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HHS/CMS RIN: 0938-AO51 Publication ID: Fall 2006 
Title: Citizenship Documentation Requirements (CMS-2257-F) 
Abstract: Enactment of section 6036 of the Deficit Reduction Act of 2005 (DRA) requires that, effective July 1, 2006, all new applicants for Medicaid must, in addition to declaring that they are a citizen or national of the United States or an alien in a satisfactory immigration status, if claiming to be a citizen or national submit to the State evidence of citizenship. Since 1987, aliens claiming to be in a satisfactory immigration status have had to provide evidence of the claimed status and have that status verified with the Department of Homeland Security (previously the Immigration and Naturalization Service). A regulation is needed in order to implement this provision of the DRA. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 435.403    42 CFR 435.1009    42 CFR 435. 1010    42 CFR 435.406    42 CFR 435.407    42 CFR 435.1002    42 CFR 435.408    42 CFR 435.1008    42 CFR 435.1011    42 CFR 436.406    42 CFR 436.403    42 CFR 436.407    42 CFR 436.408    42 CFR 436.1004    42 CFR 436.1005    42 CFR 440.2    42 CFR 435.1009    42 CFR 435.1010    42 CFR 440.140    42 CFR 440.180    42 CFR 440.185    42 CFR 441.13    42 CFR 457.310    42 CFR 483.5    42 CFR 483.20    42 CFR 483.102    42 CFR 483.136    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Deficit Reduction Act of 2005 (PL 109-171), sec 6036    sec 1102 of Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    07/01/2006 
Timetable:
Action Date FR Cite
Interim Final Rule Comment Period   07/12/2006  71 FR 39214   
Interim Final Rule Comment Period End  08/11/2006    
Final Action  08/00/2007    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: No 
Included in the Regulatory Plan: No 
Agency Contact:
Jean Sheil
Director, Family and Children's Health Programs Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Medicaid States Operations, Mailstop S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5957
Fax:410 786-8534
Email: jean.sheil@cms.hhs.gov