1 Citizenship and Non-Citizenship

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-S89

GenIC #15 (Transition from 0938-1148) - Medicaid State Plan Eligibility

OMB: 0938-1188

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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
S89-Citizenship and Non-Citizenship PRA
document
Version 1.0
08/22/2017

Document Number: 244-QSSI-MACPro-PRA-S89-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S89-Citizenship and Non-Citizenship – Screenshots ........................................... 1
1.1

Citizenship and Non-Citizenship ..................................................................... 1

List of Figures
Figure 1: Citizenship and Non-Citizenship – 1 ................................................................ 1
Figure 2: Citizenship and Non-Citizenship – 2 ................................................................ 2
Figure 3: Citizenship and Non-Citizenship – 3 ................................................................ 2
Figure 4: Citizenship and Non-Citizenship – 4 ................................................................ 3
Figure 5: Citizenship and Non-Citizenship – 5 ................................................................ 3

S89-Citizenship and Non-Citizenship PRA document Version 1.0

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S89-Citizenship and Non-Citizenship – Screenshots

1. S89-Citizenship and Non-Citizenship – Screenshots
1.1

Citizenship and Non-Citizenship

Figure 1: Citizenship and Non-Citizenship – 1

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S89-Citizenship and Non-Citizenship – Screenshots

Figure 2: Citizenship and Non-Citizenship – 2

Figure 3: Citizenship and Non-Citizenship – 3

S89-Citizenship and Non-Citizenship PRA document Version 1.0

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S89-Citizenship and Non-Citizenship – Screenshots

Figure 4: Citizenship and Non-Citizenship – 4

Figure 5: Citizenship and Non-Citizenship – 5

S89-Citizenship and Non-Citizenship PRA document Version 1.0

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