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<H2 align=3Dcenter><FONT face=3D"Arial, Helvetica, sans-serif">Child =
Welfare Policy=20
Manual</FONT></H2>
<H3 align=3Dcenter><FONT face=3D"Arial, Helvetica, sans-serif">June 23,=20
2010</FONT></H3>
<P><FONT face=3D"Arial, Helvetica, sans-serif"><B>8.4B&nbsp;&nbsp;TITLE =
IV-E,=20
General Title IV-E Requirements, Aliens/Immigrants</B></FONT></P><FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><STRONG>1. <FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> Section =
403 (a) of=20
the Personal Responsibility and Work Opportunity Reconciliation Act =
(PRWORA) (PL=20
104-193) sets a five year residency requirement for qualified aliens who =
enter=20
the United States on or after August 22, 1996 and who make application =
for=20
Federal means- tested programs. Section 403(c)(2)(F) of PRWORA lists =
those=20
programs that are exempted from section 403(a) to include titles IV-B =
and IV-E,=20
under certain circumstances; however, title XIX is not on the list of =
programs=20
exempted from section 403(a) of PRWORA. Title IV-E eligible children are =

categorically eligible for Medicaid. Must qualified alien children who =
are=20
eligible for title IV-E meet the five year residency requirement to be =
eligible=20
for title XIX?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
No. All=20
qualified alien children who are eligible for title IV-E retain their=20
categorical eligibility for Medicaid under title XIX, regardless of how =
long=20
they have been in the United States. Section 402(a)(3) of the Social =
Security=20
Act (as amended by PRWORA) requires States to certify, in their =
Temporary=20
Assistance for Needy Families Plans, that "... the State will operate a =
foster=20
care and adoption assistance program under the State plan approved under =
part E,=20
and that the State will take such actions as are necessary to ensure =
that=20
children receiving assistance under such part are eligible for medical=20
assistance under the State plan under title XIX."
<P>
<P>The statute makes no distinction between children who are citizens =
and=20
children who are qualified aliens. Thus, the law requires all title IV-E =

eligible children to receive medical coverage under title =
XIX.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act - Titles =
IV-E and=20
  XIX; The Personal Responsibility and Work Opportunity Reconciliation =
Act of=20
  1996 (PL 104-193) </FONT></LI></UL><FONT face=3D"Arial, Helvetica, =
sans-serif"=20
size=3D-1><STRONG>2. <FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><B>Question:</B> Are unaccompanied minor refugee children =
eligible for=20
title IV-E payments for foster care?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
In order to=20
be eligible for foster care payments under title IV-E any child must =
meet the=20
requirements of section 406(a) or of section 407 of the Social Security =
Act (the=20
Act) (as such sections were in effect on July 16, 1996) except for his =
removal=20
from the home of a relative (specified in section 406(a)), in addition =
to=20
meeting the other requirements found in section 472(a) of the Act. If a =
State is=20
able to document that the child meets the requirements found in the Act, =
the=20
unaccompanied minor refugee child is eligible for title IV-E payment, =
provided=20
he/she is a qualified alien.=20
<P>
<P>One of the major problems, however, is that because the child is=20
unaccompanied, documentation is not ordinarily available to substantiate =
the=20
child's age, financial need, and deprivation of parental support or care =
by=20
reason of death of a parent, continued absence of the parent from the =
home, or=20
physical or mental incapacity of a parent (45 CFR 233.90(c)).=20
<P>
<P>In addition, the child must meet the requirements of section 472 (a)( =
of the=20
Act. These requirements include, for example, the existence of a =
voluntary=20
placement agreement entered into by the child's parent or legal guardian =
or a=20
judicial determination that continuation of the child in his home would =
be=20
contrary to his welfare. Another requirement is that the child either =
received=20
aid under section 402 of the Act (as in effect on July 16, 1996) in the =
month in=20
which the agreement or judicial determination was made, or would have =
received=20
aid in or for that month if an application had been made and the child =
had been=20
living with a specified relative within six months prior to the month in =
which=20
the agreement was made or the judicial proceeding was initiated.=20
<P>
<P>Therefore, although the unaccompanied minor refugee child may clearly =
be in=20
need of foster care upon his arrival in this country, he must also meet =
the=20
eligibility requirements of title IV-E (section 472(a)) if Federal =
financial=20
participation is claimed by the State. If it can be documented that he =
meets the=20
requirements, then he would be eligible for title IV-E payments.=20
<P>
<P>The circumstances of a refugee child who comes into the country with =
his=20
family are different from the unaccompanied child in that the first =
child is=20
"living with" his family. Assuming the degree of kinship is that cited =
in=20
section 406(a) of the Act, this accompanied child could later become =
eligible=20
for title IV-E foster care payments, if all criteria in section 472(a) =
are met=20
and the documentation of age, need and deprivation can be reviewed in =
relation=20
to the home (in the U.S.) from which he is removed.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-83-07 (10/24/83); =
ACYF-CB-PIQ-99-01=20
  (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act - =
sections 406=20
  (a), 407 (as in effect on July 16, 1996) and 472; 45 CFR 233.90=20
</FONT></LI></UL><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D-1><STRONG>3.=20
<FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> =
It is our=20
understanding that qualified aliens, regardless of whether they entered =
the=20
United States before or after the date of enactment of the Personal=20
Responsibility and Work Opportunity Reconciliation Act (PRWORA), August =
22,=20
1996, are eligible for Federal foster care maintenance and adoption =
assistance=20
payments. Is this a correct interpretation?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Not=20
entirely. If the child is a qualified alien who is placed with a =
qualified alien=20
or United States citizen, the date the child entered the United States =
is=20
irrelevant. However, if the child is a qualified alien who entered the =
United=20
States on or after August 22, 1996 and is placed with an unqualified =
alien, the=20
child would be subject to the five-year residency requirement for =
Federal=20
means-tested public benefits at section 403(a) of PRWORA unless the =
child is in=20
one of the excepted groups identified at section 403(b). As a general =
matter, we=20
do not expect these situations to arise very often. In the event such =
situations=20
do arise, State or local funds may be used to support these =
children.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act- sections =

  472(a)(4) and 473(a)(2)(B); The Personal Responsibility and Work =
Opportunity=20
  Reconciliation Act of 1996 (PL 104-193) </FONT></LI></UL><FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><STRONG>4. <FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> Does =
the welfare=20
reform legislation concerning benefits for immigrants/aliens have any =
impact on=20
title IV-E eligibility for legal aliens, persons permanently residing =
under=20
color of law (PRUCOL), etc.?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Yes. Alien=20
children must be qualified aliens in order to be eligible for Federal =
foster=20
care maintenance and adoption assistance payments and independent living =

services. Not all legal aliens or aliens with PRUCOL status necessarily =
meet the=20
criteria for qualified alien status.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act- section=20
  472(a)(4)and 473(a)(2)(B); The Personal Responsibility and Work =
Opportunity=20
  Reconciliation Act of 1996 (PL 104-193) </FONT></LI></UL><FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><STRONG>5. <FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> Does =
title IV of=20
the Personal Responsibility and Work Opportunity Reconciliation Act =
(PRWORA)=20
supersede the provision in section 472(a) of the Social Security Act =
(the Act)=20
which affords title IV-E eligibility to certain alien children who would =
be=20
otherwise eligible for title IV-E but for their disqualification for the =
Aid to=20
Families with Dependent Children (AFDC) program due to their alien=20
status?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Yes. States=20
must follow the rule in PRWORA section 401(a) that: "(n)otwithstanding =
any other=20
provision of law ... an alien who is not a qualified alien ... is not =
eligible=20
for any Federal public benefit..."</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act - section =
472=20
  (a); tThe Personal Responsibility and Work Opportunity Reconciliation =
Act of=20
  1996 (PL 104-193) </FONT></LI></UL><FONT face=3D"Arial, Helvetica, =
sans-serif"=20
size=3D-1><STRONG>6. <FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><B>Question:</B> Section 108 (d) of the Personal =
Responsibility and Work=20
Opportunity Reconciliation Act (PRWORA) (as amended by the Balanced =
Budget Act=20
of 1997, P.L. 105-33) links eligibility for Federal foster care and =
adoption=20
assistance to the Aid to Families with Dependent Children (AFDC) program =
as it=20
was in effect on July 16, 1996. Section 401(a) of PRWORA limits Federal =
public=20
benefits to "qualified aliens." The term "qualified alien" was not =
defined or in=20
use on July 16, 1996. How are States to apply these two =
provisions?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Alien=20
children must be eligible for AFDC under a State's July 16, 1996 plan =
and must=20
also meet the PRWORA definition of "qualified alien" to be eligible for =
Federal=20
foster care maintenance or adoption assistance (except that children =
receiving=20
adoption assistance pursuant to agreements signed before August 22, 1996 =
may=20
continue to receive such assistance).</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act - Title =
IV-E; The=20
  Personal Responsibility and Work Opportunity Reconciliation Act of =
1996 (PL=20
  104-193) </FONT></LI></UL><FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><STRONG>7. <FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><B>Question:</B> Can an unqualified alien become the foster or =
adoptive=20
parent of a title IV-E eligible child?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Yes.=20
However, the unqualified alien foster or adoptive parent of a child who =
entered=20
the United States on or after 8/22/96 would be eligible to receive title =
IV-E=20
payments on behalf of the child only if the child is a United States =
citizen, is=20
in one of the excepted groups at section 403(b) the Personal =
Responsibility and=20
Work Opportunity Reconciliation Act (PRWORA), or has lived in the United =
States=20
as a qualified alien for five years.=20
<P>
<P>This interpretation is consistent with section 401(a) of PRWORA, =
which=20
requires aliens to be qualified in order to receive Federal public =
benefits.=20
Foster and adoptive parents are not recipients of Federal foster care =
and=20
adoption assistance payments; rather, foster care and adoption =
assistance=20
payments are made on the child's behalf to meet his or her =
needs.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>The Personal Responsibility =
and Work=20
  Opportunity Reconciliation Act of 1996 (PL 104-193) =
</FONT></LI></UL><FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><STRONG>8. <FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> Both =
sections=20
401(c)(1)(A) and 411(c)(1)(A) of the Personal Responsibility and Work=20
Opportunity Reconciliation Act (PRWORA) (PL 104-193) define Federal, =
State, and=20
local public benefits to include professional or commercial licenses. Is =
a=20
foster care or adoptive home license/approval considered a Federal, =
State, or=20
local public benefit?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
No. Foster=20
care and adoptive home licenses/approvals are not considered a Federal, =
State or=20
local public benefit under sections 401(c)(1)(A) and 411(c)(1)(A) of =
PRWORA=20
because they are not professional or commercial licenses.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>The Personal Responsibility =
and Work=20
  Opportunity Reconciliation Act of 1996 (PL 104-193) =
</FONT></LI></UL><FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><STRONG>9. <FONT=20
face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Question:</B> Are =
States required=20
to verify the citizenship or immigration status of individuals receiving =

services or payments under title IV-E?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
States are=20
required to verify the citizenship or immigration status of all children =

receiving Federal foster care maintenance payments, adoption assistance=20
payments, or independent living services.=20
<P>
<P>States are not required to verify the citizenship or alien status of =
foster=20
or adoptive parents, with one exception. States must verify the =
citizenship or=20
immigrant status of potential foster or adoptive parents when placing a=20
qualified alien child who entered the United States on or after 8/22/96 =
and has=20
been in the United States as a qualified alien for less than five years. =
In=20
order to be exempt from the five year residency requirement imposed at =
section=20
403 of the Personal Responsibility and Work Opportunity Reconciliation =
Act, a=20
qualified alien child must be placed with a citizen or a qualified =
alien; hence,=20
citizenship/alien status of prospective foster or adoptive parents must =
be=20
verified in such circumstances.</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> ACYF-CB-PIQ-99-01 (1/14/99)=20
  <LI><B>Legal and Related References: </B>Social Security Act - Title =
IV-E; The=20
  Personal Responsibility and Work Opportunity Reconciliation Act of =
1996 (PL=20
  104-193) </FONT></LI></UL><FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><STRONG>10. <FONT face=3D"Arial, Helvetica, sans-serif"=20
size=3D-1><B>Question:</B> Can you explain section 472(a)(4) of the =
Social=20
Security Act (the Act) and how it applies to Aid to Families with =
Dependent=20
Children (AFDC) eligibility under title IV-E?</FONT>
<P></P>
<P></FONT></P>
<P><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1><B>Answer:</B> =
Section=20
472(a)(4) of the Act is no longer applicable to the title IV-E program. =
This=20
provision essentially "deemed" certain alien children who were =
"temporary" legal=20
residents as eligible for AFDC, thereby granting them access to the =
title IV-E=20
program if other eligibility requirements were met. This provision was =
made=20
obsolete by title IV of the Personal Responsibility and Work Opportunity =

Reconciliation Act (PRWORA) of 1996 (Public Law 104-193). Under PRWORA, =
a child=20
must be a qualified alien or a citizen in order to receive title IV-E =
foster=20
care maintenance or adoption assistance payments. (See Child Welfare =
Policy=20
Manual section 8.4B Q&amp;A5 and 6).</FONT></P>
<UL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D-1>
  <LI><B>Source/Date:</B> 12/31/07=20
  <LI><B>Legal and Related References: </B>Social Security Act =96 =
section=20
  472(a)(4), Personal Responsibility and Work Opportunity Reconciliation =
Act of=20
  1996 (Public Law 104-193) =96 section 401(a), Child Welfare Policy =
Manual=20
  section 8.4B Q&amp;A5 and 6=20
</FONT></LI></UL></STRONG></STRONG></STRONG></STRONG></STRONG></STRONG></=
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