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Chapter: 1450 Technical Requirements Program: CIC 3 Children become U.S. citizens after birth when all the following conditions are met:

1. one parent is a U.S. citizen by birth or naturalization, 2. the child in under age 18, or was under 18 on February 27, 2001, 3. the child is/was residing in the U.S. in the legal and physical custody of the U.S. citizen parent(s), and 4. the child has a qualified noncitizen status. 1450.0103 Verification Sources for U.S. Citizens (CIC) The individual's verbal or written statement of date and place of birth must be accepted if they were born in the United States (U.S.) unless the information is questionable.

For all programs, the individual's verbal statement attesting to U.S. citizenship and the signature of one adult household member on the Declaration of Citizenship form must be accepted, unless questioned. This policy applies to all individuals claiming U.S. citizenship, including those who are naturalized and those born abroad to U.S. citizens. Staff must not use a voided Puerto Rican birth certificate for proof of citizenship after September 30, 2010.

Note: Only one signature from an adult household member is needed on the Declaration of Citizenship form. 1450.0104 Noncitizens (CIC) Noncitizens may qualify for Medicaid based on their status granted by U.S. Citizenship and Immigration Services (USCIS). The following sections discuss different types of noncitizens and their eligibility.

A North American Indian born outside the United States, who is residing in the U.S. is eligible for Medicaid benefits, based on the factor of noncitizen status, if they are subject to section 289 of the Immigration and Nationality Act or a member of an Indian tribe as defined in section 4(e) of the Indian Self-Determination and Education Assistance Act.

Proof of this status includes:

1. I-551 with code S-13, 2. unexpired temporary I-551 stamp in a Canadian passport, 3. I-94 with code S-13, or 4. a letter or other tribal document certifying at least 50% American Indian blood, as required by Immigration and Nationality Act section 289, combined with a birth certificate or other satisfactory evidence of birth in Canada.

Verification of membership in an Indian tribe includes a membership card or other tribal document demonstrating membership in a federally recognized Indian tribe.

If the individual has no document evidencing tribal membership, contact the tribal government for confirmation of the individual’s membership.

Note: These individuals are not subject to the five-year ban. 1450.0105 Qualified Noncitizens (CIC) Qualified noncitizens are defined as noncitizens who meet at least one of the following sections of the Immigration and Nationality Act (INA).