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Families and Children Manual Section: Non-Financial Eligibility Requirements Policy Manual Number: 005.015 Chapter: Qualified Non-Citizens

August 1, 2024

Division of TennCare 5 ii. LPRs who first entered the country under another exempt category (i.e., as a refugee, asylee, Cuban or Haitian entrant, trafficking victim, or non-citizen whose deportation is being withheld and who later converted to LPR status); iii. Non-citizens who are: 1. Honorably discharged veterans; 2. On active duty in the U.S. military; or 3. The spouses, the unmarried dependent children, or the unremarried surviving spouses of honorably discharged veterans or individuals on active duty in the U.S. military; iv. Members of a federally recognized Indian tribe; v. American Indians born in Canada to whom the INA (8 USC 1359) applies; vi. Non-citizens granted a specific humanitarian entrance status by the USCIS (8 U.S.C. 1612), including: 1. Refugees and asylees; 2. Cuban and Haitian entrants; 3. Non-citizens whose deportation is being withheld; 4. Amerasian immigrants; and 5. Afghan and Iraqi non-citizens. vii. Non-citizens who lawfully reside in the U.S. in accordance with the COFA between the Government of the United States and the Governments of the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau and whose immigration status is currently COFA Migrant. Once a COFA Migrant adjusts to an LPR status, the five-year period of ineligibility applies, unless the individual meets another exception to the five-year period of ineligibility; viii. Afghan individuals paroled into the United States between July 31, 2021 to September 30, 2022 are considered Qualified Non-Citizens to the same extent as refugees under section 207 of the Immigration and Nationality Act (8 U.S.C. 1157). They are exempt from the five-year period of ineligibility. Afghan Parolees are considered Qualified Non-Citizens until March 31, 2023 or until the end of their parole term, whichever is later. Individuals who are paroled after September 30, 2022 must either be the parent, legal guardian, spouse or child of an Afghan parolee to be considered Qualified Non-Citizens to the same extent as refugees under section 207 of the Immigration and Nationality Act (8 U.S.C. 1157); ix. Ukrainian individuals who were paroled into the United States between February 24, 2022 and September 30, 2024 as a Ukrainian Humanitarian Parolee (UHP), or paroled into the United States after September 30, 2023 and is the spouse or child of a UHP, or is the parent, legal guardian, or primary caregiver of a UHP who is determined to be an unaccompanied child under section 462(g)(2) of the Homeland Security Act of 2002 or section 412(d)(2)(B) of the Immigration and Nationality Act; x. Cuban or Haitian parolees admitted under 212(d)(5)(A) of the INA; and xi. Children receiving foster care or adoption assistance under Title IV-E.

Note: Non-citizens granted a specific humanitarian entrance status by the USCIS are exempt from the five-year bar for TennCare Medicaid and CoverKids eligibility, but they are subject to a seven- year eligibility time limit.