421-9        CITIZENSHIP STATUS DECLARATION (CSD Citizenship Status Declaration)

In most cases, APA recipients are automatically eligible for Medicaid.  However, before Medicaid coverage can begin, Medicaid rules require that all applicants and recipients complete a Citizenship Status Declaration (CSD Citizenship Status Declaration) stating that they are either a United States citizen or a qualified alien in lawful immigration status.  Although the Citizenship Status Declaration is not an eligibility requirement for the APA program, it is required for individuals to be eligible to receive Medicaid.  If an individual does not complete and sign the CSD Citizenship Status Declaration, he or she may receive APA cash benefits, but not Medicaid.  (Refer to Medical Assistance manual section 5011.)