| Label | Type | Description | Mandatory |
| Does the new household member have a Primary Caretaker (other than a parent), who is an existing household member? | CURAM_INDICATOR | | No |
|
| Race and Ethnicity |
| Label | Type | Description | Mandatory |
| American Indian / Alaska Native? | COC_UNSUPPORTED_ANSWER | American Indian/Alaska Native applicants may qualify for the special enrollments and reduced health care costs. Select 'Yes' if the person is a member of such a tribe. | Yes |
|
| Additional Information |
| Label | Type | Description | Mandatory |
| SSN | HCR_STRING | A Social Security Number (SSN) must be provided, if available. Enter the SSN, if the member has a social security number (SSN). | No |
|
| Additional Information |
| Label | Type | Description | Mandatory |
| SSN | HCR_STRING | A Social Security Number (SSN) must be provided, if available. Enter the SSN, if the member has a social security number (SSN). | No |
| SSN Status | HCR_SSN_STATUS | If the member does not have a SSN, or does not know their SSN, enter the SSN Status. Select 'Applied for SSN' if you have applied for a SSN or 'Not Applied for SSN' if you have not applied for a SSN. | No |
| Citizen Status | CITIZENSHIP_STATUS_STATIC | Information on the citizenship status, whether the member is a U.S Citizen or a U.S National or whether they are lawfully present, is required to determine their eligibility for health care assistance. | No |
| Reason for not having SSN | HCR_SSN_NOT_APPLIED_REASON | Enter the reason why the person does not have an SSN. | No |
|
| Citizenship Information |
| Label | Type | Description | Mandatory |
| Date of Entry | CURAM_DATE | The date the member entered the country. | No |
| Immigration Status | HCR_IMMIGRATION_STATUS | Immigration status that is exempted from the 5-year bar. | No |
| Veteran Status | HCR_MILITARY_STATUS | The individuals veteran status e.g. Active Duty/Honorably discharged, No Service, Spouse/Child of Veteran in Active Duty. | No |
|
