Enrollment of Afghan Immigrants
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The purpose of this bulletin is to notify providers of Medicaid eligibility guidance for Afghan immigrants. DMAS has received notification from federal partners indicating these individuals are granted one of three immigration statuses: Special Immigrant Visa (SIV), Special Immigrant Parolees (SIP), or Non-Special Immigrant Parolees (Humanitarians).
- Individuals who have SIV have a qualified immigration status for Medicaid and CHIP (FAMIS).
- Individuals who have SIP have a qualified immigration status for Medicaid and CHIP (FAMIS).
- Non-Special Immigrant Parolees (Humanitarians) are subject to meeting the five years of residency in the United States before they can gain eligibility in Medicaid or CHIP (FAMIS) with the exception of individuals who are under the age of 19 and who are pregnant. Pregnant individuals and those under the age of 19 do meet a qualified immigration status for Medicaid and CHIP (FAMIS).
For those individuals who attest to meeting all eligibility factors, enrollment in Hospital Presumptive Eligibility (HPE) is typically a faster path to temporary enrollment, however, full Medicaid applications are encouraged.
Please see the attached summary chart on the next page for further eligibility information for the three main immigration statuses applied to the majority of Afghan evacuees, and their applicable eligibility.
DMAS Afghan Immigrant Status and Medicaid Eligibility
|
Eligibility Group → |
Hospital Presumptive Eligibility (HPE) |
Medicaid or CHIP (FAMIS) |
Refugee Medical Assistance (RMA) |
Emergency Services |
|
Application Type → Immigration Status ↓ |
HPE Application
|
Medicaid Application** |
Medicaid Application** |
Medicaid Application** |
|
Special Immigrant Visas (SIV) |
Yes* |
Yes |
Yes*** |
No |
|
Special Immigrant Parolees (SIP) |
Yes* |
Yes |
Yes*** |
No |
|
Non Special Immigrant Parolees – Children Under Age 19 & Pregnant Individuals (Humanitarian Parolees) |
Yes |
Yes |
No |
No |
|
Non Special Immigrant Parolees – Over Age 19, Not Pregnant (Humanitarian Parolees) |
No |
No |
No |
Yes |
|
* HPE is time-limited enrollment that does not provide coverage for costs associated with labor and delivery. **Applications for Medicaid may be filed online (commonhelp.virginia.gov), by phone (833-5CALLVA), or by completing a paper application and returning it to the local Department of Social Services where the individual resides. Individuals must meet all eligibility factors prior to enrollment. ***SIV and SIP individuals only meet eligibility for RMA if found not eligible for full-coverage (for example, if the individual has income in excess of the Medicaid or CHIP (FAMIS) income limits. RMA is limited to the first eight months of residency. |
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PROVIDER CONTACT INFORMATION & RESOURCES |
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Virginia Medicaid Web Portal Automated Response System (ARS) Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice. |
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Medallion 4.0 |
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CCC Plus |
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PACE |
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1-804-786-6273 1-800-552-8627 |
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www.aetnabetterhealth.com/Virginia 1-800-279-1878 |
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1-800-901-0020 |
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1-800-424-4518 (TTY 711) or 1-800-643-2273 |
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1-800-881-2166 www.optimahealth.com/medicaid |
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and www.myuhc.com/communityplan 1-844-752-9434, TTY 711 |
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Virginia Premier |
1-800-727-7536 (TTY: 711), www.virginiapremier.com |