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Medicaid
Immigration
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Date Created |
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| 08/27/2002 04:12 PM |
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Date Updated |
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| 01/02/2004 09:57 AM |
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Eligibility limitations of immigrants for Medicaid and the State Children’s Health Insurance Program |
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Question |
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What are the limitations on eligibility of immigrants for Medicaid and the State Children’s Health Insurance Program? |
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Answer |
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The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) (Pub. L. 104-193), as amended, made significant changes to the eligibility of immigrants for Medicaid and the State Children’s Health Insurance Program (SCHIP). Following PRWORA:
- Only citizens and so-called “qualified aliens” are eligible for the full range of benefits provided under either Medicaid or SCHIP. Non-qualified aliens who otherwise meet the eligibility criteria of a state’s Medicaid program are eligible under Medicaid for treatment of an emergency condition only. The pre-welfare reform “PRUCOL” (Persons Residing Under Color of Law) categories of immigrants no longer apply.
- Certain immigrants who entered the United States on or after August 22, 1996 are barred from receiving Medicaid or SCHIP benefits for five years.
- In determining the eligibility of some immigrants for Medicaid or SCHIP, the income and resources of the immigrant’s sponsor must be counted in determining the immigrant’s eligibility. This is commonly referred to as “alien sponsor deeming.”
<p>For questions questions and answers on which immigrants are considered to be qualified aliens, on the application of the five-year bar, and on verification of alien status, click on the following link: http://www.cms.hhs.gov/immigrants. Questions and answers on the statutory requirements and CMS policy governing alien sponsor deeming are forthcoming.</p>
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