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COMAR 10.09.24.05
525
State of Maryland Medical Assistance Manual Revised July 2012
about the immigration status or SSN of someone who is not applying for public benefits, such as the applicant’s spouse or parents.
(c)Explanation of Emergency Medical Services A non qualified alien may only be eligible for coverage group X02 if the alien needs care and services for the treatment of an emergency medical condition. An emergency medical condition (including labor and delivery) is defined as a medical condition which occurs after a sudden onset and manifests itself by acute symptoms of sufficient severity (including severe pain) from the absence of immediate medical attention can reasonably be expected by a prudent layperson possessing an average knowledge of health and medicine to result in: Placing the patient’s health in serious jeopardy, Serious impairment to bodily function or Serious dysfunction of any bodily organ or part.
Maryland Medicaid regards emergency medical services as those services rendered in a hospital from the moment the individual presents with an emergency medical condition to the time the person’s condition is stabilized. Emergency medical services may also include:
Labor and delivery Dialysis and related services for end stage renal disease (ESRD) Services for Acquired Immune- Deficiency Syndrome (AIDS) and Cancer treatments that are considered by the Department of Health and Mental Hygiene as an emergency medical services.
The emergency medical services covered for undocumented or ineligible aliens under coverage group X02 do not include: Routine pre-natal or post –partum care Any medical services used to treat and/or evaluate a condition if the services do not meet the definition of emergency medical services Medical support, medical equipment, or prescribed drugs which are required beyond the point at which an emergency medical condition is stabilized and Any services related to an organ transplant or other transplant procedure.
(d)General Eligibility Requirements for Coverage Group X02 Except for citizenship/alien status requirements and enumeration (SSN), all MA technical eligibility requirements including residency must be met for X02 coverage.