Library: Policy
317:35-5-25. Citizenship/noncitizen status and identity verification requirements
Rule text available at Oklahoma Health Care Authority website.
INSTRUCTIONS TO STAFF 317:35-5-25
Revised 11-22-21
1. A United States (U.S.) passport does not have to be currently valid to be accepted as evidence of U.S. citizenship when it was originally issued without limitation. NOTE: Spouses and children were sometimes included on one passport through 1980. U.S. passports issued after 1980 show only one person. Consequently, the citizenship and identity of the included person can be established when one of these passports is presented. EXCEPTION: Do not accept any passport as evidence of U.S. citizenship when it was issued with a limitation. However, such a passport may be used as proof of identity.
2. Medicare and Supplemental Security Income (SSI) recipients do not have to verify their citizenship and identity as they were verified by the Social Security Administration.
3. When a person in the online enrollment population provides verification, the worker updates Agency View to show verification was received, images the document, and documents verification receipt in Family Assistance/Client Services (FACS) case notes. When the person does not have a case number or case record with Oklahoma Human Services, the worker sends the verification to the Oklahoma Health Care Authority (OHCA) and does not update Agency View.
4. Refer to Oklahoma Administrative Code 340:65-3-4 regarding Systematic Alien Verification for Entitlement.
5. (a) Effective September 30, 2021, Congress authorized citizens or nationals of Afghanistan paroled into the U.S. between July 31, 2021 and September 30, 2022, to receive medical benefits from October 1, 2021 until March 31, 2023 or to the end of an individual’s parole term, whichever is later, per the Afghanistan Supplemental Appropriations Act, 2022. After March 31, 2023 or the end of the individual's parole term, these individuals are subject to the five-year ineligibility period.
(b) Documents verifying the Afghan humanitarian parolee's eligibility for Temporary Assistance for Needy Families ( TANF) include:
(1) I-94, Arrival/Departure Record, noting humanitarian parolee, per Section 212(d)(5) of the Immigration Nationality Act; or
(2) foreign passport with Department of Homeland Security/Customs and Border Protection admission stamp noting:
(A) Operation Allies Refugee or "OAR";
(B) Operations Allies Welcome or "OAW"; or
(C) "DT".
6. (a) Prior to certifying medical benefits after all other eligibility factors are determined, the worker sends a memo to OHCA, Attention: Level of Care Evaluation Unit (LOCEU) to request eligibility determination for emergency medical services. The memo includes the client's:
(1) name;
(2) Social Security number, when available;
(3) identification number;
(4) date of the medical service; and
(5) medical information, such as a history and physical and a discharge summary.
(b) When a categorical relationship decision is needed, the worker also sends a completed Form 08MA022E, Medical Social Summary, to LOCEU. LOCEU staff first makes a decision regarding categorical relationship. When the decision is favorable, LOCEU staff then makes a separate decision regarding emergency services.
7. Verification issued by the U.S. Department of Homeland Security identifies which members of the Texas Band of Kickapoo Indians living near the U.S./Mexico border are U.S. citizens.
8. The U.S. restored the Compacts of Free Association agreement between the independent governments of the Freely Associated States (FSA), including The Republic of the Marshall Islands (RFI), The Federated States of Micronesia (FSM), and the Republic of Palau. Individuals from the FSA can legally work, attend school, and live in the U.S. They are considered lawfully present non-citizens and the five-year minimum residency requirement does not apply to them. Refer to the Quest article "Medicaid Eligibility Restoration" for instructions on processing applications for these individuals.
