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34.1.2 Determination of Emergency Services Eligibility Certification of Emergency Services is not done by CARES and must be done manually. Emergency Services coverage lasts from the time of the first treatment for the emergency until the condition is no longer an emergency for adults or the end of a 12-month period for children under age 19. Local agencies do not determine if an emergency exists. Local agency responsibility is to determine if the non-qualifying immigrant meets all other eligibility requirements during the dates of service and to certify if they are eligible for Emergency Services. If a non-qualifying immigrant provides a Certification of Emergency for Non-U.S. Citizens form (F-01162) at the time of application, determine their eligibility for Emergency Services for the dates of the emergency indicated on the form (unless a child under age 19). If a non-qualifying immigrant does not have the form at the time of application, ask them for the dates that they received emergency services. The F-01162 is not required to certify Emergency Services eligibility. Persons applying for Emergency Services have the same rights and responsibilities as persons applying for regular Medicaid. They must meet the eligibility requirements for their type of Medicaid, such as being elderly, blind, or disabled,* and provide required verifications. The IM agency must provide a manual positive or negative notice regarding the applicant’s eligibility. Positive notices must provide the dates of eligibility for Emergency Services. Negative notices must provide the reason(s) for the denial or termination. *If a non-qualifying immigrant would only qualify for Medicaid if they were disabled, the normal disability determination procedures (including presumptive disability) are followed before Emergency Services eligibility is certified. Note Emergency Services has the same policies on referrals to child support agencies (CSA) and cooperation as Medicaid (see CHAPTER 8 MEDICAL SUPPORT). 34.1.2.1 Medicaid Deductible Individuals may become eligible for Emergency Services by meeting the Medicaid deductible. If, on the date they apply, they are otherwise eligible except for excess income, normal deductible policies (see SECTION 24.2 MEDICAID DEDUCTIBLE INTRODUCTION) are applicable. 34.1.3 Certification of Emergency Services Eligibility Individuals enrolled in Emergency Services will be eligible until: • For adults age 19 and older, the last day of the emergency. • For children under age 19, the end of a 12-month period. • For a child who is turning 19 in the next 12-month period, the last day of the emergency or the last day or the month the child turns 19, whichever is later. For adults age 19 and older, if the last day of the emergency is not known, they are eligible through the last day of the month in which the emergency is expected to end. For information on manually processing applications, see Process Help Section 12.9 Health Care (BC+ and MA) Emergency Services Manual Application Processing. For information on manually processing renewals for members who have an ongoing emergency condition, see Process Help Section 12.10 Manual Renewal Report.