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Chapter: 2000 Coverage Groups Program: MSSI, SFP 11 2030.0903 Children Age 19 to 21 (MFAM) When a child age 19 to 21 who meets the technical criteria for residency, age, identity and citizenship/noncitizen and the tax household’s income is at or below the same income limit as parents and caretakers, the child is eligible for Medicaid. If the income is higher than the income limit, the child may be enrolled in Medically Needy and/or obtain coverage through the FFM. 2030.1100 EMA TO INELIGIBLE NONCITIZENS (MFAM) To be eligible for Emergency Medical Assistance for Noncitizens (EMA) benefits, the noncitizen must meet all technical (including residency) and financial requirements for a Medicaid coverage group, except: citizenship, child support enforcement cooperation, Social Security number requirement and the requirement to apply for Social Security benefits. 2030.1100.01 Coverage of Emergency Only (MFAM) Medicaid benefits will only be authorized to cover the emergency medical situation. An emergency medical condition is a medical condition of sufficient severity (including severe pain) that could result in placing the individual’s health in serious jeopardy. This includes emergency labor and delivery. Accept the medical provider’s statement regarding the emergency and date(s) of service.

A medical provider or Utilization Review Committee (URC) will determine if an emergency medical condition exists. The URC is a group affiliated with a hospital which determines an individual's need for emergency treatment. The provider or URC will also determine the length of time the emergency situation is expected to exist.

An applicant may receive retroactive Medicaid and posthumous Medicaid for a deceased individual under the EMA coverage group if eligible. 2030.1100.02 Exceptions to Medicaid Policy and Procedures (MFAM) The following Medicaid exceptions to policy and procedures apply to Emergency Medical Assistance for Noncitizens:

1. An ex parte determination is not required. 2. Dates of eligibility will be for the time period of the emergency only. 3. There is no postpartum coverage for pregnant women. 4. Ten days advance notice of termination is not required. 5. There is no requirement to apply for Social Security benefits. 2030.1200 FORMER FOSTER CARE CHILDREN (MFAM) Individuals may receive Medicaid up to age 26 if they were in foster care and receiving Medicaid when they aged out of foster care in Florida. There is no income limit for eligibility.

To be eligible, an individual must: 1. Be under age 26, 2. Be enrolled in or received Medicaid when they aged out of Florida’s Foster Care Program at age 18 (or 21 as appropriate), and 3. Not otherwise eligible for or enrolled in mandatory Medicaid coverage.

Note: A child aging out of adoption subsidy cash payment at 18 or 21 does not meet the criteria as a child who aged out of Foster Care. Do not evaluate for Former Foster Care coverage but complete an ex-parte review for potential eligibility under other coverage group.