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adequate notice. Persons who are terminated from Medicaid for failure to provide citizenship documentation are not eligible for the DC HealthCare Alliance. A recipient who contacts the agency and states that he/she is having difficulty obtaining the information may be given an additional 90 days to provide the needed documentation. Acceptable Documentation To establish US citizenship in cases where the computer match with SSA does not verify citizenship, the documentation must show: • a US place of birth, or • that the person is a US citizen. Unless the document showing citizenship includes proof of identity, a document showing identity is also required. To establish identity the document must show: • evidence that provides identifying information that relates to the person named on the document Proof of citizenship with identity is required for all members of an MA group, with the exception of the exempted person listed above. All documents must be either originals or copies certified by the issuing agency. Copies or notarized copies may not be accepted. Faxed copies of documents may not be accepted. A copy of the document must be maintained in the case record. Documents Establishing US Citizenship and Identity The following charts list the acceptable evidence of US citizenship and/or identity. Charts 1 through 4 cover evidence of citizenship. Charts 1 and 5 cover evidence of identity. If an individual presents documents from Chart 1, no other information is required, since these documents verify citizenship and identity. If an individual presents documents from Charts 2 through 4 to verify citizenship, then an identity document listed in Chart 5 must also be presented. Charts 1 through 4 establish a hierarchy of reliability of citizenship documents. The applicant/recipients must provide the most reliable document that is available. The following instructions specify when a document of lesser reliability may be accepted. Primary Documents to Establish Both US Citizenship and Identity (Chart 1) Primary evidence of citizenship and identity is documentary evidence of the highest reliability that conclusively establishes that the person is a US citizen. In general, obtain primary evidence of citizenship and identity before using secondary evidence. Accept any of the documents listed in this chart as primary evidence of both US citizenship and identity if the document meets the criteria listed under “Explanations and Notes” and there is nothing indicating the person is not a US citizen (e.g. lost US citizenship). Note: Persons born in American Samoa (including Swain’s Island) are usually US non-citizen nationals. References in these instructions to “citizens” should be read as references to non-citizen nationals with