WAG 06-05-03.
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.
Approve a noncitizen for emergency medical who meets all requirements for Assist, except for
citizenship/immigration status and a Social Security Number.
A 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.
The 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.
