Hospital to Inform Member of Coverage of Emergency Room Services

On behalf of the Program, as the collector of co-insurance, deductibles and premiums, all hospital Providers shall advise the MIP member, or eligible person, that if the visit to the Emergency Room is not for an emergency condition, as determined by the hospital, the member or eligible person shall be charged the required co-payment, and may be liable for services resulting from the non-emergency use of the Emergency Room. If a person who has been determined eligible, but who has not yet enrolled in the system receives emergency services, the Administrator shall provide by rule for the enrollment of the person on a priority basis. If a person requires Program-covered services on or after the date the person is determined eligible for the Program, but before the date of enrollment, the person is entitled to receive such services in accordance with rules adopted by the Administrator, and the administration shall pay for such services. SOURCE: Added by P.L. 25-163:1 (Sept. 21, 2000), repealed/reenacted by P.L. 27-030:2 (Sept. 30, 2003).