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636 Chapter 3:Processes and procedures • Section 2: Verification (07/2026) Document or Record Type Non-citizen status Citizenship Naturalization Papers Yes Yes Permanent Visas Yes Birth certificate or hospital birth Records Yes Refugee registration card Yes U.S. passport Yes U.S. Citizenship and Immigration Services ID card Yes Yes ‘Noncitizen’ registration card/ reentry permit Yes Certificate of citizenship Yes Military service papers Yes Indian census records Yes Yes U.S. State Department records Yes U.S. Citizen and Immigration Services Records Yes Yes Baptismal or other religious records (only if place and date of birth is shown) Yes Family Bible Yes For medical programs, non-citizen status MUST be verified via the Verify Lawful Presence (VLP) interface in ONE. Data from both the SAVE webservice and the VLP interface is from the Department of Homeland Security (DHS) and should be the same. In instances, when VLP does not verify the individual’s attestation of their immigration status, staff can go to SAVE to complete the verification process (ONE will issue a Request for Information (RFI) when VLP does not verify the attestation). • For individuals in ONE, the system will automatically check for citizenship/identity verification using the interface with the Social Security Administration. If these items are not verified, ONE will issue a Request for Information (RFI). • For those individuals who are not in ONE, before requesting documentation, check the Medicaid or CHIP applicant or recipient’s citizenship field on Person/Alias Update. If the person’s citizenship field already has an “A” and you have no reason to doubt the “A” is accurate, narrate the citizenship documentation has already been verified. • In the event documentation has to be requested to verify an individual’s citizenship, check the Medical Program Citizenship and Identity Documentation Hierarchical List for documents that are required to be submitted. • Applicants, beneficiaries, or individuals authorized to act on their behalf shall make a declaration of U.S. citizenship, U.S. national or non-citizen status at the time of initial determination of eligibility when a change is reported of non-citizen status is received by ODHS|OHA. Self-attested information shall be verified via the federal data services hub (FDSH) or by electronic verification source available to ODHS|OHA. The following are exempted from this verification requirement: