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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |45 Effective Date: July 2025 Re-Verification of Alien Status Once alien status has been verified, it is not necessary to re-verify unless the alien status is subject to change. Examples of when alien status is subject to change include, but are not limited to, the following: 1) An individual admitted under a temporary status may change to lawful permanent resident status. 2) An individual admitted under a temporary status that has expired may have updated his status. 3) A refugee may change his alien status to lawful permanent resident status. 4) An individual may meet requirements as a battered alien or some other type of qualified alien status. 5) An illegal alien may change to a legal status. 102.05.08B VERIFICATION PROCEDURES FOR GRANDFATHERED ALIENS A “grandfathered alien” is an individual who is lawfully residing in the U. S. and is in one of the 3 categories of grandfathered aliens described in 102.05.02. When there is an indication an alien is potentially “grandfathered”, the specialist must: • Request immigration documents, • Request electronic verification of alien status as outlined in 102.05.08A, and • Establish eligibility as a grandfathered alien in one of the 3 allowable categories: o Establish eligibility on 08/22/1996 in MS or another state. If eligible in MS, verify eligibility using MESA data for the record. If eligible in another state, make telephone contact with the other state to confirm eligibility on 08/22/1996 and document the contact with the name/title of the person providing the verification. This is sufficient to establish eligibility in the grandfathered class of eligible and receiving as of 08/22/1996. All other factors of eligibility must be met. o Verification from DHS will verify qualified alien status established prior to 08/22/1996. DHS verification is the only documentation needed to establish eligibility in the grandfathered class of those who entered prior to 08/22/1996. All other factors of eligibility must be met. o Verify “continuously present” by requesting documentation that the alien lived in the U.S. continuously from prior to 08/22/1996 until qualified alien status was granted. Various forms of documentation, including utility