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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 October 2017 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS Appendix 1 4

• Applicants and Recipients. All applicants and recipients, except SSI recipients, Medicare beneficiaries, SSDI beneficiaries, individuals born to Medicaid-eligible mothers, all foster care children and IV-E Adoption Assistance children, must provide documents that show proof of United States citizenship and proof of the person’s identity if the local DSS is unable to verify citizenship and identity using a data match with the SSA. Contact information for obtaining the various acceptable documents is available on the VDSS local agency intranet and the DSS public website and may be given to individuals to facilitate their obtaining documentation. • DMAS, for individuals born in Puerto Rico who are unable to provide a birth certificate issued on or after July 1, 2010. Puerto Rico invalidated all birth certificates issued prior to July 1, 2010 and reissued the birth certificates. For individuals born in Puerto Rico who are applying for Medicaid for the first time, only a birth certificate issued on or after July 1, 2010 may be accepted from the individual. Should an individual born in Puerto Rico be unable to present a birth certificate issued on or after July 1, 2010, contact your Regional Medical Assistance Specialist, who will refer the case to DMAS. DMAS will obtain official birth verification on behalf of the local DSS. If the person is reapplying and the agency has a birth certificate issued prior to July 1, 2010 on record, no additional verification is required. 2. Authorized Representative For individuals who have authorized representatives, such as the disabled or individuals who are institutionalized, initiate efforts to assist in securing documentation with the appropriate representative. 3. Individuals Who No Longer Meet Exception When an individual loses the exception status, and his citizenship and identity has not been previously verified, it must be verified for him to remain eligible for Medicaid. If the individual’s eligibility in another covered group must be determined (due to the loss of SSI benefits, for example), obtain the documentation of citizenship and identity at the time of the eligibility review. If the verification is not readily available, the individual must be allowed a reasonable opportunity to obtain the documentation. See M0220.100 A 3. Verify the SSI recipient’s or Medicare beneficiary’s entitlement to benefits through the Federal Hub or SOLQ-I. A copy of the printout must be placed in the case file. 4. Individual NOT Required to Submit Documents in Person Individuals do not have to submit their citizenship and identity to the agency worker in person. They may mail the original document for the agency to copy and mail back to the individual, or they may submit a photocopy of the document(s). 5. Special Populations Needing Assistance The agency shall assist special populations who need additional assistance, such as the homeless, intellectually disabled, or physically incapacitated individual who lacks someone who can act on his behalf, to provide necessary documentation.