Medicaid program is required to pay for necessary emergency services furnished to individuals who are undocumented aliens and who reside in New Mexico.
Requests for Emergency Alien Services (EMSA) must be accompanied by form MAD-310 (Notification of Approval form, supplied by the ISD office), the appropriate billing form (UB-04 or CMS 1500), and the pertinent medical records to determine emergent status. After processing is completed at Medicaid UR, the request is forwarded directly to ACS for billing processing.
Definition of "Emergency"
"Emergency" is defined by MAD as a medical condition, including all emergency labor and delivery, which includes emergency inductions and unscheduled cesarean sections, manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in the individual's death, or placing the individual's health in serious jeopardy, or serious impairment of bodily functions, or serious dysfunction of any bodily part or organ. Only those services that meet this definition can be covered for the duration of the emergency.
Back to main Review Types page | Back to main Providers page
