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Title 8: Medicaid Page 13 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Documentation Process If the person provides acceptable proof during the 90-day ROP, record the documentation in the system. If 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 offer to assist in obtaining the proof if appropriate.  Document phone contacts in the case file. Do not cancel the person’s Medicaid due to lack of proof of citizenship and identity during the 90-day ROP. If the person has not provided acceptable documentation within 90 days, the system will:  Cancel the individual with timely notice.  Send a WISE alert if the system shows retroactive coverage was requested, to tell you to deny retroactive eligibility. See Retroactive Eligibility for additional information about retroactive Medicaid coverage and citizenship and identity requirements. No Match (Not Verified) Policy: An electronic data match request for proof of citizenship and identity will not be sent when:  The person does not have a social security number or  A request was already sent and the person’s name, date of birth, social security number, or sex has not been changed on the system. A written request for verification shall be issued. Medicaid shall be approved during the 90-day ROP. Procedure: When proof of citizenship and identity is required for a person but cannot be requested via electronic data sources, a written request for proof will be system-generated. The request notifies the person that if proof of citizenship and identity is not provided within 90 days:  Medicaid eligibility will end and  Retroactive Medicaid, if requested, will be denied.