Revision 15-4; Effective October 1, 2015


E—310 General Policy

Revision 15-4; Effective October 1, 2015


Verify citizenship and alien status following the Medical Programs policy for citizenship and alien status eligibility in A-300, Citizenship. Applicants who are U.S. citizens and certain legally admitted alien residents are eligible for Medicaid for Former Foster Care Children (FFCC) if they meet all other eligibility criteria.

The alien status policy for FFCC follows Chart D in Section A-342, TANF and Medical Programs Alien Status Eligibility Charts. Individuals are no longer eligible for FFCC the month after their 21st birthday if they no longer qualify under Chart D. For individuals age 21 and older, continue eligibility if they are otherwise eligible based on Charts A, B, and C.

Allow applicants and recipients a period of reasonable opportunity, if applicable, to verify their citizenship or alien status, as explained in A-351.1, Reasonable Opportunity.


E—320 Verification Requirements

Revision 15-4; Effective October 1, 2015


The Texas Department of Family and Protective Services (DFPS) interface provides the following information pre-populated into the Texas Integrated Eligibility Redesign System (TIERS) for individuals with an alien status:

  • Document Type — I-551 orI-94
  • Annotation/Category (conditionally based on documenttype)
  • U.S. Citizenship and Immigration Services (USCIS) Documented US EntryDate
  • Alien Status ExpirationDate
  • Alien Registration Number (the “A”number)

Verification of alien status is required when the information received via the interface does not match the information in TIERS or when the document type is marked "other." Do not request verification from the individual until efforts to verify alien status through DFPS have been attempted. Staff must request an image of the alien status documentation from DFPS to verify the alien status.

Within 10 days of receiving the task, staff must email the DFPS FC-ADO mailbox at and copy to request the image of the alien documentation. The email must include the individual's name, date of birth, and Social Security number (SSN) and must be encrypted. Do not include any client information in the subject line of the email. DFPS should reply to this request within five workdays.

If the DFPS image does not provide sufficient information to verify alien status, then FFCC applicants must receive a period of reasonable opportunity, explained in A-351.1, Reasonable Opportunity, to verify their alien status.