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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |19 Effective Date: January 2019 • Children in receipt of Title IV-B services or Title IV-E Adoption Assistance or foster care payments are exempt. Medicaid eligibility determinations for children in this category are made by the Department of Child Protection Services. • Deemed eligible children are exempt from citizenship and identity verification requirements until the end of the deemed year. All eligibility factors, including documentation of citizenship and identity, must be met for eligibility to continue beyond the first year. 102.04.02 VERIFICATION OF U.S. CITIZENSHIP AND IDENTITY USING ELECTRONIC DATA SOURCES Effective for applications received after May 1, 2010, the Children’s Health Insurance Reauthorization Act of 2009 allowed states to use SVES (State Verification and Exchange System) data from the Social Security Administration (SSA) to establish citizenship and identity for Medicaid and CHIP purposes under the condition that the SVES response is able to substantiate citizenship. Effective January 1, 2014, the ACA required state access to SSA data for applicants from the Federal Data Services Hub (FDSH), referred to as SSA Composite data. MEDS displays both FDSH and SVES data and citizenship verification is potentially available from either source. FDSH SSA Composite data and/or SVES data is a primary verification source which must be used before requiring an applicant to produce documentary evidence. All registered applications in MEDS will include a request for SSA to verify citizenship. A manual SVES request will only result in a citizenship response if the initial SSA query was a non-match with SSA records, such as a name/SSN mismatch. Verification of citizenship and identity using FDSH or SVES data is a one-time occurrence at application and once a citizenship response has been received, another citizenship request cannot be submitted for the same individual.