(A)
U.S. Citizenship and
Immigration Status. MassHealth requires verification of U.S.
citizenship or immigration status for all MassHealth applicants, except other
noncitizens.
(1) The MassHealth agency will
initiate electronic data matches as described in
130 CMR
502.004: Matching
Information to attempt to verify U.S. citizenship or immigration
status. If electronic data sources are unable to verify U.S. citizenship or
immigration status, additional documentation will be required from the
individual.
(2) Acceptable proof of
U.S. citizenship is described in
130
CMR 504.005(A)(1) and (2).
Individuals who fail to submit proof of U.S. citizenship within 90 days of the
MassHealth agency's request will subsequently only be
(a) eligible for Children's Medical Security
Plan (CMSP) if they meet the categorical requirements for CMSP described in 130
CMR 522.000: MassHealth: Other Division Programs; or
(b) eligible for MassHealth Standard for
those who are pregnant if they meet the categorical requirements and financial
standards described in
130 CMR
505.002(D):
Eligibility Requirements for Pregnant Women.
(3) Acceptable proof of
immigration status is described in
130
CMR 504.005(B). Individuals
who fail to submit proof of immigration status within 90 days of the MassHealth
agency's request will subsequently be
(a)
eligible only for MassHealth Limited, if they meet the categorical requirements
and financial standards of MassHealth Standard;
(b) eligible for Children's Medical Security
Plan (CMSP) if they meet the categorical requirements for CMSP described in 130
CMR 522.000: MassHealth: Other Division Programs; or
(c) eligible for MassHealth Standard for
those who are pregnant if they meet the categorical requirements and financial
standards described in
130 CMR
505.002(D):
Eligibility Requirements for Pregnant Women.
(B)
Identity. MassHealth requires verification of identity
for U.S. citizens.
(1) The MassHealth agency
will initiate electronic data matches as described in
130 CMR
502.003: Verification of Eligibility
Factors to attempt to verify identity. If electronic data sources are
unable to verify identity, additional documentation will be required from the
individual.
(2) Acceptable proof of
identity is described in
130
CMR 504.005(A)(3).
(3) U.S. citizens as described in
130 CMR 504.002 who
fail to verify identity within 90 days of the MassHealth agency's request will
subsequently only be
(a) eligible for
Children's Medical Security Plan (CMSP) if they meet the categorical
requirements for CMSP described in 130 CMR 522.000: MassHealth: Other
Division Programs; or
(b)
eligible for MassHealth Standard for those who are pregnant if they meet the
categorical requirements and financial standards as described in
130 CMR
505.002(D):
Eligibility Requirements for Pregnant Women.
(C)
Reasonable Opportunity to Verify Citizenship and Identity or
Immigration Status. The MassHealth agency provides applicants and
members a reasonable opportunity period to provide satisfactory documentary
evidence of citizenship and identity or immigration status in accordance with
130 CMR
502.003(F):
Reasonable Opportunity to Verify Citizenship and Identity or
Immigration Status.
(D)
Reasonable Opportunity Extension. Applicants or
members who have made a good-faith effort to resolve inconsistencies or obtain
verification of citizenship and identity or immigration status may receive a
90-day extension in accordance with
130 CMR
502.003(G):
Reasonable Opportunity Extension.
(E)
Child Born to a
MassHealth-eligible Individual. Regardless of the mother's
immigration status, a child born to an individual who is eligible for
MassHealth on the date of the child's birth will be deemed eligible for
MassHealth from birth until the child's first birthday and is exempt from
providing citizenship and identity verification for eligibility.
