Emergency Medical Assistance

2.5.3.1.1 Mandatory Verifications

Mandatory verifications must be verified through electronic data sources or by paper proof, if electronic data sources are unsuccessful or unavailable. Self-attestation of certain eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available.

Emergency Medical Assistance (EMA) for Families with Children and Adults

People using a basis of eligibility under Medical Assistance for Families with Children and Adults (MA-FCA) must verify current income.

EMA for People Who Are Age 65 or Older or People Who Are Blind or Have a Disability

People using a basis of eligibility under Medical Assistance for People Who Are Age 65 or Older or People Who Are Blind or Have a Disability (MA-ABD) must verify:

Assets
Certification of Disability through Social Security Administration (SSA) or State Medical Review Team (SMRT) for people claiming a blind or disabled basis of eligibility
Current income

EMA with a Spenddown

People who qualify for EMA with a spenddown must also verify:

Assets

The asset policy depends on the person's basis of eligibility. Refer to Sections 2.2.1.2 Medical Assistance for Families with Children and Adults (MA-FCA) Mandatory Verifications and 2.3.1.1 MA-ABD Mandatory Verifications for more information about asset policies for bases of eligibility under MA-FCA and MA-ABD, respectively.
- Verification of assets is required at application and when a new asset is reported. If an asset is determined to be excluded it does not need to be verified again at renewal.
Medical expenses to meet a spenddown

Verifications Not Required

People applying for EMA are not required to verify:

Immigration Status
Medical Emergency
Social Security Number

County, tribal and state servicing agencies must retain verification documentation in accordance with the County Human Service Records Retention Schedule (DHS-6928).

Self-Attestation

Self-attestation, either verbal or in writing, of the following eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available:

Income
Assets
Medical expenses to meet a spenddown
Certification of Disability through Social Security Administration (SSA)

Paper proof is considered not available if neither the applicant or enrollee, nor the agency can obtain it. The county, tribal and state servicing agency must make efforts to assist the applicant or enrollee in obtaining the requested paper proof, if it exists. This includes obtaining authorization from the applicant or enrollee to contact a third party on their behalf, if appropriate. Decisions to accept an applicant’s or enrollee’s self-attestation must be based on the individual case circumstances.

Legal Citations

Code of Federal Regulations, title 42, section 435.139

Code of Federal Regulations, title 42, section 435.350

Code of Federal Regulations, title 42, section 440.255

Minnesota Statutes, section 256B.06, subdivision 4