54.03 Verification frequency

Citizenship.15 Verification or documentation of citizenship is a one-time activity; once an individual’s citizenship is documented and recorded, subsequent changes in eligibility should not require repeating the documentation unless later evidence raises a question about the individual’s citizenship. (b) Immigration status.16 Immigration status, including lawful presence, must be verified or documented at the time of initial application and, for a Medicaid enrollee, at the time of eligibility renewal. In verifying immigration status at the time of renewal, AHS will first rely on information provided at the time of initial application to determine ongoing eligibility. AHS will only require the individual to provide further documentation or to re- verify satisfactory status if it cannot verify continued eligibility based on the information already available to it. 15 42 CFR § 435.956(a)(4)(ii). 16 CMS SHO Letter No. 10-006 (July 1, 2010), p. 5. Eligibility-and-Enrollment Procedures Part 7 – Page 6 (Sec.54.00, Sub.54.04)