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Title 8: Medicaid Page 10 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Verifying Citizenship and Identity Do not cancel the person’s Medicaid due to lack of proof of citizenship and identity during the 90-day ROP. When proof is provided but is questionable or not acceptable:  Contact the person by phone or by mail.  Explain why the proof submitted is not acceptable, how acceptable proof can be obtained, and, if appropriate, offer to assist in obtaining the proof.  Document phone contacts in the case file. Retroactive Eligibility Policy: Retroactive months are outside the ROP. Retroactive Medicaid eligibility shall not be approved until proof of citizenship and identity is received, and provided that retroactive coverage is needed and all retroactive eligibility requirements have been met as detailed at 8-B, Determining Eligibility for the Retroactive Period, and 8-A, Definitions: Retroactive Period. Procedure: Process the Medicaid application as soon as it is received to begin the electronic data match process for verifying citizenship and identity. This will reduce processing delays on the retroactive portion of the Medicaid application. Comment: Proof of citizenship and identity may be obtained directly from the applicant to allow the retroactive portion of the Medicaid application to be acted on without delay. If proof is requested for the purpose of approving retroactive Medicaid, inform the person that submission of proof is optional unless electronic data matching does not verify the person’s citizenship (including identity), but retroactive Medicaid cannot be approved until proof of citizenship and identity is received. If the applicant provides proof of citizenship and identity, record the documentation in the system. If optional proof is not provided, take no negative action.