Documents Used to Verify both U.S. Citizenship and Identity:
- U.S. Passport. The passport does not have to be currently valid to be accepted as long as it was originally issued without limitation;
- Certificate of Naturalization (N-550 or N-570); or
- Certificate of Citizenship (N-560 or N-561).
Documents Verifying Citizenship Only:
- U.S. Birth Certificate or IBTH.
- IBTH is available for individuals born in the State of Missouri.
- IBTH will display birth records for those born in Missouri back to 1920.
- IBTH can be viewed to verify citizenship. When using this information, document in the case record the date viewed and the information verified. Do not print and file the IBTH in the case record.
- A Certification of Report of Birth (DS-1350).
- Consular Report of Birth Abroad (FS-240).
- Certificate of Birth Abroad (FS-545).
- U.S. Citizen ID card (I-197 or I-179).
- American Indian Card (I-872).
- Northern Mariana Identification Card (I-873).
- Final adoption decree which shows a U.S. place of birth.
- Official Military Record of Service which shows a U.S. place of birth.
- Hospital record that meets the following criteria:
- Created on hospital letterhead;
- Established at the time of the person’s birth;
- Created at least five years before the initial application date; and
- Indicates a U.S. place of birth.
NOTE: For children under 5 years of age, the document must have been created near the time of birth.
- Life or health insurance record, created at least five years before the initial application date, showing a U.S. place of birth.
- U.S. State Vital Statistics official notification of birth registration.
- Statement signed by the physician or midwife who was in attendance at time of birth.
- Institutional admission papers from a nursing home, skilled nursing care facility, or other institution that were created at least five years prior to the initial application date and indicates a U.S. place of birth.
- Medical (clinic, doctor, or hospital) record that was created at least five years before the initial application date and indicates a U.S. place of birth. An immunization record is not considered a medical record for purposes of establishing citizenship.
- For children under 5 years of age, the document must have been created near the time of birth.
NOTE: When using a document from the above to verify citizenship, a second document must be obtained from the following list to verify identity.
Evidence of Identity
Section 1903(x) provides that identity must be established. When documents verifying both citizenship and identity are not available, a document may be used to verify citizenship accompanied by a second document that verifies identity. Sources of documentation of identity for children under age 16 are as follows:
- School record that shows the date and place of birth and parent(s) name. School records may include nursery or child care records.
- Clinic, doctor, or hospital record showing date of birth.
- Court orders identifying individual.
- Identity may be verified through our database if child received coverage as a Newborn.
- If none of the above documents are available, an affidavit by the parent or guardian may be used.
Verification of Citizenship and Identity for Newborns
Citizenship and identity are not required to be verified to add children as newborns as these children are deemed to have applied for and been found eligible to receive MO HealthNet benefits as a result of their mothers being active recipients at the time of birth.
Obtaining Records from the Bureau of Vital Records
The Bureau of Vital Records, within the Missouri Department of Health and Senior Services, has certificates of Missouri births, deaths and fetal death reports. BVR screens frequently utilized by staff include IBTH and IDTH. In Missouri these records are not open to the public and each screen includes the wording: “Information on this screen is confidential and shall be used for official state purposes only”. This information is for inquiry only and should not be printed, faxed or copied.
Certified copies of Missouri records of birth, death and fetal death reports can be obtained by submitting a written request to:
Missouri Department of Health and Senior Services
Bureau of Vital Records
P.O. Box 570
Jefferson City, MO 65102
See “Policy and Procedure For Release of Vital Records Information” at: http://www.dhss.mo.gov/DataAndStatisticalReports/VRProtocols.pdf