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• Idaho • Kansas • Kentucky • Maryland • Minnesota • Mississippi • New Mexico • North Dakota • Ohio • Pennsylvania • South Carolina • South Dakota • Texas • Virginia • West Virginia 6.8.3 Disputes The state in which the person is physically present is the Medicaid residence when two or more states disagree about the person's residence. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 6.9 Reserved Policy related to inmates has been moved to Chapter 13. This page last updated in Release Number: 20-04 Release Date: 11/23/2020 Effective Date: 10/24/2020 7.1 US Citizens and Nationals 7.1.1 U.S. Citizens and Nationals Introduction To qualify for Medicaid, persons who are otherwise eligible and declare that they are U.S. citizens or nationals must provide documentation of their citizenship, unless they are exempt or their citizenship is verified by the Social Security Administration through a data exchange. A U.S. citizen is anyone who: • Was born in the United States, the Commonwealth of Northern Mariana Islands, Puerto Rico, Guam or the U.S. Virgin Islands. • Was born to a U.S. citizen who was living abroad. • Is a naturalized U.S. citizen. A U.S. national is anyone who was born in American Samoa (including Swain's Island). The Independent State of Samoa (also known as Western Samoa) is not part of American Samoa; therefore, individuals from this country are not U.S. nationals.