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Deficit Reduction Act (DRA) 2005 - Citizenship Requirements

Medi-Cal LogoOn February 8, 2005, President Bush signed into law the DRA which made certain changes to Medicaid (Medi-Cal in California) law. One of those changes was the requirement for individuals declaring to be U.S. citizens or U.S. nationals to show documentary evidence of this fact as well as proof of identity. This website contains information on both the state and federal law regarding this requirement and the implementation of this requirement in California.

DRA Questions and Answers

  • In an effort to address questions received on the evidence of citizenship and identity requirements included in All County Welfare Director's Letter (ACWDL) 07-12, the Department is posting QUESTIONS AND ANSWERS to the DHCS website.

All County Welfare Directors Letters (ACWDL)

  • The purpose of this All County Welfare Director's Letter (ACWDL 07-12) is to provide counties with instructions for implementing the new requirements of the federal Deficit Reduction Act of 2005 (DRA) for documentation of United States (U.S.) citizenship or U.S. national status and identity as a condition of Medi-Cal eligibility for applicants and beneficiaries who declare that they are U.S. citizens or nationals.
  • The purpose of this All County Welfare Director's Letter (ACWDL 08-29) is to provide counties with updated information and instructions for implementing the Medi-Cal citizenship and identity requirements under the Federal Deficit Reduction Act of 2005 (DRA).
  • ACWDL 09-65 
    Social Secutity Number Data Match for Verification of Citizenship and Identity for Purposes of Medi-Cal Eligibility
  • ACWDL 08-54
    Deficit Reduction Act of 2005 and State-Only programs
  • ACWDL 08-44
    Translated Medi-Cal Notices of Action for the Citizenship/Identity Requirements of the Deficit Reduction Act of 2005
  • ACWDL 08-25
    Procedure for Processing Evidence of Citizenship Documents for the Breast and Cervical Cancer Treatment Program in Compliance with the Federal Deficit Reduction Act (DRA) of 2005
  • ACWDL 08-03
    Notices of Action for the Requirement to Provide Evidence of Citizenship/National Status and Identity as a Condition of Medi-Cal Eligibility

DRA Outreach Materials

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DRA forms are available in the threshold languages on the Medi-Cal Eligibility Forms Index web page.

 DRA FORMS

form number

form title

dhcs 0001

U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity

dhcs 0002

Proof of Citizenship and Identity -- New Requirements for Medi-Cal Beneficiaries who are U.S. Citizens or Nationals

dhcs 0003

Affidavit of Reasonable Effort to Get Proof of Citizenship

dhcs 0004

Request for California Birth Record

dhcs 0005

Receipt of Citizenship or Identity Documents

dhcs 0006

Proof of Citizenship and Identity Needed -- For Medical Applicants and Beneficiaries Who Are U.S. Citizens or Nationals

dhcs 0007

Acceptable Citizenship and Identity Documents

dhcs 0008

Proof of Citizenship and Identity Requirements -- For Children Who Are U.S. Citizens or Nationals Filling Out The Healthy Families/Medi-Cal Joint Application

dhcs 0009

Affidavit of Identity for U.S. Citizenship or National Children Under 18

dhcs 0010

Affidavit of Identity for U.S. Citizen or National For Disabled Individuals Living in Institutional Care Facility

dhcs 0011

proof of acceptable Citizenship and identity Documents

 

HISTORICAL DRA Information