Final Report of the Subcommittee on Domestic Trafficking
Final Report of the Subcommittee on Domestic Trafficking
Final Report of the Subcommittee on Domestic Trafficking
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Department <str<strong>on</strong>g>of</str<strong>on</strong>g> Health and Human ServicesCenters for Medicare & Medicaid ServicesMEDICAIDService: MEDICAID (see note 1 below)Medicaid is a State administered Federally assisted program. Medicaid provides healthcoverage including medical and ancillary services to groups <str<strong>on</strong>g>of</str<strong>on</strong>g> low-income people, some<str<strong>on</strong>g>of</str<strong>on</strong>g> whom may have no medical insurance or inadequate medical insurance. Medicaidgenerally provides health coverage for certain low income pregnant women, children,parents and adults and those with disabilities.Agency: Centers for Medicare & Medicaid Services (CMS) is resp<strong>on</strong>sible forOversight; Individual State Medicaid Agencies are resp<strong>on</strong>sible for Operati<strong>on</strong>sRepresented <strong>on</strong> <str<strong>on</strong>g>Subcommittee</str<strong>on</strong>g> by: Margaret Sparr and Robert Tomlins<strong>on</strong>I. <strong>Domestic</strong> VictimsA. <strong>Domestic</strong> victims who are U.S. Citizens and adults:Medicaid is available if <str<strong>on</strong>g>the</str<strong>on</strong>g> individual is a member <str<strong>on</strong>g>of</str<strong>on</strong>g> a covered “group” designated by<str<strong>on</strong>g>the</str<strong>on</strong>g> State and <str<strong>on</strong>g>the</str<strong>on</strong>g> individual meets all o<str<strong>on</strong>g>the</str<strong>on</strong>g>r Medicaid eligibility requirements—generallypregnant woman, or a disabled individual with income and resources below Stateestablished levels, and a resident <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> State.Generally, <str<strong>on</strong>g>the</str<strong>on</strong>g>re is no eligibility under <str<strong>on</strong>g>the</str<strong>on</strong>g> Medicaid program for individuals between 21and 64 who are not disabled, pregnant, or in families with dependent children. However,some States have obtained waivers under secti<strong>on</strong> 1115 <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Social Security Act (<str<strong>on</strong>g>the</str<strong>on</strong>g>Act) to cover such pers<strong>on</strong>s. If a citizen victim <str<strong>on</strong>g>of</str<strong>on</strong>g> trafficking would meet <str<strong>on</strong>g>the</str<strong>on</strong>g> criteria forsuch a group in a State with an 1115 waiver, that citizen trafficking victim would beeligible for all services available to that group.B. <strong>Domestic</strong> victims who are legal U.S. residents and adults:Same as “A” above, plus <str<strong>on</strong>g>the</str<strong>on</strong>g> individual is in a specific legal resident classificati<strong>on</strong>defined as “qualified alien” in secti<strong>on</strong> 431 <str<strong>on</strong>g>of</str<strong>on</strong>g> Public Law 104-193. If <str<strong>on</strong>g>the</str<strong>on</strong>g> individual issubject to <str<strong>on</strong>g>the</str<strong>on</strong>g> five-year bar in secti<strong>on</strong> 403 <str<strong>on</strong>g>of</str<strong>on</strong>g> P.L. 104-193, such individuals would <strong>on</strong>lybe eligible to receive emergency services until <str<strong>on</strong>g>the</str<strong>on</strong>g> five-year bar is met.C. <strong>Domestic</strong> victims who are U.S. Citizens and minors (under 18):Same as “A” above. Because children are a “group,” <str<strong>on</strong>g>the</str<strong>on</strong>g>n <strong>on</strong>ly <str<strong>on</strong>g>the</str<strong>on</strong>g> income, resources andresidence requirements apply.D. <strong>Domestic</strong> victims who are legal U.S. residents and minors (under 18):Same as “C” and “B” above. Except that <str<strong>on</strong>g>the</str<strong>on</strong>g> five-year bar will not apply.II. Internati<strong>on</strong>al Victims (see note 2 below)A. N<strong>on</strong>-Qualified Alien victims who are minors (under 18):A n<strong>on</strong>-qualified alien victim <str<strong>on</strong>g>of</str<strong>on</strong>g> trafficking who is given a letter <str<strong>on</strong>g>of</str<strong>on</strong>g> eligibility under <str<strong>on</strong>g>the</str<strong>on</strong>g>procedures established by ACF will become a “qualified alien” and c<strong>on</strong>sidered aRefugee. (See endnote below). Such individuals are not subject to <str<strong>on</strong>g>the</str<strong>on</strong>g> limits applicable t<strong>on</strong><strong>on</strong>-qualified aliens. Therefore, a victim <str<strong>on</strong>g>of</str<strong>on</strong>g> trafficking with a letter <str<strong>on</strong>g>of</str<strong>on</strong>g> eligibility fromORR will receive <str<strong>on</strong>g>the</str<strong>on</strong>g> same services as a citizen who is eligible for Medicaid. Secti<strong>on</strong> I –“B” and “C” (above).27