Revision 03-5; Effective July 1, 2003

All Programs

Birth records and other official records are preferred sources of verification.


A—621 Verification Sources

Revision 15-4; Effective October 1, 2015


  • Driver license or Department of Public Safety (DPS) identification (ID) card (current or expired)
  • Birth certificate (see Note)
  • Hospital or birth records
  • Adoption papers or records
  • Work or school ID card
  • Voter registration card
  • Wage or check stubs or check
  • U.S. passport or U.S. passport card
  • Certificate of Naturalization
  • Certificate of U.S. citizenship
  • Finding of citizenship by another federal/state agency
  • Collateral statement
  • Immigration documents
  • Self-declaration of driver license or DPS ID number already on file, along with other identifying information (Social Security number and date of birth)
  • Self-declaration of driver license or DPS ID number listed on Data Broker, along with other identifying information (Social Security number and date of birth)

Note: Individuals born in Puerto Rico must provide a birth certificate issued on or after July 1, 2010, unless certified previously using a birth certificate issued before July 1, 2010. See C-932, Advisor Responsibility for Verifying Information, for information regarding assisting an individual in obtaining birth verification from Puerto Rico.

TP 08, TP 43, TP 44, TP 48, TP 40 and TA 31

Copies of the document used to verify identity for individuals requesting benefits must be legible and non-questionable. Submit the document for imaging.

Identity and Citizenship

A-358.1, Citizenship, includes the sources that verify both identify and citizenship for Medical Programs.

Identity Only

  • One of the following sources is acceptable for verification, if the document has a photograph and other identifying information such as (but not limited to) name, age, date of birth, sex, race, height, weight, eye color, or address:
    • Driver’s license issued by a state or territory;
    • School identification card;
    • U.S. military card or draft record;
    • Identification card issued by the federal, state, or local government with the same information included on driver’s licenses;
    • Military dependent's identification card; or
    • U.S. Coast Guard Merchant Mariner card;
  • Native American Tribal document;
  • Signed application for Medicaid (including the signature of an authorized representative acting on the individual's behalf) — this is applicable for all individuals on the application except the signee (no person may declare to their own identity);
  • Two or more corroborating documents (examples include, but are not limited to, marriage licenses, divorce decrees, or high school diplomas);
  • For children under age 19, a clinic, doctor, hospital, or school record, including preschool or day care records; and
  • Form H1097, Affidavit for Citizenship/Identity, signed by another individual who can reasonably declare to the applicant’s citizenship, regardless of blood relationship to the individual and under penalty of perjury, and that contains the applicant’s name, date of birth, and place of U.S. birth. The affidavit does not have to be notarized and should be used only as a last resort when other evidence is not available.

Related Policy

Questionable Information, C-920
Providing Verification, C-930
Using State Online Query (SOLQ) or Wire Third-Party Query (WTPY) to Verify Citizenship, A-351.2