55 Pa. Code § 150.11 - Aliens eligible for emergency medical services

(a) An alien who has an emergency medical condition as defined in § 150.2 (relating to definitions) and who meets the income, resource and other categorical requirements of the applicable MA program may be eligible for MA for the treatment of the emergency medical condition if the alien:

(1) Is an illegal alien.

(2) Is an ineligible alien.

(3) Is an undocumented alien.

(4) Is an LTR or LPR who is banned from receiving MA for 5 years from the date that legalization is granted and who does not meet the requirements specified in § 150.1(b)(4) (relating to general policy for MA citizenship and alienage).

(b) A child born to an alien in the United States is a citizen and if otherwise eligible may receive full MA benefits if otherwise eligible.

(c) An alien who has an emergency medical condition is not required to sign the citizenship/alienage declaration, verify alien status or verify a Social Security Number.

(d) An alien who had an emergency medical condition is required to provide at application verification of the emergency by presenting a written statement from the medical provider that specifies the following:

(1) The nature of the emergency medical condition.

(2) That the medical treatment was necessary because of the emergency condition.

(3) The approximate duration of the emergency.

(e) The emergency medical services required to treat an emergency medical condition are only funded by MA until the medical condition is no longer an emergency. MA funded medical services are not available for treatment received after the emergency ends. In the case of emergency labor and emergency delivery, MA funded medical services are available from the beginning of active labor until the delivery is complete and the mother and child are stabilized.

Notes

55 Pa. Code § 150.11