December 1973 Eligibility Requirements Manual

1010.000.00 Citizenship and Alien Status (OAA, PTD, and AB)

IM-90, June 18, 2020; IM-32, March 28, 2012;   IM-54, July 21, 2009;   IM-#31 April 6, 2007;  IM-#66 June 23, 2006

The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 changed eligibility for individuals who are not citizens of the United States. MO HealthNet eligibility for aliens is based on whether the alien is qualified or non- qualified, and the alien’s date of entry into the United States. For MHABD, SNC, and SP the requirement is the same as for Family MO HealthNet. See 1805.020.00 Citizenship and Immigrant Status.

Section 6036 of the Deficit Reduction Act of 2005 amended section 1903 of the Social Security Act requiring states to obtain satisfactory documentation of citizenship and identity prior to approving Medicaid benefits, effective July 1, 2006.

Certain individuals are exempt from having to provide documentation of citizenship and identity. Refer to Section 0110.020.00 for more information. Current or former receipt of SSI, Medicare, Social Security Disability Insurance (SSDI), and Old Age Survivors Disability Insurance (OASDI) benefits based upon their own disability meets citizenship requirements, as the Social Security Administration determined them to be either citizens or qualified immigrants meeting the requirements prior to approving for benefits.

Refer to Section 0110.020.01 for a complete list of acceptable documents to use as verification of citizenship.

Section 211 of the Children’s Health Insurance Program Reauthorization Act (CHIPRA) signed February 4, 2009, amended section 1903(x) of the Social Security Act. The law allows an individual declaring to be a citizen or national of the United States who is required to present documentary evidence of citizenship or nationality a reasonable opportunity to present the documentation. A reasonable opportunity is defined as 90 days from the date of approval. Refer to Section 0110.020.02 for more information on reasonable opportunity.

An individual may be approved only one time while allowing the 90 day period of reasonable opportunity to provide documentary evidence of citizenship. If the case or individual closes for failure to provide documentary evidence of citizenship and the individual for whom the verification was pending requests MHABD, SNC, or SP following the closing, complete FAMIS entries to generate one FA-325 requesting verification of citizenship and allow FAMIS to take action to close the case or reject the individual if the documentary evidence of citizenship is not provided. See Section 0110.020.03.