Emergency Medical Services for Undocumented Immigrants under Medicaid Managed Care

CMS Special Coverage
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On September 30, 2025, CMS issued a State Medicaid Director Letter (SMD # 25-003) updating states on a change in the agency’s statutory interpretation regarding Medicaid managed care payments for emergency services rendered to immigrants without legal status.  

Sellers Dorsey has created an in-depth summary of the letter, laying out CMS’s rationale, the policy ramifications, and states’ options moving forward.

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