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130 CMR: DIVISION OF MEDICAL ASSISTANCE

Trans. by E.L. 240 Rev. 08/19/22 MASSHEALTH CITIZENSHIP AND IMMIGRATION Chapter 518 Page 518.005 (1 of 4)

(B) Identity. MassHealth requires verification of identity for U.S. citizens. (1) The MassHealth agency will initiate electronic data matches as described in 130 CMR 516.004: Matching Information to attempt to verify identity. If electronic data sources are unable to verify identity, additional documentation will be required from the individual. (2) Acceptable proof of identity is described in 130 CMR 518.005(A)(3). (3) U.S. citizens as described in 130 CMR 518.002 who fail to verify identity within 90 days of the MassHealth agency’s request will subsequently only be eligible for (a) CMSP if they meet the categorical requirements for CMSP described in 130 CMR 522.000: MassHealth: Other Division Programs; or (b) MassHealth Standard if they are pregnant and meet the categorical requirements and financial standards as described in 130 CMR 505.002(D): Eligibility Requirements for Pregnant Women.

(C) Reasonable Opportunity to Verify Citizenship and Identity or Immigration Status. The MassHealth agency provides applicants and members a reasonable opportunity period to provide satisfactory documentary evidence of citizenship and identity or immigration status in accordance with 130 CMR 516.003(E): Reasonable Opportunity to Verify Citizenship and Identity or Immigration Status.

(D) Reasonable Opportunity Extension. Applicants or members who have made a good faith effort to resolve inconsistencies or obtain verification of citizenship and identity or immigration status may receive a 90-day extension in accordance with 130 CMR 516.003(F): Reasonable Opportunity Extension.

(E) Child Born to a MassHealth-eligible Individual. Regardless of the mother’s immigration status, a child born to an individual who is eligible for MassHealth on the date of the child’s birth will be deemed eligible for MassHealth from birth until the child’s first birthday and is exempt from providing citizenship and identity verification for eligibility.

518.005: Documents for Verifying U.S. Citizenship and Identity and Immigration Status

(A) Acceptable Proof of U.S. Citizenship and Identity. Pursuant to 130 CMR 518.004(B), U.S. citizens must provide proof of both citizenship and identity. (1) Acceptable Proof of Both Citizenship and Identity. The following documents are satisfactory proof of both citizenship and identity: (a) U.S. passport, including a U.S. Passport Card issued by the Department of State, without regard to any expiration date as long as such passport or Card was issued without limitation; (b) Certificate of Naturalization;