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COMAR 10.09.24.05
508
State of Maryland Medical Assistance Manual Revised July 2012
(a) Policies and Procedures for Documenting Citizenship and Identity The policies and procedures for documenting citizenship and identity will be the same as what is currently used for all other types of required verifications, except that these requirements also apply to MCHP. As with all other required verifications, if the documentation of citizenship and identity is not already in the case record, submitted with the application, or shown at the local office, the CM must mail a DHR/FIA 1052 request for Information to Verify Eligibility form or other written request, listing the documentation that is required by a specified due date. The CM must inform the customer that additional time may be requested to provide the verifications, in accordance with the policies about extension of time standards at Chapter 400 of the MA Eligibility Manual. If the required documentation of citizenship and identity is not provided by the due date (which may be extended), a recipient’s eligibility must be terminated with timely notice. If the terminated recipient then submits the required documentation within 4 months of the month of termination, eligibility is redetermined as of effective date of termination in accordance with the tardy redermination policies and procedures (Chapter 1200)
(b) Documentation Requirements To establish U.S citizenship, a document must show either: A U.S. place of birth, or That the individual is a U.S. citizen
NOTE: The individual’s place of birth that is entered on the MA application should be the same as the place of birth entered on the documentation used to verify citizenship. As a condition of MA or MCHP eligibility for each individual requesting benefits (except emergency medical services for undocumented or ineligible aliens), either a valid Social Security number (SSN) must be reported or an application must be filed for an SSN. If an individual is made eligible based on an SSN application, a valid SSN must be reported and entered on CARES by the next redetermination, or MA eligibility must be terminated. The CM is required to validate the reported SSN using SVES/SDX/SOLQ, by matching on name, SSN and of birth. (c) Proof of Citizenship and Identity For new MA or MCHP applicants (i.e. applicants not known to CARES) who have declared U. S. citizenship, the CM must perform the following steps to request citizenship verification. A positive SVES match for the applicant verifies identity along with citizenship verification. Step 1: Process Applicant Information (LHD & other DHMH caseworkers go to Step2) Task 1: Process the applicant’s client I.D. information