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5 Medicaid, Hoosier Healthwise, and HIP. The requirement applies to applications filed on and after August 15, 2006, and redetermination interviews occurring on or after August 15, 2006. Proof of citizenship must be provided to the DFR for persons declaring on the application to be citizens with either documentary evidence or electronic verification through the VLP, except in the following circumstances: • The individual is eligible in the Newborn (MA X) category. Further, citizenship documentation is not required for these children at the time of any future eligibility determinations that occur after the child ages out of the Newborn category.

• The individual is an SSI (Supplemental Security Income) recipient. Citizenship would have been documented by SSA, so further proof would not be needed for Medicaid. • The individual is a Medicare beneficiary. • The individual receives Social Security benefits based on their own disability. • The individual is a ward of the DCS (Department of Child Services). Federal citizenship requirements for Medicaid are met for wards without verification by the DFR because federal rules allow an exception for them as children receiving assistance with IV-B funds. • The individual is a recipient of foster care or adoption assistance under Title IV-E.

Case Record Requirements: If electronic verification is not available through the VLP, original documents or certified copies of original documents must be viewed and copied for the case file. The copy must be annotated: “Copy of original document” or “Copy of certified copy” as appropriate. Also, a case note entry as to the way in which citizenship was documented must be made.

Once completely and acceptably verified, citizenship is not to be re-verified at subsequent reapplications and redeterminations. While medical coverage is pending for verification of citizenship, the VR field for citizenship on the Person Details Screen should be coded “unverified.” A case note entry must be made for every contact made with the client and every action taken by the caseworker regarding citizenship verification. It is important that the comments are specific. Simply indicating that “the client could not get a birth certificate” is not sufficient.

Case Processing Procedures: Such procedures include: • Providing the “Notification of Requirement to Provide Documentation of Citizenship” (FI 2326 or FI 2326 S, the Spanish version) if citizenship has not been electronically verified through the VLP. When an application interview is not required (refer to IHCPPM 2005.00.00), the form should be sent on the same day a worker processes