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yesterday

CMS Begins Monthly Checks of Medicaid and CHIP Citizenship Status, Sends First State Reports

The rollout uses SSA and DHS databases to prompt state reviews under a court order that restricts sharing enrollee data with immigration authorities.

President Donald Trump waves at an event to promote his proposal to improve Americans' access to their medical records in the East Room of the White House, Wednesday, July 30, 2025, in Washington, as from left Health and Human Services Secretary Robert F. Kennedy Jr., Centers for Medicare & Medicaid Services administrator Dr. Mehmet Oz and Amy Gleason, acting administrator of the U.S. Department of Government Efficiency, watch.
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Overview

  • CMS confirmed it has started a nationwide oversight program and sent the first monthly reports to states flagging enrollees whose citizenship or immigration status could not be verified.
  • States must review the flagged cases, request documentation as needed, make any appropriate coverage adjustments, and report results back to CMS on a monthly cycle.
  • The verification process relies on federal data sources including the Social Security Administration and DHS’s Systematic Alien Verification for Entitlements program.
  • HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz said the effort is aimed at safeguarding taxpayer dollars and ensuring benefits go only to eligible individuals.
  • A federal judge recently ordered HHS to halt sharing enrollee information with immigration authorities, and more than 20 Democratic attorneys general led by New York’s Letitia James have sued to challenge the administration’s verification policies.