Page 171

UPDATED: JUNE 2010

608

OTHER ELIGIBILITY REQUIREMENTS

SATISFACTORY IMMIGRATION STATUS

Description: Immigrants in satisfactory immigration status are otherwise eligible for Medicaid, Family Health Plus (FHPlus) and Child Health Plus (CHPlus) and include qualified aliens and persons permanently residing in the United States under color of law (PRUCOL).

Policy: All immigrants in satisfactory immigration status regardless of the date they physically entered into the United States can be eligible for Medicaid provided they meet all other eligibility requirements. The only difference is that Federal Financial Participation (FFP) should be claimed for some groups but must not be claimed for others or must not be claimed until the individual has resided in the United States as a qualified alien for five years (i.e., the Federal five-year ban). • Qualified aliens who entered the U.S. prior to August 22, 1996 receive full Medicaid coverage with Federal Financial Participation (FFP); • Certain qualified aliens who entered the U.S. on or after August 22, 1996 receive Medicaid coverage with FFP; and • Certain qualified aliens who entered the U.S. on or after August 22, 1996, receive Medicaid coverage with State and local funds (FNP) until they have resided in the U.S. as a qualified alien for five years (five year ban). • Persons permanently residing in the United States under color of law (PRUCOL) are eligible for Medicaid, provided they meet all other eligibility requirements. There is no Federal Financial Participation for this group. This means the federal government will not pay a share of their Medicaid costs. The shares are generally split 50% State/50% local. (Refer to the PRUCOL section of this document)

References: Public Law P.L. 100-202

SSL Sect. 122

131-k

Dept. Reg. 349.3

351.1

351.2

360-3.2(j)

ADMs 04 ADM 07

97 ADM-23

92 ADM-10

(MRG)