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Title 8: Medicaid Page 8 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Verifying Citizenship and Identity Medicaid shall be provided during the 90-day ROP if the person is otherwise eligible. If proof is not received by the end of the 90-day ROP, benefits end subject to timely notice requirements. Procedure: Whenever possible, proof of citizenship and identity will be obtained through electronic data matching. The system will update eligibility coding if the match is consistent. When the match is inconsistent or unavailable, the system will generate form 470-4858 or 470-4858(S), Request for Verification of Citizenship and Identity, or form 470-4909 or 470-4909(S), Request for Proof of Citizenship and Identity, as applicable to the case situation. The system tracks the ROP. (See Inconsistent Match or No Match for specific procedures.) NOTE: These forms are not available for worker issuance because this would interfere with system tracking of the 90-day ROP. You may print a copy of the form from the electronic case file if necessary (e.g., if the client loses the original). Approve Medicaid for new applicants and continue Medicaid for members during a 90-day ROP. See Retroactive Eligibility if an applicant has requested coverage in retroactive months. For ABC cases, if acceptable proof is provided, record the receipt in the US and ID fields on the person’s TD03 screen. To keep the system from incorrectly blocking subsequent Medicaid approvals, record receipt of the proof on TD03 even if the person is not currently in an active Medicaid status. For ELIAS cases, if acceptable proof is provided, select the document type from the U.S. Citizenship Verification and Identity Verification fields. Then change the Verified field to a “verified” status. If acceptable documentation has not been provided within 90 days, the systems will cancel the individual with timely notice. Comment: Once a 90-day ROP begins, it does not change even if Medicaid is canceled for a different reason before the end of the 90-day period. The ROP lasts 90 days even if the person does not receive Medicaid during the entire 90-day period.