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23, 2001). Immigrant Category Entered the country as a Refugee (or was granted refugee status) Granted Asylee Status Granted Withholding of Removal Cuban/Haitian Entrant Amerasian Immigrant Victim of Severe Form of Trafficking in Persons All immigrants in these categories are eligible for Medicaid Non-Qualified Immigrant Eligible if meets Native American exception
Emergency Medicaid
Individuals who would be eligible for Medicaid except for their immigration status are eligible for Emergency Medicaid services. Medical services covered are for medical conditions (including emergency labor and delivery) manifesting themselves by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in:
placing the patient's health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.
DC Healthy Families Expansion Coverage
In addition to Emergency Medicaid Services, non-qualified immigrant children may qualify for locally- funded Medical assistance through “DC Healthy Families Expansion Coverage,” a funding-capped program that can serve approximately 800 children. Children eligible for “Expansion Coverage” must be ineligible for standard Medicaid because of their immigration status. They must meet all other non-financial requirements in the AX Medicaid program, except provision of a Social Security Number. Their income must be below 200 percent of Federal Poverty Level.
Children eligible for “Expansion Coverage” must enroll in managed care and are eligible for standard Medicaid services. However, they cannot receive Medicaid services on a fee-for-service basis prior to enrolling in managed care. Children eligible for “Expansion Coverage” are not eligible for retroactive eligibility and cannot qualify for benefits by spending down their income with medical bills.
ESA currently runs a waiting list when requests for the program exceed the program’s capacity.