421-6        DOCUMENTATION OF U.S. CITIZENSHIP AND ELIGIBLE ALIEN STATUS

 

U.S.United States citizenship is verified only when questionable. Every household must declare that all household members have U.S.United States citizenship or satisfactory immigration status.  The adult household member or authorized representative fulfills this condition of eligibility by signing the application (GEN 50CApplication for Services) or recertification application (GEN 72Eligibility Review Form).

 

A. Verification of U.S. citizenship is not required for:
 

Note:

In most cases, APAAdult Public Assistance recipients are automatically eligible for Medicaid. However, before Medicaid coverage can begin, Medicaid rules require that most applicants and recipients verify their citizenship status (Refer to ADLTC manual section 520 B.)

In some circumstances non-citizens may receive SSDISocial Security Disability Insurance, SSISupplemental Security Income, or Medicare.  Therefore, receipt of these programs does not exempt the individual from verifying their alien status.

 

B. Acceptable Documentation

 

Sources of verification include birth certificates, certificates of citizenship or naturalization provided by the U.S.United States Citizenship & Immigration Services (USCISU.S. Citizenship and Immigration Services), U.S.United States passports, and official identification cards showing U.S.United States citizenship.  U.S.United States National status may be verified with a U.S.United States passport stamped ”U.S.United States National.”

 

C. Proof of Qualified Alien Status

 

An alien must provide proof of his or her qualified alien status.   The following documents are acceptable for determining alien status and whether the alien is subject to the five year waiting period.

 

Certain USCISU.S. Citizenship and Immigration Services documents can be viewed online at http://www.uscis.gov/forms/all-forms

 

IMMIGRATION STATUS

VERIFICATION DOCUMENT ( USCIS FORMS)

Legal Permanent Resident

  • I-551 (referred to as green card), or
     

  • I-94 annotated with a temporary I-551 stamp (for recent arrivals or aliens who have applied for a replacement I-551)

Refugee

  • I-94 stamped showing admission under section 207 of the INAImmigration & Nationality Act and date of entry to the US, or
     

  • I-688B annotated 274a.12(a)(3), or
     

  • I-766 annotated A3, or,
     

  • I-571
     

(Refugees usually adjust to LPRLawful Permanent Resident 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

  • I-94 or passport stamped with an "S" category

Asylee

  • I-94 stamped showing grant of asylum under section 208 and date of entry, or
     

  • A grant letter from the Asylum Office of the USCISU.S. Citizenship and Immigration Services ; or
     

  • I-688B annotated 274a.12(a)(5), or
     

  • I-766 annotated A5, or
     

  • Court order of an immigration judge showing asylum granted under section 208.

Parolee

  • I-94 annotated with stamp showing grant of parole under 212(d)(5) and a date showing granting of parole for at least 1 year.

Deportation Withheld

  • Order of an immigration judge showing deportation withheld under section 243(h) and date of grant; or
     

  • I-688B annotated 274a.12(a)(10), or
     

  • I-766 annotated A10

Conditional Entrant

  • I-94 with stamp showing admission under 203(a)(7), refugee-conditional entry, or
     

  • I-688B annotated 274a.12(a)(3)
     

  • I-766 annotated A3

Battered Spouse or Child of U.S.United States Citizen or Permanent Legal Resident

  • Approved or pending I-130 or I-360 petition showing a prima facie case that he or she is protected under the Violence Against Women Act, and
     

  • Verification that the individual responsible for the battery or cruelty is no longer living in the household of the victim.

Cuban Or Haitian Entrant

  • I-94 with stamp showing parole as Cuban/Haitian Entrant under section 212(d)(5) of the INAImmigration & Nationality Act
     

  • Form I-551 with code CU6, CU7, or CH6
     

  • Foreign passport containing an unexpired temporary I-551 stamp with the code CU6 or CU7

U.S.United States Military Veteran, Active Duty Military

(includes spouse and unmarried dependent children under 21)

  • Green Form DD-2 marked ACTIVE, or
     

  • A current order showing the individual is on full-time duty in the US Army, Navy, Air Force, Marine Corps, or Coast Guard (Reserves are not considered active duty).
     

  • DD-214 indicating honorable discharge, or
     

  • Discharge papers indicating honorable discharge

Victims Of Trafficking

(includes certain eligible immediate family members holding a derivative T-Visa)

  • Letter of certification from the Office of Refugee Resettlement ( ORR ).  The caseworker must verify the validity of this letter and notify ORROffice of Refugee Resettlement of the benefits for which the individual has applied by calling the toll-free trafficking verification line at 1-866-401-5510.  
     

  • Form I-797a indicating Class T-1 Visa.
     

  • Form I-797a indicating T-2 (spouse), T-3 (child), T-4 (parent) or T-5 (unmarried sibling under age18 years on the date such alien’s T visa application was filed), known as a Derivative Visa.

 

Note:

T status is valid for 3 years from date of approval and is not renewable. However, the individual may adjust to lawful permanent resident status within the 90-day period immediately preceding the expiration of T status.

 

American Indian Born In Canada

  • Birth or baptismal certificate issued on a reservation;
     

  • Tribal records;
     

  • Letter from the Canadian Department of Indian Affairs, or
     

  • School records

 

 

Note:  

If an applicant presents a receipt indicating that he or she has applied to USCISU.S. Citizenship and Immigration Services for a replacement document for one of the documents identified above, contact the USCISU.S. Citizenship and Immigration Services to verify status by filing a G-845 with the local USCISU.S. Citizenship and Immigration Services district office and attach a copy of the receipt.

 

D. SYSTEMATIC ALIEN VERIFICATION FOR ENTITLEMENTS (SAVESystematic Alien Verification for Entitlements ) PROGRAM

 

The Systematic Alien Verification for Entitlements (SAVESystematic Alien Verification for Entitlements) is a program run by the U.S.United States  Citizenship and Immigration Services which provides immigration status of aliens. SAVESystematic Alien Verification for Entitlements is part of IEVSInstant Eligiblity Verification System

 

The documents provided by each alien as verification of immigration status must be authenticated by using the SAVESystematic Alien Verification for Entitlements program. SAVE will identify whether or not the alien has been lawfully admitted into the U.S.United States  However, it may not provide enough information to determine whether or not the individual is a "qualified alien." The date of entry indicated may not accurately reflect the date an immigrant physically arrived in the U.S.United States

  

If the alien does not want the caseworker to contact USCISU.S. Citizenship and Immigration Services, the household can withdraw its application or participate without that member.  

 

Written consent is not required to:

 

See Administrative Procedures Manual Section 105-14 for instructions on how to use the SAVESystematic Alien Verification for Entitlements program.

 

 

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MC #66 (12/22)