The purpose of this Office of Health Insurance Program Informational Letter (INF) is to provide Local Departments of Social Services (LDSS) with a comprehensive document that clarifies and defines the citizenship/identity documentation requirements for Medicaid eligibility under the Deficit Reduction Act (DRA) of 2005. This INF outlines the citizenship/identity documentation requirements for the Medicaid Program, and provides a revised desk aid that is important to the eligibility worker when reviewing documentation provided by the applicant/recipient (A/R). This INF also incorporates subsequent technical amendments and the final rules issued by the Centers for Medicare and Medicaid Services (CMS). This INF will replace previously issued General Information System (GIS) messages listed on the cover page of this INF.
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