Medical-eligible alien groups are: U.S. nationals, lawful permanent residents (LPRs), Cuban and Haitian Entrants (CHEs) and Compacts of Free Association (COFA) citizens, per HR-1 effective 10/01/2026
| Alien Group | Post-HR 1 Eligibility |
| Non-Citizens U.S. Nationals | Eligible immediately |
| Cuban and Haitian Entrants (CHE) | Eligible immediately |
| Compacts of Free Association (COFA) Citizens | Eligible immediately |
| Lawful Permanent Residents (LPR) | Eligible after a 5-year waiting period, if they meet all other medical financial and non-financial eligibility requirements. |
| Individuals in any medical-eligible Alien Group Who Has a Military Connection | Not eligible unless LPR, then eligible immediately |
| Amerasians | Not eligible unless LPR, then eligible immediately |
| Deportation Withheld | Not eligible unless LPR, the eligible immediately |
| Refugee (Section 207) | Not eligible unless LPR, then eligible immediately |
| Individuals Granted Asylum (Section 208) | Not eligible unless LPR, then eligible immediately |
| Parolees | Not eligible unless LPR, then eligible immediately |
| Certain Afghan Nationals Granted Parole between July 31, 2021, and September 30, 2023 | Not eligible unless LPR, then eligible immediately |
| Certain Ukrainian Nationals Granted Parole Between February 24, 2022, and September 30, 2024 | Not eligible unless LPR, then eligible immediately |
| Certain American Indians Born Abroad | Not eligible unless an LPR, then eligible immediately |
| Hmong or Highland Laotian Tribal Members | Not eligible unless an LPR, then eligible immediately |
| Battered Aliens (Prima Facie) | Not eligible unless an LPR, then eligible immediately |
| Victims of Severe Trafficking and Certain Family Members | Not eligible unless an LPR, then eligible immediately |
| LPR Pursuant to Section 249 of the INA (8 USC 1259) | Not eligible unless and for LPR, then eligible immediately |
| Iraqi and Afghan Special Immigrants (SIV) | Not eligible unless an LPR, then eligible immediately |
| Conditional Entrant | Not eligible unless an LPR, then eligible immediately |
Key Takeaways
Determination Process:
- What is the person’s immigration status?
- Can we verify that status via a recently run SAVE?
Place SAVE entries in OnBase
- Does the status qualify for Oklahoma’s Medicaid SoonerCare under the rules, effective October 1st, 2026? If so, redetermine financial eligibility and take the appropriate action to either certify or re-open the case.
- Code the citizenship status with the correct status.
*****Non-LPRs are eligible for Alien Emergency Medical Services as defined by Section 1903(v)(3) of the Social Security Act only if they meet all applicable eligibility criteria and the services are for an emergency medical condition. Refer to How to Get Approval for Alien Emergency Services | Quest.
Other links: Citizenship and Residence Requirements | Quest
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