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Documentation of Citizenship” (FI 2326 or FI 2326 S, the Spanish version) should be completed and mailed. For more information including due dates, see IHCPPM 2402.15.10. If such person has not verified citizenship or qualified immigration status after 95 days, the person is to be discontinued from eligibility. Children under 19 receiving benefits during their reasonable opportunity period (ROP) are ineligible for a CE period, unless the state can verify their status during the ROP.25

Effective 6/1/24, under CMS guidance, the number of allowable Reasonable Opportunity Periods is unrestricted.26 If a person who received appropriate notices reapplies at least 95 days after being denied for not verifying satisfactory immigration status or citizenship during their Reasonable Opportunity Period, they will acquire a new ROP and if all other requirements are met, Medicaid benefits must be authorized. Refer to IHCPPM 2402.15.10 regarding what documents can be used to verify citizenship. Note: For individuals who state they are not qualified immigrants or that they are undocumented, do not require more documentation of their immigration status. No 95-day Reasonable Opportunity Period applies to individuals who are not attesting to a qualified immigration status. Client statement is all that is needed and if passing, Medicaid can be authorized as Emergency Services Only. 2035.60.00 EFFECTIVE DATE (MED 1, 2, 3)

See 1825.15.00 regarding the date of the application.

The effective date of health coverage is determined in accordance with the following guidelines: For traditional Medicaid and all benefit packages of Hoosier Healthwise except Benefit Package C, the effective date can be no earlier than the third month prior to the month of application if all eligibility requirements are met. This provision for retroactive coverage also applies to individuals who were deceased at the time of application.24 For Hoosier Healthwise Benefit Package C, the effective date can be no earlier than the first day of the month of application. The effective date for an individual who was living in another state just prior to moving to Indiana will be no earlier than the month the individual became an Indiana resident.

SSI recipients are automatically eligible upon receipt of SSI. SSI recipients can obtain three months of retroactive eligibility from the date verification is received by the DFR (including data exchange or award letter). For ongoing members in another category, change processing rules apply (see 2220.05.00).