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Title: FW: Section 1011 Federal Reimbursement of Emergency Health Services Provided to Undocumented Aliens
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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If you require information about Section 1011 that is not contained on this site, please visit the
Centers for Medicare & Medicaid Services (CMS) Section 1011 information site.
© Copyright, 2006 - TrailBlazer Health Enterprises, LLC. All rights reserved.
Jean H. McRae
Assistant Director
Patient Financial Services
Lexington Medical Center
Phone: (803) 791-2626
Pager: (803) 654-6112
Fax: (803) 791-2246
email: [EMAIL PROTECTED]
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