the Department of State, even if expired, as long as such Passport or Card was issued without limitation
2) A Certificate of Naturalization
3) A Certificate of U.S. Citizenship
4) A valid State-issued driver’s license if the state issuing the license requires proof of U.S. citizenship, or obtains and verifies a social security number from the applicant who is a citizen before issuing such license. All of these enhanced drivers licenses have a picture of the U.S. flag on the front of the license.
5) Documentary evidence issued by a federally recognized Indian Tribe, such as a Tribal enrollment card or a Certificate of Degree of Indian Blood, which:
808-6 E. PROOF OF U.S. CITIZENSHIP OBTAINED USING a LISTED DOCUMENT AND PROOF OF IDENTITY
Only if citizenship cannot be obtained through an electronic interface and the individual does not provide a document listed in section 808-6 D, a document from the following list and proof of identity from section 808-6 F may be used for U.S. citizenship verification.
a) Seneca Indian tribal census
b) Bureau of Indian Affairs tribal census records of the Navajo Indians
c) U.S. State Vital Statistics official notification of birth registration
d) A delayed U.S. public birth record that is recorded more than 5 years after the person's birth
e) Statement signed by the physician or midwife who was in attendance at the time of birth
f) The Roll of Alaska Natives maintained by the Bureau of Indian Affairs
808-6 F. PROOF OF IDENTITY ONLY
1) A driver’s license issued by a state or territory with a photograph or other identifying information. Refer to section 808-6 D when reviewing a driver's license from Michigan, New York, Vermont, or Washington, as the driver's license, if meeting requirements, may verify citizenship.
2) School identification card with a photograph
3) U.S. military card or draft record
4) Identification card issued by the federal, state, or local government with the same information included on the drivers' licenses
5) Military dependent’s identification card
6) Certificate of Degree of Indian Blood, or other American Indian/Alaska Native Tribal Document with a photograph of other personal identifying information that does not meet the criteria listed in section 808-6 D.
7) U.S. Coast Guard Merchant Mariner card
8) Finding of identity from a federal or state governmental agency. The agency may accept as proof of identity a finding from a federal agency or another state agency, including, but not limited to a public assistance, law enforcement, internal revenue or tax bureau, or corrections agency, if the agency has verified and certified the identity of the individual.
9) For children under age 16, a clinic, doctor, hospital, or school record. School records may include nursery or day-care records and report cards that are verified by the nursery or day-care.
10) For children under 16 years old, an identity declaration including the date and place of birth of the child that is signed by a parent, guardian, or caretaker relative under penalty of perjury. If school ID cards and drivers' licenses are not available where the child resides, this declaration may be used for children under 18 years old. This option cannot be used if an affidavit of citizenship was used.
11) Identity affidavit signed under penalty of perjury by a residential care facility director or administrator on behalf of an institutionalized disabled individual in the facility. It is not required to be notarized
808-6 G. PROOF OF QUALIFIED ALIEN STATUS
If verification of alien status is not available from electronic sources, an individual must provide proof of his or her alien status.
The following documents are acceptable for determining alien status and whether the alien is subject to the five-year waiting period. Certain USCIS documents can be viewed online at https:www.uscis.gov/forms/all-forms.
IMMIGRATION STATUS |
VERIFICATION DOCUMENT (USCIS FORMS) |
Legal Permanent Resident |
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Refugee |
(Refugees usually adjust to LPR status after 12 months in the US, however, they are still considered refugee for eligibility purposes when they have a I-551 with a code of RE-6, RE-7, RE-8, or RE-9.) |
Special Immigrants |
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Asylee
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Parolee |
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Deportation Withheld |
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Conditional Entrant |
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Battered Spouse or Child of U.S. Citizen or Permanent Legal Resident |
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Cuban or Haitian Entrant. |
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U.S. Military Veteran, Active Duty Military (includes spouse and unmarried dependent children under 21) |
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Victims Of Trafficking (includes certain eligible immediate family members holding a derivative T-Visa) |
Note:
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American Indian Born In Canada |
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Note:
If an applicant presents a receipt indicating that he or she has applied to USCIS for a replacement document for one of the documents identified above, contact the USCIS to verify status by filing a G-845 with the local USCIS district office and attach a copy of the receipt.
808-6 H. SYSTEMATIC ALIEN VERIFICATION FOR ENTITLEMENTS (SAVE) PROGRAM
The Systematic Alien Verification for Entitlements (SAVE) is a program run by the U.S. Citizenship and Immigration Services which provides both an online system and a paper-based process to verify the immigration status of aliens.
The Verification Information System (VIS) is the online verification system. The paper-based process makes use of the G-845, Document Verification Request.
The documents provided by each alien as verification of immigration status must be authenticated by using the SAVE program. The VIS system will identify whether or not the alien has been lawfully admitted into the U.S. However, it may not provide enough information to determine whether or not the individual is a "qualified alien." The date of entry indicated on the VIS database may not accurately reflect the date an immigrant physically arrived in the U.S. Secondary verification may be needed if no records are found or if there are discrepancies between the alien’s documents and VIS .
Written consent from the household is required to contact USCIS to obtain documentation or information to verify the alien's status.
If the alien does not want the ET to contact USCIS , the household can withdraw its application or participate without that member.
Written consent is not required to contact USCIS to verify the validity of documentation provided by the alien or use the SAVE Program inquiry process.
Verification of each alien’s status through the SAVE program is required whenever an application is processed for a household containing one or more alien members, and whenever an alien is added to a household. All such contacts must be clearly documented in the case record.
See Administrative Procedures Manual Section 105-14 for instructions on how to use the SAVE program.
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