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Title 8: Medicaid Page 11 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Documentation Process Documentation Process Legal reference: Section 211(a) of Public Law 111-3; 441 IAC 75 (Rules in Process) Policy: A person who attests to U.S. citizenship and provides name, social security number, and date of birth meets the citizenship and identity documentation requirements if the electronic data match verifies the person’s citizenship (and identity). A written request for verification shall be issued if:  The electronic data match returns a response that does not verify the person’s citizenship (and identity), or  An electronic data match cannot be requested because the person does not have a social security number. Procedure: The system will automatically attempt an electronic data match when a person:  Is pended or approved on the system, and  The system indicates documentation has not been provided. Proof of citizenship and identity may be obtained directly from the applicant so that documentation is already on file in case the electronic data match is unable to verify the person’s citizenship and identity.

Mr. B files an application for Medicaid in person at the local office on June 28. An electronic data match will occur when his information is entered into the system. Since Mr. B is already in the local office, the IM worker records Mr. B’s verification of identity since Mr. B provided his driver’s license as proof of identity. When a verification request will not be generated for a person who is required to verify citizenship and identity and has not done so, follow the procedures under No Match. A request for proof of citizenship and identity will not be sent when the worker indicates verification is not needed (e.g., person is exempt, verification is already on file, person is an alien).