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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-003

477-000-003 – Citizenship/Identity

Primary Citizenship and Identity verified by one of the following: 1. The Federal data services hub, which includes Social Security and SAVE 2. U.S. Passport 3. Vital Statistics 4. Certificate of Naturalization (N-550 or N-570) 5. Certificate of Citizenship (N-560 or N-561) 6. Receipt of Supplemental Security Income(SSI) as shown on SDX interface 7. Receipt of Social Security Disability Insurance (SSDI) as shown on BDE interface 8. Documentation of child receiving foster care or adoption assistance payments under Title IV-B or IV-E 9. Deemed Newborn 10. Entitlement to or enrollment in Medicare as shown on BDE interface 11. A document issued by a federally recognized Indian Tribe evidencing membership, enrollment in, or affiliation with such tribe. The document must identify the federally recognized Indian Tribe which issued it, identify the individual by name, and confirm the individual’s membership, enrollment in, or affiliation with that Tribe. Some examples include Tribal enrollment and membership cards, a certificate of degree of Indian blood issued by the Bureau of Indian Affairs, a Tribal census document, or a document issued by a Tribe indicating an individual’s affiliation with the Tribe.