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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |51 Effective Month: September 2018 • The alien has, after sudden onset, a medical condition manifesting 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: o Placing the patient’s health in serious jeopardy, o Serious impairment to bodily functions, o Serious dysfunction of any bodily organ or part, or o Is for labor and delivery NOTE: The services provided in this situation must relate to the injury, illness, or delivery causing the emergency. Services that are not directly related to the injury, illness, or delivery are not compensated by Medicaid. Once the medical condition is stabilized, even if it remains serious or results in death, it is no longer an emergency. Procedures for Processing Eligibility for Emergency Medicaid Services At the point of application, the Medicaid eligibility worker must explain to the applicant, who is a non-qualified alien or a qualified alien subject to 5-year disqualification, that if all applicable program eligibility requirements are met, Medicaid may reimburse for emergency services only (including labor and delivery) after the services have been received. Determining Eligibility for Emergency Medicaid Services When determining eligibility for Medicaid coverage for treatment of an emergency medical condition only, the specialist will obtain information to (1) Establish eligibility based on emergency services criteria, such as a copy of the hospital bill or other documentation from the hospital indicating treatment or services received, dates of service and the diagnosis for the individual’s condition and (2) Establish eligibility on technical factors and financial factors, except citizenship, alien status and enumeration. Not Financially Eligible If the alien is not financially eligible based on income for MAGI and ABD and resources, if ABD rules apply, the application will be denied by the specialist.