July 1st Citizenship Requirement Guidance

June 22, 2006

The Federal Deficit Reduction Act of 2005 now requires that all states review documentary evidence of U.S. citizenship before Medicaid eligibility is granted or renewed for any beneficiary declaring U.S. citizenship. The mandate takes effect July 1, 2006.

HFI is extremely concerned that many low-income U.S. citizens do not have passports or birth certificates readily available and may lose Medicaid coverage as a result of the Federal Deficit Reduction Act of 2005. Many individuals who are eligible for Medicaid, including people with mental illness, cognitive disabilities, the homeless and others may not be able to produce these kinds of documents.

Please note: This provision affects all Medicaid beneficiaries making a declaration of U.S. citizenship, whether or not they are immigrants.

The mandate has two parts. It requires verification of citizenship and of identity.

These regulations apply to new applicants after July 1, 2006 and those members who are redetermined through the eligibility review form (ERV) process. This is a one-time requirement and once the state/member has proven citizenship they need not do so again.

Below are two unabridged documents from the CMS to the State Medicaid Directors providing guidance on this issue:

Letter to State Medicaid Directors
Medicaid Fact Sheet

While MassHealth has attempted to minimize the impact of these regulations, we are concerned for a large number of our citizens who are unable to secure this documentation and will be denied benefits.

HFI is taking a leading role in this issue and continues to work closely with government agencies, advocates and associations. Please feel free to e-mail any questions, comments or concerns. We will continue to update you as more information becomes available.

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