Citizenship & Identity, Family & ABD Medicaid ( current as of 2/1/2010) GPS— A Guided Practice Series presented by the OFI Education & Training Section

Citizenship & Identity, Family & ABD MedicaidCitizenship & Identity, Family & ABD Medicaid

((current as of 2/1/2010)current as of 2/1/2010)

GPS—

A Guided Practice Series presented by the

OFI Education & Training Section

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Purpose of this training:

Provide a brief review of the citizenship/identity verification requirements for Medicaid.

With the exception of EMA:

Citizenship must be verified for EVERY recipient in EVERY case.

Citizenship must also be declared for every recipient EXCEPT a Newborn recipient.

If a second, third, or fourth tier verification is used, identity must also be verified.

Take the easy way . . .

Is your client: Entitled to or enrolled in Medicare? A recipient of Social Security disability? A current SSI recipient?

If so, citizenship status is met

DOC must be signed to “declare” citizenship, ID does NOT have to be verified


Has your client: Received Newborn Medicaid at any

point since February 8, 2006?


A DOC does not need to be signed to “declare” citizenship nor does ID need to be verified until the child moves from Newborn to another class of assistance.

A note about your related FS case: receipt of Newborn Medicaid also verifies citizenship for FS. See FS Manual p. 3320-4


Can you locate your client’s record on the Georgia Vital Records system?


DOC must be signed to “declare” citizenshipThis is a “second level” verification, so ID must also be verified

IF none of the above, THEN you’ll need citizenship verification from the client

CITIZENSHIP/IDENTITY VERIFICATION AU NAME: ______________________________

CHECKLIST AU NUMBER:____________________________

CITIZENSHIP/IDENTITY MUST BE VERIFIED FOR ALL MEDICAID APPLICATIONS/REVIEWS If you have already provided acceptable verification of your citizenship/identity as listed below, or are a recipient of SSI or

Medicare further verification is not necessary. Please check with your Medicaid case manager for clarification. Please provide one of the following, and return to your county DFCS case manager.

No Identity Required on these Citizenship Verifications:

US Passport (not limited passports) Certificate of Naturalization (N-550 or N-570) Certificate of Citizenship (N-560 or N-561)

Identity Required with these Citizenship Verifications:

US Public Birth Record showing birth in one of the 50 states; District of Columbia; American Territories; or Guam US birth certificate or data match with a State Vital Statistic Agency Certification of Report of Birth (DS-1350) Consular Report of Birth Abroad of a Citizen of the U.S.(FS-240) Certification of Birth Abroad (FS-545) United States Citizen Identification Card (I-197 or the prior version I-179) American Indian Card (I-872) with the classification “KIC” (Issued by DHS to identify U.S. citizen members of the Texas

Band of Kickapoos living near the U.S./Mexican border. Collective Naturalization document/Northern Mariana Identification Card (I-873) Final Adoption Decree Evidence of civil service employment by the US government Official Military record Federal or State census record showing US citizenship indicating a US place of birth Tribal census record for Seneca Indian tribe or from Bureau of Indian Affairs Statement signed by the physician or midwife who was in attendance at the time of birth One of the following documents created at least 5 years before the application for Medicaid showing a US place of birth :

o Extract of hospital record on hospital letterhead established at the time of person’s birth o Life, health or other insurance record o An amended US public birth record o Medical clinic(not Health Dept.), doctor or hospital record indicating a US place of birth o Institutional admission papers from nursing home, skilled nursing care facility or other institution

If you do not have any of the above, please contact your case manager to complete an affidavit of citizenship or identity. Acceptable Verification of Identity:

State Driver’s license bearing the individual’s picture or Georgia Identification Card Certificate of Indian Blood; US American/Alaska Native tribal document; or Native American Tribal Document US Military Card or draft record; Military dependent’s ID card with photograph; US Coast Guard Merchant Mariner Card Identification card issued by federal, state or local government agencies or entities with photo or identifying information School Identification card with a photograph US passport issued with Limitations Data matches or documents from law enforcement or corrections agencies such as police or sheriff’s departments, parole

office, DJJ and Youth Detention Centers For individuals under age 16 who are unable to produce a document listed above, the following documents are acceptable to establish identity only: School record including report card, daycare or nursery school record. (Must verify record with issuing school) Clinic, doctor or hospital record showing date of birth. An immunization record is acceptable if it is part of a medical record

certified by the medical provider. Affidavit signed under penalty of perjury by a parent/guardian. (Contact your case manager at the county DFCS.) A signed Declaration of Citizenship form that includes the date and place of birth of the child. (Contact your case manager

at the county DFCS.)

All documents that verify citizenship must be either ORIGINALS or copies CERTIFIED by issuing agency. If you have questions, please contact your local county Medicaid case manager.

Give the client the Form 218 to explain what can be used to verify citizenship

Citizenship (and ID) verification provided by the client must be ORIGINAL documents

Copies, even notarized copies, are NOT acceptable.

Copies must be maintained in the case

record and should be marked “Original

document viewed”.

The copy should also contain the name of the person viewing the document and the date the document was viewed.

Aaron, 9, needs Medicaid. He appears to be eligible for RSM; he’s never received Medicaid.We are able to locate his record on the Vital Records site.

Will his parents need to provide his birth certificate to verify citizenship?

NoWill his parents need to sign a Declaration of Citizenship for him?

Yes, this will both “declare” his citizenship and provide proof of his identity

Aaron’s RSM case is closed when he turns 12, but at 16 his mom loses her job and his parents apply for RSM for him.

Will his parents need to provide his birth certificate to verify citizenship?

No, he will still be on Vital Records

Will his parents need to sign a Declaration of Citizenship for him?

No, unless the old one cannot be located

As an adult, Aaron and his wife briefly receive LIM with their three children.

Will Aaron need to provide his birth certificate to verify citizenship?

No, he will still be on Vital Records

Will he need to sign a Declaration of Citizenship?

Yes, now that he is an adult he needs to “declare” his own citizenship

Will he need to verify his identity?

Only if the DOC signed when he was a child is missing

I F citizenship is verified by THEN Medicare

DOC must be signed to declare citizenship, do not need to verify identity

Receipt of Social Security Disability


Current SSI receipt


Receipt of Newborn after 2/8/06

DOC does NOT have to be signed to declare citizenship, do not need to verify identity—DOC will be needed if/when the child moves to another class of assistance

Passport


Vital Records match

DOC must be signed to declare citizenship, AND we need to verify identity For ANYONE OVER 16, ID must be verified by one of the sources on Manual page 2215-4 and 5 For CHILDREN UNDER 16, the DOC can be used to declare citizenship AND verify ID

Birth Certificate


Other types in the second, third, or fourth level documents


Print this chart to use as a desk reference

Once citizenship is verified for an individual, it is verified for life.

The Declaration of Citizenship does not need to be repeated UNLESS a person who received as a child (their parent signed the DOC) is now going to receive as an adult. In that case, the person should now declare their own citizenship.

Three important points:

A Declaration of Citizenship signed by a parent for a child under 16 verifies the child’s identity for life. We should NOT request additional verification of identity unless the DOC is missing.

Citizenship verification is PERMANENT and must be filed on the left with the permanent verification.

The Declaration of Citizenship is PERMANENT and must be filed on the left with the permanent verification.

This means:

We must check at EVERY review and especially if the case is selected for an ASO or PERM review to make sure

THE CITIZENSHIP VERIFICATION IS IN THE CASE RECORD.

For additional training on Citizenship, as well as guidance for determining eligible Alien status, complete our Internet training module “Medicaid Citizenship/Alien Policy”.

You can find this and many other online training modules on our website at “gadfcs.org/training”

Thank you for completing this desk training.

Have a great day!

Documents

Citizenship & Identity, Family & ABD Medicaid ( current as of 2/1/2010) GPS— A Guided Practice Series presented by the OFI Education & Training Section