Determining Eligibility for Emergency Medicaid Services

Determining Eligibility for Emergency Medicaid Services A. When determining eligibility for Medicaid coverage for treatment of an emergency medical condition only, information obtained must: 1. Establish eligibility based on emergency services criteria, such as copy of the hospital bill or other documentation from the hospital including treatment or services received, dates of service and the diagnosis for the individual’s condition, and 2. Establish eligibility on technical factors such as income and resource eligibility, as appropriate. B. The non-citizen must meet all eligibility factors for the category of eligibility in which the non-citizen qualifies except for citizenship, non-citizen status and enumeration requirements.