Modified Adjusted Gross Income (MAGI) Alien Emergency Medical (N21, N25)

Created on: 
Apr 25 2016

What are the Modified Adjusted Gross Income (MAGI) Alien Medical coverage groups?

As a result of the implementation of the Affordable Care Act (ACA), the following MAGI Alien Medical Coverage groups are in effect with applications received starting 10/1/2013:

  • Parent/Caretaker Alien Emergency Medical (N21)
  • New Adult Alien Emergency Medical (N25)

Who processes the Modified Adjusted Gross Income (MAGI) Alien Medical programs?

MAGI Alien Medical Assistance Units (AU) belong to Health Care Authority (HCA) and can only be processed by HCA or Home and Community Services (HCS) staff.

MAGI AUs are in Region 9 and are assigned to one of the following Community Service Offices (CSO).

  • CSO 181 - MAGI AUs that belong to Region 1 geographical/zip catchment.
  • CSO 182 - MAGI AUs that belong to Region 2 geographical/zip catchment.
  • CSO 183 - MAGI AUs that belong to Region 3 geographical/zip catchment.

Online Processing

How do I process a pending Modified Adjusted Gross Income (MAGI) Alien Medical program?

To process a pending MAGI Alien Medical program, Health Care Authority (HCA)/Home and Community Service (HCS) staff need to take the following steps:

  1. From the Welcome back page in aces.online, enter the [client id] in the Enter an ID field.
  2. From the Client Summary page, hover over Details and select Demographics from the drop down menu.
  3. At the bottom of the Client Demographics page in the Citizenship and Alien Medical section, update the following fields by clicking the Update link:
  • Alien Medical Emergency Indicator field - Select Yes (Y) from the drop down menu.
  • Alien Medical Approval Source Code field - Select one of the following from the drop down menu:
    • HCA Medical Consultant Approved (H)
    • ADSA Approved (A)
    • Referral Not Approved (N)
  • Approval Begin Date field - Enter the [approval begin date].
  • Approval End Date field - Enter the [approval end date].

Once the fields have been updated, HCA/HCS staff must access the application for Alien Emergency Medical (AEM) in Healthplanfinder to initiate a call to the Eligibility Service (EServ) to either approve or deny the Assistance Unit (AU).

NOTE: If AEM is pending in the ongoing and retroactive benefit months, users must finalize the ongoing months first before finalizing the pending retroactive months.

How do I process a Retroactive Modified Adjusted Gross Income (MAGI) Alien Emergency Medical (AEM) request?

To process a Retroactive MAGI Alien Emergency Medical (AEM) request, see Retroactive Medical.

NOTE: For AEM cases, users must update the AEM approval information in aces.online to process the retro benefit months. Retro AEM approval information should be within the retro months in which the AEM was requested.

Mainframe Processing

How do I process a pending Modified Adjusted Gross Income (MAGI) Alien Medical program?

This function is not available in ACES Mainframe. See Online Processing - How do I process a pending Modified Adjusted Gross Income (MAGI) Alien Medical program? for more information.

How do I process a Retroactive Modified Adjusted Gross Income (MAGI) Alien Emergency Medical (AEM) request?

This function is not available in ACES Mainframe. See Online Processing - How do I process a Retroactive Modified Adjusted Gross Income (MAGI) Alien Emergency Medical (AEM) request? for more information.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.