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Title 8: Medicaid Page 15 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Acceptable Documentation An individual may use affidavits to verify both citizenship and identity. However, accept affidavits only as a last resort when no other form of verification is available. Affidavits must be signed under penalty of perjury but need not be notarized. Original documents or copies certified by the issuing agency are not required. A photocopy, fax, scanned, or other copy must be accepted to the same extent as an original document, unless information on the copy submitted is inconsistent with other available information or the validity of the documentation is questionable. Procedure: When a client submits original documents to prove citizenship or identity, do not date-stamp the originals. Instead, if retaining the documents, photocopy the originals and return them to the client. Date stamp the copy and place it in the case file. Make a notation in the electronic case file, of the type of citizenship and identity verification received. Each state must conduct its own verification of citizenship and identity. However, Iowa can accept another state’s copy of a document or another state’s data match with that state’s vital records. Documents submitted by a person whose last name has changed (e.g., due to marriage or divorce) may be accepted if the documents match in every way except the last name. If there is reason to question whether the documents belong to the same person, request an official document verifying the change (e.g., marriage license, divorce decree). Persons who have changed both their first and last names must produce documentation of the official change from a court or governing agency. Health Insurance Premium Payment (HIPP) Program Legal reference: 441 IAC 75.21(14) The Health Insurance Premium Payment (HIPP) program is operated by the HIPP Unit at the Iowa Medicaid Enterprise (IME). The purpose of the HIPP program is to pay the cost of health insurance for Medicaid members when it is determined that doing so would result in cost savings to the Medicaid program. Refer all households with a member who has health insurance available to the HIPP Unit, except under the circumstances listed in 8-M, Situations Not Covered by HIPP.