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Page 28 – State Health Official Letter

have elected the option is available at: https://www.medicaid.gov/medicaid/enrollment-strategies/medicaid-and-chip- coverage-lawfully-residing-children-pregnant-individuals. See the sections of this letter entitled Background and Interaction between Section 71109 of the WFTC Legislation and the CHIPRA 214 Option for more information. 3. Some states elect under their Medicaid state plan to limit eligibility of LPRs for full Medicaid benefits to LPRs who have 40 qualifying work quarters (8 U.S.C. § 1612(b)(2)(B)). See the sections of this letter entitled Background and Interaction between Section 71109 of the WFTC Legislation and PRWORA for more information. 4. Some states elect under their Medicaid state plan to limit eligibility for full Medicaid benefits to seven years for certain noncitizens (8 U.S.C. § 1612(b)(2)(A)(i)). See the sections of this letter entitled Background and Interaction between Section 71109 of the WFTC Legislation and PRWORA for more information. 5. Under 8 U.S.C. § 1613(b), certain specified qualified noncitizens have an exception from the five-year waiting period (described at 8 U.S.C. § 1613(a)). See the sections of this letter entitled Background and Interaction between Section 71109 of the WFTC Legislation and PRWORA for more information. 6. Medicaid coverage of COFA migrants is optional for the U.S. territories. 7. This row displays information for Amerasian immigrants who have not adjusted to LPR status since the programs are open indefinitely (https://www.uscis.gov/policy-manual/volume-7-part-p-chapter-9). Amerasians are exempt from the five-year waiting period (8 U.S.C. § 1613(b)(1)(E)). Many Amerasian immigrants have been admitted or adjusted to LPR status and thus would be considered FFP-eligible noncitizens under section 1903(v)(5) of the Act, exempt from the five-year waiting period. (see applicable rows in Table 1 on LPRs). 8. CHIP coverage is not applicable for this status or category. 9. 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. Individuals with deferred action under the Deferred Action for Childhood Arrivals (DACA) process are not eligible for full Medicaid and CHIP benefits under the CHIPRA 214 option; see CMCS SHO letter #12-002, “Individuals with Deferred Action for Childhood Arrivals,” (Aug. 28, 2012), available at: https://www.medicaid.gov/federal-policy- guidance/downloads/SHO-12-002.pdf.