The vast majority of states do not verify the citizenship status of Medicaid applicants, according to a report from HHS' inspector general's office.
The report found that 47 states allow Medicaid applicants to self-declare their citizenship while only four -- Montana, New Hampshire, New York and Texas -- require documentation to verify citizenship status. With some exceptions, federal law says only U.S. citizens are eligible for Medicaid but allows for self-declaration of citizenship for expedition of the application process.
But the report found that 27 states do not verify the citizenship status of beneficiaries, creating the potential for abuse of the program. The report, however, stopped short of stating that such abuse exists on any widespread level.
Read the report.