WAG 06-05-03.

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Backdate medical benefits for each month the client provides written proof they had an emergency medical condition and received medical services, including the month of application and up to 3 months medical backdating if medical services were received during the prior 3 months. Approve emergency medical only for the person who received the emergency medical care.

revised textApprove a noncitizen for emergency medical who meets all requirements for Assist, except for citizenship/immigration status and a Social Security Number.

revised textA noncitizen pregnant woman who does not meet immigration requirements should be approved for Family Assist, FamilyCare Assist or Moms and Babies (PM 06-09) if she meets the eligibility requirements. Do not approve a pregnant woman for emergency medical.

Always establish a separate case for a person eligible for emergency medical. Do not put an ineligible noncitizen in the same case with a person receiving ongoing medical benefits.

Example: An application is filed 9/07 for an ineligible noncitizen with 3 children who are also ineligible noncitizens. He is temporarily unemployed because of a broken leg from a 8/07 car accident. He plans to return to work in October. He meets income and nonfinancial requirements of FamilyCare Assist, except for citizenship/immigration status and providing an SSN.

revised textThe broken leg is a serious impairment of a body part. Use the FamilyCare All Kids Assist Standard for a family of 4. The father is eligible for emergency medical coverage. Set up a case for him. The children may qualify for All Kids Assist on a separate case.