23 MAC Pt. 102, R. 3.4
Grandfathered Non-Citizens
Cite as 23 Miss. Admin. Code Pt. 102, R. 3.4
Grandfathered Non-Citizens
A. Effective August 22, 1996, the Personal Responsibility and Work Opportunity Reconciliation
Act of 1996 (PRWORA) limited non-citizen eligibility for Medicaid and other federal
programs. Mississippi elected to “grandfather in” non-citizens who were receiving and eligible
for Medicaid on that date. This means a grandfathered non-citizen who is lawfully residing in
the U.S. has the right to have eligibility continue under the non-citizen rule in effect prior to
August 22, 1996. The non-citizen also retains grandfathered rights if benefits are terminated
and eligibility is later reestablished. If the non-citizen was receiving Medicaid on August 22,
1996, but was subsequently determined to be ineligible, the non-citizen’s status as a qualified
non-citizen must be determined for full Medicaid coverage. If the non-citizen is not a qualified
non-citizen, the non-citizen may be eligible for Emergency Medicaid services.
B. Non-citizens who entered the U.S. prior to August 22, 1996 and obtained qualified status prior
to that date are considered to be qualified non-citizens if otherwise eligible.
C. Non-citizens who entered the U.S. prior to August 22, 1996 and obtained qualified status on or
after that date and have remained continuously present in the U.S. since their last date of entry
into the U.S. prior to August 22, 1996 until becoming a qualified non-citizen are considered to
be qualified non-citizens. There must have been no single absence from the U.S. of more than
thirty (30) days and no total of aggregate absences of more than ninety (90) days. If not
continuously present, these non-citizens are considered to have entered the U. S. on or after
August 22, 1996 and are evaluated according to their non-citizen status.”