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1.7 MACC Group General Eligibility Requirements A. All applicants for MACC Group eligibility must meet State residency requirements. Applicants for MACC Group eligibility who are over the age of nineteen (19) must meet citizenship/immigration status requirements. There are also certain cooperation requirements. Adults must typically meet the cooperation requirements, whether applying for themselves or on behalf of a dependent child. Verification of these requirements is an automated process conducted through electronic data matches. Failure to meet Medicaid general eligibility requirements or provide supporting documentation upon request is considered non- cooperation and generally results in the denial or discontinuation of eligibility. Children are exempt from sanctions due to non-cooperation. The scope and application of each of these eligibility requirements are as follows: 1. Age – “Age” is one of the principal factors affecting eligibility for Medicaid and assignment to the appropriate Medicaid service delivery system MACC group. 2. MACC Group Age Limits – The age requirements associated with each of the MACC groups are as follows: MACC Coverage Groups Age Requirements Parents/Caretakers Parents/Caretakers (of any age) with a dependent child up to age eighteen (18) or nineteen (19) if enrolled in school full-time Pregnant People Any age Children Up to age nineteen (19) ACA Expansion Adults Ages nineteen (19) to sixty-five (65) a. Verification – An applicant’s self-attestation of age and identity is accepted at the time of application. Post-eligibility electronic verification of date of birth is conducted through the U.S. Social Security Administration (SSA) and/or the Rhode Island Department of Health, Division of Vital Statistics. This information is used to determine capitation rates for enrollees in Medicaid managed care plans; these rates vary by age. If electronic verification is unsuccessful, submission of paper documentation may be required for these purposes. See Part 5 of this Subchapter for satisfactory forms of documentation. 3. Social Security Number – To support verification of age, income, and citizenship/immigration status, individual applying for Medicaid who have been