Page 288
MRG
UPDATED: JUNE 2010
714
OTHER ELIGIBILITY REQUIREMENTS
IMMEDIATE MEDICAL NEED
Policy: An A/R with an immediate medical need is referred to a hospital and/or advised to seek medical care.
References: ADM
86 ADM-7
Interpretation: Applicants who indicate that they have a medical need are advised to seek medical care. When a local district believes that an A/R requires immediate medical care, i.e., a life-threatening situation, the A/R is referred to a hospital. Under 10 NYCRR Part 405, hospitals are obligated to provide care to the individual regardless of the source of payment. An applicant may advise his/her medical provider that s/he has applied for Medicaid and that if s/he is eligible, reimbursement may be available for care and services provided up to three months prior to the month of application.
The application is processed as quickly as possible. When primary sources of documentation are not available, secondary sources are used as appropriate.