Effective date: 10/8/1997

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    (1) Aliens who would be eligible for Medicaid but for their immigration status are eligible only for emergency medical services. Florida Statutes § 409.901(10), defines emergency medical conditions.
    (2) The Utilization Review Committee (URC) or medical provider will determine if the medical condition warrants emergency medical services and, if so, the projected duration of the emergency medical condition. The projected duration of the emergency medical condition will be the eligibility period provided that all other criteria are continuously satisfied.
    (3) Emergency services are limited to 30 consecutive days without prior approval. For continued coverage beginning with the 31st day prior authorization must be obtained from the Agency for Health Care Administration (Medicaid Program Office).
Rulemaking authorized by Florida Statutes § 409.919. Implements Florida Statutes § 409.904, 409.919. History—New 10-8-97.