EE18
Emergency Medicaid
CMS-required outcome
Individuals whose coverage is limited to emergency services due to immigration status receive timely and accurate eligibility determination.
Default metrics
- Number/Percentage of claims paid for emergency services for individuals whose coverage is limited due to immigration status.
- Number/Percentage of claims paid for services other than emergency services for individuals whose coverage is limited due to immigration status.
Regulatory sources
- For all states, District of Columbia, and territories:
- - 42 CFR 440.255
- For states, District of Columbia, Northern Mariana Islands, and American Samoa:
- - 42 CFR 435.139
- For Guam, Puerto Rico, and the Virgin Islands:
- - 42 CFR 436.128