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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |34 Effective Date: January 2019 102.04.07 EVIDENCE OF IDENTITY Proof of identity is required when primary evidence of citizenship cannot be obtained and a secondary, third or fourth level evidence is used. Identity Documentation Explanation The identity of all applicants and recipients must be verified. Documents submitted as proof of identity must have a photograph or other identifying information sufficient to establish identity, including, but not limited to, name, age, sex, height, weight, eye color or address. This section includes the following acceptable documents which may be used to verify the identity of any applicant or recipient. Documents may be recently expired provided there is no reason to believe the document does not match the individual. • A current state driver’s license issued by a state or territory. • School identification card. • U.S. military card or draft record. • Identification card issued by the Federal, State, or local government. • Military dependent’s identification card. • U.S. Coast Guard Merchant Mariner card. • For children under age 19, a clinic, doctor, hospital or school record, including preschool or day care records. • Two other documents containing consistent information that corroborates an applicant’s identity. Such documents include, but are not limited to, employer identification cards; high school or high school equivalency and college diplomas; marriage certificates; divorce decrees and property deeds or titles. • Finding of identity from a Federal or State governmental agency, including but not limited to a public assistance, law enforcement, internal revenue or tax bureau, or corrections agency, if the agency has verified and certified the identity of the individual. • If the applicant does not have any of the above documents, accept an affidavit signed, under penalty of perjury, by a person other than the applicant who can reasonably attest to the applicant’s identity. The affidavit must contain the applicant’s name and other identifying information establishing identity (name, age, sex, race, height, weight, eye color, address). The affidavit does not have to be notarized. Exception: Do not accept a Voter Registration Card or Canadian Driver’s License as identity verification. NOTE: Citizenship and/or identity do not have to be verified if the applicant is not otherwise eligible.