576 EMERGENCY TREATMENT FOR ALIENS
Emergency Treatment for Aliens is a special category of the Medicaid program that provides coverage for aliens who do not meet the Medicaid citizenship requirements. An alien eligible under this special category is not considered to be a regular Medicaid recipient. Coverage is limited to the treatment of emergency medical conditions.
An emergency medical condition does not include care and services related to either an organ transplant procedure or routine prenatal or postpartum care.
576 B. ELIGIBILITY REQUIREMENTS
Except as provided in Subsection C, an alien must meet the following requirement to be eligible for the Emergency Treatment of Aliens:
576 C. REGULAR MEDICAID RULES THAT DO NOT APPLY TO EMERGENCY TREATMENT OF ALIENS
The following regular Medicaid rules do not apply to an applicant for Emergency Treatment of Aliens:
Once eligibility has been established, the caseworker must issue the number of Recipient Identification Cards (coupons) necessary, limiting the authorization to the dates of services identified by the Division of Health Care Services. See Section 501.
A new application is required for each separate occurrence of an emergency medical condition that requires treatment.
576 E. COORDINATION WITH THE DIVISION OF HEALTH CARE SERVICES ( DHCS )
Because Medicaid coverage for this eligibility category is limited to emergency services, most aliens will apply for emergency medical, assistance only after the services have been provided. Hospitals in the state have been instructed to send medical records to the DHCS office in Anchorage for review. However, there may be times a hospital does not automatically send the medical records and the caseworker must assist the individual in obtaining medical documentation to support the emergency medical claim. When assistance is requested, the caseworker should request that the hospital submit medical documentation, including the discharge summary to:
Division of Health Care Services
Attention: Physician Program Manager
4501 Business Park Blvd., Ste 24
Anchorage, AK 99503-7167
The Division of Health Care Services will:
When an alien applies for emergency treatment, they must provide to their caseworker a copy of the written approval from DHCS .
Note:
The letter from DHCS stating that an individual received services of an emergent nature and indicating the covered dates of service is not a determination of eligibility. DPA caseworkers must determine eligibility for Emergency Treatment for Aliens based on the criteria outlined in ADLTC 576(B).
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