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Citizenship Supplemental Form

Wednesday, March 21, 2012
A federal law adds two new requirements for Medicaid. We need to see documents that show who you are (identification) and that you are a US citizen. We must see the originals or certified copies of any papers you want us to see. We cannot accept photocopies. Also, we need to see these documents within 90 days or you may not be eligible for Medicaid. If you have problems getting any of these documents, tell us about the problems you are having. We may be able to help you get some documents.

All clients that are required to submit this documentation will be notified through mail.