Eligibility Online Manual
M301B Verifying Eligibility Factors
Purpose: This section will describe how eligibility factors may be verified.
Current Policy Effective Date: July 1, 2023
Date Last Reviewed: June 28, 2023
Previous Policy: January 1, 2014
POL M301B: VERIFYING ELIGIBILITY FACTORS
1. Vital Statistics Services Portal Can Be Used To Verify Citizenship
Verification of citizenship can be obtained by using the Vital Statistics Services Portal. Refer to Medicaid Table 5 for acceptable verification of citizenship.
2. Revenue Information System (RIS) Can Be Used To Verify Citizenship and Identity
Verification of citizenship and identity can be obtained by using the Revenue Information System (RIS) through the Mainframe at the TPX menu. Refer to Medicaid Table 5 for acceptable verification of citizenship and identity.
3. Evidence Must Be Collected to Establish Eligibility
Evidence must be collected to meet documentation and verification requirements for all eligibility factors. Refer to Medicaid Table 5, Table 5A, Table 5B and Table 6 for proper documentation.
4. Prior Cases May Be Used To Verify Some Eligibility Factors
Documentation from prior cases may be used for factors not subject to change, such as SSN, date of birth, citizenship, or identity.
5. System Interfaces And Electronic Resources May Be Used
Verification of eligibility factors may be obtained by using:
SVES
SOLQ-I
BENDEX
RIS
SDX
SAVE
Workforce Services
VSS
AVS
6. Additional Documentation May Be Required
Applicants/clients may need to provide additional documentation necessary to verify eligibility factors.
7. Assistance Obtaining Documentation Must Be Provided
Assistance must be provided to the applicant/client, upon request, in obtaining documentation.
Reference:
Defining Requirement: 42 CFR 435.940
42 CFR 435.945
42 CFR 435.948
42 CFR 435.952
42 CFR 435.953
42 CFR 435.955
42 CFR 435.960
Citizenship and Identity Requirement: Social Security Act § 1903
Clarifying Information:
1. Verification is defined as the act of proving a fact to be true by viewing the content of the evidence.