FCASPL 104 (Title IV-E and SSDI Medicaid Citizenship Verification)
Family, Children and Adult Services Procedure Letter No. 104
January 26, 2007
TO: Medicaid Eligibility Manual Holders Family, Children and Adult Services Manual Holders
FROM: Helen E. Jones-Kelley, Director
SUBJECT: IV-E and SSDI Medicaid Citizenship Verification Requirement

Effective Date: September 25, 2006

OAC Rule: 5101:1-38-02

Reason for Change:Amendment to Federal Law

Prior Policy: The Deficit Reduction Act of 2005 required documentation of U.S. citizenship for all applicants and recipients of Medicaid except for those individuals already eligible for Medicare or receiving SSI.

New Policy: New federal legislation signed December 20, 2006, exempts additional groups from the citizenship verification requirement. Individuals receiving foster care or adoption assistance under Title IV-E and those receiving Social Security Disability Insurance (SSDI) will not be required to furnish verification of citizenship in order to be eligible for Medicaid. This exemption is retroactive to the effective date of rule 5101:1-38-02, September 25, 2006.

Action Required: The new federal legislation retroactively applies to IV-E and SSDI individuals beginning September 25, 2006. Therefore, any affected individuals who were terminated or denied with reason codes 852 or 853 due to citizenship verification must be reviewed for eligibility. This information may be accessed by using the BIC Application Timeliness data cube.

CRIS-E table TMCV has been updated to include code "FA" for IV-E foster care and adoption assistance children and "SD" for individuals receiving SSDI. These codes must be used to indicate the individual's IV-E or SSDI status.

Rule 5101:1-38-02, "Medicaid verification and reporting requirements," will be amended to include this information.

Please note this procedure letter relates only to the topic of Medicaid eligibility for children in foster care. It does not relate to other federal requirements that states must have procedures to verify the citizenship of all children in placement. Instructions regarding those procedures will be issued in a separate transmittal.

This procedure letter is also available on the Internet and may be accessed at:

Family, Children and Adult Services Manual (FCASM) and Medicaid Eligibility Manual (MEM):


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