Inconsistent Birthdates and SAVE Process

Use this chart when there are birth date discrepancies between USCIS and the Social Security Administration:

If...	Then...
Age is not an eligibility factor and the non-citizen presents both USCIS and SSA documents which show two different birth dates.	Use the date of birth recorded by SSA and inform the non-citizen to reconcile the birthdate discrepancies with USCIS and SSA.
Age is the non-citizens’ only linkage with MC. (i.e. the FPL is different for a 14 year old and a 24 year old.)	Individuals must be informed to clear up the birthdate inconsistency with the appropriate agency or the application will be denied or discontinued.

Acceptable Documentation

To receive full-scope MC benefits, a non-citizen’s lawful presence must be verified. If e-Verification and SAVE are unsuccessful the client must provide acceptable documentation of satisfactory immigration status consisting of one of the following:

I-551 Alien Registration Receipt Card

Since late August 1989, USCIS issues a USCIS Form I-551 with added antiforgery characteristics and ten-year expiration date. The face of the card is a rose color, the laminate containing an optical variable ink pattern reads “I-551” when the card is tilted at an angle. All codes are on the back of the I-551. The back of the I-551 has a pink-to-blue rainbow effect shading on the top portion, the bottom portion is white. The I-551 establishes both identity and employment eligibility for non-citizens lawfully admitted for permanent residence.

I-151 Alien Receipt Card

The I-151 was first introduced in 1946 and has gone through sixteen revisions. The latest revision of 7/1/72 shows a photograph of either black/white or color. Some editions of the I-151 do not contain class code information. The I-151 has been replaced by the I-551. However, the I-151 is still acceptable proof of non-citizen status.

AR-3/AR-3a Resident Cards

These older versions of the Alien Registration Receipt Cards were issued to individuals granted lawful permanent residence. They are acceptable proof of non-citizen status, but have since been replaced by the I-551.

I-137 Re-Entry Permit

A permit to reenter the United States.

I-94-Arrival/Departure Record

Annotated with one of the following:

Conditional Entry
Refugee
Cuban/Haitian Entrant
Political Asylum

Note: Paroled or parolee Non-citizens are eligible for restricted-scope MC benefits only if USCIS has not yet taken action on the application. Refer to Restricted-scope Benefits.

Foreign Passport Stamped

“Processed Form I-551, Temporary Evidence of Lawful Admission for

Permanent Residence valid until
Employment Authorized.” OR

“Temporary Form I-551, Admission for Permanent Residence at:

(Port)

(Date)

(Office of Issuance) (Date)
SIGNATURE OF ISSUING OFFICIAL (TITLE)

I-181 B

Notification letter issued in connection with an USCIS Form I-181, Memorandum of Creation of Record of Lawful Permanent Residence, which shows that an Alien Registration Receipt Card (I-551) will be issued.

G-711 Individual Fee Receipt

An Individual Fee Receipt for replacement of a lost, stolen or unreadable I-551 or I-688.

Canadian Indian Affairs Letter

A letter from the Canadian Department of Indian Affairs; a birth or baptismal record issued on a Canadian Indian reservation; tribal or school records which establish that an American-Indian born in Canada is of at least one-half American-Indian ancestry.

Registry Alien Status

Any person who can prove that they have lived in the U.S. continuously since before January 1, 1972 may apply to USCIS for a “Registry Alien” adjustment from undocumented status to lawful admission for permanent residence. While the application is pending, the person has PRUCOL status.

Reasonable Opportunity Period

Non-citizen applicants must be given the opportunity to provide evidence of their satisfactory immigration status (SIS). If an applicant’s immigration status cannot be initially verified through the Federal Hub, MEDS, or SAVE process the applicant must be allowed a 90-day Reasonable Opportunity Period (ROP) to provide verification of their satisfactory immigration status. The EW must grant full-scope MC during the ROP. If Satisfactory immigration status cannot be verified within the 90-day ROP, the EW must update the entry in SAWS to reflect non-citizen status. The benefits should not be reduced to restricted-scope MC after 1/1/2024.

ROP Process

Follow these steps to determine presumptive eligibility when a non-citizen applying for full-scope MC benefits declares SIS, but lacks documentation:

Obtain a completed and signed MC 13 from each adult applicant or client.The non-citizen must check the boxes indicating he/she is applying for full-scope MC benefits and that he/she has satisfactory immigration status.
Inform the client to submit within 90 days, from the date the application is completed.
Process the full-scope MC application according to the following time frames:

If the client...	Then the EW...
Submits documentation of permanent residence status or other status allowing full-scope MC within 90 days,	Initiates SAVE and continues to grant client full-scope MC. [Refer to “Electronic Verification Process”, section 14.11] of the Common Place Handbook (CP HB).
Is a non-citizen that declared SIS under PRUCOL, checked category 1 - 15 on the MC13, and then submits corresponding documentation within 90 days,	Initiates SAVE and continues to grant client full-scope MC (unless an unfavorable response is received from USCIS).
Submits the MC 13 with category 16 selected,	Approve full-scope MC benefits, no further action required.
Does not submit the documents within the 90-day ROP,	Changes the entry in SAWS to reflect non-citizen status. Sends a timely 10-day Notice of Action discontinuing full-scope MC benefits and reduce to restricted-scope MC benefits. Refer to Restricted-scope Benefits.

Reminder: After 1/1/2024, any individual eligible for MC, regardless of age or immigration status should NOT be placed onto restricted-scope MC aid codes.