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Chapter: 1400 Technical Requirements Program: MFAM 7 1. USCIS Form I-94 or I-551 bearing Section 207, 2. USCIS Form I-688B (Employment Authorization Card) annotated 274a.12(a)(3), 3. USCIS Form I-766 annotated A3, 4. USCIS Form I-571 (Refugee Travel Document), or 5. other conclusive documentation of this status.

Note: These individuals are not subject to the five-year ban. 1430.0109 Victims of Human Trafficking (MFAM) Victims of severe forms of human trafficking are eligible for benefits to the same extent as a noncitizen who is admitted to the United States as a refugee under section 207 of the Immigration and Nationality Act. The only exception is the human trafficking victim will not provide USCIS documents. Adult victims will provide a certification letter from the Department of HHS. Children under 18 years old are not required to be certified and will instead be provided an eligibility letter. The agency will accept the certification letter for adults or the eligibility letter for children in place of USCIS documentation.

Before approving these individuals for benefits, the validity of the certification or eligibility letter must be confirmed by calling the HHS’ Office of Refugee Resettlement (ORR) at (866) 401-5510. The call will advise ORR of the benefits for which the individual has applied and ORR will verify whether or not the individual is a trafficking victim.

Certain family members of victims of human trafficking are now potentially eligible for Medicaid. This includes the spouse and children of a trafficking victim 21 years of age or older. If the severe trafficking victim is under 21 years of age, parents, spouses, children, and unmarried siblings under 18 on the date of the “T” visa’s application are eligible, if they meet all other program criteria. These family members will have a nonimmigrant “T” Visa, with no additional USCIS documentation.

Note: These individuals are not subject to the five-year ban.

Note: Do not use the Verification Information System - Customer Processing System (VIS-CPS) for these individuals, as VIS-CPS does not contain information about them.

Potential Child Trafficking Victims: Potential child trafficking victims are eligible for federally funded benefits and services for up to 90 days pending a final trafficking eligibility decision. An “Interim Assistance Letter” issued to potential child victims by the Department of HHS, Office of Refugee Services (ORR) will certify this status. These children are eligible for benefits beginning with the eligibility began date on the interim assistance letter. ORR will issue a final trafficking determination on the child within this interim period. If denied a final trafficking status, terminate benefits at the end of the month in which the 90th day falls. 1430.0110 Parolees (MFAM) Parolees under Section 212(d)5 for at least one year; Noncitizens granted temporary parole status for a total period of at least one year by the Attorney General under Section 212(d)(5) of the Immigration and Nationality Act (INA) are eligible for on the factor of noncitizen status. Verification for this status includes:

1. USCIS Form I-94 indicating that the individual has been paroled under this section of the INA, or 2. USCIS Form I-688 with codes 274a.12(a)(4), 274a.12 (c)(11), or 3. USCIS Form I-766 with codes A4 or C11, or 4. other conclusive documentation of this status.