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Indigent Health Care - Emergency Medical Services Appropriation

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1. Where are services provided?

Services are usually provided at the emergency room. However, outpatient services also qualify if they were performed within 48 hours as a result of the emergency room visit at either of the two hospital emergency rooms within Merced County.

2. What is the program for?

Emergency Medical Services Appropriation is for qualified emergency room services and for the first 48 hours of emergency medical services following the visit to an emergency room for an indigent person not covered under any other programs.

3. How much time do I have to submit a claim?

You have until November 1 following the end of the fiscal year (ending June 30) or until funds are exhausted, whichever comes first.

4. How much will the program reimburse?

SB941 legislation made it a requirement that counties adopt a fee schedule. Effective January 1, 206, claims are paid based on the Medi-Cal fee schedule. Medi-Cal website

5. How do I apply when i am not a regular provider of Indigent Health Care services?

Payment will be made after the provider information isr eceived. Claims are paid on a first-come, first-served basis. After funds are gone, claims will be diverted to the Maddy Program for consideration. You must send an original provider W-9 and the Provider Information Form with the first claim. Maddy Program