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Chapter: 1400 Technical Requirements Program: MSSI, SFP 38 COFA migrants are considered qualified non-citizens for the purposes of Medicaid eligibility. Verification of this status includes: 1. I-94 or I-766 with the following Class of Admission (COA) Codes:

a. CFA/RMI – Citizen of Republic of the Marshall Islands (RMI) due to the

Compact of Free Association

b. CFA/FSM – Citizen of the Federated States of Micronesia (FSM)

c. CFA/PAL – Citizen of the Republic of Palau 2. I-766 Employment Authorization Document (EAD) with the following Category Code:

a. A-08 Citizen of the Marshall Islands, Micronesia or Palau admitted as a

nonimmigrant 3. An unexpired passport with annotations “CFA/RMI,” “CFA/FSM” or “CFA/PAL.”

Note: These individuals are not subject to the five-year ban. 1440.0200 SOCIAL SECURITY NUMBER (MSSI, SFP) The eligibility specialist must obtain a Social Security number (SSN) for each individual or verify that the individual has applied for an SSN as a condition of eligibility. This requirement does not apply for the Emergency Medical Assistance for Noncitizens Program. The purpose of the SSN is to identify income and assets held by an individual.

A verbal statement providing the SSN is sufficient as the SSN is validated through data exchange. If the SSN is unknown or has never been obtained, the individual must:

1. apply for an SSN through the welfare enumeration system at the local DCF office. (Original evidence of age, identification and citizenship or noncitizen status must be sent by the eligibility specialist to the local Social Security Administration (SSA) office with the completed SS-5.); or 2. apply for an SSN through the local SSA office (The SSA filing receipt for application must be presented to the eligibility specialist as evidence that the individual has applied.); or 3. apply for an SSN through the Florida enumeration at birth process.

Evidence that the individual has applied includes:

1. an SSA 2853 indicating that an SSN was requested at the hospital, 2. the child's birth certificate with "yes" annotated in Section 11d, or 3. a screen print from BVS with a "y" indicator in the child issue field.

There may be circumstances under which an individual is unable to obtain an SSN. Under the following conditions an applicant’s statement is acceptable that they are unable to obtain a SSN:

1. Social Security Administration (SSA) denies the application for an SSN, because the individual is not eligible to receive an SSN, or their application is declined by SSA. 2. The customer does not have an SSN and can only receive an SSN for a valid nonwork reason. 3. The customer refuses to obtain an SSN due to a well-established religious objection. The term well established religious objections means that the applicant- a. Is a member of a recognized religious sect or division of the sect; and b. Adheres to the tenets or teachings of the sect or division of the sect and for that reason is conscientiously opposed to applying for or using a national identification number.