If we receive information from you that you have adjusted to a lawful permanent resident (LPR) status but cannot verify it without further documentation, we will grant a required 90-day reasonable opportunity period. This will allow you to keep your coverage while your documentation is pending verification.

We are reviewing the status of any enrollee with an impacted immigration status to verify if they have become a lawful permanent resident. 

If your original status was exempt from the 5-year requirement, as defined under the 1996 PRWORA Act, you will remain exempt from meeting the 5-year requirement as a lawful permanent resident. Your coverage will not be impacted. 

For example, if you are a refugee with a grant date of 3 years ago and you have since become a lawful permanent resident, you would remain exempt from the 5-year requirement.

We capture immigration status information in our eligibility system.

• A report will be run to identify those with a potentially impacted status.
• Staff will electronically reverify impacted immigration statuses to confirm if they have become a lawful permanent resident (LPR) since the original verification was done.
  • If they cannot obtain this electronically, they will send a letter to the person to request documentation.
• Anyone who cannot be verified as having a qualifying status under the new rule by October 1, 2026 will lose eligibility.

The same restrictions impacting Medicaid effective 10/1/2026 will also apply to impacted individuals receiving coverage under CHIP.

No, under the federal House Resolution 1 legislation, federal match will not be available to any impacted individuals. On October 1, 2026, eligibility will end for any pregnant recipient with an impacted status who has not adjusted to lawful permanent resident status. Impacted individuals may still qualify for emergency medical services that would cover the birth of a child.