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. 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. Individuals currently receiving Medicaid benefits were required to provide verification of citizenship and identity at the next reinvestigation. Certain individuals are exempt from having to provide documentation of citizenship and identity. Refer to Section 0110.020.00 for more information. Refer to Section 0110.020.01 for a complete list of acceptable documents to use as verification. 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.