Page 27

Page 27 – State Health Official Letter

Immigration Status/Category Before 10/1/26 On and After 10/1/26 Before, On, and After 10/1/26 Eligible for Full Medicaid & CHIP Benefits FFP for Full Medicaid & CHIP Benefits1 FFP for Emergency Medicaid Only1 FFP for Full Medicaid & CHIP Benefits under the CHIPRA 214 Option2 American Indians born in Canada8 or American Indians who are members of a federally recognized tribe Section 289 of the INA. (8 U.S.C. § 1612(b)(2)(E)) NOTE: This FFP exclusion would only apply to American Indians born in Canada and who are members of a federally recognized tribe who are not U.S. citizens. YES NO YES YES Certain Afghan parolees4 Section 2502 of the Extending Government Funding and Delivering Emergency Assistance Act (P.L. 117-43 as amended, enacted Sept. 30, 2021); as amended by Section 1501 of Title V of Division M of the Consolidated Appropriations Act (CAA), 2023, (P.L. 117-328). YES NO YES YES Certain Ukrainian parolees4 Section 401 of the Additional Ukraine Supplemental Appropriations Act (P.L. 117-128 as amended, enacted May 21, 2022); as amended by Section 301 of the Ukraine Security Supplemental Appropriations Act, 2024, (P.L. 118-50). YES NO YES YES Other lawfully residing noncitizens9 NO NO YES YES Table 1 Footnotes: 1. Excludes eligibility for the other lawfully present immigration statuses or categories under the CHIPRA 214 option not included in this table. See CMCS SHO #10-006, “Medicaid and CHIP Coverage of “Lawfully Residing” Children and Pregnant Women,” (July 1, 2010), available at https://www.medicaid.gov/federal-policy-guidance/downloads/SHO10006.pdf. 2. Under the CHIPRA 214 option, states can elect to provide full Medicaid and CHIP benefits to children (up to age 21 in Medicaid and up to age 19 in CHIP) and/or pregnant women who are lawfully residing in the U.S. A list of states that