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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2025 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.200 4a

c. Discrepancy Resolved With SSA Within 90 Days If written verification is received that corrects the SSA discrepancy within the 90 days, update the system accordingly so that the enrollee’s information will be included in a future data match for C&I verification. The individual continues to remain enrolled pending the results of the subsequent data match. If this subsequent data match with SSA results in verified C&I, MMIS will automatically enter code “CV” in the Cit Lvl and Identity fields in the individual’s MMIS record. No further match will be done with the SSA files for C&I verification. d. Verification of C&I Provided Within 90 Days If the individual provides acceptable verification of his C&I within the 90 days, update the appropriate demographic fields in MMIS with the appropriate codes. No further match will be done with the SSA files for C&I verification. 3. Subsequent Applications If the individual who lost coverage for failure to provide C&I documentation files a subsequent application, but still does not provide C&I documentation, a new 90 day reasonable opportunity period should be granted.

M0220.200 ALIEN IMMIGRATION STATUS

A. Introduction An alien’s immigration status is used to determine whether the alien meets the definition of a “full benefit” alien. All aliens who meet the state residency, covered group and all other nonfinancial eligibility requirements (except SSN for illegal aliens), and who meet all financial eligibility requirements are eligible for Medicaid coverage of emergency services. “Full benefit” aliens may be eligible for all Medicaid covered services. “Emergency services” aliens may be eligible for emergency services only. B. Procedure An alien's immigration status must be verified. Use the procedures in sections M0220.201 and 202 below to verify immigration status. After the alien's immigration status is verified, use the policy and procedures in section M0220.300 to determine if the alien is a full benefit alien. If the alien is a full benefit alien and is eligible for Medicaid, use the policy and procedures in section M0220.600 to enroll the alien in Medicaid. If the alien is an emergency services alien who is eligible for Medicaid, use the policy and procedures in section M0220.600 D to enroll an eligible emergency services alien in Medicaid for emergency services only. C. Changes in Immigration Status If a “full benefit” alien who was admitted to the U.S with immigration status in one of the “seven-year” alien groups listed in M0220.313.A becomes a Lawful Permanent Resident, he is considered to have full benefit status for the purposes of Medicaid eligibility for the first seven years of residency in the U.S.