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COMAR 10.09.24.05

518

State of Maryland Medical Assistance Manual Revised July 2012

(e) Proof of Identity One of the following 2nd level documents must be used to document identify if none of the 1st level documents for documenting citizenship and identity are available within the time limit for determining eligibility: Driver’s license or an identification card for a non- driver: issued by the Motor Vehicles Administration for a U.S. state or Territory (not Canada or another country). This is acceptable if it has a photograph or other identifying information for the A/R A(e.g., name, date of birth, race, sex, height, weight, eye color) School identification card with photograph Federal, state, or local government identification card, if it has a photograph or other identifying information for the A/R (e.g., name, date of birth, sex, race, height, weight, or eye color). U.S. military ID card or draft record. U.S. Coast Guard Merchant Mariner card. A cross match with data systems of other federal or state governmental, public assistance, law enforcement, or correction agencies, if the agency establishes and certifies individual’s true identity (e.g., TCA, Food Stamps, Child Support, Child Protective Services, Corrections, Juvenile Services, Motor Vehicle Administration, SVES/SDX/SOLQ for former SSI recipients) Certificate of Degree of Indian Blood, or other U.S. American Indian or Alaska Native Tribal document with a photograph or other personal identifying information relating to the individual. U.S. passport issued with a limitation: It may be used to verify identity, but not to verify citizenship. For children younger than 16 years old, one of the following documents: 1. School record (DHR/FIA 604 form). 2. Nursery or day care record (including pre-school health form) or 3. Written affidavit signed under penalty of perjury by the child’s parent or guardian, stating the date and place of the child’s birth: An affidavit may only be used to document a child’s identity if affidavits were not used to document the child’s citizenship and if none of the other acceptable documents are available to document identity within the time limit for determining eligibility.