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◦ 18 or older must either have a victim Certification Letter or meet one of the additional qualifying criteria for certain qualifying immigrants (see SECTION 7.3.3.1.5 ADDITIONAL CRITERIA FOR CERTAIN QUALIFYING IMMIGRANTS) Children, spouses, and parents of trafficking victims (COA codes: ST0, ST1, ST7, ST8, ST9, T2, T3, T4, T5, or T6) do not need a Certification Letter to be eligible for benefits. Trafficking victims who meet additional criteria described in SECTION 7.3.3.1.5 ADDITIONAL CRITERIA FOR CERTAIN QUALIFYING IMMIGRANTS or were certified by HHS as a victim of trafficking and who later adjust their status and become Lawful Permanent Residents are not subject to the five-year waiting period as Lawful Permanent Residents. 7.3.3.1.5 Additional Criteria for Certain Qualifying Immigrants Certain qualifying immigrants must meet one additional criterion to be eligible for full-benefit Medicaid. These groups include: • Lawful permanent residents (LPR) • People who are paroled into the U.S. under INA Section 212(d)(5) for at least one year. • People considered to be VAWA self-petitioners who suffered domestic abuse. The groups listed above must meet one of the following additional criteria: 1. Have been in a qualifying immigration status for five years. Immigrants who arrived in the U.S. on or after August 22, 1996, are subject to a five-year waiting period to receive federal benefits (including BadgerCare Plus and Medicaid), other than emergency services. For these immigrants, the five-year waiting period is calculated beginning when they first receive their qualifying immigration status. 2. Are less than 19 years old. 3. Are less than 21 years old and reside in an Institution for Mental Diseases. 4. Are pregnant. • Pregnant applicants are eligible for full-benefit BadgerCare Plus. • Pregnant people have the five-year waiting period lifted when their pregnancy is reported to the agency. The waiting period is lifted until 12 months after the last day of pregnancy and through the end of the month in which the 12th month occurs. 5. Arrived in the U.S. before August 22, 1996, and have been continuously present. Applicants who alleged an arrival date in the U.S. before August 22, 1996, and obtained a qualified immigrant status after August 22, 1996, may be eligible to receive Medicaid. The immigrants described below, who apply for Medicaid and meet all eligibility requirements, are entitled to receive Medicaid benefits: • A non-citizen who: ◦ Arrived in the U.S. before August 22, 1996, in a legal, but non-qualified, immigration status and ◦ Had a change in their status (making them a qualified immigrant) on or after August 22, 1996, and ◦ Remained continuously present from their date of arrival in the U.S. until the date they gained qualified immigration status. • A non-citizen who: ◦ Arrived in the U.S. before August 22, 1996, in undocumented status, or ◦ Overstayed their original visa, and