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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 September 2010 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.310 9

B. SSI Extension for Elderly and Disabled Refugees Act The SSI Extension for Elderly and Disabled Refugees Act (P.L. 110-328), enacted on September 30, 2008, allows elderly or disabled aliens subject to the seven-year time limit for receiving SSI to receive up to two additional years of SSI benefits. Although the Social Security Administration makes the determination of eligibility for the SSI extension, the categories of seven-year aliens to which the SSI extension may apply are listed in M0220.313 A.1 through A.4. Individuals receiving SSI benefits on the basis of the SSI extension also meet the alien status requirement for full-benefit Medicaid eligibility. C. Procedure Verify the alien’s SSI current payment status on the SDX or through SVES. If the alien currently receives SSI, and/or received SSI during the period for which Medicaid coverage is requested, the alien meets the alien status requirements for Medicaid with no further development. Determine the alien SSI recipient’s Medicaid eligibility using the policy and procedures for full benefit aliens in section M0220.600 below. M0220.306 CERTAIN AMERICAN INDIANS

A. Policy An alien who is • an American Indian born in Canada to whom the provisions of section 289 of the Immigration and Nationality Act (INA) apply, or • a member of an Indian tribe (as defined in section 4(e) of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 450b(e)), meets the Medicaid full benefit alien status requirements. B. Procedure Verify the status of an American Indian born in Canada from USCIS documents that the individual presents, or via the SAVE system. Verify the status of a member of an Indian tribe as defined in section 4(e) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b(e) from official documents that the individual presents. M0220.310 QUALIFIED ALIENS DEFINED

A. Qualified Aliens Defined A qualified alien is an alien who, at the time he applies for, receives or attempts to receive Medicaid is: 1. Lawful Permanent Resident an alien who is lawfully admitted for permanent residence under the Immigration and Nationality Act. 2. Refugee an alien who is admitted to the U.S. under the Immigration and Nationality Act as a refugee under section 207 of the INA, or an alien