1. Citizenship & Identity, Family & ABD Medicaid ( current as of 2/1/2010) GPS— A Guided Practice Series presented by the OFI Education & Training Section use the left arrow to move backward use the right arrow to move forward To navigate: Open the Power Point in “Slide Show” view

2. Purpose of this training: Provide a brief review of the citizenship/identity verification requirements for Medicaid.

3. 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.

4. 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

5. Take the easy way...  Has your client: Received Newborn Medicaid at any point since February 8, 2006? If so, citizenship status is met 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

6. Take the easy way...  Can you locate your client’s record on the Georgia Vital Records system? If so, citizenship status is met DOC must be signed to “declare” citizenship This is a “second level” verification, so ID must also be verified

7. IF none of the above, THEN you’ll need citizenship verification from the client Give the client the Form 218 to explain what can be used to verify citizenship

8. Citizenship (and ID) verification provided by the client must be ORIGINAL documents Copies, even notarized copies, are NOT acceptable.

9. 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.

10. 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? No Will his parents need to sign a Declaration of Citizenship for him? Yes, this will both “declare” his citizenship and provide proof of his identity

11. 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

12. 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

13. Print this chart to use as a desk reference

14. 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.

15. 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.

16. 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”

17. Thank you for completing this desk training. Have a great day!