Eligibility Online Manual

M604 Determining Basic Eligibility - Citizenship/Immigration Status

Purpose: This section will assist in determining whether an individual is eligible for benefits based on Citizenship and Immigrant status.

Current Policy Effective Date: April 1, 2021

Date Last Reviewed: April 1, 2021

Previous Policy: August 1, 2016


1. Applicants Must Meet Citizenship/Immigration Eligibility Requirements

Applicants must be a U.S. Citizen by birth or naturalization.


Applicants must meet at least one of the Qualified Immigrant status requirements outlined in Medicaid Table 6.

Applicants under one of the following programs are not required to meet the citizenship requirements:

  • Emergency Services.

  • Basic Foster Care.

  • Institutional Foster Care.

2. Applicants Born to Medicaid Eligible Mother

Verification of citizenship is not required for any applicant who was born to a Medicaid eligible mother in Wyoming during their life time.

3. Revenue Information System (RIS) Can Be Used To Verify Citizenship

Verification of citizenship can be obtained by using the Revenue Information System (RIS) in EPICS. When verification is not available in RIS refer to Medicaid Table 5 for acceptable verification of citizenship.

4. US Citizens and Qualified Immigrants Must Verify

Applicants must verify U.S. Citizenship by birth or naturalization, except a child who is born to a Medicaid eligible mother. Refer to Section M301A for factors requiring verification and Medicaid Table 5 for Evidence of Citizenship.

Applicants must verify Qualified Immigrant status requirements. Refer to Medicaid Table 5A for evidence of immigration status.

5. Foreign Born Children May be Eligible

Children who were born in a foreign country and living in the US, and children adopted from a foreign country by US citizens, are automatically granted citizenship if the following conditions are met:

  • Child is under age 18.

  • Child was admitted to the US as a Lawful Permanent Resident Immigrant.

  • Child is in the legal and physical custody of at least one parent that is a US citizen.


Defining Requirement: 42 CFR 435.406

Clarifying Information:

Applicants in the U.S. under the Deferred Action Childhood Arrival Act (DACA) are not considered lawfully present for Medicaid purposed. DACA is indicated with a Category C33 on a U.S. Employment Authorization Card.

Worker Responsibilities:

Using Wyoming Birth Cert Application Tab

1. Click on the Birth Cert App. tab (this tab is password protected).

2. Enter your user name and password, and then click the OK button.

3. Enter the first and last name or initials of the first and last name, and date of birth (mm/dd/yyyy).

4. Click the search button, which will reveal the results

5. If individual is found, record file number in narrative and print copy for case file.

6. If individual is not found, request verification of citizenship from the applicant.

7. If the applicant is not able to provide citizenship verification, contact the Eligibility Unit for assistance before denying the case.

Verifying Immigration Status With Systematic Alien Verification for Entitlements (SAVE)

1. Obtain one or more of the following pieces of documentation of immigration status:

1A. Documentation of immigrant registration.

1B. Alien Registration Number (A-Number).

1C. Another form of documentation that the agency issuing the documentation has determined to be reasonable evidence of the individual’s immigration status.

2. Include documentation of immigration status in applicant’s case file.

3. Verify immigration status using the WEB-1 Access Method.

3A. See the SAVE Manual, Section 2 for procedures for using Primary Touch-Tone SAVE Access.

3B. Use this website address: https://save.uscis.gov/WebOne/

4. For applicants without USCIS documentation, verify date of entry into the United States or date immigration status was granted.

5. Submit USCIS Form G-845 by mail to:

U.S. Citizenship and Immigration Services

300 N. Los Angeles Street, B120

Los Angeles, CA 90012

Attn: Immigration Status Verification Unit

Using Revenue Information System (RIS) for Citizenship

1. Access Revenue Information System (RIS) through the Mainframe at the TPX menu. Refer to Section M301B for instructions on accessing RIS.

Verifying Eligibility for Victims of Trafficking

1. Confirm the validity of the certification letter by calling the Trafficking Verification Line at (202)401-5510.

2. Record the expiration date of the certification letter in each applicant’s file.

3. Set an alert with the expiration date.

4. Conduct a review to determine continued eligibility.

Other Coding Requirements for Immigrant Applicants

1. Refer to Medicaid Table 20 for the SDX immigrant codes and their definitions.