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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services Medical Assistance Manual 24 Jan 26 MTL 02/24 C-405.2 GENERAL ELIGIBILITY REQUIREMENTS REASONABLE OPPORTUNITY electronic record will automatically be maintained. If the customer provided paper documentation of citizenship, a copy should be scanned and indexed to the permanent section of the case jacket and never purged. Individuals declaring to be a citizen or national of the United States who are eligible for Medicaid are not required to provide documentation of citizenship status if they: a. are entitled to or enrolled in Medicare benefits; b. are receiving Social Security disability (SSDI) or SSI benefits; or c. are receiving child welfare benefits under Title IV-B, adoption or foster care assistance under Title IV-E; or d. were eligible at birth for Nevada Medicaid due to OBRA eligibility. C-405.2 Reasonable Opportunity (435.956(g)) If the agency is unable to promptly verify citizenship or immigration status using an electronic data source and the individual meets all other eligibility factors and would otherwise be Medicaid eligible, the agency must approve the case and allow the household 90 days to provide satisfactory documentation of citizenship or immigration status. During the 90-day period the agency must: a. attempt to resolve any inconsistencies; b. resubmit any correct information to the electronic data source; and c. provide the individual with information on how to contact the source of the electronic data so they can attempt to resolve inconsistencies. If the required citizenship or immigration status documentation is not provided by the end of the 90-day period, terminate assistance allowing for adverse. The 90-day period does not apply to prior medical months. Citizenship documentation must be provided prior to approval of prior medical months. C-405.3 Stand-Alone Evidence of U.S. Citizenship or Nationality The following must be accepted as satisfactory documentary evidence of citizenship: a. U.S. Passport, including a U.S. Passport Card issued by the Department of State, without regard to any expiration date as long as such passport or Card was issued without limitation. Exception: Do not accept any passport as evidence of U.S. citizenship when it was issued with a limitation. However, such a passport may be used as proof of identity.