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Medicaid
New Requirement for Medicaid

New Requirement for Medicaid

En Español


The federal Deficit Reduction Act, passed in 2006, requires states to verify the citizenship and identity of people applying for or receiving Medicaid. This new requirement does not change who is eligible to receive services. Legal immigrants who may be eligible for Medicaid will continue to provide proof of legal status and identity. 

The Texas Health and Human Services Commission (HHSC) began applying the new requirement July 1, 2006. HHSC sent letters to all Medicaid clients in June 2006 explaining the requirement. Clients received an additional reminder in their renewal packet.

Medicaid clients are required to provide this information only once – either during the application process or during their first recertification after July 1, 2006. HHSC already has this information for some people on Medicaid. Clients will not have to provide any additional documents to prove citizenship and identity if they:

  • Receive SSI or have received SSI in the past.
  • Are entitled to and/or enrolled in Medicare.
  • Are a newborn to a mother who is Medicaid eligible.

For people born in Texas, HHSC may be able to get the birth certificate electronically, and the client will not need to provide it.

To help clients comply with the new requirements, HHSC will:

  • Provide clients and applicants with a list of common verification documents.
  • Give clients a reasonable amount of time to provide the proof.
  • Continue Medicaid coverage if the person is otherwise eligible and unable to provide proof at the first request.
  • Provide a form for clients who want to provide an affidavit – or written statement – to prove citizenship and identity. The affidavit must be notarized. 

If you have any questions about this new law, call 2-1-1.