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MEDICAL SERVICES POLICY MANUAL, SECTION B

B 500 Emergency Health Care Services for Aliens

B-500 Emergency Health Care Services for Aliens

Refer to Health Care Procedures manual for more information. MS Manual 01/01/22 This group consists of: • Nonqualified aliens living in the U.S.; or • Qualified aliens living in the U.S. for less than five (5) years. Health Care benefits are available to pay for the cost of emergency services for aliens who do not meet the Health Care citizenship or alien status requirements or Social Security Number requirements. However, they must meet the financial and categorical eligibility requirements and state residency requirements for the category in which they apply, such as Parent Caretaker Relative, Medically Needy, Adult Expansion, ARKids A or B. NOTE: Emergency Health Care applicants, if eligible in the Adult Expansion Group, may be approved for retroactive coverage thirty (30) days prior to the date of application. Retroactive coverage for the Adult Expansion Group is date specific. To be eligible for emergency Health Care, the applicant must have, ormust have had within the last three (3) months, an emergency medical condition. For the exception, see NOTE above. Labor and delivery is considered an emergency medical condition.

Emergency medical condition is defined as a medical condition, including labor and delivery, manifesting itself by acute symptoms of such severity, including severe pain, such that the absenceof immediate medical attention could reasonably be expected to result in at least one of the following: • Placing the patient’s health in serious jeopardy; • Serious impairment of bodily function; or • Serious dysfunction of any bodily part or organ.