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COMAR 10.09.24.05

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State of Maryland Medical Assistance Manual Revised July 2012

by filing a G-845 with the local Department of Homeland Security district office attaching a copy of the document. Alien who has had Deportation Withheld: under 243(h) of the INA-Order of an immigration Judge showing deportation withheld under 243(h) and date of the grant; or Form 1-688 or 1-766 annotated “274a. 129(a) (10).” If applicant/beneficiary presets a court order, contact INS to verify that the order was not overturned on appeal by filing a G-845 with the local INS district office, attaching a copy of the document. Alien Granted Parole for at least 1 year by the INS: INS Form 1-94 endorsed to show grant of parole under 212(d)(5) of the INA and a date showing granting of parole for at least 1 year. Alien Granted Conditional Entry: Under the immigration law in effect before April 1, 1980-INS Form I-94 with stamp showing admission under 203(a)(7), refugee conditional entry; or Forms I-688B or I-766 annotated “274a 12(a)(3).”

Evidence of Honorable Discharge or active duty status includes the following documents: Discharge: An original of the veteran’s discharge papers issued by the branch of service

in which the applicant was a member. Active Duty Military: An original of the applicant’s current orders posting the applicant to a military, air or naval base. A self-declaration under penalty may be accepted pending receipt of acceptable documentation.

500.5 Non- Qualified Aliens Non-qualified alien are either undocumented or ineligible legal aliens who do not qualify for federal coverage of full MA benefits because they do not meet the citizenship requirement for Medical Assistance (MA) or the Maryland Children’s Health Program (MCHP). Pregnant women who are ineligible qualified aliens may be eligible for most benefits in the State-only coverage category of X02. Undocumented or otherwise ineligible legal aliens may be eligible for coverage of only emergency medical services in the federal coverage category of x02 if they received treatment for an emergency medical condition and meet all other MA or MCHP technical and financial eligibility requirements for full benefits under COMAR 10.09.24 or COMAR 10.09.11 including verified Maryland residency. (a) Ineligible Aliens Ineligible aliens include qualified alien (as defined in the Chapter) who are ineligible for full federal MA or MCHP coverage because they entered the U.S. on or after August 22, 1996 and have not yet met the 5- year bar to coverage. Ineligible aliens also include legal aliens or immigrants who do not meet the definition of a qualified alien, such as aliens lawfully admitted to the U.S. for a temporary or specified time period, not as a permanent legal resident. These temporary visitors include the following: