Newsletter Vol. 8, No. 64

REQUIREMENTS: - Immediately: Obtain and distribute Medical Emergency Payment Program for Aliens fact sheets to prospective applicants and explain program eligibility criteria. - Immediately: Train eligibility intake staff and hospital billing team to identify aliens seeking care and determine eligibility status through county board of social services. - Before submitting claims: Verify all beneficiary eligibility through REVS (Recipient Eligibility Verification System) or MEVS (Medicaid Eligibility Verification System) to confirm if beneficiary is entitled to emergency services only. - For all non-emergency diagnoses claims: Obtain completed and signed Certification of Treatment of Emergency Medical Condition (Form FD-80) from attending physician before claim submission. If claim is denied for lack of physician certification, resubmit with completed FD-80. - Upon emergency service provision: Complete and send Form PA-1C (rev. 5/97) with "Emergency Services for Aliens" checked to county board of social services within 3 months to establish eligibility record and protect effective date. Include child information when emergency involves birth. - Only submit claims to Unisys fiscal agent for covered emergency services (hospital inpatient/outpatient/ER or labor/delivery related). Post-discharge services, including pharmacy, will not be reimbursed. - Note: Processing delays expected as applicants apply retroactively; eligibility may take several months to enter REVS/MEVS. Claims may be resubmitted once eligibility is established.