How Has Requiring Proof of Citizenship for All Medicaid Recipients

How has requiring proof of citizenship for all Medicaid recipients caused a problem for these clients?

A) Additional paperwork always increases workload and costs for agencies.
B) Citizens are not accustomed to having to prove they are citizens and may not have appropriate documentation immediately available.
C) Many low-income people do not have driver's licenses or birth certificates immediately available with which to prove citizenship.
D) Most agencies recognize that immigration status has no bearing on a client's need for Medicaid assistance.