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qualified status for a period of five years. The date the five-year bar starts is the date on the noncitizen’s USCIC alien registration card.

NOTE: The five-year bar does not apply to individuals who are not subject to the 5-year bar and later adjust to LPR status including; COFA migrants, Cuban Haitian Entrants, refugees, asylees, individuals granted withholding of deportation or removal, certain Ukrainian or Afghan parolees, Iraqi or Afghan special immigrant visa holders, Amerasian immigrants, veterans or active-duty service members and their families, certain American Indians born abroad, and others. Under current law, if these exempt individuals become LPRs (e.g., upon admission or after adjusting their status), they can continue to receive Medicaid or CHIP without the five-year bar applying. The five-year bar does not apply to children in a lawfully residing status.

2) 40 quarters of work. If unable to verify work quarters through the system, the individual must provide verification of 10 or more years of earnings with employer statements, income tax forms, wage stubs, etc., or obtain verification from the regional SSA office. No work quarters are creditable for any period beginning after December 31, 1996, if either the noncitizen or the worker (the parent or spouse) received any Federal means-tested benefits during the period in which the work quarters were earned. LPRs who have been in the U.S. for 10 years or more are not required to have 40 qualifying work quarters to qualify for Medicaid. The eligibility requirements have been updated to allow LPRs to be eligible after five years of U.S. residency, regardless of whether they have any qualifying work quarters.

3) Sponsor Deeming of Income and Resources apply to some LPR individuals. • Sponsor deeming applies when: o -The sponsor signed Form I-864 or I-864A o -The form was signed on or after December 19, 1997 o Income and resources of the sponsor will be used to determine eligibility if there is not 40 quarters of work after the five-year bar. See CMA 603-1 Deeming • Sponsor Deeming ends when one of the following occurs: o -The LPR has 40 qualifying work quarters o -The LPR becomes a U.S. citizen o -The reason for termination of sponsor’s responsibilities occurs (e.g., death of sponsor, divorce in special cases, etc.). Emergency Medicaid: Remains available for services necessary to treat an emergency medical condition, regardless of noncitizen status. See CMA 301-3 Emergency Medicaid Immigration Status Verification