Citizenship and Alien Status Requirements for the Medicaid Program



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Date:  October 26, 2004 

 

16 



Trans. No.  04 OMM/ADM-7 

 

Page No. 

 

 



 

Medical coverage and/or health care services are needed to 

replace medical coverage of health care services the immigrant 

had when living with the abuser. 

 

The federal immigration agency, USCIS, determines whether an 



immigrant meets the requirements to be a “battered immigrant”, as 

explained above.  The worker should refer to Attachment D-1 

“Documentation Guide Immigrant Eligibility for Health Coverage in 

New York State” for the types of USCIS documents these immigrants 

will have. 

 

E. VERIFICATION OF QUALIFIED IMMIGRANT STATUS 

 

All applicants for Medicaid (except those applying only for the 

Prenatal Care Assistance Program (PCAP) or the treatment of an 

emergency medical condition) must provide proof of citizenship or 

must demonstrate or document “satisfactory immigration status”, and 

verify that status with a United States Citizenship and Immigration 

Services (USCIS) document.  Satisfactory immigration status is an 

immigration status that does not make the individual ineligible for 

benefits under the applicable program.  Most qualified immigrants 

will have a “Green Card” (I-551), or an Arrival/Departure Record (I-

94) or an Employment Authorization Document (EAD). The following 

USCIS documents can be used to verify Qualified Immigrant status: 

 



 



Permanent Resident Card USCIS FORM I-151, I-551-“Green Cards”: 

“Green Cards” (although no longer green in color) are issued to 

immigrants who have been granted permanent resident status in the 

United States.  They retain this status while in this country. 

The green card contains two dates, the “Card Expires” date and 

the “Resident Since” date. The Card Expires date indicates when 

the card expires and must be renewed.  It does NOT indicate that 

the immigrant’s status has expired.  The immigrant retains 

his/her status as Lawful Permanent Resident (LPR) while in this 

country. 

 

The Resident Since date is the date on which the immigrant 



acquired lawful resident status.  It is not the “date of entry” 

required for WMS input.  The date of entry is not indicated on 

the green card. 

 

NOTE: The Date of Entry (DOE) is of particular importance to the 



eligibility worker because the date will determine whether 

federal financial participation is available.  The worker should 

record the date of entry in WMS. 

 

For the purposes of obtaining Medicaid benefits, an I-151 or I-



551 that contains an expired date is acceptable documentation of 

lawful permanent resident status.  Although the USCIS requires 

that the individual simply renew the I-551, this is not a 

quirement for the purpose of applying for Medicaid. 

re

 

No other form of documentation of U.S. residence status is 

required if an individual has either of these documents.  

 



Date:  October 26, 2004 

 

17 



Trans. No.  04 OMM/ADM-7 

 

Page No. 

 

 



 

Arrival/Departure Record USCIS FORM I-94: 

Every immigrant who has been granted permission to enter the U.S. 

by an Immigration Inspector at an authorized Port of Entry is 

issued an Arrival/Departure Record, USCIS Form I-94. 

 

An Arrival/Departure Record will take one of two forms, it can be 



either: 

-  An I-94 stamp in the immigrant’s passport (the “I-94” stamp 

is annotated with the appropriate code); or 

-  A white I-94 card, the bottom of which is stapled to a page 

in the immigrant’s passport. 

 

This document includes the date of entry, how long the person may 



remain in the U.S. and the terms or codes of admission. 

 

NOTE: The Date of Entry (DOE) is of particular importance to the 



eligibility worker because the date will determine whether 

federal financial participation is available.  The worker should 

record the date of entry in WMS. 

 

If the only document presented by the applicant is the I-94, the 



LDSS worker must refer to the desk guide “Key to I-94 Arrival 

Departure Record” (Attachment D-4 of this directive) to determine 

if the I-94 code is one that establishes the immigrant status.  

 

For example: If an individual presents an I-94 card coded “207 or 



REFUG”, the worker would look on the desk guide entitled “Key to 

I-94 Arrival Departure Record” under the code column for the code 

“207 or REFUG”. The “meaning” column indicates this individual is 

a Refugee, as illustrated below: 



 

KEY TO I-94 ARRIVAL DEPARTURE RECORD 

PERSONS FLEEING PERSECUTION 



CODE 

MEANING 

203(a)(7) Conditional 

entrant 

207 or REFUG 

Refugee 

208 Asylum 

243(h) or 

241(b)(3) 

Withholding of deportation or removal 

AM 1, 2, 3 

Amerasian 

 



Date:  October 26, 2004 

 

18 



Trans. No.  04 OMM/ADM-7 

 

Page No. 

 

 

Next, the worker must refer to the desk guide “Documentation 



Guide

,

 Immigrant Eligibility for Health Coverage in New York 



State” (Attachment D-1 of this directive) to determine  further 

the immigrant’s status and appropriate Alien/Citizenship 

Indicator Code (ACI), as illustrated below: 

 

DOCUMENTATION GUIDE: IMMIGRANT ELIGIBILITY 

FOR HEALTH COVERAGE IN NEW YORK STATE 

Category 

Documents 

WMS ACI 

code 

Refugees 

►I-94 or passport with annotation 

“Section 207” or  

    “refugee” 

►I-551 coded R8-6, RE6, RE7, RE8, 

or RE9 

►I-571 Refugee Travel Document 

►I-688B or I-766 coded 

274a.12(a)(3) or A3 

 

 



 

 



Employment Authorization Documents (EAC and EAD) USCIS FORMS 

I-688B, I-766: 

If the USCIS permits an immigrant to work legally in the U.S., an 

Employment Authorization Document or Card (EAD or EAC) will be 

issued.  Permanent residents, PRUCOLs and individuals waiting for 

an adjustment of status can all apply for and may be issued such 

documents. 

 

An Employment Authorization Document (EAD) Form I-688B is issued 



to immigrants who are not permanent residents but have been 

granted permission to be employed in the U.S. for a specific 

period of time.  (This may include foreign students, visitors on 

business or pleasure and certain other visa holders).  

  

An Employment Authorization Card (EAC) Form I-766 is a newer 



version similar to a credit card document.  Both the I-688B and 

the I-766 have a “category” section that indicates the 

immigration status code when issued.  

  

The status code indicated in the category section of the EAD or 



EAC must be checked on the desk guide Attachment D-3 “Key to I-

766, I-688B, Employment Authorization Documents (EADs)” to 

determine the individual’s immigration status and type of health 

benefit they may be eligible for. 

 

Because an EAD/EAC can be issued to non-immigrants it can not 



stand alone.  Therefore, an eligibility worker must look at 

additional documentation to establish immigrant status. 

 

An expired EAD or EAC alone is not acceptable proof of 



immigration status because these forms may be issued to 

nonimmigrants.  If used, an expired EAD or EAC must be 

accompanied by other supporting USCIS  

document(s). 




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