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IDENTITY-DOC-TYPE
Identity Verification Document Type. This Data Element is used to: (1) Identify the type of document or data match used for verification of identity; (2) Identify why a client is exempt from identity verification requirements; or (3) Identify why a client claiming U.S. citizenship has not provided an identity verification document.
If identity verification is not required but the current application includes identity documentation that is a higher level group (based on the first digit of document type) than what is currently on MEDS (e.g., 2B versus 7A or 8K), that higher level documentation should be reported to MEDS.
Since a primary (Level/Tier 1) document satisfies both citizenship and identity requirements, if an Identity Document Type beginning with a “1” is reported, MEDS will automatically update the Citizenship Document Type with the same
Level/Tier 1 information. This, however, does not apply to a citizenship document based on a birth record match (Source code BM). MEDS will not overlay a birth record match even if the document is of a higher level.
The identity codes below are listed in order of reliability. If more than one code could apply to a client, the highest appropriate code should be reported.
|
Type |
1. Identity Document Codes |
CalSAWS Verification Source |
|
1A |
United States Passport issued without limitation |
US Passport No Limitation |
|
1B |
Certificate of Naturalization (Form N-550 or N-570) |
Naturalization Papers |
|
1C |
Certificate of Citizenship (Form N-560 or N-561) |
USCIS Certif. of Citizenship |
|
2A |
United States passport issued with limitations |
U.S. Passport |
|
2B |
Driver's license issued by U.S. State or Territory with a photograph or other identifying information such as name, age, sex, race, height, weight and eye color |
Drivers License-US State/Terr. |
|
2C |
School identification card with a photograph |
School ID with Photograph |
|
2D |
U.S. military card or draft record |
US Military Card/Draft Record |
|
2E |
Identification card issued by Federal, State, or local government with the same information as a driver's license (a photograph or other identifying information such as name, age, sex, race, height, weight and eye color) |
ID card-State/Fed/Local Govt |
|
2F |
U.S. Military dependent's identification card |
US Military Dependent ID Card |
|
2G |
Certificate of Degree of Indian Blood*or other U.S. American Indian/Alaskan Native Tribal**document with a photograph or other personal identifying information |
*Cert. Degree of Indian Blood **Other Native Tribe Doc w/ Photo |
|
2H |
U.S. Coast Guard Merchant Mariner card |
US Coast Guard Merchant Marine |
|
2Z |
SSN Data Match by Social Security Administration |
Identification is verified by the SSA |
|
5A |
Three corroborating identity documents: employee ID card, high school or college diploma, marriage certificate, divorce decree, property deed/trust |
Three corroborating identity documents |
|
5B |
Written Affidavit signed under penalty of perjury by a residential care facility director or administrator on behalf of a disabled individual institutionalized in the facility |
Affidavits of identity for disabled individuals in institutional care facilities |
|
7A |
School records including nursery or day care records for a child under age 16 |
School Record-Child under 16 |
|
7B |
Clinic, doctor or hospital record for a child under age 16 |
Use of clinic, doctor, or hospital records for children under 16 |
|
7W |
Written Affidavit signed under penalty of perjury by a parent, guardian or caretaker relative stating the date and place of birth for a child under age 16 (acceptable only when an affidavit was not used for citizenship, the child cannot obtain a school ID card and the child does not have a driver’s license) |
Written Affidavit: MC Cit/ID Req |
|
7X |
Written Affidavit signed under penalty of perjury by a parent, guardian or caretaker relative stating the date and place of birth for a child age 16 or 17 (acceptable only when an affidavit was not used for citizenship, the child cannot obtain a school ID card and the child does not have a driver’s license) |
Written Affidavit: Medi-Cal Citizenship/ID Requirements age 16 or 17 |
|
7Z |
Medi-Cal Application signed by a parent or guardian stating the date and place of birth for a child under age 16 (acceptable only when an affidavit was not used for citizenship) |
Medi-Cal SOF Signed by Parent |
|
TBD |
DHCS has approved document for ID requirement |
ID DHCS Approved Document |
|
2. Identity Documentation Exemption Status Codes (Note: The exemption codes listed below, other than 8Q, are set only by MEDS. 8Q is reported by the County for a deemed eligible infant added to mom’s case) |
|
|
8B |
Exempt from Verification - Confirmed Current SSI Eligible |
|
8F |
Exempt from Verification - Confirmed Medicare Entitlement |
|
8G |
Exempt from Verification - Confirmed receiving Title II Disability Benefits |
|
8J |
Exempt from Verification - Eligible under Foster Care or Adoption Assistance Program |
|
8K |
Exempt from Verification - Eligible under CalWORKS Cash Assistance Program |
|
8P |
Exempt from Verification - Eligible under Minor Consent Program |
|
8Q |
Exempt from Verification - Eligible under Deemed Infant Provision |
|
8R |
Exempt from Verification - Abandoned Baby Program eligible born in the U.S. |
|
8S |
Exempt from Verification - Confirmed Former SSI Eligible (No Longer SSI Eligible) |
|
3. End of Reasonable Opportunity Period Codes |
|
|
9A |
Unable to obtain Citizenship documentation - Abandoned baby or child |
|
9B |
Unable to obtain Citizenship documentation - Amnesia |
|
9C |
Unable to obtain Citizenship documentation - Comatose client |
|
9D |
Unable to obtain Citizenship documentation - Client otherwise incapacitated |
|
9J |
Unable to obtain Citizenship documentation - County ended reasonable opportunity period due to client not making a good faith effort |
|
9P |
Unable to obtain Citizenship documentation - Client says they cannot afford the cost to obtain an original document or written affidavit |
|
9Q |
Unable to obtain Citizenship documentation - Client says they cannot locate an acceptable document and cannot get a written affidavit |
|
9R |
Unable to obtain Citizenship documentation - Client requested end of reasonable opportunity period and did not provide any explanation or acceptable documentation |
|
9S |
SSN Verification removal also removed SSA Citizenship/Identity verification - alternate verification pending |
|
9T |
Previously exempt based on Federal Program Eligibility - documentation needed |
|
9U |
Previously exempt based on County Determined Eligibility - documentation needed |
|
9Z |
New applicant who has not yet provided required citizenship documentation |