WAG 02-07-03-c: Citizen/INS Status

PM 02-07-03-c

For sources and forms to verify citizen/INS status, see WAG 03-01-00.

IES and 90 day Reasonable Opportunity Period for Citizens

IES is programmed to approve medical benefits when the HUB clearance does not verify U.S. citizenship for a person reporting to be a U.S. citizen and the individual meets all other factors of eligibility.Deleted Text.

IES and 90 day Reasonable Opportunity Period for Non-citizens

Verification Process

When verification of eligibility criteria is needed at initial application, or when adding a person (other than a deemed newborn) to medical benefits, send a request for information to the applicant as described in PM 02-07-02 and pend the application.

If after the initial request for information the required documentation is not provided, or additional proof is needed to verify the status through the federal data Hub for a person reporting to be a qualified non-citizen, approve medical benefits if the person meets all other eligibility criteria. Allow 90 days for the person to provide the proof or resolve the issue with USCIS.

IES Screens

On the Revised Text.Non-Citizen - Details page, a Deleted Text. drop down "Qualified Immigration Status Pending (90 days)" appears below the "Revised Text.Non-Citizen Admission Status" drop down. The Deleted Text. drop down has the following values:

  1. (Blank) - default value
  2. Yes
  3. No

When the Revised Text.Non-Citizen Admission Status 'Documented' is selected, and 'Qualified Immigration Status Pending (90 days)' = Yes, the 'Revised Text.Non-Citizen Type / Document' and 'Revised Text.Non-Citizen Type Verification' drop downs are mandatory.

  • Example 1: In June 2015, Mr. D applies for medical benefits and reports to have obtained legal permanent resident status in January 2010 and provides an alien ID number. The HUB verify lawful presence (VLP) clearance is unable to confirm the applicant's immigration status. Use Web-based Systematic Alien Verification for Entitlements (SAVE) to verify immigration status. If the information needed in SAVE to submit is not available, send a VCL to obtain it. If all other proofs are provided, and the applicant is otherwise eligible, select Revised Text.Non-Citizen Admission Status = Documented, and Qualified Immigration Status Pending (90 days).

When the Revised Text.Non-Citizen Admission Status 'Unknown' is selected, and 'Qualified Immigration Status Pending (90 days)' = Yes, the 'Revised Text.Non-Citizen Type/ Document' and 'Revised Text.Non-Citizen Type Verification' drop downs will be enabled and made mandatory. Other fields on the screen are disabled.

  • Example 2: In June 2015, Ms. G applies for medical benefits and reports to have obtained legal permanent resident status in January 2014, after having entered the U.S. in 2012 as a refugee. She recently had a house fire and does not have any immigration documentation, and she does not know her alien ID number. We are unable to run a VLP clearance at this time. If all other proofs are provided, and the applicant is otherwise eligible, select Revised Text.Non-Citizen Admission Status = Unknown, and Qualified Immigration Status Pending (90 days).

When the 'Qualified Immigration Status Pending (90 days)' is selected the following things will happen:

  • Eligibility for medical benefits will not be denied for lack of non-citizen status verification if all other criteria are satisfied.
  • When the medical EDG is certified, a Verification Check List (VCL) is created with a due date that is 90 days out for this individual.
  • After the 90-day reasonable opportunity period, when the worker runs eligibility, the medical benefits will be denied if the VCL record is not cleared.