Citizenship and Alien Status Requirements for the Medicaid Program


Date:  October 26, 2004    6  Trans. No



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Date:  October 26, 2004 

 



Trans. No.  04 OMM/ADM-7 

 

Page No. 

 

 

A.

 

DEFINITIONS 

 

This section provides or lists definitions for immigration statuses



immigration-related terms and public benefit terms that appear 

repeatedly throughout this directive. 

 

ACTIVE MILITARY DUTY: The term “active military duty” applies to 

individuals in current full-time service in the Army, Navy, Air 

Force, Marine Corps, or Coast Guard.  Members of the National Guard 

are not included in this definition.

 

 

ALIEN: The term “alien” means any person not a citizen or national 



of the United States. For the purposes of this directive, the term 

“immigrant” has the same meaning as the term “alien”. 

 

BATTERED IMMIGRANT: The term “battered immigrant” applies to certain 

individuals based on the fact that s/he was battered or subjected to 

extreme cruelty by a spouse or parent and who have been granted, or 

found prima facie eligible for relief under the Violence Against 

Women Act of 1994(P.L. 103-322). 

 

EMERGENCY MEDICAL CONDITION: The term “emergency medical condition” 

means a medical condition (including emergency labor and delivery) 

manifesting itself by acute symptoms of sufficient severity 

(including severe pain) such that the absence of immediate medical 

attention could reasonably be expected to result in: 

 

 



 

-placing the person’s health in serious jeopardy; 

 

 

 



-serious impairment to bodily functions; or 

 

 



 

-serious dysfunction of any bodily organ or part. 

 

Treatment of emergency medical conditions does not include care and 



services related to an organ transplant procedure.

 

 



NATIONAL: A “national” is a person, who is not a U.S. citizen, but 

who owes permanent allegiance to the United States and may enter and 

work in the U.S. without restriction.  A “national” who is otherwise 

qualified may, if he becomes a resident of any State, be naturalized 

upon completing the applicable requirements. Examples of nationals 

are: (1) persons born in American Samoa and Swain’s Island after 

December 24, 1952; and (2) residents of the Northern Mariana Islands 

who did not elect to become U.S. citizens. 



 

NATIVE AMERICAN BORN IN CANADA: A Native American born in Canada may 

freely enter and reside in the United States and is considered to be 

lawfully admitted for permanent residence if he or she is of at 

least one-half Native American Indian blood.  As such, he or she is 

a qualified immigrant.  This does not include a non-citizen spouse 

or child of such Native American or a non-citizen whose membership 

in an Native American Indian tribe or family is created by adoption, 

unless such person is at least 50 percent Native American Indian 

blood. 

 



Date:  October 26, 2004 

 



Trans. No.  04 OMM/ADM-7 

 

Page No. 

 

 

NONIMMIGRANT:  A “nonimmigrant” is defined as an individual who has 



been granted a nonimmigrant status that allows him or her to remain 

in the U.S. temporarily for a specific purpose.  There are more than 

two dozen nonimmigrant categories, each of which has specific 

requirements concerning the purpose of the individual’s stay in the 

U.S.  Most nonimmigrant categories require as a condition of the 

status that the individual have the intent of returning to a 

residence abroad. 

 

PRUCOL (Permanently Residing Under Color OLaw): Any immigrant who 

is permanently residing in the United States with the knowledge and 

permission or acquiescence of the United States Citizenship and 

Immigration Services (USCIS)(formerly the Immigration and 

Naturalization Services [INS]) and whose  

departure from the 

United States the USCIS does not contemplate enforcing. 

 

QUALIFIED IMMIGRANT: For the purposes of this directive, the term 

“qualified immigrant” has the same meaning as the term “qualified 

alien”, as used in the federal PRWORA (Welfare Reform). Qualified 

immigrants are immigrants who usually live and work in the United 

States with the permission of the United States Citizenship and 

migration Services (USCIS). 

Im

 



SATISFACTORY IMMIGRATION STATUS:  The term “satisfactory immigration 

status” is defined as an immigration status that does not make the 

individual ineligible for benefits under the applicable program.  

All qualified immigrants and PRUCOL immigrants are individuals said 

to be in satisfactory immigration status, as are citizens, Native 

Americans and nationals. The only groups excluded are undocumented 

immigrants and temporary nonimmigrants. 

 

SPECIAL NONIMMIGRANT: Some categories of “special” nonimmigrant 

statuses allow the status (visa) holder to work in the United States 

and eventually adjust to lawful permanent residence status. These 

categories allow the individual to apply for adjustment to Lawful 

Permanent Resident (LPR) status after he or she has had the non-

immigrant status for a period of time. 



 

TEMPORARY NONIMMIGRANT:  A temporary nonimmigrant is an immigrant 

who has been allowed to enter the United States for a specific 

purpose and for a limited period of time. There are more than two 

dozen nonimmigrant categories, each of which has specific 

requirements concerning the purpose of the individual’s stay in the 

U.S.  Examples include tourists, students, and visitors on business 

or pleasure.  

 

UNDOCUMENTED IMMIGRANT: Undocumented immigrants are immigrants who 

do not have the permission or acquiescence of the United States 

Citizenship and Immigration Services (USCIS) to remain in the United 

States.  They may have entered the United States legally but have 

violated the terms of their status, e.g., over-stayed a visa, or 

ey may have entered without documents.  

th

 



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