Page 16

UNOFFICIAL 1714.1-16 (D) An SSI recipient under Title XVI of the Social Security Act; and (E) A newborn for the first year of life who is born to a Medicaid beneficiary mother. (b) The department shall provide Medicaid to an otherwise eligible qualified non-citizen provided that the individual has declared that the individual is a qualified non-citizen and has provided satisfactory documentary evidence of status as a qualified non- citizen, and the Department of Homeland Security has verified that the individual is in satisfactory immigration status. (c) For purposes of this section, “satisfactory immigration status” means an immigration status which does not make the individual ineligible for benefits under the applicable program. (d) The declaration of citizenship, national or immigration status and verification requirements for an individual under subsections (a) and (b) may be provided by the individual or an adult member of the individual’s household, an authorized representative, or if the individual is a minor or incapacitated, someone acting responsibly for the individual under a declaration signed under penalty of perjury. [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§435.406, 435.949, 435.956) (Imp: HRS §346-14; 42 C.F.R. §§435.406, 435.949, 435.956)

§17-1714.1-30 Verification of citizenship and non-citizen immigration status. (a) The department shall verify citizenship or non-citizen immigration status through the federal electronic service under section 17-1714.1-12(b). (b) If the department is unable to verify citizenship or immigration status through the federal electronic service, the department shall: (1) Verify citizenship with acceptable documentary evidence and in accordance with section 17-1714.1-31.