Page 36

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

36 b) Medical Buy-In Program for Working Adults with Disabilities (including with Home and Community Based Services), and Long-Term Care waivers except Program of All Inclusive Care for the Elderly (PACE) 3) Persons requesting limited emergency medical care only and/or reproductive care shall not be excluded on the basis of immigration status. For non-qualified non-citizens receiving Medical Assistance emergency only benefits, the following medical conditions will be covered: An emergency medical condition (including labor and delivery) which manifests itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in: a) placing the patient's health in serious jeopardy; b) serious impairment of bodily function; or c) serious dysfunction of any bodily organ or part. These persons need not select a primary care physician as they are eligible only for emergency medical services and/or reproductive health care services. Applicants are not required to obtain a written statement by their physician for their application to be complete and processed. For emergency care, a physician must certify and declare the presence of an emergency medical condition when services are provided and shall indicate that services were for a medical emergency on the claim form. This will suffice as the physician statement for an emergency medical condition when services were provided. Medical Assistance coverage for emergency medical care only is limited to care and services that are necessary to treat immediate emergency medical conditions.