HR-1
Cases on the HR-1 report with certifications ending before _________ will require a full recertification.
9/30/2026
Medical Forced Eligibility Evidence is required for all _________________, where an individual's qualified alien status ends 9/30/26.
applicants/applications
Applications approved after 9/15 for non-qualified, non-citizens must be placed on the COVID extension report for that month. Why?
The a/b must be added to the Covid batch exclusion list to prevent benefits from extending erroneously.
If a recertification has not been completed in the last 12 months per Admin Letter 04-25, we must complete a full recertification before termination?
False: For the individuals listed on the Non-Citizen Report, Administrative Letter 02-26 supersedes the requirement in Administrative Letter 04-25 V.A which requires a recertification if one has not been completed in the past 12 months.
Recerts for these individuals should not be processed if the system is showing an incorrect denial
Children and Pregnant Women
Cases on the HR-1 report with certifications ending after 9/30/26 will require one 12 day ___________.
5097
True False:
An 8110 is generated from the IA for Medical Forced approvals.
False
Application received on 10/2/2026 for an adult asylee requesting retro for July and August. Can we approve both months if all other factors of eligibility are met?
Yes. For the months of July and August 2026, asylees meet the qualified non-citizen criteria. Assuming all other financial and non-financial eligibility criteria are met, the applicant can be authorized for coverage during July and August 2026.
__________ will continue for Children under 19 and Pregnant Women. These beneficiaries can also be identified through their benefit history as it should include a sub-program code of CH.
Full Medicaid
What Immigration status are we banned from placing in the "Current Immigration Status" Field?
Eligible Immigration Status
Denial reason for non-qualified aliens.
Law Change - Not a Qualified Non-citizen
There will be no _________ funding for non-qualified non-citizens effective October 1, 2026.
These individuals:
Asylee
Victims of trafficking
Humanitarian Parolee
Deportation Withheld
Refugees
Conditional Entrant
Amerasians
Afghan/Iraqi special immigrant
No longer eligible for full Medicaid, unless a child or pregnant.
Policy Citation for denials based on non-qualified, non-citizen denials
Admin Letter 02-26
Previous name of the HR-1 Legislation
Big Beautiful Bill
List the 4 Qualifying Immigration Statuses
US Citizen
LPR
Cuban Haitian Entrant
COFA Migrants
True/False: For applications with FFM-D evidence for non-qualified, non-citizens, we will not need to shorten the certification. The system will automatically shorten it.
False: For FFMD applications, you must also shorten the FFM Determination evidence on the Insurance Affordability case to 9/30/2026. The change in federal policy will be treated as a change in circumstance, and the individual will not be eligible for the full certification period.
The Marketplace has until 1/1/2027 to begin verifying citizenship/immigration status. As a result, you may continue to see applications that are coming through with eligibility showing beyond 10/1/2026. As we approach the 10/1/2026 deadline, citizenship/immigration status should reflect pending/not verified for those who do not meet citizenship/immigration requirements.
We should select "Citizenship/immigration change" for individuals no longer eligible under the HR-1 policy?
False: We should select "Change in Law/Policy Qualified Alien". This reason should be used regardless of other reasons for ineligibility like excess income, FTP, etc.