Documentation of Documentation of 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 documentation requirements for Medicaid.

Citizenship must be documented:

Initially

When adding a new person

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

Document how citizenship was verified

If citizenship verified by a Vital Records match, paste a copy of the If citizenship verified by a Vital Records match, paste a copy of the match on REMAmatch on REMAOR OR document the date VS was accessed, the name listed, the birth date document the date VS was accessed, the name listed, the birth date and birth placeand birth place

Document how citizenship was verified

At review, do NOT assume verification is in the recordAt review, do NOT assume verification is in the recordCHECK for the verification CHECK for the verification

You do not need to repeat the documentation at every review, but it is You do not need to repeat the documentation at every review, but it is your responsibility to MAKE SURE it has been done.your responsibility to MAKE SURE it has been done.

IF a “second tier” verification was used, also document how ID was verified

Again, at review, do NOT assume the declaration is in the recordAgain, at review, do NOT assume the declaration is in the recordCHECK for the verification CHECK for the verification

You do not need to repeat the documentation at every review, but it is You do not need to repeat the documentation at every review, but it is your responsibility to MAKE SURE it has been done.your responsibility to MAKE SURE it has been done.

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

Recall this example from the basic Citizenship/ID GPS:

This is how the DEM2 ADT would look for Aaron’s RSM caseThis is how the DEM2 ADT would look for Aaron’s RSM case

Clearly document how citizenship is verified. At review, CHECK to be sure the verification and documentation are in the record.

Document the date the Declaration of Citizenship was signed. At review, CHECK to be sure the DOC is in the record.

Three important points:

If a “second tier” document, such as the Vital Records match or a birth certificate, is used to verify citizenship also document how ID was verified. At review, CHECK to be sure verification of ID is in the record.

ALERT . . . .ALERT. . . . ALERT

Once the Declaration of Citizenship has been signed to verify the identity of a child under 16 . . .

DO NOT verify that individual’s identity again REGARDLESS of current age. Even if the case closes and a new application is taken, do not verify again.

DO NOT REQUEST A PICTURE ID ONCE THE CHILD REACHES 16!

The only exception (when we would get new verification) is if the case record is lost or the verification can’t be located.

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.

To repeat:

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!