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KidsCare Manual

Chapter 500: Citizen/Non-Citizen Status

Table of Contents

501 Eligibility Requirement

502 Who is a U.S. Citizen?

503 Who is a Non-Citizen?

504 Verifying the Validity of the USCIS Document Through SAVE

505 KEDS Instructions

Appendices

  • Appendix 5A -  Federally Recognized U.S. Indian Tribes

Section 501: Eligibility Requirement

A. Policy

To be eligible, an applicant must be:

  • A United States Citizen; or
  • A Qualified Alien who
    • Entered the United States before August 22, 1996;
    • Entered the United States on or after August 22, 1996 and is a member of an exception group; or
    • Entered the United States on or after August 22, 1996 and has remained in qualified alien status for a period of at least 5 years.

B. Emergency Services

When a non-citizen who is otherwise eligible does not meet the Qualified Alien requirement for full coverage, the non-citizen may be eligible for coverage of emergency medical services. DES or SSI-MAO determines eligibility for emergency services.

Section 502: Who is a U.S. Citizen?

A. Who is a U.S. Citizen?

An individual may be a U.S. citizen by where they were born, having certain U.S. citizen relatives, or by naturalization.

B. Citizens by Birth

A person is a U.S. citizen if the person was born in the United States (including those born in current states before statehood) or in a U.S. territory. Territories are:

  • Guam;
  • Puerto Rico;
  • The Virgin Islands;
  • The Northern Mariana Islands;
  • American Samoa; and
  • Swain's Island.

C. Citizenship Through U.S. Citizen Parent

A person born to U.S. citizen parents can meet the criteria for U.S. citizenship. The regulation used to evaluate U.S. citizenship through a parent is based on the age of the child on February 27, 2001, when the Children's Citizenship Act (CCA) became effective and previous laws were repealed.

Children who were born after February 27, 1983 (under age 18 on February 27, 2001) automatically acquire U.S. citizenship under the CCA when all of the following requirements are met:

  • At least one biological or adoptive parent is a U.S. citizen by birth or naturalization,
  • If the child is adopted, the adoption of the child is finalized, and
  • The child is admitted to the U.S. as an immigrant.

NOTE: Immigrant means the child entered the U.S. on an immigrant visa and/or was admitted as a lawful permanent resident.

If the child meets the age requirement but does not meet all other CCA requirements as stated above, then the child attains U.S. citizenship on the date that the last requirement is met.

Children who meet the above requirements and permanently live in the U.S. do not require USCIS documentation to prove U.S. citizenship. However, they can obtain proof by applying to the USCIS for a Certificate of Citizenship or a U.S. passport.

Children who were born on or before February 27, 1983 (18 years of age or older on February 27, 2001) cannot qualify for automatic citizenship under the CCA, even when one or both natural or adoptive parents were U.S. citizens at the time of the child's birth.

Children born on or before February 27, 1983 must apply for naturalization to acquire U.S. citizenship. (USCIS documents issued to children who derived U.S. citizenship through a parent prior to the CCA are still valid.)

D. Citizenship Through Marriage

A woman who married a U.S. citizen before September 22, 1922 can derive U.S. citizenship. This does not apply to a man who married a U.S. citizen.

E. Citizenship by Naturalization

Individuals who are not U.S. citizens by birth or adoption may apply for and go through the naturalization process to become U.S. citizens.

F. Dual Citizenship

An individual may be a U.S. citizen and a citizen of another country. A person claiming dual citizenship can lose U.S. citizenship only if the person voluntarily abandons it. Dual citizenship status does not affect the individual's U.S. citizenship.

502.1 Verification of U.S. Citizenship

A. Overview

Effective July 1, 2006, a Medicaid applicant or recipient who claims to be a U.S. citizen must provide documentation to establish both identity and citizenship.

A person must provide either:

  • Primary verification of both identity and citizenship, OR
  • Secondary verification of citizenship, such as a birth certificate, AND
  • Verification of identity, such as a State issued driver's license.

In addition, a Medicaid applicant must sign a declaration of citizenship as described in section B below.

The presentation of documentary evidence should be a one-time action. Once an individual's citizenship is documented and recorded, subsequent changes in eligibility should not require documentation of citizenship.

Note: The following populations are exempt from the citizenship documentation requirements as described in this manual section (except for the Declaration of Citizenship described in B below):

  • Persons entitled to enroll in Medicare,
  • Persons receiving Social Security Disability Insurance benefits (SSDI),
  • Persons receiving SSI Cash benefits,
  • Children receiving Title IV-B Foster Care benefits, and
  • Children receiving Title IV-E Foster Care and Subsidized Adoption benefits.

Customers who receive Title IV-E are not excluded from the citizenship documentation requirements.

For persons who receive SSI Cash, this must be documented in PMMIS (Key Code 040, 050, 060, 200, 210, or 220) or by a Title XVI WTPY either in ACE or the case record.

B. Declaration of Citizenship Status

U.S. citizenship status must be attested to by signing the application or a separate Statement of Citizenship (DE-140).

Use the following guidelines to obtain signatures:

If the customer is... Then obtain the signature of...
An adult
  • The customer;
  • The customer's spouse;
  • The legal representative;
  • The other unmarried parent of a child in common (if the child is applying)
  • Another adult, if the DE-217 has been obtained.
A child A parent or legal representative.

Important: Ethnicity or the inability to speak English does not  make a claim of citizenship questionable. 

C. Proof Documents

Individuals declaring U.S. Citizenship must provide the most reliable proof of citizenship and identity available.

All documents must be either originals or copies certified by the issuing agency. Copies or notarized copies are not acceptable.

Proof documents are divided into four levels showing the hierarchy of documents that can be used as proof of citizenship and identity. Always attempt to obtain the highest level of documentation before requesting documentation from the next lower level. The following provides a summary of the levels of documentation:

  • MS 502.1.D provides a list of the primary (first level) documentation for citizenship and identity. If the customer provides a primary document, no other documentation is required. The primary document provides proof of both citizenship and identity.
  • The next three levels as described below provide proof of citizenship only. An identity document from MS 502.1.H is also required when one of the documents in the next three levels is obtained.
  • MS 502.1.E provides a list of secondary (second level) documentation that verifies proof of citizenship. If none of the primary documents listed in MS 502.1.D are available, request a secondary document for proof of citizenship.
  • MS 502.1.F provides a list of third level documentation that verifies proof of citizenship. If none of the documents listed in MS 502.1.D or E are available, request a third level document to verify proof of citizenship.
  • MS 502.1.G provides a list of fourth level documentation that verifies proof of citizenship. If none of the documents listed in MS 502.1.D, E, or F are available, request a fourth level document to verify proof of citizenship.

If the customer claims to be a U.S. Citizen, but cannot provide a document described in MS 502.1.D or E, see MS 502.1.J for information on helping the customer obtain the needed information.

D. First Level: Primary Documentation for Proof of Both Citizenship and Identity

The following is a list of acceptable primary documents that prove both citizenship and identity. If the customer provides one of the documents listed in this section no other document is required:

Type Description

U.S. Passport

A U.S. passport, even if expired.

U.S. Passport

 
Naturalization Certificate (N-550 or N-570) Issued to Naturalized Citizens. If a child's name is included on the parent's Naturalization Certificate, the child does not automatically become a U.S. citizen unless the child meets the requirements in MS 502.

Naturalization Certificate
Certificate of Citizenship (N-560 or N-561) Issued by USCIS to individuals who derived citizenship through parents.

Certificate of Citizenship
Under age one with current status in PMMIS as deemed newborn.

NOTE: This proof is obtained by the AHCCCS staff.

If individual is under age one and has current status in PMMIS (RP285) as a deemed newborn, citizenship and identity are verified.

One of the following Key Codes verify deemed newborn status: 440, 445, 447, 450, or 455.

If PMMIS (RP285) shows one of the above Key Codes, import a copy of the RP285 screen into Fortis.

IDCI screen in AZTECS If the IDCI screen has a "Y" under the ID field and the VR code is either "AG", "ID" or "AD," and "US" under the CI field and the VR code "CD", then both citizenship and identity is verified.

IDCI screen

 

E. Second Level: Documentation for Proof of Citizenship Only

If a primary document from MS 502.1.D is unavailable, request a secondary document that provides proof of U.S. citizenship only. When a customer provides a document listed in this manual section, also obtain a document listed in MS 502.1.H to prove the customer's identity.

The following are acceptable secondary documents that prove citizenship only.

Type Description
U.S. Public Birth Record

Shows birth in one of the 50 states, the District of Columbia, American Samoa; Swain's Island, Puerto Rico (on or after January 13, 1941), U.S. Virgin Islands (on or after January 17, 1917), Northern Mariana Islands (after November 4, 1986) or Guam (on or after April 10, 1899).

A birth record document must be issued by the State, Commonwealth, territory or local jurisdiction. It must have been issued before the person was 5 years of age.
Arizona Vital Statistics Web Based Birth Records for individuals born in Arizona 1950 and later

NOTE: This proof is obtained by the AHCCCS staff.

AHCCCS staff can use the Arizona Vital Statistics Web Based Birth records for individuals born in Arizona 1950 and later. See MS 502.1.J for additional information.
Certificate of Birth Abroad (FS-545 or DS-1350) Issued by the Department of State to U.S. citizens born abroad.

Certificate of Birth Abroad 1

Certificate of Birth Abroad 2
U.S. Citizen ID Card I-197, or the prior version, I-179

USCIS issued the I-179 from 1960 until 1973. It revised the form and renumbered it as Form I-197. USCIS issued the I-197 form 1973 until April 7, 1983.

USCIS issued Form -179 and I-197 to naturalized U.S. citizens living near the Canadian or Mexican border who needed it for frequent border crossing.

Although neither form is currently issued, either form that was previously issued is still valid.
Religious Records

Recorded in the U.S. or its territories within 3 months after birth, showing that the birth occurred in one of those places and the date of birth or the individual's age at the time the record was made.
Northern Marianas ID Card (I-873) Issued by the USCIS to a collectively naturalized U.S. citizen who was born in the Northern Mariana Islands before November 3, 1986.
American Indian Card (I-872) Issued by the USCIS to U.S. citizen members of the Texas Band of Kickapoos living near the U.S/Mexican border. The classification code "KIC" appears on the card and a statement on the back identifies the bearer as a U.S. citizen.
Evidence of civil service employment Employment as a civil servant by the U.S. government before June 1, 1976.
Census records Shows name, U.S. nationality or a U.S. place of birth, and applicant's date of birth or age. 
Adoption finalization papers

Shows the applicant's name and place of birth in one of the 50 states, the District of Columbia, Puerto Rico (on or after January 13, 1941) Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986).

When the adoption is not finalized and the state or other U.S. jurisdiction listed above will not release a birth certificate before the final adoption, you may use:

  • a statement from a State or jurisdiction-approved adoption agency showing the applicant's name and place of birth and
  • a statement that the original birth certificate was the source of the information.
Evidence of birth in the Republic of Panama Shows birth on or after February 26, 1904 and before October 1, 1979, and evidence that at least one parent was a U.S. citizen and employed by the U.S. government or the Panama Railroad Company or its successor in title.
Evidence of birth or citizenship in Puerto Rico
  • Shows birth on or after April 1, 1899 and the applicant's written statement that he or she was residing in the U.S., a U.S. possession, or Puerto Rico on January 13, 1941; or
  • Shows Puerto Rican citizenship and the applicant's written statement that he or she was residing in Puerto Rico on March 1, 1917 and that the applicant did not take an oath of allegiance to Spain.
Evidence of birth or residence in the U.S. Virgin Islands
  • Shows birth in the U.S. Virgin Islands and the applicant's written statement of residence in the U.S., a U.S. possession, or the U.S. Virgin Islands on February 25, 1927;
  • Shows birth in the U.S. Virgin Islands and the applicant's written statement indicating residence in the U.S., a U.S. possession or territory, or the Canal Zone on June 28, 1932; or
  • Applicant's written statement indicating residence in the U.S. Virgin Islands as a Danish citizen on January 17, 1917 and residence in the U.S., a U.S. possession, or the U.S. Virgin Islands on February 27, 1927 and indicating that the applicant did not make a declaration to maintain Danish citizenship.
Evidence of birth, Trust Territory of the Pacific Islands (TTPI) citizenship, or continuous residency in the Northern Mariana Islands
  • Shows birth in the Northern Marianas Islands, Trust Territory of the Pacific Islands ("TTPI") citizenship, and residence in the Northern Mariana Islands, the U.S., or a U.S. territory or possession on November 3, 1986, and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4, 1986;
  • Shows continuous residence in the Northern Mariana Islands since before November 3, 1981, voter registration before January 1, 1975, and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4, 1986: or
  • Shows continuous domicile in the Northern Mariana Islands since before January 1 1974, and the applicant's statement that he or she did not enter the Northern Mariana Islands as a nonimmigrant and that he or she did not owe allegiance to a foreign state on November 4, 1986.
U.S. Consular Official's statement

Given to an individual born outside the U.S. who derives citizenship through a parent but does not have an FS-240, FS-545, or DS-1350.
Marriage to a U.S. citizen Shows a female was married to a U.S. citizen before September 22, 1922.
Official Military record of service

The document must show a U.S. place of birth or that the individual is a U.S. citizen.(for example a DD-214 or similar official document showing a U.S. place of birth or that the individual is a U.S. citizen).
SAVE to prove naturalization

NOTE: This proof is obtained by the AHCCCS staff.

If a customer who claims to be a naturalized citizen is able to provide the alien identification number, request a SAVE. If the SAVE verification comes back stating the customer is naturalized, this is proof of U.S. citizenship.

 

F. Third Level: Documentation for Proof of Citizenship Only

If a primary document from MS 502.1.D or a secondary document from MS 502.1.E is unavailable, request a third level document that provides proof of U.S. citizenship only. When a customer provides a document listed in this manual section, also obtain a document listed in MS 502.1.H to prove the customer's identity.

The following are acceptable third level documents that prove citizenship only.

Type Verification Required
Extract of U.S. hospital record of birth

Shows birth in one of the 50 states, the District of Columbia, American Samoa; Swain's Island, Puerto Rico (on or after January 13, 1941), U.S. Virgin Islands (on or after January 17, 1917), Northern Mariana Islands (after November 4, 1986) or Guam (on or after April 10, 1899).

The record must be established at the time of the person's birth and was created at least 5 years before the initial application date.

Do no accept a souvenir "birth certificate" issued by the hospital.

NOTE 1: For children under 16 the document must have been created near the time of birth or 5 years before the date of application.

NOTE 2: When the information provided by the hospital indicates only baby boy or baby girl, use other documents form this manual section to identity the child as the person listed on the application
Life or health or other insurance record The record must have been created at least 5 years before the initial application date and indicate a U.S. place of birth.

 

G. Fourth Level: Documentation for Proof of Citizenship Only

If a primary document from MS 502.1.D, a secondary documents from MS 502.1.E, or a third level document from MS 502.1.F is unavailable, request a fourth level document that provides proof of U.S. citizenship only. When a customer provides a document listed in this manual section, also obtain a document listed in MS 502.1.H to prove the customer's identity.

The following are acceptable fourth level documents that prove citizenship only.

Type Verification Required
Federal or State Census records (Generally for persons born 1900 through 1950) Shows name, U.S. nationality or a U.S. place of birth, and customer's date of birth or age.
Institutional admission papers from a nursing home, skilled nursing care facility or other institution Shows a U.S. place of birth.
Medical (clinic, doctor or hospital record)

The document must be created at least 5 years before the initial application date and indicate a U.S. place of birth.

NOTE 1: An immunization record is not considered a medical recorded for purposes of establishing U.S. citizenship.

NOTE 2: For children under 16 the document must have been created near the time of birth or 5 years before the date of application.

Other document as listed in description that was created at least 5 years before the application for Medicaid

This document must be one of the following and show a U.S. place of birth:

  • Seneca Indian tribal record
  • Bureau of Indian Affairs tribal census record of the Navajo Indians
  • U.S. State Vital Statistics official notification of birth registration
  • An amended U.S. public birth record that is amended more than 5 years after the person's birth
  • Statement singed by the physician or midwife who was in attendance at the time of birth
Any other document

Establishes a U.S. place of birth or otherwise indicates U.S. nationality in one of the in one of the 50 states, the District of Columbia, American Samoa; Swain's Island, Puerto Rico (on or after January 13, 1941), U.S. Virgin Islands (on or after January 17, 1917), Northern Mariana Islands (after November 4, 1986) or Guam (on or after April 10, 1899).. The document must have been issued within 3 months after birth showing that the birth occurred in such jurisdiction and the date of birth or the customer's age at the time the record was made.

Referral to Office of Eligibility Policy (OEP):
Send a Policy Clarification Request (PCR) to the Office of Eligibility Policy, Central Office, for a decision as to whether the document can be used to verify U.S. citizenship.

 

H. Documents that Prove Identity Only

The following is a list of types of documents that provide proof of identity only. When a document listed in MS 502.1.E through G is provided, also obtain a document listed in this manual subsection to prove the customer's identity.

Type Verification Required
All individuals (Expired documents are accepted as proof of identity)WTPY

A current or expired driver's license or identification card containing a photograph, issued by a state or an outlying possession of the United States.

Note: If the driver's license or identification card does not contain a photograph, the document can still be used as long as it contains identifying information such as a name, date of birth, sex, height, color of eyes, and address.

School identification card with a photograph
Voter's registration card
Identification card issued by federal, state, or local government agencies

Note: If the identification card does not contain a photograph, the document can still be used as long as it contains identifying information such as a name, date of birth, sex, height, color of eyes, and address.

Native American tribal document
United States Coast Guard Merchant Mariner Card
Certificate of Degree of Indian Blood, or other U.S. American Indian/Alaska Native tribal document with a photograph or other personal identifying information relating to the individual
Court documents for children in foster care
Driver's license issued by a Canadian government authority
Individuals under age 18School Record or report card
Clinic doctor or hospital record
Daycare or nursery school record

 

I. Native American Tribes

When dealing with members of Native American or communities or tribes, obtain an ID card or other document that verifies that the person is a member of the community or a tribe if it is available. In addition, ask for documentation of citizenship. If that documentation is not available contact the policy unit for additional instructions.

It is possible that some requirements for enrolled member of federally recognized tribes can be waived if there is proof that the person is an enrolled member.

J. No Document

If the customer cannot provide documentation to establish citizenship, the following information may help the individual to obtain the needed information. Listed below are some situations you may encounter and referral sources to assist the applicant:

NOTE: If the individual is able to obtain a document listed in MS 502.1.E which establishes U.S. citizenship only, the person must also obtain a document listed in MS 502.1.F to prove the customer's identity.

In no case, should an application be denied or an active recipient discontinued without first referring the case to the ALTCS Eligibility Administration or Program Support Administration.

Use the normal PCR process to let us know if you have identified documents that you think prove identity and/or citizenship that are not on our list of acceptable documents. 

If the Applicant Claims... Then...

Birth in Arizona
  • Complete a Government Agency Request for Copies of Birth and Death Certificates (VS-1) and mail or fax it to the Office of Vital Statistics at the address or fax number listed on the form.

OR

  • Advise the applicant that the State of Arizona charges a fee to request a copy of a birth certificate, and it is the applicant's responsibility to obtain the verification. The fee to obtain a certified copy of an Arizona birth certificate is:

    • Birth prior to 1990: $15.00
    • Birth from 1990 to present: $10.00

    A copy of an Arizona birth certificate may be requested from:

    Arizona Dept. of Health Services
    Office of Vital Records
    P.O. Box 3887
    Phoenix, AZ 85030
    (602) 364-1300

    The ADHS FORM "request for Copy of Birth Certificate" is available online at:
    http://www.hs.state.az.us/vitalrcd/forms
Birth in another state or in a U.S. territory

Advise the applicant that most states will not provide this information without payment of a fee, and it is the applicant's responsibility to obtain the verification. The addresses and phone numbers of the vital records divisions in the U.S. territories and states other than Arizona can be found on the ADHS Office of Vital Records website at:
http://www.hs.state.az.us/vitalrcd/states.htm

If the applicant still requests assistance, complete an Authority to Release Information form (DE-201) and send it to the Office of Vital Statistics in the individual's state of birth. Request the verification source to confirm the name, sex, birth date, birthplace, name of hospital or facility where born, name of father, and mother's maiden name.
Birth in any of the 50 states

 

Advise the applicant to review census records. A census record showing a U.S. place of birth or listing U.S. citizenship. (Census records that do not contain this information are not acceptable verification documents.) There is a $40.00 charge for the search, and the applicant is responsible for payment. The "Application for Search of Census Records" (BC600) may be obtained from:

U.S. Census Bureau
National Processing Center
1201 E. 10th Street
Jeffersonville, IN 47132
(812) 218-3046

The BC-600 form is also available online at:
http://www.census.gov/genealogy/www/agesearch.html

Census records for the years 1900, 1910, 1920 and 1930 may be obtained through:

The Genealogical Library
464 East 1st Ave.
Mesa, AZ 85204-1060

NOTE: The 1930 census is the most recent available.
Naturalization
  • Instruct the applicant to contact the United States Citizenship and Immigration Services (USCIS) to obtain a copy or replacement of the naturalization document. The forms and filing fees (USCIS may waive the fees for indigent applicants) are available on the USCIS web site at:
    http://www.uscis.gov/graphics/formsfee/forms/index.htm, and;
  • Complete a Document Verification Request form (G-845S) specifying that you are requesting confirmation of naturalization. Attach any available documents that support the applicant's claim to citizenship. Send to:
    USCIS, ATTN: Status Verifier
    2035 N. Central Ave.
    Phoenix, AZ 85002
  • If these are unsuccessful, contact the court where the Naturalization took place for verification.
  • Birth abroad to U.S. parents and
  • The birth was registered with the State Department

Instruct the applicant to contact:

U.S. Department of State
Passport Services, Vital Records Section
111 19th St., NW, Suite 510
Washington, DC 20524
(202) 955-0307

The "Consular Vital Record Search Request Form" is available online at: http://www.vitalcheck.com/fax-phone/bornabroad.html

There is a charge for this, and the applicant is responsible for payment. The applicant also needs to include the following information with the request:

  • the name and location of the office where the birth was registered, 
  • the applicant's full name, date and place of birth, 
  • parents' names at time of birth, their birth dates and place of birth.

In most cases, the records can be obtained within four to eight weeks after submitting the request.
  • Birth abroad to U.S. parents and
  • Citizenship papers have been filed with the USCIS
  • Refer the applicant to USCIS to obtain documentation of his/her birth. (Persons who are U.S. citizens under the CCA do not require proof of citizenship, but may have a Certificate of Citizenship or a U.S. passport. MS 502.2D)
  • The applicant must obtain an official document verifying the applicant's birth and verification of the parent(s) citizenship and the parent's residence in the U.S. (The applicant's foreign birth certificate or other foreign documents may not be used to verify a parent's U.S. citizenship.).

  • If the applicant or representative is unable to go to USCIS, send a Document Verification Request (form G-845) and Document Verification Request Supplement (form G-845S) requesting information about citizenship and attach any available documents that the support the applicant's claim to citizenship.

    Send to:

    U.S. Citizenship and Immigration Services
    ATTN: Status Verifier
    2035 N. Central Ave.
    Phoenix, AZ 85002
  • Citizenship based on any of the above and
  • Had a U.S. passport at any time in the past

Refer the applicant to obtain copies of U.S. passport records. The request must be submitted as a notarized request that includes the following information about the applicant:

  • Full name at birth and any subsequent name changes;
  • Date and place of birth and/or those of their minor child or children;
  • Current mailing address;
  • Current daytime telephone number;
  • Current e-mail address, if available;
  • Reason for request;
  • Dates or estimated dates the passports were issued; and
  • The passport numbers or any other information that may help to locate the records.

For passports issued before 1925:

National Archives and Records Administration
Archives 1
Reference Branch
8th & Pennsylvania Ave. NW
Washington, DC 20408

For passports issued 1925 to present:

U.S. Department of State
Passport Services
Research & Liaison Section
1111 19th Street NW, Suite 500
Washington, DC 20524-1705
Citizenship and is unable to obtain verification through any sources above

If the individual received SSI in the past and the individual's CITIZEN/ALIEN CODE on the Title XVI WTPY is an "A" or "C" and the PAYMENT STATUS CODE on the Title XVI WTPY is not "N13", contact Social Security to determine if the SSI payments made to the individual were made on record number one and that record number one was established September 1978 or later. If yes, citizenship is verified.

If the individual did not receive SSI in the past, the individual can write to the Social Security Administration at the address below to request a copy of their Numident. The individual must send a check or money order for $16.00 and must request the full copy of their Numident. If the first Numident record was established May 1981 or later and the CSP code on the Numident is "A", citizenship is verified.

Social Security Administration
Office of Public Disclosure
3-a-6 Operations Building
6401 Security Blvd.
Baltimore, MD 21235

 

Section 503: Who is a Non-Citizen?

A. Who is a Non-Citizen?

A non-citizen is an individual who is not a citizen of the U.S. by birth, through U.S. citizen parents, or naturalization. There are three groups of non-citizens (sometimes referred to as aliens).

Type Description
Qualified Alien A person admitted to the U.S. legally in a specific classification. Contrary to what the name implies, not all Qualified Aliens meet the alien status requirement for full AHCCCS coverage.
Non-Qualified Alien A person who was admitted to the U.S. legally but not in one of the Qualified Alien classifications. These persons are admitted for a limited period of time and include but are not limited to foreign students, visitors for business or pleasure, and temporary workers. A Non-Qualified Alien does not meet the alien status requirement or Arizona residency requirement for full AHCCCS coverage or emergency services.
Undocumented Alien
  • A person who is in the U.S. without the permission of the U.S. government, and
  • A non-qualified alien described above who remained in the U.S. after the expiration date on the USCIS document.

An undocumented alien does not meet the alien status requirement for full AHCCCS coverage, but may be determined eligible to receive medical assistance limited to emergency services.

 

B. KidsCare Has No Impact on Non-Citizen Status

A person who depends primarily on the government for subsistence is defined as a public charge. When determining whether to permit an alien to remain in or reenter the United States, the USCIS must consider whether the person is likely to become a public charge. An alien who becomes a public charge may be deported. Many alien parents, including parents with citizen children, do not apply for AHCCCS medical services for their children due to fear of being classified a public charge.

Under USCIS rule, agents may not consider receipt of publicly funded medical assistance (except institutionalization for Long Term Care) by an non-citizen or a non-citizen's children when determining whether the non-citizen or the child is likely to become public charge.

Provide this information to anyone who expresses concern that KidsCare or Medicaid coverage could negatively affect a person's non-citizen status.

C. Qualified Aliens

To be eligible for medical assistance other than emergency services, a person must be a Qualified Alien. Certain qualified aliens must also meet additional requirements (see MS 503.1). A non-citizen not described here is not eligible for medical assistance other than Emergency Services. The following are Qualified Aliens:

Classification Description
Lawful Permanent Resident (LPR)

A non-citizen who has been legally given the privilege of residing permanently in the U.S. as an immigrant. A Lawful Permanent Resident must meet additional requirements (see MS 503.1).

NOTE: Individuals born outside of the U.S. who have been adopted may have documents indicating Lawful Permanent Resident status. If the Initial SAVE response indicates that a full and final adoption has occurred (MS 504.1.D), explore citizenship through U.S. parent (MS 502).
Refugee A non-citizen who is unable or unwilling to return to his or her own country, or wants to leave that country because of persecution or a well-founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion, and who meets other requirements specified by the Immigration and Nationality Act. Spouses and minor children of refugees are also admitted in this status.
Amerasian Refugee The (minor or) adult child of an American father, who was born in Vietnam between 1962 and 1974. Spouses and children of Amerasian refugees are also classified as Amerasian refugees as are the mothers of Amerasian refugees who were admitted as children.
Asylee A non-citizen who is in the U.S. and is unable or unwilling to return to his own country because of persecution or a well-founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion, and cannot go to a third country and who meets other requirements specified by the Immigration and Nationality Act. Children of asylees may also be admitted in this status.
Alien with Deportation Withheld or Removal Withheld A non-citizen who has had deportation or removal withheld was discovered to have entered the U.S. without permission. Immigration law calls for their removal, however removal is withheld if the U.S. Attorney General rules that the alien would be threatened in that country because of the alien's race, religion, nationality, membership in a particular social group, or political opinion, and the alien is neither a criminal nor a danger to the U.S.
Parolee for at Least One Year An alien granted parole status under the Immigration and Nationality Act. Parolees for less than one year are not Qualified Aliens. A Parolee must meet additional requirements (see MS 503.1)
Cuban-Haitian Entrant A special immigration classification for individuals from Cuba or Haiti. Non-citizens under this status who have continuously resided in the U.S. since before January 1, 1982, and who were known to the USCIS before that date, may adjust to permanent residence under a provision of the Immigration Control and Reform Act of 1986.
American Indian Born in Canada An American Indian with at least 50% Indian ancestry born in Canada is considered a Qualified Alien for medical assistance eligibility. These individuals are given unrestricted right to pass the borders of the U.S. as the result of a treaty signed in 1794. An American Indian born in Canada may choose to become a Lawful Permanent Resident. This does not affect the status as an American Indian born in Canada.
Foreign Born Member of U.S. Indian Tribe A member of a federally recognized U.S. Indian Tribe who does not claim U.S. citizenship. See Appendix 5A for a list of federally recognized U.S. Indian Tribes in Arizona.
Conditional Entrant An alien granted condition entry into the U.S. under an immigration law in effect before April 1, 1980.
Battered Alien An alien who is a victim of battery by a family member who is a U.S. citizen or a Lawful Permanent Resident, or a depend child of such an alien or an alien parent of a battered child. A battered alien must meet additional requirements (see MS 503.1).
Hmong or Laotian Highlander Members of a mountain tribe from southeast Asia who assisted the U.S. during the Vietnam conflict, or their dependents, are considered Qualified Aliens for medical assistance eligibility.
Victims of Trafficking

Individuals forcibly involved in sex for commercial purposes, or subjects of involuntary servitude, peonage, debt bondage or slavery. This group of customers is eligible for benefits under the Victims of Trafficking and Violence Protection Act of 2000 (VTVPA). These individuals are eligible for benefits in the same manner as refugees. Their authority to remain in the United States is not governed by the USCIS, but by the Office of Refugee Resettlement (an agency of the U.S. Department of Health and Human Services) and the Attorney General of the United States.

Individuals in this group are eligible for Medicaid benefits no earlier than the eligibility date specified in their certification letters issued by the Office of Refugee Resettlement.

These individuals are different from others in that their authority to remain in the United States is not under the jurisdiction of the USCIS. Therefore do NOT:

  • Request or require USCIS documentation of immigration status (they have none); or
  • Process a SAVE referral.

 

D. Procedure Diagram

The following diagram shows the process for determining if a non-citizen meets the citizenship/alien requirement.

diagram

 

503.1 Additional Requirements for Lawful Permanent Residents, Parolees, and Battered Aliens

A. Additional Requirements

To be eligible for medical assistance, other than emergency services, a Lawful Permanent Resident, Parolee, or Battered Alien must meet at least one of the additional requirements listed in B through E of this section.

B. Qualified Alien for Five Years

The Lawful Permanent Resident, Parolee, or Battered alien may be eligible for medical assistance if the individual has been a qualified alien for at least five years. Qualified Aliens who are otherwise eligible are eligible for AHCCCS coverage for the entire month their 5-year ban ends.

C. Previous Entry Under Different Status

The Lawful Permanent Resident, Parolee, or Battered alien may be eligible for medical assistance if the individual entered the U.S. under one of the following different qualified alien status:

IF the prior qualified alien status is... THEN the status code on the I-551 is...
Refugee or Amerasian Refugee RE-6, RE-7, RE-8 RE-9, AM-1, AM-2, or AM-3.
Asylee AS-6, AS-7, or AS-8.
Cuban-Haitian Entrant CU-6, CU-7, or CH-6.
American Indian Born in Canada S13, or may provide verification that the applicant is an American Indian born in Canada.
Deportation Withheld/Removal Withheld None. The applicant will need to present verification of the withholding of deportation or removal in addition to the I-551 card.

 

D. Entry Before 8/22/1996

The Lawful Permanent Resident, Parolee, or Battered alien may be eligible for medical assistance if the individual entered the U.S. before August 22, 1996 and remained in the U.S. continuously until becoming a qualified alien. The person must provide:

  • Proof of residence in the U.S. before August 22, 1996. USCIS document is acceptable, but not required;
  • Proof of continuous residence (documents, group of documents, or collateral contacts may be used). Continuous residence means no absences of longer than 30 days and a total of all absences not greater than 90 days; and
  • A written declaration by the non-citizen or representative that includes the date the non-citizen entered the U.S. and all absences from the U.S. after that date until the date Qualified Alien status was received.

E. Military Related

The Lawful Permanent Resident, Parolee, or Battered alien may be eligible for medical assistance if the individual is:

  • A member of the U.S. Armed Forms on active duty;
  • An honorably discharged veteran of the U.S. Armed Forces;
  • The spouse or dependent child of a member or honorably discharged veteran of the U.S. Armed Forces; or
  • The widow or surviving dependent child of a member or honorably discharged veteran of the U.S. Armed Forces.

A dependent child must be under 18 or may be 18-21 if a full time student declared as a dependent on the parent's tax return. The person must provide proof of:

  • Active duty in the U.S. Armed forces or honorable discharge (not based on alien status) (Example: VA form DD-214);
  • Marriage, if the spouse is the applicant;
  • Relationship and age, if the child is the applicant; and
  • Student status and dependency (the applicant must provide a copy of the parent's tax return).

F. Verification

If the Lawful Permanent Resident, Parolee, or Battered Alien has not been a qualified alien for at least five years, or you cannot verify previous entry in another qualified alien status by the individual's card or through SAVE VIS, send the Request for Additional Information - Lawful Permanent Resident Status (KC-502) or Request for Additional Information - Alien Parole Status (KC-503) form to request the additional information above.

503.2 Verification of Non-Citizen Status

A. Overview

Non-citizens who meet he eligibility requirements must present a USCIS document verifying their status. However, there are many non-citizens who do not have USCIS documents or have documents but do not meet the alien status requirement for full AHCCCS Medical Benefits.

This section includes examples and descriptions of various USCIS documents. It also includes information about how to:

  • request USCIS documentation;
  • complete the verification process; and
  • evaluate verification received.

B. Asking for Documents

The USCIS document is usually an ID card, but is sometimes a letter or other paper. Only original, unexpired documents are acceptable for verification of non-citizen status.

If the non-citizen did not provide a copy of the USCIS document, contact the applicant and request a copy. You must have a photocopy of the original document in the case file. The photocopy must be actual-size, include both sides (front and back) and be readable. It must be a photocopy of the document, not a copy of a copy. When copying foreign passports for verification, copy the page with the USCIS stamp and the pages with the applicant's picture and information about the issuance of the passport. Usually, these items are inside the front cover. If you are using a passport for verification of continuous residence, copy all stamps beginning with the last stamp before August 22, 1996 until the date Qualified Alien status was granted.

Use the guidelines below when an applicant is unable to provide you with the required USCIS document:

IF the applicant... THEN...
Cannot provide a document because it is lost, stolen, expired, etc. Tell the applicant you need proof of USCIS status and request that the person go to USCIS and apply for a new document. USCIS will give the applicant a temporary card. 

Note: USCIS requires the person to apply for documents in person. USCIS will waive the fee for indigent individuals.
  • Cannot provide a document because it is lost, stolen, or expired and
  • The applicant is hospitalized (does not apply to hospitalized children when parents apply for them.)
  • Obtain verification of medical inability to go to USCIS in person (the member's statement is acceptable);
  • Make a copy of the expired document or obtain an alien registration number;
  • Obtain verification of identity (do not accept a member's statement as verification of identity);
  • Do not request Initial SAVE;
  • Complete the G-845S and Supplement:
    • Attach a copy of the expired document to the G-845S.
    • If the document is missing and the customer can provide the Alien Registration number, indicate the number and information explaining why the document is missing (on the G-845S); and
  • Send the G-845S, Supplement, and additional document to the USCIS.

Is a Lawful Permanent Resident, Parolee or battered Alien who

  • has not been a qualified alien for at least five years, or
  • did not previously enter in a qualifying status that does not require the five year waiting period for full AHCCCS Medical Benefits. 
  • Check the Initial SAVE response to determine if the status code indicates full and final adoption of the individual (MS 504.1.D). If so, explore citizenship through U.S. citizen parent (MS 502.C).
  • Ask the customer for information about a military connection as described in MS 503.1.E or proof of entry in the U.S. before August 22, 1996.

 

503.3 Documents That Verify Qualified Alien Status

A. Permanent Resident Card, I-551

USCIS issues the I-551 to individuals who have obtained Lawful Permanent Resident (LPR) status. It has gone through several modifications throughout the years. This card may still be commonly referred to as a "green card" because of its original color. All I-551s are valid if unexpired.

The newer version of the I-551 is titled "Permanent Resident Card". The back of the card has a barcode and information to be read electronically. The front of the card includes:

  • the entry date, which may be the date of entry, the date the card was issued, or the date the non-citizen became a Lawful Permanent Resident, in the area labeled "Resident since"; and
  • the expiration date; and
  • the status code in the area labeled "category".

permanent resident card

 

B. Resident Alien Card, I-551

The older version of the "Permanent Resident Card" card is called the "Resident Alien" card and was issued to Lawful Permanent Residents. This card is valid if unexpired.

The card includes:

  • the date the card was issued on the back, which may be the date of entry, the date the card was issued, or the date the non-citizen became a Lawful Permanent Resident. Some cards have a date labeled "Temp Res. Adj Date" on the back. This date may be used as the date of entry; 
  • the status code; and
  • may or may not have an expiration date. An expired card does not verify status unless the case file already includes a copy of the card and a record of SAVE verification from before the expiration date. Otherwise if you receive an expired card as verification of Lawful Permanent Resident status, tell the person to contact USCIS at 1-800-755-0777 to obtain an application for a new card. Applications must be filed in person, and USCIS will waive the fee for indigent applicants.

resident alien

resident alien

 

C. Alien Registration Receipt Card, I-151

USCIS issued this card to Lawful Permanent Residents before 1979. The card expired in March, 1996. If the previous case file includes record of SAVE verification, this card verifies Lawful Permanent Resident status. Otherwise, if you receive this card as verification of Lawful Permanent Resident status, tell the person to contact USCIS at 1-800-755-0777 to obtain an application for a new card. Applications must be filed in person, and USCIS will waive the fee for indigent applicants.

 alien registration receipt
alien registration receipt

 

D. Departure Record, I-94

USCIS issues the I-94 as an Arrival/Departure record at an authorized port of entry into the United States. The I-94 identifies many classifications of non-citizens. The I-94 endorsement may be affixed to a page of a foreign passport. The stamped or hand-written endorsement identifies the classification.

The classification may be a Qualified Alien status:

  • Refugee status if entered as refugee under section 207 of the INA, or entered as an Amerasian refugee;
  • Asylee status if granted asylum under section 208 of the INA;
  • Parolee status if granted parole under §212(d)(5) of the INA
  • Cuban-Haitian status if entered as a "Cuban/Haitian Entrant" Under 212(d)(5);
  • Conditional Entrant if admitted under §203(a)(7);
  • Lawful Permanent Resident temporary evidence if "Processed for I-551". The I-94 may also be issued to a Lawful Permanent Resident already granted LPR status while waiting for a replacement of a lost or stolen I-551 card.

The classification may be a Non-Qualified Alien status:

  • Non-immigrant status for individuals who legally entered the U.S. under a letter code from A through M. This could include students, temporary workers, and visitors for pleasure or business. Refer to section 501.B for potential emergency services coverage.

Generally, the alien registration number (A#) is on the back side of the I-94 form. The date of entry and expiration date appear on the front. USCIS records any extensions beyond the original expiration date on the back of the form.

I-94I-94

E. Employment Authorization Card, I-688B

USCIS issues the "Employment Authorization Card" to aliens who are not permanent residents but have been granted permission to be employed in the U.S. for a specific period of time. Several modifications of the I-688B have been made to the card over the years.

The expiration date appears on the front of the card along with a "provision of law" code that identifies the person's immigration status. The I-688B identifies:

  • Refugee, if Provision of Law code is "274a.12(a)(3)";
  • Asylee, if Provision of Law code is "274a.12(a)(5)";
  • Alien who has had deportation withheld, if Provision of Law code is "274a.12(a)(10)";
  • Conditional Entrant, if Provide of Law Code is "274a.12(a)(3); and
  • Parolee, if Provision of Law code is "274a.12(a)(4)"

Other aliens may have this card but they are not qualified aliens.

I-688B

F. Employment Authorization Card, I-766

The USCIS issues the newest form of "Employment Authorization Card" to non-citizens who are not permanent residents but have been granted permission to be employed in the U.S. for a specific period of time. The newest version of the card is a credit card type of document. The front of the card contains a photo, fingerprint and signature of the holder. The reverse contains a standard barcode.

The expiration date is located on the front of the card. The "category" code, which is a letter and number, replaces the "provision of law" code previously used on the older I-688 and I-688B. The category code identifies the person's immigration status. The I-766 identifies:

  • Refugee, if annotated "A3";
  • Asylee, if annotated "A5";
  • Alien who has had deportation withheld, if annotated "A10";
  • Conditional Entrant, if annotated "A3"; and
  • Parolee, if annotated "A4"

Other aliens may have this card but they are not qualified aliens.

I-766

G. Foreign Passport

A foreign passport may identify:

  • Lawful Permanent Resident, if stamped "Processed for I-551. Temporary Evidence of Lawful Admission for Permanent Residence Valid Until (date)."; the date of entry is not on this stamp.
  • Refugee, if stamped "Admitted as a Refugee Pursuant to Section 207 of the INA";
  • Asylee, if stamped "Granted Asylum under Section 208 of the INA";
  • Cuban-Haitian entrant, if endorsed "Cuban/Haitian Entrant Under 212(d)(5) of the INA"; and
  • Parolee, if endorsed to show grant of parole under 212(d)(5) of the INA

When using a passport for verification, copy the cover, the inside front pages that identify the alien and the page that has the appropriate stamp. For a Lawful Permanent Resident, when date of entry is an issue, other stamps may help verify continuous residence in the U.S.

Other aliens may have a passport but are not qualified aliens.

foreign passport

H. Parole Notice

USCIS issues the Parole Notice to individuals granted parole. To be a qualified alien a parolee must be granted parole for at least 1 year under 212(d)(5) of the INA and the document must not be expired.

parole notice

 

I. Temporary Resident Card, I-688

USCIS issued the "Temporary Resident" card as the second document received by aliens who continued to qualify under the "Amnesty Program" of the Immigration Reform and Control Act of 1986.

When a temporary resident became a permanent resident, the USCIS placed a large sticker on the back of the card explaining the change of status to lawful permanent resident. Without this sticker, a holder of this card is eligible for Emergency Services only.

I-688

J. Victim of Trafficking Certification Letter or Eligibility Letter

The Office of Refugee Resettlement (ORR) provides victims of trafficking with a "Certification Letter" if 18 or over or an "Eligibility Letter" if under 18.

  • Accept the ORR letter in place of USCIS documentation.
  • Call the ORR trafficking verification line (202-401-5510) to confirm the validity of the letter and to notify ORR that the individual has applied for benefits.
  • Make a photocopy of the letter and place it in the case file.
  • Instruct the individual to apply for a Social Security Number (SSN) if not already obtained. Assist the customer, if necessary, in obtaining a number.
  • Do NOT delay, deny or discontinue benefits for not having a SSN. If for some reason, an SSN cannot be obtained, refer to Central Office making sure to provide complete details and attach all documents related to the circumstances.

At each redetermination of eligibility, call the ORR trafficking verification line (202-401-5510) to verify that the customer continues to be certified as a victim of trafficking to remain eligible for AHCCCS benefits under this group.

503.4 Documents of Non-Qualified Aliens

A. Overview

There are many non-citizens who have USCIS documents but who are not qualified aliens. These individuals are not eligible for medical assistance, except emergency services.

B. Types of Documents

Listed below are some types of documents that verify that a non-citizen is a non-qualified alien.

Type Description
I-185, Canadian Border Crossing Card

 

I-185

 
I-586, Mexican Border Crossing Card

 

I-586

 
DSP-150, Mexican Border Crossing Card

 

DSP-150
DSP-150

 
I-688A, Employment Authorization Card

 

I-688A

 
Others, Not Pictured
  • SW-444, Mexican Border Visitor's Permit;
  • I-95a, Crewmen's Landing Permit;
  • I-184, Alien Crewman Landing Permit and ID Card;
  • Student Visa; and
  • I-94, Arrival-Departure Record annotated with a letter from A through M.

 

Section 504: Verifying the Validity of the USCIS Document Through SAVE

A. Overview

When an acceptable document listed in manual section 503.3 is provided to verify the applicant's qualified alien status, verify the authenticity of the document and the non-citizen's status through the Systematic Alien Verification for Entitlements (SAVE) program. Alien status is obtained through the SAVE program's Verification Information System (VIS). VIS is the computer system used to verify alien status for the SAVE program. The SAVE VIS verification of a document does not specifically indicate whether the applicant meets the requirements for medical assistance.

SAVE program's VIS has two parts, which are both automated:

  • Initial Verification Request, and;
  • Additional Verification Request.

Note: If there is not a satisfactory response to the additional verification request but there are documents that could help USCIS search for additional information, send a G-845S to USCIS so that the USCIS status verifiers can make a resolution using the information provided with the G-845S. See MS 504.2.F for additional information regarding the G-845S.

B. When to Verify Through SAVE

Complete SAVE Verifications:

  • at the time of application;
  • if there is a change in the non-citizen's status;
  • if the previously verified documents have expired and/or have been replaced (except for Lawful Permanent Residents); and
  • at the time of renewal, if the non-citizen's status changed or a copy of the verification and the qualified alien documentation are not in the case file.

Do not complete SAVE verifications of non-citizens whose documentation does not meet the qualifications for eligibility or whose status permits Emergency Services only.

C. Exception

Do not complete a SAVE verification for qualified aliens who do not have A numbers issued by the USCIS. These are:

  • foreign born members of U.S. Tribes described in MS 503.C, or
  • American Indians born in Canada, described in MS 503.C.

504.1 Initial Verification Request

A. General Information

Initial Verification Request means the first request for information using only the alien number.

B. When Not to Use Initial SAVE

Do not attempt to obtain Initial Verification Request when:

  • the document presented appears to be counterfeit or altered through photo substitution, ink discoloration or other abnormalities;
  • the document presented is not one of those listed in this chapter;
  • the document presented does not contain an alien registration number (the letter A followed by seven or eight or nine digits);
  • the document presented contains an alien registration number which is in either 60 million or 80 million series (the number begins with A6, A8, A06 or A08 followed by seven digits);
  • the document presented is any USCIS Fee Receipt;
  • the document presented is a Memorandum of Creation of Record of Lawful Permanent Residence (Form I-181a) that is over one year old; or
  • the document presented is an Arrival Departure Record (I-94) or a foreign passport that states "Processed for I-551, Temporary Evidence of Lawful Permanent Residence" and the I-94 or the passport stamp is over one year old.

For these documents, use Additional SAVE only (MS 504.2).

C. How to Request an Initial SAVE

Except as indicated above, request an Initial Verification before approving a non-citizen for any coverage except Emergency Services. To request an Initial Verification, provide the alien number to the person in your office who enters the information in the SAVE VIS.

D. Initial Verification Response

If the alien number is verified, a response will be returned within a few moments providing the following information:

  • a case verification number which identifies the inquiry;
  • the alien registration number that was entered;
  • the non-citizen's last name and first name and middle initial;
  • COA (Class of Admission) code (e.g., RE [Refugee]; AM [Amerasian]; AS [Asylee]; CU or C-H [Cuban Haitian], etc.);
  • the non-citizen's country of birth;
  • the non-citizen's date of birth;
  • the non-citizen's date of entry. This may be the date the non-citizen entered the United States or the date the non-citizen received this alien status;
  • an immigration status message in the System Response line which may be one of the following :
    • Lawful Permanent Resident;
    • Cuban-Haitian Entrant;
    • Deportation withheld under §243(h) of the INA;
    • Parolee under §212(d)(5) of the INA;
    • Conditional Entrant under §203(a)(7) or §274a.12.(a)(3) of the INA;
    • Section 245A Temporary Resident;
    • Section 210 Temporary Resident;
    • Application Pending;
    • Institute Secondary Verification; or
    • Alien ID Not on File.

E. Initial Verification Response Example

Below is an example of an Initial Verification Response.

Initial Verification Response

F. Reviewing the Response

Compare the information obtained from the Initial Verification with the information supplied by the non-citizen.

IF the Initial Verification response... Then...
Confirms the Qualified Alien status shown on the applicant's USCIS document An Additional Verification Request is not required
Is inconsistent with the USCIS document Follow the Additional Verification Request procedure described in MS 504.2.
Is "Application Pending", "Institute Additional Verification" or "Alien ID Not on File"

 

504.2 Additional Verification Request

A. General Information

Additional Verification Request means the request that is made when the Initial Verification Request is unsuccessful. It is an automated process through the SAVE VIS.

B. When to Use Additional Verification

Use Additional Verification if:

  • the Initial Verification response is any of the following:
    • Institute Additional Verification;
    • Application Pending; or
    • Alien ID Not on File;
  • there is a discrepancy between the document presented as verification of status and the information obtained from the Initial SAVE system. For example, a discrepancy exists if the document shows a date of birth of 9-1-98, but the information obtained from the automated system shows the date of birth as 9-10-98; or
  • the document is one of those listed in MS 504.1.B. (Reminder - do not complete an Initial Verification Request for these documents).

C. Requesting an Additional Verification

To request Additional Verification provide the following information to the person in your office who enters the information in the SAVE VIS (*required information):

  • the non-citizen's last name*
  • the non-citizen's first name*
  • the non-citizen's middle initial
  • A.K.A.
  • I-94
  • the non-citizen's date of birth*
  • document type
  • document expiration date
  • document description (e.g., states entered from Vietnam, etc.)
  • special comments (e.g., also has U.S. Visa date 2/1/70, etc.)

Note: Although MS 504.1 provides circumstances when additional verification is requested without first requesting an Initial Verification, the SAVE VIS will only allow submitting an Additional Verification request after first completing an Initial Verification request when the non-citizen does not have an alien number but the non-citizen has an I-94 card. However, if the non-citizen does not have an I-94 card, the person in your office who is responsible for entering information in SAVE VIS can enter a bogus alien number in the Initial Verification Request, which will allow the Additional Verification to be requested without an I-94 number.

D. Additional Verification Response

A final response to the Additional Verification should be provided in three working days. Review the response from USCIS.

If the response is... Then
The document is valid and relates to a specific status The non-citizen status is verified.
The document appears valid and the application is pending The non-citizen has applied for a new status or a change in status. Use the non-citizen's document as verification of the current status.
Continue to process as legal alien USCIS needs to research this further. Use the non-citizen's document as verification of status.
The document is not valid because it is expired
  • Contact the applicant for an unexpired document.
  • Send the G-845S to USCIS with the unexpired document. (See MS 504.2.E for additional instructions.)

If the applicant does not provide the unexpired document, the applicant is not eligible for medical assistance.

The document is not valid because it is altered or counterfeit The applicant does not meet the non-citizen requirement for full medical assistance.
No determination can be made because the copy is bad or is missing one side of the document
  • Obtain the requested information, and;
  • Send the G-845S to USCIS.
Resubmit Doc (need copy of original document)
  • Contact the applicant to request a copy of the original document, and;
  • Send the G-845S to USCIS with a copy of the original document. (See MS 504.2.F for additional instructions.)

If the applicant does not provide the original document, the applicant is not eligible for medical assistance.

 

E. Additional Verification Response Example

Below is an example of an Additional Verification response.

Additional Verification Response

F. Sending G-845S to USCIS

You will need to send a G-845 for the following reasons:

  • If there is not a satisfactory response to the Additional Verification Request (e.g., Additional Verification response states need copy of original document), but you have additional documents that could help USCIS search for additional information, complete the Document Verification Request form (G-845S) and mail it to USCIS, and
  • If you need to verify sponsor information.

Attach a copy of both sides of the non-citizen's USCIS document. Send the copy received with the application. USCIS will reject copies of copies.

G. USCIS Process of G-845S

When USCIS receives the G-845S SAVE form, the status verifier:

  • Checks other immigration records to make a status determination;
  • Completes the response section of this form;
  • Returns the form within 10 working days.

If USCIS is unable to make a determination from the information submitted, they will return the form with a request for more information. When this occurs, resubmit the form with the necessary documentation. You may need to request the required documents from the applicant.

H. No Response from USCIS

Contact status verifier at USCIS (602-514-7389) on the 11th working day following the date that the G-845S was sent to determine the status of the Document Verification Request form (G-845S).

Note: The AHCCCS eligibility staff may call the status verifier at USCIS to determine the status of the G-845S or if they have a question regarding the response to the additional verification or G-845S. However, the AHCCCS eligibility staff should never give out the USCIS status verifier's phone number to the public (e.g., customer, representative).

If you sent the G-845S because... Then...
The Additional Verification response and the customer meets the non-citizen status requirement based on the document(s) provided  Do not delay determination of eligibility beyond the 25th of the month (45th or 90th day for ALTCS) pending the response.
  • The document is one of those listed in MS 503.3B and the Additional Verification Response requested a copy of the document, or
  • The sponsor information is delayed
 Do not make a determination until the response is returned.

 

I. Reviewing the G-845S Response

Review the G-845S response from USCIS.

If the response is... Then...
The document is valid and relates to a specific status The non-citizen status is verified.
The document appears valid and the application is pending The non-citizen has applied for a new status or a change in status. Use the non-citizen's document as verification of the current status.
Continue to process as legal alien USCIS needs to research this further. Use the non-citizen's document as verification of the status.
The document is not valid because it is expired
  • Contact the applicant for an unexpired document.
  • Resubmit the G-845S to USCIS with the unexpired document.

If the applicant does not provide the unexpired document, the applicant is not eligible for medical assistance.
The document is not valid because it is altered or counterfeit The applicant does not meet the non-citizen requirement for medical assistance.
No determination can be made because the copy is bad or is missing one side of the document
  • Obtain the requested information; and
  • Resubmit the G-845S to USCIS.

 

Section 505: KEDS Instructions

A. Instructions

Follow the instructions below to enter the citizenship/non-citizen status on the KC220.

Step Action;
1 Go to the KC220 screen from the KC100 Main Menu by typing E in the SELECTION field and pressing Enter or by entering KC220 in the NTR field.
2 Type in all of the other demographic information.
3 When the cursor is in the CITIZEN/ALIEN field, type in the appropriate code (see 505.C).
4 Enter the date you verified the status in the VER DATE field.
5 Enter the code for how you verified the status in the VER CD field. This is usually CS (Client's Statement) for U.S. Citizen and HC (hard copy) for all others. See Table 002 on the LT175 for a listing of more codes.
6 If the non-citizen status code is BA, PE, or PR, enter the date of entry in the ENTRY DATE field.
7 After you type in all of the demographic information, press Enter.

 

B. Example of KC220

Below is an example of the KC220 for a Refugee.

KC220

 

C. List of Codes

The codes are found on Table 0720 (KidsCare Citizenship/Alien Codes) on the LT175. Listed below are the codes and instructions for when to use each code.

IF the individual is a... THEN use
code...
United States Citizen US
Naturalized Citizen NC
Child who meets the criteria for automatic citizenship under the Child Citizenship Act of 2000 NC
Member of a Federally Recognized U.S. Tribe FT
Asylee AS
Refugees (Including Amerasians) RF
Conditional Entrant CE
Cuban-Haitian CH
Deportation Withheld DW
Canadian Born Native American NA
Battered Alien who has been a qualified alien for at least five years QV
Battered Alien who has not been a qualified alien for at least five years, but is a dependent of a veteran or active duty serviceman DV
Battered Alien who does not meet the criteria above BA
Parolee who has been a qualified alien for at least five years QV
Parolee who has not been a qualified alien for at least five years, but is a dependent of a veteran or active duty serviceman DV
Parolee who does not meet the criteria above PE
Lawful Permanent Resident who has been a qualified alien for at least five years QV
Lawful Permanent Resident with a prior status of Asylee, Conditional Entrant, Cuban-Haitian, Deportation Withheld, or Refugee Code listed for prior status
Lawful Permanent Resident who has not been a qualified alien for at least five years, but is a dependent of a veteran or active duty serviceman DV
Lawful Permanent Resident who does not meet the criteria above PR