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4 abroad should always be verified through SAVE when an individual or family attest to a “qualified alien” status. Approved U.S. Immigration Documentation for Cuban/Haitian Children Born Abroad

• Unexpired Cuban/Haitian passport • Nationality Certificate or Identity Card • Non-Haitian birth certificate listing a Haitian national parent (parent must have approved documentation or evidence of Haitian nationality4 • Citizenship Letter • Certificate of naturalization or certificate of citizenship issued by the Haitian government accompanied by photo identification Note: A consular certificate documenting an individual’s birth outside of Cuba to at least one Cuban parent is not sufficient evidence to establish Cuban citizenship.

2402.10.20 CITIZENSHIP AFTER BIRTH Children become U.S. citizens after birth when all the following requirements are met: • At least one parent is a U.S. citizen either by birth or naturalization • The child is under 18 years of age • The child is residing in the United States in the legal and physical custody of the United States citizen parent, pursuant to a lawful admission for permanent resident. (If adopted, the child must meet all the requirement above, as well as satisfy the requirements applicable to adopted children under Section 101(b)(1) of the Social Security Act.)5

2402.15.00 VERIFICATION REQUIREMENTS FOR U.S. CITIZENS Verification of citizenship is required for Medicaid eligibility when applicants declare themselves to be U.S. citizens.

2402.15.10 VERIFICATION OF U.S. CITIZENSHIP In compliance with federal law (Section 1903(x) of the Social Security Act as added by the Deficit Reduction Act of 2005) documentation of citizenship is required as a condition of eligibility for