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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.

Steps to Obtain Benefits

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.

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