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OTHER ELIGIBILITY REQUIREMENTS SATISFACTORY IMMIGRATION STATUS QUALIFIED ALIENS

Category 2: Qualified Aliens continued

Please note: Qualified Aliens who are Eligible for State Medicaid until becoming Eligible for Federal Medicaid after a 5 Year Waiting Period: Qualified aliens listed below, who entered the U.S before August 22, 1996, are eligible for federal Medicaid, if otherwise eligible. However, qualified aliens in these four categories who entered the U.S. on or after August 22, 1996, are subject to the federal five year ban. This means that they are not eligible for federally funded Medicaid until they have resided in the U.S. for five years in a qualified alien status. Until becoming eligible for federally funded Medicaid, these qualified aliens are eligible for State funded Medicaid coverage of all medically necessary care and services, if they meet the program’s other eligibility requirements. Districts must enter the appropriate State/federal charge codes to assure proper claiming of federal and State shares. For these individuals the date they physically entered the U.S. will determine whether or not Federal Financial Participation (FFP) is available. This date is called the “Date Entered Country” (DEC). During their first five years in the U.S the cost of their Medicaid coverage will be born solely by the State and local share (50% State/50% local). Once a qualified alien in this group has resided in the United States as a qualified alien for a period of five years, FFP will become available. This means the federal government will pay a share of their Medicaid costs.

Category

Documentation WMS ACI Code Federal Financial Participation (FFP)

Social Security Number (SSN) Requirement Lawful Permanent Residents (LPRs or “green card” holders) ►I-94 Arrival/Departure Record or foreign passport stamped I-551; ►I-551 Lawful Permanent Resident Card “green card”; ►I-327 Re-entry permit’; or ►I-181 Memorandum of Creation of Record of Lawful Permanent Residence with approval stamp.

K (without 40 quarters) S (with 40 quarters)

YES After 5 yrs in a qualified status

Immigrants with or without work authorization are required to apply for a Social Security Number.

LDSS must provide Immigrants with a letter addressed to SSA for those immigrants without work authorization who met all the eligibility requirements for federal or state benefits, except for having an SSN. (08 OHIP INF-2)

Note: Pregnant women are excluded from this requirement.

Parolees admitted into the U.S. for at least one year

(Non-citizen who have been allowed to come into the U.S. for humanitarian or public interest reasons.) ►I-94 Arrival/Departure Record with annotation “Paroled Pursuant to Section 212(d)(5)” or “parole” or “PIP” or “public interest” with the date of entry and date of expiration indicating at least one year; ►I-688B Employment Authorization Card annotated “ 8 C.F.R. 274a.12(a)(4) or 274a.12(c)(11)”; or ►I-766 Employment Authorization Document annotated “A4” or “C11”.

G

YES After 5 yrs in a qualified status

Conditional Entrants

(Status granted to refugees before 1980.)

►I-94 Arrival/Departure Record stamped Section 203(a)(7), or otherwise indicating status as a conditional entrant;; ►I-688B Employment Authorization Card annotated “8 C.F.R. 274a.12(a)(3)”; or ►I-766 Employment Authorization Document annotated “A3”.

F

YES

After 5 yrs in a qualified status

(MRG)