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State of Maryland Medical Assistance Manual Revised July 2012

an alien name, social security number, and etc, only the identification number on an alien’s immigration document may be used for SAVE inquiry. Therefore, SAVE cannot be used if the CM does not have a valid “INS” number for the alien (e.g., the individual is now a naturalized citizen, is an undocumented alien, or gave the CM an invalid INS number or someone else’s number for the alien (e.g., the individual is now a naturalized citizen, is an undocumented alien, or gave the CM an invalid INS number or someone else’s number) NOTE: Refer to the following transmittals issued by the Department of Human Resources about how to verify immigration status for certain categories of aliens or immigrants: Action Transmittal 05-16: Eligibility for Family Members of Victims of Severe Trafficking in Persons (Derivative T visas) CARES Bulletin 05-16: Legal Immigrants in F-Track Medical Assistance FIA Information Memo 05-47: Mexico’s Matricula Consular Identification Card CARES Bulletin 04-07: 5 Year Bar for Federal Benefits for Qualified Aliens Action Transmittal 03-34: Restoration of Food Stamps to Immigrants Who Have Lived in the United States for Five or More Years FIA Information Memo 99-51: Guidance for Verification of Immigration Status

Form numbers and the types of immigration documentation change over time. For

the most current information about immigration documents issued by the federal

government consult federal web sites, such as http://uscis.gov/

(h)Documentation That an Applicant is a Qualified Alien If qualified alien status cannot be verified through the SAVE system or if additional information is needed to resolve a discrepancy, the following documentation may be used: Lawful Permanent Resident: INS From 1-551 (green card) or for recent arrivals a temporary 1-551 stamp in a foreign passport or on form 1-94. 1.If a lawful permanent resident presents an old INS form (1-151, AR-3 or AR-3a) as evidence of status, contact the Department of Homeland Security to verify the alien’s status by filing a G-845 and attaching a copy of the old form. Also, refer the applicant/beneficiary to the Department of Homeland Security to apply for a replacement card. Refugees- INS Form 1-94 endorsed to show entry as a refugee under 207 of the INA and date of entry to the United States; or INS Form 1-688B, 1-766 annotated “274a 12(a)(3),” or From 1571. Asylees: INS form 1-94 annotated with stamp showing grant of asylum under 208 of the INA; a grant letter from the Asylum Office of the Department of Homeland Security; Form 1-688B or 1-766 annotated 274a 129(a)(5),” or an order of an Immigration Judge granting asylum. If the applicant/beneficiary presents a court order, contact the Department of Homeland Security to verify that the order was not overturned on appeal