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Chapter: 1400 Technical Requirements Program: MSSI, SFP 27 For the Model Waiver, individuals must:

1. be under 21 years of age; 2. be diagnosed as having a degenerative spinocerebeller disease; and 3. meet the appropriate level of care for inpatient hospital care as determined by Children’s Medical services as documented by form CF-ES 2515.

Florida can only serve five children at any one time under this program. The Agency for Health Care Administration evaluates each case and authorizes slots.

For the Statewide Medicaid Managed Care-Long Term Care Waiver (SMMC LTC) individuals must: 1. be enrolled in the SMMC-LTC waiver as documented by form CF-ES 2515; 2. meet the appropriate level of care requirement as determined by CARES; and 3. be 18 years of age or older (must meet disability criteria if under 65). 1440.0100 CITIZENSHIP/NONCITIZEN STATUS (MSSI, SFP) The eligibility specialist must evaluate the citizenship/noncitizen status for each individual who applies for Medicaid. Citizenship information of those family members who are not applying for benefits is not required. Non-receiving members are to be asked only if they are citizens or noncitizens, not their U.S. Citizenship and Immigration Services status. The criterion in this section does not apply to the Emergency Medicaid for Aliens (EMA) Program. 1440.0101 Declaration of Citizenship/Noncitizen Status (MSSI, SFP) Each applicant applying for public assistance must declare in writing whether each individual in the assistance group (AG) is an U.S. citizen, or a noncitizen in lawful immigration status.

An application declaring the citizenship/noncitizen status must be signed under penalty of perjury for all household members applying for assistance as a condition of eligibility. The form must be signed at application and when adding individuals to the AG. An adult applicant or designated representative may sign the application declaring the citizenship/noncitizen status of all members. 1440.0102 Definition of U.S. Citizenship (MSSI, SFP) To be considered a U.S. citizen, an individual must meet one of the following conditions:

1. be born in the U.S., D.C., or a U.S. territory, (Puerto Rico, U.S. Virgin Islands, Northern Mariana, American Samoa, Harcon Tract, Swain's Island, and Guam).

Note: If the individual was born in a former U.S. territory while it was a territory, a clarification through the Region or Circuit Program Office is required.

2. be a naturalized citizen. An individual is a naturalized citizen when U.S. citizenship is gained after his birth either through individual naturalization, or derived from a naturalized parent.

3. be adopted by, a U.S. citizen.

A child acquires citizenship through adoption, if they meet all of the following conditions:

a. the child was adopted while under the age of 16, has been in legal custody of, and has resided with the adopting U.S. citizen parent(s) for at least two years; b. the child is under the age of 18, or was under the age of 18 on February 27, 2001; c. the child is/was residing in the United States in the legal and physical custody of the U.S. citizen parent(s); and