Medical Assistance

2.1.2.2.2 Immigration Status (Archive)

In order to receive Medical Assistance (MA), applicants must be U.S. citizens, U.S. nationals or certain lawfully present noncitizens. See the MA Citizenship policy for more information.

MA Eligibility for Noncitizen Children Under Age 21 and Pregnant Women

The following people are eligible for MA, regardless of their specific immigration status:

• All lawfully present noncitizen children younger than age 21

• All lawfully present noncitizen pregnant women

People granted Deferred Action for Childhood Arrivals (DACA) are not lawfully present noncitizens for the purpose of MA eligibility and therefore they are not eligible for MA.

See Appendix H Lawfully Present Noncitizens for more information about lawfully present noncitizens.

MA Eligibility for Noncitizens Age 21 or Older and Not Pregnant

To be eligible for MA, lawfully present noncitizens who are age 21 or older and not pregnant must have a qualified immigration status. People with certain qualified immigration statuses must wait five years after receiving the qualified immigration status before they are eligible for MA.

The date a person enters the United States (also called the date of entry) is not always the same date they acquire a qualified immigration status. The date of entry is used to determine eligibility for Refugee Medical Assistance for refugees who are ineligible for MA. The date a person obtains a qualified immigration status is used to determine the start of the five-year waiting period, when applicable.

Qualified Immigration Statuses Without a Five-Year Waiting Period

Lawfully present noncitizens with the following immigration statuses are eligible for MA without a five-year waiting period:

• Afghan or Iraqi Special Immigrants

• Amerasians

• American Indian noncitizens

• Asylees, including asylees who later adjust to lawful permanent resident status

• Conditional Entrants

• Cuban/Haitian Entrants

• Qualified noncitizens who are U.S. veterans or on active military duty and their spouses and children

• Refugees, including refugees who later adjust to lawful permanent resident status

• T-Visa

• Trafficking victims

• Withholding of Removal

Qualified Immigration Statuses With a Five-year Waiting Period

Lawfully present noncitizens with the following qualified immigration statuses who entered the United States after August 22, 1996, are eligible for MA after a five-year waiting period:

• Battered noncitizens

• Immigrants paroled for one year or more

• Lawful permanent residents (LPRs), except LPRs who adjusted from asylee or refugee status. LPRs who were formally asylees or refugees are eligible for MA without a five-year wait.

MA for Noncitizens Not Otherwise Eligible for Medical Assistance

Four programs are available to certain noncitizens who are not eligible for MA because of their immigration status.

• Children’s Health Insurance Program (CHIP) funded MA may be available for pregnant women who are undocumented or noncitizens not otherwise eligible for MA. Eligibility may continue through the 60-day postpartum period. CHIP-funded MA is not available to people enrolled in other health care coverage.

• People who are receiving services from the Center for Victims of Torture (CVT) may be eligible for state funded MA-CVT

• People with a medical emergency may be eligible for Emergency Medical Assistance (EMA)

• People who meet specific criteria may be eligible for federally funded Refugee Medical Assistance (RMA)

Verification

Immigration status must  be verified electronically. The county, tribal , or state agency must attempt and exhaust all trusted electronic sources, including SAVE, prior to requiring paper documentation from the enrollee. Applicants and enrollees whose immigration status cannot be verified electronically must be provided a period of time to submit documents or resolve discrepancies to verify immigration status.  

Eligibility is approved for applicants who meet all other eligibility criteria and attest to meeting the noncitizen eligibility requirements. A person approved for MA without electronic verification of their immigration status has a reasonable opportunity to work with the agency to resolve clerical discrepancies preventing electronic verification or to provide proof of status for SAVE validation . A notice is sent to the enrollee to indicate they have 90 days, plus five days for mailing, from the date of the notice to satisfy the request. Coverage ends with a 10-day advance notice if the person fails to follow through with the verification process. The period may be extended for people who are cooperating and need more time to obtain documents.

The county, tribal or state servicing agency must help applicants and enrollees obtain required proofs.

Please note, verification of immigration status cannot be used to determine the individual is not a state  resident. See EPM 1.4 MHCP State Residency

Legal Citations

Centers for Medicare and Medicaid Services State Health Officials letter re: Individuals with Deferred Action for Childhood Arrivals (August 28, 2012), at www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-12-002.pdf

Centers for Medicare & Medicaid Services (CMS) State Health Officials letter re: Medicaid and CHIP Coverage of “Lawfully Residing” Children and Pregnant Women (July 1, 2010), at www.cms.gov/smdl/downloads/SHO10006.pdf

Children’s Health Insurance Program Reauthorization Action of 2009 (CHIPRA), Public Law 111-3, Section 214

Code of Federal Regulations, title 42, section 435.406

Code of Federal Regulations, title 42, section 435.945

Code of Federal Regulations, title 42, section 435.949

Code of Federal Regulations, title 42, section 435.952

Code of Federal Regulations, title 42, section 435.956

Minnesota Statutes, section 256B.06, subdivision 4

Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193

United States Code, title 8, section 1641

Published:  April 1, 2018

Archived: June 1, 2019