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Effective: July 1, 2009 |
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18.05ar6 - Sponsor Deeming (Archive) |
Archived: October 1, 2009 |
Certain noncitizens have a sponsor whose income and assets must be deemed to them when they are applying for health care. This section provides information on how to determine if a noncitizen has a sponsor, whether the noncitizen is exempt or excluded from sponsor deeming, and how to verify the identity of the sponsor.
For general sponsor deeming policy, as well as policy for a specific program, see Sponsor Deeming Program Provisions.
Steps to Determine Sponsor Deeming.
Sponsor Deeming for Emergency Medical Assistance (EMA).
Steps to Determine Sponsor Deeming
Follow these steps to determine if sponsor deeming applies:
1. Determine if the noncitizen has a sponsor.
2. Determine if the noncitizen meets an exclusion from sponsor deeming.
3. Request verification of sponsorship and obtain a release of information to contact the sponsor.
4. Determine if the noncitizen meets an exception from sponsor deeming.
l If an exception is met, continue to the next step only for income the sponsor is actually contributing to the noncitizen.
l If there is no exception, continue to the next step.
5. Determine and verify the sponsor’s countable income and assets that will be deemed to the noncitizen following sponsor deeming program provisions.
United States Citizenship and Immigration Services (USCIS) determines if a person meets the criteria to be a sponsor, and whether a noncitizen needs a sponsor to enter the U.S. Do not deem the sponsor’s income or assets if a client is sponsored using a form other than USCIS form I-864, Affidavit of Support.
There are a number of ways to determine if a client is sponsored:
l For clients who have a Lawful Permanent Resident (LPR) status and entered the U.S. or adjusted their status on or after December 19, 1997, check for USCIS form I-864, Affidavit of Support.
l Also check for family-based codes for LPRs on their I-551 immigration card. If they have one of these codes, it is likely they have a sponsor.
l Use SAVE to request specific sponsorship data for clients who are not able to provide sponsorship information. See below for further information.
Some people are not required to have sponsors. The following noncitizens are not required to have a sponsor:
l Refugees.
l Asylees.
l Immigrants sponsored by a business or organization which has no relation to the immigrant.
Example:
The local Russian church sponsors 12 people from Russia.
Action:
Do not deem income and assets of the church to the immigrant.
Sponsored noncitizens are considered "sponsored" until the sponsor or the sponsored noncitizen dies, or until the sponsored noncitizen:
l Becomes a naturalized citizen.
l Leaves the United States permanently.
l Earns or can be credited with 40 qualifying work quarters, or work credits.
Note: It takes 10 years to accumulate 40 work quarters. However, quarters worked by a noncitizen’s spouse during their marriage, or by a noncitizen’s parent while the noncitizen was under age 18, count toward the 40 qualifying work quarters.
Information about work quarters is available on the SDX State Data Exchange (SDX) between the Social Security Administration and MAXIS or on a person’s Social Security statement. Social Security sends an annual statement that shows whether or not the person has earned enough work credits (40) to qualify for retirement benefits. The statement will show the person is not eligible for Social Security if the person has not earned 40 credits. Clients can request a Social Security statement by contacting SSA or online at SSA.gov. This web site also provides further information about how credits are earned and the required amount of earnings for the current year.
Example:
Shawn, age 28, entered the United States 12 years ago. He was sponsored by his father. Shawn is applying for health care because he lost his job. Shawn tells his worker that he does not want to bother his father about sponsor deeming. Shawn could have 40 qualifying work quarters or credits because he has been in the U.S. for over 10 years, but his Social Security statement shows he has only 30 work quarters. However, Shawn’s father earned enough work credits before Shawn turned 18 to make up the difference.
Action:
Do not deem income and assets from Shawn’s sponsor (his father). Shawn is exempt from sponsor deeming because he has enough qualifying work quarters or credits.
There are a number of exceptions to deeming income and assets from a sponsor to a client.
l Facility Placement.
Do not deem sponsor’s income or assets if the noncitizen needs placement in a facility and placement is jeopardized by the sponsor’s failure or inability to provide support, or inability of the client to locate the sponsor.
n Deem only the income the sponsor and/or sponsor’s spouse actually contributes to the noncitizen.
n Require the client to explain why the sponsor is not providing support.
l Battery or Extreme Cruelty.
A deferment of sponsor deeming can be approved for 12 months if a noncitizen or his or her children have been battered or subjected to extreme cruelty.
n Deem only income the sponsor or sponsor’s spouse actually contributes to the noncitizen and his or her children.
n The deferment can be extended an additional 12 months if all of these conditions are met:
m The noncitizen or children continue to have a need related to the battery.
m They have either an order for protection or a USCIS determination.
m The sponsor is the batterer.
To meet this exception the noncitizen or his or her children must have one of the following:
n A battered noncitizen status granted by the USCIS.
n A determination by the county or MCRE operations that the noncitizen or his or her children have been battered or subjected to extreme cruelty. This requires a statement of abuse from the client or other documentation such as:
m Police, government or court records.
m Statement from a battered women’s shelter staff or sexual assault or domestic violence advocate with knowledge of circumstances or credible evidence that supports a sworn statement.
m Statement from a professional from whom the client has sought assistance about the abuse.
m A sworn (notarized) statement from any other person with knowledge of the circumstances or credible evidence that supports the sworn statement.
The noncitizen or his or her children must also meet both of the following conditions:
n They are not living with the batterer.
n There is substantial connection between the need resulting from the battery and the need for coverage through the health care programs.
Do not consider sponsor income or assets when determining eligibility for EMA.
Clients whose immigration status indicates they have a sponsor must cooperate with supplying or obtaining sponsor information unless they meet a sponsor deeming exception. The sponsor must also cooperate. Deny or close coverage if the client or sponsor do not cooperate with providing or obtaining sponsor information.
For noncitizens whose immigration status indicates there is a sponsor:
l Request a copy of the Affidavit of Support from the client.
l Follow these steps to find out if there is a sponsor and the sponsor’s identity if the client is unable to supply a copy of the Affidavit of Support, or the client appears to be subject to sponsor deeming but claims not to have a sponsor:
1. Request Affidavit of Support data using SAVE:
Note: Do not use SAVE if the client has not submitted proof of immigration status.
a) In SAVE, select the Request Additional Verification link and check the ”Request Affidavit of Support Data” box prior to submitting the request.
b) The response in SAVE will include the following sponsor information if the individual was sponsored using I-864, Affidavit of Support:
r First, middle, and last name(s).
r Social security number(s).
r Last known address including street, city, state and zip code.
Note: Sponsor deeming rules do not apply if SAVE indicates that the individual was not sponsored using the I-864, Affidavit of support.
c) Follow the steps below if the sponsor information is incorrect in SAVE.
2. For agencies that do not use SAVE or if the sponsor information in SAVE is incorrect and follow-up is needed, obtain a release of information from the client to contact USCIS directly:
a) Complete a Document Verification Request form (USCIS G-845). This form is available online at the USCIS website (www.uscis.gov) and must be reproduced as a two-sided document.
b) Complete a Document Verification Request Supplement form (USCIS G-845 Supplement). This form is not available online but may be requested from the USCIS Forms Request Line at (800) 870-3676. This form must be reproduced as a two-sided document.
c) Send completed forms to:
U.S. Citizenship and Immigration Services
4th Floor, Crystal Plaza VI
2221 South Clark Street
Arlington, VA 22202
Attn: Immigration Status Verification Unit
l Obtain a release of information from the client prior to contacting the sponsor to request income and asset verification.
Upon receipt of the release of information, send the sponsor the Sponsor Letter (DHS-3453). This form reminds the sponsor of the legal obligation to provide support and requests verification of the sponsor’s and the sponsor’s spouse’s income and assets.
n Do not send the Sponsor Letter if the immigrant is exempt from the deeming requirement under a battered status and the sponsor is responsible for the battery.
n Do not request verification of assets if the client is exempt from the asset limit.
n Deny or close health care program coverage if the sponsor and the sponsor's spouse fail to respond to the Sponsor Letter or fail to provide verification. Consider whether the client is eligible for EMA.
Reported changes should be acted upon for the next available month allowing for timely notice. Changes that may impact eligibility for the sponsored client include, but are not limited to:
l Immigration status.
l Living arrangement with sponsor changes.
l Sponsor income or asset changes.
Note: Some income changes will not affect MCRE eligibility for the next available month.
l 40 qualifying work quarters are attained.
l Client qualifies as a battered noncitizen.
l The sponsor or the sponsored noncitizen dies.
Do not apply sponsor deeming provisions for EMA. Follow standard MA guidelines for deeming income and assets.
Example:
Maria is a 49-year-old noncitizen subject to the sponsor deeming provisions. She is hospitalized and applies for health care. She is certified as disabled by the State Medical Review Team (SMRT). Her medical condition also qualifies as an emergency medical condition. Maria has current health insurance that is a barrier to MinnesotaCare eligibility.
Action:
First, determine if Maria is eligible for MA with FFP or NMED. If Maria is not eligible for either program due to sponsor deeming, or if the sponsor does not respond to the Sponsor Letter (DHS-3453), determine whether Maria is eligible for Emergency Medical Assistance (EMA) since the sponsor’s income or assets are not considered for EMA.
Note: If Maria is eligible for NMED, EMA should still be used for services that qualify for EMA coverage.
There is no income limit for MA-BC and CVT. Therefore, do not apply sponsor deeming provisions when determining eligibility under these eligibility bases.