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Title: Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens (Section 1011)
> If you are not familiar with this regulations, please read all about it
> below. You can go to Google and type in "Section 1011" and you will see
> additional information. This regulation provides Federal money, that
> individual States may apply for, which will reimburse the facilities for
> emergency medical care of undocumented, or illegal, immigrants. There is
> $250,000,000 allocated for reimbursement.
>
> Currently, we are applying for enrollment on behalf of our facility. We
> can submit our claims to Trailblazer quarterly for reimbursement.
>
> How are you and other Patient Access departments, in larger hospitals,
> handling the questions asked at the point of Registration? We would not
> want to be perceived as stereotyping any of our population simply because
> of skin color or accents.
>
> If we could identify the "Undocumented Aliens" and submit their claims to
> Trailblazer quarterly, we would be able to recoup some money that we are
> not writing off to Charity or bad debt. Thanks very much.
Pam Morgan, Patient Access Manager
Lexington Medical Center
803-791-2326
[EMAIL PROTECTED]
>
>
> About Section 1011
>
> On December 8, 2003, the President signed into law the Medicare
> Prescription Drug, Improvement and Modernization Act of 2003 (Pub. L.
> 108-173) (MMA), Section 1011, Federal Reimbursement of Emergency Health
> Services Furnished to Undocumented Aliens.
>
> Pursuant to Section 1011 of the act, Congress has mandated that the
> Secretary of Health and Human Services directly pay hospitals, physicians,
> and ambulance providers (including Indian Health Service and Indian tribe
> and tribal organizations) for their otherwise un-reimbursed costs of
> providing services required by section 1867 of the Social Security Act
> (EMTALA) and related hospital inpatient, outpatient, and ambulance
> services furnished to undocumented aliens, aliens paroled into the United
> States at a United States port of entry for the purpose of receiving such
> services, and Mexican citizens permitted temporary entry to the United
> States with a laser visa.
>
> Section 1011 provides $250 million per year for Fiscal Years (FY)
> 2005-2008 for payments to eligible providers for emergency health services
> provided to undocumented aliens and other specified aliens. Two-thirds of
> the funds will be divided among all 50 states and the District of
> Columbia, based on their relative percentages of undocumented aliens.
>
> One-third will be divided among the six states with the largest number of
> undocumented alien apprehensions. From the respective state allotments,
> payments will be made directly to hospitals, certain physicians and
> ambulance providers for some or all of the costs of providing emergency
> health care required under Section 1867 and related hospital inpatient,
> outpatient and ambulance services to eligible individuals. Eligible
> providers may include an Indian Health Service (IHS) facility, whether
> operated by the Indian Health Service or by an Indian tribe or tribal
> organization. A Medicare Critical Access Hospital (CAH) is also a hospital
> under the statutory definition.
>
>
> > Section 1011 News You Can Use more...
>
>
>
> Final Section 1011 Implementation Notice
> The Internet link to the Centers for Medicare & Medicaid Services' (CMS)
> final implementation guidance regarding Section 1011, Federal
> Reimbursement of Emergency Health Services Furnished to Undocumented
> Aliens, which is part of the Medicare Modernization Act of 2003 (MMA), is
> included below.
>
> On this Web site, guidance is provided outlining CMS' implementation
> approach, general framework and procedural rules for submitting an
> enrollment application and payment requests. The site also contains
> general statements of policy and provides CMS' interpretation of Section
> 1011.
>
> http://new.cms.hhs.gov/UndocAliens/
>
>
>
> Emergency Medical Treatment and Labor Act (EMTALA)
> Section 1011 only pays for EMTALA related services. The link below is the
> EMTALA regulation from the Social Security Act and may be referred to for
> additional information.
>
> http://www.ssa.gov/OP_Home/ssact/title18/1867.htm
>
>
>
> Fiscal Year 2006 Section 1011 State Allocations
> Please click the box below to review Fiscal Year 2006 Section 1011 state
> allocations.
>
> http://www.cms.hhs.gov/UndocAliens/04_state_alloc.asp#TopOfPage
>
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