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August 1, 2019 Division of TennCare 8

Families and Children Manual Section: Non-Financial Eligibility Requirements Policy Manual Number: 005.010 Chapter: Citizenship and Immigration

Citizenship and Immigration Services (USCIS) has several types of documents that a non-citizen might have to verify her status. These documents include, but are not limited to, the following:

i. A Permanent Resident Card (I-551) or “Green Card” - Issued to eligible immigrants who enter the U.S. to permanently live; ii. A Permanent Resident Re-entry Permit (I-327) - Allows permanent residents to leave and re-enter the U.S.; iii. A Refugee Travel Document (I-571) - Issued to refugees and asylees for travel purposes; iv. A Temporary I-551 Stamp (on passport or I-94, I-94A) - A temporary I-551 stamp will have a handwritten or stamped issue date and a “valid until” date. Temporary I-551 stamps can be used to attest to permanent resident status; v. A foreign passport stamped by the U.S. Government indicating that the holder has been “Processed for I-551”; vi. A machine readable immigrant visa (with temporary I-551 language) - Indicates permanent resident status; vii. An Arrival/Departure Record (I-94, I-94A) Form I-94 stamped with one of the following statuses: Asylee, Parolee or Parole, Refugee, Asylum, humanitarian parolee, or public interest parolee; viii. A court order stating that deportation has been withheld pursuant to Section 243(h) of the Immigration and Nationality Act (8 USC 1253); ix. A Notice of Action (I-797) - A form of communication from USCIS about immigration benefits; x. Document indicating membership in a federally recognized Indian tribe or American Indian born in Canada; xi. Certification from U.S. Department of Health and Human Services (HHS) Office of Refugee Resettlement (ORR); and xii. Office of Refugee Resettlement (ORR) eligibility letter (if under 18).

A non-citizen may contact USCIS or otherwise obtain the necessary verification.

5. Reasonable Opportunity for Verification of Citizenship and Immigration

a. Overview

When an applicant makes a declaration of U.S. citizenship or satisfactory immigration status and the applicant’s citizenship or immigration status cannot be promptly verified using an electronic data source or acceptable documentary evidence, TennCare will grant the applicant a period of reasonable opportunity to secure valid verification. The Reasonable Opportunity Period (ROP) begins on the date of application and extends 90 days from the date the applicant receives notice of the reasonable opportunity. The date on which the applicant receives notice is considered to be 5 days after the date on the notice, unless the individual shows that he did not receive the notice within the 5-day period.

Current enrollees may be granted an ROP to secure documentary evidence of citizenship or