Not a citizen? Can’t get Medicaid?

Need help with medical bills?

There is help for emergencies and hospital care!


You can get help to pay for your medical care — in emergencies and in the hospital — even if you are not a citizen and even if you don’t have immigration papers. One program helps people with emergencies. Another helps with hospital bills.

Help with Emergencies: “Time-Limited” Medicaid

Who can get help? Time-limited Medicaid helps people who qualify for Medicaid in every other way but their immigration status:

  • children and their parents (or other relatives who take care of them)
  • pregnant women
  • the elderly and people with disabilities

What bills does it cover? Doctor bills, hospital bills and more, but only to care for an emergency and only for 2 months at a time. “Emergency” includes child birth. Transplants are not covered.

Do I have to be poor? Yes. You must have low monthly income. How low depends on whether you are a child, pregnant woman, parent or relative with children, elderly person or person with disabilities.

Adults except pregnant women also must have low “resources” (like money in the bank).

How do I apply? Apply at your local DCBS office. Tell them you want to apply for “Time-Limited Medicaid.” Make sure to apply within 3 months of your emergency care. You can take this flyer with you.

What if I don’t have papers? You do not have to have immigration papers or a Social Security number.

What if I don’t speak English? Federal law says DCBS must serve people who speak other languages. You have a right to an interpreter. Ask for one!

What if they don’t let me apply or they turn down my application?
Call Maxwell Street Legal Clinic at 859-233-3840.

What about working adults without kids? Unfortunately, some adults can’t get help from “Time-Limited Medicaid.” But they can get help from DSH. See the other side of this sheet.
Help with Hospital Bills: The DSH Program

The DSH program helps Kentucky hospitals that care for lots poor people. It is a pool of money to help cover the hospitals’ costs.

To get the money, hospitals must screen all people without insurance.
DSH stands for Disproportionate Share Hospital program.

Who can get help? DSH helps people who don’t qualify for Medicaid or Kentucky Children’s Health Insurance Program (KCHIP), especially:

  • working adults without children in the home

You do not have to be a citizen or have immigration papers. You just have to be a resident of Kentucky.

What bills does it cover? DSH only covers the hospital bill. It won’t cover your doctors’ charges if they are separate from the hospital bill.

It also won’t cover drugs or doctor visits after you go home.

Do I have to be poor? Yes. Your yearly income must be below the federal poverty line for your family size:

||
Family Size
||
Annual Income
||
||
1
||
$9,800
||
||
2
||
13,200
||
||
3
||
16,600
||
||
4
||
20,000
||
||
5
||
23,400
||

Add $3400 for each additional person.

You must also have low “resources” (such as money in the bank):

||
Family Size
||
Resource Limit
||
||
1
||
$2,000
||
||
2
||
4,000
||

Add $3400 for each additional person.

Important: You can subtract your unpaid medical bills from your total resources to see if you meet the limit.

Funded by a grant from the
Foundation for a Healthy Kentucky.
How do I apply? Hospitals should screen everyone who doesn’t have health insurance for DSH at the time of their care. If they don’t, you can ask them to screen you, then or later. Ask them to use the DSH-001 form.

What if I don’t have papers? You do not have to have immigration papers or a Social Security number. However, you must be a resident of Kentucky.

What if I don’t speak English? Federal law says hospitals must serve people who speak other languages. You have a right to an interpreter. Ask for one!

What if the hospital didn’t screen me for DSH or won’t do it when I ask? Call Maxwell Street Legal Clinic at 859-233-3840.

Remember: Some people can also apply at DCBS for “Time Limited Medicaid.” See the other side of this sheet.

Prepared by: Maxwell Street Legal Clinic, 315 Lexington Avenue, Lexington, KY, 40508