Page 3

C-100 PART C – GENERAL ELIGIBILITY REQUIREMENTS RESIDENCE REQUIREMENTS 100 Residence Requirements (42 CFR 435.403) 100.1 SSI Recipients Receiving a State Supplementary Payment (SSP) from Another State 100.2 Verification 105 Exception to Residency Rules 105.1 Individuals Placed in an Out-of-State Institution 105.2 Individuals Under the Age 21 105.3 Individuals Age 21 and Over 110 Disputed Residency 115 Temporary Absence 120 CAP Program (NRS 217) C-200 FURNISHING SOCIAL SECURITY NUMBERS 200 Social Security Numbers (42 CFR 435.910) 200.1 Verification 200.2 Worker Action at Application 200.3 Failure to Comply C-300 CHILD SUPPORT ENFORCEMENT 300 Child Support Enforcement (42 CFR 433.138, 42 CFR 433.145, 42 CFR 433.147, 42 CFR 433.148, 42 CFR 433.152 and 42 CFR 435.610) 305 Child Support Non-Cooperation C-400 CITIZENSHIP REQUIREMENTS 400 Citizenship and Identification Requirements (42 CFR 435.406, 42 CFR 435.407, 42 CFR 435.940, 42 CFR 435.956) 405 Eligibility Requirements 405.1 Verification and Documentation 405.2 Reasonable Opportunity (42 CFR 435.956(b)) 405.3 Stand-Alone Evidence of U.S. Citizenship or Nationality 405.4 Evidence of U.S. Citizenship or Nationality 410 Acceptable Verification of Identity 415 Verification of Collective Naturalization 415.1 Puerto Rico 415.2 U.S. Virgin Islands 415.3 Northern Mariana Islands (NMI) 420 Non-Citizen Medical Assistance Eligibility Chart 420.1 Verification of Non-Citizen Status 420.2 Verifying Non-Citizen Status Using the Systematic Alien Verification to Entitlements (SAVE) System 420.3 Paroled as Refugees and Cuban/Haitian Entrants 425 Non-Citizen Status 430 Re-Verification of Immigration Status Due to an INS Document’s Expiration Date 435 Documentation of Veteran Status 435.1 Verification of Veteran Status 435.1.1 Discharged Members Division of Social Services Medical Assistance Manual 13 Aug 25 MTL 10/25