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An immigrant who is ineligible for Medicaid because of their immigration status is eligible for Emergency Services Medicaid coverage if they: • Have a qualifying emergency medical condition. • Meet all the eligibility requirements of any Medicaid category under the state plan except ◦ U.S. citizenship or qualifying immigrant status. ◦ Having or applying for an SSN. See BadgerCare Plus Handbook, SECTION 39.1 EMERGENCY SERVICES INTRODUCTION for information about Emergency Services for non-qualifying immigrants who are not elderly, blind, or disabled. An inmate who is a non-qualifying immigrant may be eligible for Emergency Services for the dates they are hospitalized as an inpatient for emergency treatment as long as they meet the rest of the eligibility criteria for Emergency Services. A person can be eligible for Emergency Services for an emergency that occurred within the three months prior to the application month as long as the person met the eligibility requirements for Emergency Services during the month(s) in which the emergency occurred. Emergency Services only covers medical services needed for the treatment of an emergency medical condition. Services related to organ transplant procedure are not covered by Emergency Services. An emergency means a medical condition (including labor and delivery) that shows acute symptoms of sufficient severity (including severe pain) such that the lack of immediate Medicaid could result in one or more of the following: 1. Serious jeopardy to the patient's health. 2. Serious impairment to bodily functions. 3. Serious dysfunction of a bodily organ or part. All labor and delivery services are emergency services and are covered under Emergency Services for eligible non-qualifying immigrants. The IM agency does not determine if an emergency condition is eligible for Emergency Services coverage. The medical provider submits claims for emergency medical services to the fiscal agent. It determines if a condition is an emergency medical condition covered by Emergency Services. A U.S. citizen is not eligible for Medicaid Emergency Services even when they cannot produce citizenship and/or identity verification. Example 1 Jill applies for Medicaid, declares U.S. citizenship, and is asked to provide documents proving her citizenship and identity. She has a driver license to prove identity but does not have anything to prove her citizenship. Since Emergency Services Medicaid does not require proof of citizenship and identity as an eligibility requirement, she then asks to be considered for this program. However, the IM worker cannot process Emergency Services Medicaid eligibility for persons declaring to be U.S. citizens. Emergency Services Medicaid is reserved for non-qualifying non-citizens.