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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2022 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.600 23

Once an emergency services alien is found eligible in VaCMS, the enrollment will transfer into the Medicaid enrollment system. Any claims for emergency services will be sent by the provider or treating physician to DMAS for review and reimbursement. Medicaid coverage for emergency services only aliens will be restricted to emergency services (including dialysis). Appropriate notice must be sent to the applicant of the status of his application and the duration of his eligibility. The notice must specify that their Medicaid coverage is limited to emergency services. Once an emergency services alien is enrolled, any requests for coverage of emergency services will not require a new Medicaid application. The individual will be subject to an annual renewal following the policies in subchapter M1520.200. Follow the policies in subchapter M1520.100 for any reported change to the alien’s situation. A Medicaid card will not be generated for an individual enrolled as an emergency services alien. The provider or treating physician will be responsible for submitting all claim request for payment of an emergency service for an approved member, including labor & delivery and dialysis. Refer providers to the Virginia Medicaid Hospital Provider Manual, Chapter VI “Documentation Guidelines.” Providers with questions regarding the submission or payment of claims for emergency services may contact DMAS at: Division of Program Operations Department of Medical Assistance Services (DMAS) 600 E. Broad Street, Suite 1300 Richmond, VA 23219