Clarifying information

The Alien Medical Programs (AMP) includes:

The federally-funded Alien Emergency Medicaid (AEM) ( WAC 182-507-0110 ); and

The state-funded Long-Term Care (LTC) program ( WAC 182-507-0125 ).

Processing of AEM applications

AEM applications are ONLY processed by Community Service Division (CSD) and Health Care Authority (HCA) specialty staff. AMPs have the following program codes: K03, L04, L24, N21, N25, and S07.

AEM is for individuals who have a qualifying medical emergency and do not qualify for any other Apple Health program due to citizenship/immigration requirements under WAC 182-503-0535 . This includes qualified aliens who have not met the 5-year and are not exempt from the 5-year bar, nonpregnant nonqualified aliens, and undocumented individuals.

To qualify for AEM, an individual must have or need at least one of the following:

A qualifying emergent medical condition such as emergency room care, inpatient admission, or outpatient surgery;

A cancer treatment plan;

Dialysis treatment;

Antirejection medication for a post organ transplant;

Assessment and treatment of COVID-19 as a qualifying emergency ended with the public health emergency on May 11, 2023.

*LTC applications are coordinated and processed by Aging and Long-Term Services and Support (ALTSA).

Contact Emily Watts for all noncitizen LTC applications and referrals.

LTC for non citizens includes:

L04 for nursing facility, and

L24 for LTC in the home or in an alternative living facility.

Long-term care for noncitizens

The state-funded long-term care program for noncitizens has limited slots due to funding restrictions. A slot must be available and pre-authorized in order for this program to be considered. It covers nursing facility, in-home personal care, or residential services in an alternate living facility. All applications for state-funded long-term care services are coordinated and processed by Home and Community Living Administration (HCLA) and require prior authorization from the HCLA program manager. Specific instructions are in the clarifying information for the state-funded long-term care program for noncitizens.

The DSHS Specialized Medical Unit (SMU) or HCA MEDS Specialized Staff process applications as outlined below: