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August 1, 2019 Division of TennCare 2

Aged, Blind and Disabled Section: Non-Financial Eligibility Requirements Policy Manual Number: 100.010 Chapter: ABD Citizenship and Immigration

naturalization and, if eligible, become citizens through the court.

d. Derived Citizen: An individual who was adopted by or born abroad to at least one U.S. citizen parent. Citizenship may be conveyed to children through the naturalization of parents, to foreign- born children adopted by U.S. parents, or through birth abroad to at least one U.S. citizen parent.

e. Child Citizenship Act of 2000: According to the Child Citizenship Act of 2000, a child born outside of the U.S. to a citizen parent or adopted from abroad by a U.S. citizen parent automatically becomes a citizen of the U.S. when all of the following have been met on or after February 27, 2001:

i. At least one parent of the child is a U.S. citizen, whether by birth or naturalization; ii. The child is under 18 years of age; iii. The child is lawfully admitted for permanent residence to the U.S. and is residing in the legal and physical custody of the citizen parent. The child will have either a permanent resident card (i.e., green card) or an I-551 stamp on her passport. The child may or may not have a certificate of citizenship; and iv. If adopted, the adoption is final.

f. Qualified Non-Citizen: An individual whose immigration status is included in one of the following groups (see Qualified Non-Citizens policy):

i. Qualified non-citizens, as defined by the Personal Responsibility and Work Opportunity Act of 1996 (8 USC 1641); ii. Certain American Indians born outside of the U.S.; or iii. Non-citizens granted a certain humanitarian immigration status.

3. Exempt Groups

TennCare accepts declarations of U.S. citizenship from the following individuals without verification:

a. Individuals receiving Supplemental Security Income (SSI) benefits; b. Individuals entitled to or enrolled in any part of Medicare; c. Individuals receiving Social Security benefits based on their disability; d. Individuals to whom child welfare services are made available based on the child being in foster care, or receiving adoption assistance or foster care assistance; and e. Newborns who are eligible for Medicaid on the basis of being born to a mother who was eligible for and receiving TennCare Medicaid at the time of birth. A newborn who is deemed eligible and enrolled in Medicaid is exempt from citizenship verification requirements for the rest of her life. This exemption applies to individuals enrolled as deemed newborns in other states.

Note: Pregnant women eligible for the CoverKids maternity benefits and pregnancy related services are not required to attest to citizenship or immigration status.