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State of Maryland Medical Assistance Manual Revised July 2012

If the applicant has not produced documentation by the 80th day, close the case for failure to meet citizenship requirements. This closure is not subject to reactivation. Important Reminder: The Adverse Action period provides an additional 10 days for the case to remain on the system. 3. Death with citizenship verified Task 1: Process the case including retroactive period as required Task 2: Verify death of applicant before entering the date of death to close coverage. 4. Death without citizenship verified Task 1: Obtain the required documentation to verify citizenship (see AT 08-05). Task 2: If citizenship verification is received, process the case including retroactive period as required. Task 3: Verify death of applicant before entering the date of death to close coverage. Task 4: If citizenship cannot be verified, process the case as denied for failure to provide information and enter the date of death to close case.

One of the following 1st level documents to documents may be used to verify both citizenship and identity: U.S passport issued by the U.S. Department of State. It is not necessary for the U.S. passport to be currently valid as long as the expired passport was originally issued without limitation. If a passport was issued with a limitation, it may be used as proof of identity but not as proof of citizenship. Certificate of Naturalization (N-550 or N-5700 issued by the Department of Homeland Security for naturalization. Certificate of Citizenship (N-560 or N61) issued by the Department of Homeland Security to individuals who derive citizenship through a parent.

NOTE: If the individual was born outside the U.S. and was not a U.S citizen at birth, one of these documents is required. One of the following 2nd level documents may be used to document citizenship if none of the 1st level documents are available within the time limit for determining eligibility: U.S. Birth Certificate: issued by a state, Commonwealth, Territory, or local

jurisdiction.