Emergency Medicaid provides medical coverage to uninsured individuals who do not qualify for Medicaid due to citizenship/immigration status. This program pays the health care costs for individuals who have experienced a medical emergency. A doctor has to determine if an illness or injury is an emergency medical condition. In general, an emergency medical condition is a condition that could place an individual’s health in serious danger without immediate medical attention. Not all serious medical conditions are considered emergency medical conditions under the law.
An emergency means the sudden onset of a medical condition, including labor and delivery, which shows acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in one or more of the following:
- Serious jeopardy to the patient’s health;
- Serious impairment to bodily functions; or
- Serious dysfunction of a bodily organ or part.
Care and services related to an organ transplant procedure are not included in this definition.
Who is Eligible?
You may be eligible for Emergency Medicaid in the District, if you:
- Are A District Resident;
- Have an emergency medical condition that must be verified by a health provider;
- Meet income requirements; and
- Not eligible for on-going Medicaid due to citizenship/immigration status
The income thresholds for this program are determined based on your eligibility group.
There is no resource limit.
Emergency Medicaid coverage lasts only for as long as the person is experiencing the emergency.