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Title 8: Medicaid Page 12 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Documentation Process Consistent Match (Verified) Policy: When the electronic data match response to a request for proof of citizenship and identity is a consistent match, the person’s citizenship (and identity) are verified. The person has met the citizenship and identity documentation requirements. Procedure: No further action is needed for that person’s ongoing Medicaid. Comment: A response about an individual’s citizenship (and identity) can be used only for the purposes of determining Medicaid or Hawki eligibility. These citizenship data matches cannot be used to determine eligibility for other programs (Food Assistance, FIP, CCA, etc.). Inconsistent Match (Not Verified) Policy: When the electronic data match response to a request for proof of citizenship and identity is an inconsistent match, the person’s citizenship (and identity) are not verified. The system will generate a written request for verification of citizenship and identity to notify the person that:  The person has 90 days to provide verification by either: • Correcting any errors in the name, social security number, or date of birth given to the Department so that SSA can verify the person’s citizenship and identity; • Correcting any errors in the SSA’s records and providing proof of citizenship and identity from SSA when this is done; or • Providing proof of citizenship and identity from the list of documents described under Acceptable Documentation.  If proof of citizenship and identity is not provided within 90 days: • Medicaid eligibility will end and • Retroactive Medicaid, if requested, will be denied. If the corrections produce a response that verifies the person’s citizenship and identity, the system will update the coding. If retroactive eligibility has been entered in the system, a WISE alert will be sent to tell you that retroactive Medicaid coverage was requested and a decision may still be needed on retroactive eligibility.