Qualified Aliens 510-05-35-58

(Revised 3/1/12 ML #3312)

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Amended IM 5450

IM 5450

 

 

Qualified aliens are aliens that have been legally admitted and may be eligible for Medicaid if they meet all other Medicaid eligibility criteria. Some qualified aliens may be eligible under the Refugee Medical Assistance Program, 510-05-95-20, if they do not meet all other Medicaid eligibility criteria. The following categories of individuals are qualified aliens:  (Forms indicated below are USCIS or INS forms and the sections refer to the Immigration and Nationality Act (INA):

  1. Aliens who are lawfully admitted for permanent residence (LPR) may be eligible as described in sections   510-05-35-60 and 510-05-35-65.

 

  1. Honorably discharged veterans, aliens on active duty in the United States’ armed forces, and the spouse or unmarried dependent child(ren) of such individuals:
  1. Verification of honorable  US military discharge (such as a DD214);
  2. Verification of relationship of family members.

 

  1. Refugees:
  1. Form I-94 (Arrival Departure Record) showing “207” or “REFUG” or codes RE1, RE2, RE3, RE4; or RE5;
  2. Form I-688B (Temporary Resident Card) annotated 274a.12(a)(3);
  3. Form I-766 (Employment Authorization Document) with code A3;
  4. Form I-571 (Refugee Travel Document);
  5. Form I-551 or I-151 (Permanent Resident Card) with codes R8-6; RE6, RE7, RE8, RE9.

 

  1. Asylees who have been granted asylum (not applicants for asylum):
  1. Form I-94 showing “208” or “asylee” and/or codes of AS1, AS2, or AS3);
  2. Form I-688B annotated 274.a12(a)(5);
  3. Form I-766 annotated A5;
  4. Grant letter from Asylum office of USCIS;
  5. Order from immigration judge granting asylum;
  6. Form I-571;
  7. Form I-551 or I-151 with codes AS6, AS7, AS8, AS9, GA-6 to GA-8.

 

  1. Cuban and Haitian Entrants:
  1. Form I-94 showing “Cuban/Haitian Entrant”  or “parole” under Section 212(d)(5) or codes CU6, or CU7 or “OOE” or ”outstanding orders of exclusion”;
  2. Form I-151 or I-551 with National of Cuba or Haiti and codes CH6, CNP, CU0, CU-6, CU-7, CU-8, CU-9, CUP, HA-6 to HA-9; HB-6 to HB-9; HD-6 to HD-9; HE-6 to HE-9, or  NC-6 to NC-9.

 

  1. Victims of a severe form of trafficking and their families (aliens granted nonimmigrant status under 101(a)(15)(T) of the Immigration and Nationality Act who have a pending application that sets forth a prima facie case for eligibility for that nonimmigrant status):
  1. I-94 showing codes T-1 or T-2;
  2. I-94 or passport showing non-immigrant status under 101(a)(15)(T);
  3. I-688B or I-766 showing 247a.12(a)(16), A16, 274a.12(c)(25) or C25;
  4. Other INS document showing nonimmigrant status under 101(a)(15)(T);
  5. Any verification from the INS or other authoritative documents . showing non-immigrant status under 101(a)(15)(T).

 

  1. Aliens whose deportation was withheld under Section 243(h) of the Immigration and Naturalization Act (INA):
  1. I-94 or foreign passport showing “243(h)” or “241(b)(3)”;
  2. I-688B or I-766 with code of “274a.12(a)(10)  or A10;
  3. I-571.

 

  1. Aliens admitted as an Amerasian immigrant:
  1. I-94 showing National of Vietnam and AM1, AM2, or AM3;
  2. I-151 or I-551 showing National of Vietnam and AM-1, AM-2, AM-3, AM-6, AM-7; or AM-8.

 

  1. American Indians born in Canada as described in 510-05-35-50.

 

  1. Aliens paroled into the United States under Section 212(d)(5) of the Immigration and Nationality Act for a period of at least 1 year:
  1. I-94 showing “212(d)(5)” or “parolee” or “PIP”;
  2. Form I-688B or I-766 with code such as 274a.12(a)(4), or A4, or 274a.12(c)(11);
  3. Cuban-Haitian entrants with parole status are considered Cuban-Haitian entrants.
  4.  
  1. Certain battered aliens; battered alien children; and the parents of such children with an I-551 card showing B2-1, B2-3, B2-6, or B2-8.

 

  1. Iraqi and Afghan Special Immigrants and their families:
  1. I-94 with a stamp of “IV” and category SQ1, SQ2, SQ3, SI1, SI2 or SI3 and date of entry;
  2. Afghan  or Iraqi passport with a stamp of “IV” and category SQ1, SQ2, SQ3, SI1, SI2 or SI3 and DHS stamp or notation on passport showing date of entry;
  3. I-551 showing national of Afghanistan or Iraq with “IV” code of SQ6, SQ7, SQ9, SI6, SI7, SI9.

 

  1. Aliens granted conditional entry under section 203(a)(7) of the Immigration and Nationality Act in effect prior to April 1, 1980:
  1. I-94 or other document showing “conditional entrant”, “refugee conditional entry”, “seventh preference”; “section 203(a)(7)”; “P7” ;
  2. I-688B annotated “274a.12(a)(3);
  3. I-766 annotated “A3”; or
  4. Any verification from the INS or other authoritative document.