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On 5/21/22, the U.S Congress enacted the Additional Ukraine Supplemental Appropriations Act (AUSAA) granted states authorization to provide medical assistance available to refugees, for specific Ukrainian populations and other non-Ukrainian individuals in response to their displacement from Ukraine resulting from Russia’s February 24, 2002, invasion.30 Individuals from Ukraine may fall under one or more immigration status; Temporary protected status (TPS), humanitarian parolee status only, or TPS and humanitarian parolee status.

Temporary Protected Status (TPS): The Department of Homeland Security (DHS) designated Ukraine for TPS status for 18 months, effective April 19, 2022, or later through October 19, 2023. Ukrainian Nationals (citizens) and Individuals with no nationality who last habitually resided in Ukraine and who have continuously resided in the U.S. since April 11, 2022 and have been continuously physically present in the U.S. since April 19, 2022 can apply for TPS status.

• Ukrainian nationals granted TPS only or who have a pending application for TPS are considered “lawfully present,” but are not considered “qualified non-citizens and therefore are subject to the five-year waiting period. • TPS application is available to eligible Ukrainian nationals who entered the U.S. between April 19, 2022, and October 19,2023 and meet all other eligibility requirements. Verifications include Employment Authorization Document (EAD) with a category of A12 or C19, I-797, Application for Temporary Status, or any verification or documentation from DHS or other authoritative document. Note: Ukrainian nationals paroled into the U.S. before February 24, 2022, who are granted parole for more than one year are qualified non-citizens, but subject to the five-year waiting period.31 Individuals with TPS status only with no humanitarian parole are subject to the 5-year waiting period.32 These individuals should be entered in Eligibility System as parolees. Applicants/members who do not meet eligibility criteria for Medicaid, may be eligible for coverage through the Federal Facilitated Market Exchange (FFM).

Special Immigrant Parolees: Ukrainian nationals who enter the U.S. as parolees on or between February 24, 2022, and September 30, 2023, may be eligible for Medicaid and CHIP to the same extent as refugees, without a five-year waiting period, if they meet all other eligibility requirements for the state. The following Ukrainian parolees are considered “qualified non- citizens for the purposes of Medicaid and CHIP eligibility. Ukrainian National Humanitarian Parolees, Non-Ukrainian National Parolees, and Ukraine nationals paroled after 9/30/23.

• Ukrainian National Humanitarian Parolees (UHP): Ukrainian nationals (citizens) admitted to the U.S as humanitarian parolees (UHP) between February 24, 2022, and September 30, 2023, are considered “qualified non-citizens” and eligible for Medicaid or CHIP as