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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 October 2012 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS Appendix 7 5

Applicant for Legalization under IRCA or the LIFE Act, with employment authorization • Form I-688B or I-766 EAD coded 274a.12(c)(20), (c)(22), or (c)(24); • Form I-687 Application for Temporary Residence under INA § 245A; • Passport, with stamp or writing by INS/DHS officer, indicating pending §245 application; or • Any verification from the INS, DHS, or other authoritative document. Family Unity • Form I-797 Notice of Action showing approval of I-817 Application for Family Unity; • Form I-688B or I-766 EAD coded 274a.12(a)(13) or A13; or • Any verification from the INS, DHS, or other authoritative document. Applicant for Cancellation of Removal or Suspension of Deportation, with employment authorization • Receipt or notice showing filing Form EOIR-40 (Application for Suspension of Deportation), EOIR-42 (Application for Cancellation of Removal), or I-881 (Application for Suspension of Deportation or Special Rule Cancellation of Removal); • I-256A (former suspension application); • Form I-688B or I-766 EAD coded 274a.12(c)(10) or C10; or • Any verification from the INS, DHS, or other authoritative document. Order of Supervision, with employment authorization • Notice or form showing release under order of supervision; • Form I-688B or I-766 EAD coded 274a.12(c)(18) or C18; or • Any verification from the INS, DHS, or other authoritative document. Registry Applicant, with employment authorization • Receipt or notice showing filing Form I-485 Application to Register Permanent Resident or Adjust Status; • Form I-688B or I-766 EAD coded 274a.12(c)(16) or C16; or • Any verification from the INS, DHS or other authoritative document. Abbreviations BIA - Board of Immigration Appeals CAT - Convention Against Torture CMS - Centers for Medicare and Medicaid Services CP – continued presence DHS - U.S. Dept. of Homeland Security EAD - employment authorization document EOIR - Executive Office for Immigration Review HHS - U.S. Dept. of Health and Human Services INS - Immigration and Naturalization Service IR - immediate relative LPR - lawful permanent resident ORR - Office of Refugee Resettlement USCIS - U.S. Citizenship and Immigration Services VAWA - Violence Against Women Act