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Title 8: Medicaid Page 7 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Verifying Citizenship and Identity When citizenship and identity is verified through the automated IEVS match, a record of the proof will be maintained electronically and displayed on the ICIT (Inquiry Citizenship) screen. When acceptable proof is instead provided by the applicant or member, enter coding in the US and ID fields on each person’s TD03 screen in the Automated Benefit Calculation (ABC) system to document that both citizenship and identity have been verified. Acceptable codes are listed in 14-B-Appendix and in “Easy Help.” For cases in ELIAS, use the Vital Statistics Detail page. See Reasonable Opportunity Period and Documentation Process for instructions on how to proceed when acceptable proof is not obtained via electronic data matching and was not provided by the applicant or member. When a paper document is used as verification, a hard copy does not need to be retained if the verification is noted in the electronic case file. If a member has more than one case record and citizenship and identity verification is in only one case file, note in the other case records where the documentation can be found. Comment: Members are required to provide proof of citizenship and identity only once. Once provided, proof cannot be required again as a condition of Medicaid eligibility, unless there is reason to question the proof that was previously provided. A person cannot receive Medicaid if that person is ineligible for a nonfinancial reason. Failure to provide proof of citizenship or identity within the reasonable opportunity period will result in Medicaid being denied or canceled. See 14-B-Appendix, Notice Codes for valid notice reasons. Reasonable Opportunity Period (ROP) Legal reference: 435.956(b), 435.911(c), 441 IAC 75(11)(2)(c) Policy: Individuals whose attested U.S. citizenship status cannot be verified through an electronic data match shall be allowed a reasonable opportunity period (ROP) to provide proof of U.S. citizenship and identity. The ROP begins with the date a written request to provide the information is issued to the person or the date the Notice of Action is received and continues for 90 days. The date of receipt is considered to be 5 days after the date of the Notice of Action.