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ACES
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Revised August 1, 2008 |
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Children's Health Program (F08) (In Children’s Medical)
SSI Related Alien Emergency Medical (S07)
Undocumented Alien Pregnancy Medical (P04) (In Pregnancy Medical) | |||
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Alien Emergency Medical (F09)
Who is eligible to receive F09 medical?
How long is the F09 certification period?
How do I process a pending F09 AU?
Who is eligible to receive F09 medical?
· Undocumented aliens who are ineligible for any other medical program due to citizenship or alien status and meet the criteria in EAZ Manual – WAC 388-438-0110 The Alien Emergency medical (AEM) program.
How long is the F09 certification period?
· The F09 certification period is three months.
· See EAZ Manual – WAC 388-438-0110 The Alien emergency medical (AEM) program.
1. From the Welcome Back page in aces.online, click the Screen New Application link at the top of the page.
2. On the Applicant page:
o Enter the applicant’s (head of household) name in the Applicant Name field.
o Enter applicant’s residential address in the Residential Address field.
o If applicant has a mailing address, uncheck the box next to Mailing Address and enter the applicant’s mailing address.
o Click the Next button.
3. On the Address Validation page:
o Make sure applicant’s address is validated or validation is skipped if needed.
o Click the Next button.
4. Complete the address validation process.
o See Screening – aces.online, Address Validation for additional instructions on this process.
5. On the Programs page:
o Click the checkbox next to Medical.
o Click the Next button.
6. On the Finalize page:
o Click on Specify Program button.
o From the Program drop-down list, select Medical Assistance (MA).
o From the Medical Coverage Group drop-down list, select Non-Citizen Family Related CN Emergency Medical (F09).
o Click the Next button.
o Enter the application date. (This is the date the client entered the hospital.)
o Click the Commit button to commit the screening data.
How do I process a pending F09 AU?
To process a pending F09 AU take the following steps:
1. Select AMEN, Option O – Interview.
2. On the STAT screen, complete the Finl Resp fields as follows:
o [PN] – Applicant
o [SP]– Spouse (if spouse in the home)
o [SC]– SSI Child/Child of SSI Related Parents/Child used to determine household size for any documented or undocumented children.
3. On the ALAS screen, code the Alien Med Emer field with [Y]– Yes, if the alien applicant’s medical condition has been verified.
4. Complete the interview following the instructions in the Interview chapter.
5. After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.
6. After all pending months have been processed; follow the instructions in the Finalize Application chapter to complete the F09 eligibility determination. | |||
SSI Related Alien Emergency Medical (S07)
Who is eligible for S07 medical?
How long is the S07 certification period?
How do I process a pending S07 AU?
Who is eligible for S07 medical?
· Undocumented aliens with a medical emergency and who are SSI-related (aged, blind, or disabled) may be eligible to receive S07 (Alien SSI Related Emergency Medical) medical coverage.
· See EA-Z Manual - Emergency Assistance Programs WAC 388-438-0110
How long is the S07 certification period?
· The S07 medical program is certified for 3 months.
· If additional time is required for treatment of the emergency condition, additional certification periods can be authorized.
· If income is over the standard for S07, the AU trickles to S95 or S99 and follows MN program certification periods.
· S07 should be screened initially as an S02 AU; it trickles to S07 when the AU is finalized. See Trickle and Sprout - ABD SSI Related track.
· See How do I screen an S02 AU?
· Include all immediate family members in the household/AU to ensure proper allocation/deeming of income.
How do I process a pending S07 AU?
· To process a pending S02/S07 AU, take the following steps:
1. From the AMEN, access the pending AU via Option O – Interview.
2. On the STAT screen, complete the Finl Resp field as follows:
o [PN] – for applicant
o [SP] – for spouse (Ineligible Spouse)
o [SC] – for children (Used to determine household size; Documented or Undocumented)
3. On the DEM2 screen:
o Enter [U – Undocumented Alien] in the Citizenship field
o Enter [N - No] in the Qualified Alien field.
o Enter the appropriate [disability code] in the Disability/Incapacity field if the client is disabled. See <F1> Help.
4. On the ALAS screen, enter [Y] in Alien Med Emer field.
o The Alien Med Emer field must be updated at each subsequent certification.
5. For SSI related individuals, enter a [1] or [2] under the ABD Area field on the MISC screen. See <F1> Help.
6. After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.
7. After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the S07 eligibility determination.
· To open a COPES S07 AU, take the following steps:
1. If a client is aged, blind, or disabled, screen in as an S02 AU. See How do I screen an S02 AU?
2. Follow the procedures above for interviewing and processing S07 medical.
3. On the INST screen, enter the [date and Approval source] under the HCB Waiver field. See <F1> Help.
4. After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the S07 eligibility determination. | |||
