Appendix XI: Procedures for Accessing Long-Term Care Benefits and Resources Based on Citizenship Status
APS IH / May 2011
The following table provides information regarding accessing Medicaid benefits for clients based on their citizenship status.
If the client has a … |
then the client is … |
and the APS specialist … |
|---|---|---|
one of the following U.S. documents: • Birth certificate • Passport • Religious record of birth that was recorded in the U.S. or its territories within 3 months of birth, indicates a U.S. place of birth, and shows either the date of birth or the individual’s age at the time the record was made • Certificate of U.S. Citizenship … Additional information: Some documents provided for citizenship also require a separate document for identity. Reference Appendix V in the DADS Medicaid Eligibility Handbook for acceptable citizenship and identity documents. |
a U.S. citizen … |
· assists the client in applying for Medicaid programs for which they appear to be eligible; • consults with the appropriate government agency that administers the benefits regardimg application procedures, if the client is unable to complete an application because of a physical or mental disability; and • refers the client to DADS if waiver services are requested or needed. DADS communicates with HHSC for the MAO determination, if needed. |
Resident Alien card or Permanent Resident card … |
a permanent resident … |
assists the client in applying for the appropriate Medicaid programs for which the client appears to be eligible. |
has none of the documents listed above … |
not a citizen or a permanent resident … |
assists the client in applying for MAO for treatment of emergency medical conditions only. |
If clients have none of the documents listed and are not a citizen or a permanent resident, then the specialist assists the client in applying for MAO for treatment of emergency medical conditions only.