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Manual Title Virginia Medical Assistance Eligibility Chapter M02 Page Revision Date July 2024 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS Appendix 1 5

3. Failure to Provide Requested Failure to provide satisfactory evidence of citizenship and identity, after being provided a reasonable opportunity to present such documentation, may result in the termination of MA. Verifications An enrollee who fails to cooperate with the agency in presenting documentary evidence of citizenship may be denied or terminated. Failure to cooperate consists of failure by a recipient or that individual's representative, after being notified, to take a required action within the reasonable opportunity time period. If the individual provides part of the information or is in the process of getting the information, a new reasonable opportunity period should be provided. 4. Notification Requirements Prior to the termination of benefits, the enrollee must be sent written notice at least 10 calendar days (plus one day for mailing) prior to the effective date of the closure. A Notice of Action and appeal rights must be sent to an individual whose application is denied because of failure to provide citizenship and/or identity verification. 5. Maintain Documents in Case Record The agency must maintain copies of the documents used to verify citizenship and identity in the individual’s case record or data base and must make the documents available for state and federal audits. 6. No Reporting Requirements There are no monthly reporting requirements. However, the Medical Assistance Program Consultants may conduct reviews of cases where eligibility was denied or terminated because of lack of citizenship and/or identity verification. 7. Refer Cases of Suspected Fraud to DMAS If documents are determined to be inconsistent with pre-existing information, are counterfeit, or are altered, refer the individual to DMAS for investigation into potential fraud and abuse. See section M1700.200 for fraud referral procedures.