Delaware Presumptive Eligibility for Pregnant Women FAQ

• Category: Contracts
• State: Multi-State
• Control #: US-0539BG
• Format: Word; Rich Text

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The PE for Pregnant Women program allows Qualified Providers (QPs) to grant immediate, temporary Medicaid coverage for ambulatory prenatal care and prescription drugs for conditions related to pregnancy to low-income, pregnant patients, pending their formal Medicaid application. Delaware Presumptive Eligibility for Pregnant Women FAQ What is Delaware Presumptive Eligibility for Pregnant Women? Delaware Presumptive Eligibility for Pregnant Women is a program that provides temporary health coverage for pregnant women who have not yet been determined eligible for Delaware Medicaid. This program allows pregnant women to receive immediate prenatal care while their full Medicaid application is being processed. Who is eligible for Delaware Presumptive Eligibility for Pregnant Women? To be eligible for Delaware Presumptive Eligibility for Pregnant Women, individuals must meet the following criteria: 1. Be pregnant and a resident of Delaware 2. Have a Social Security number or have applied for one 3. Have income at or below 350% of the federal poverty level Note: Certain non-citizens may also be eligible for this program, such as documented immigrants with a qualified immigration status and victims of domestic violence. How do I apply for Delaware Presumptive Eligibility for Pregnant Women? To apply for Delaware Presumptive Eligibility for Pregnant Women, you can visit a participating healthcare provider or a community agency that offers this service. The application process typically involves completing a short form and providing proof of your pregnancy and income. What services does Delaware Presumptive Eligibility for Pregnant Women cover? Delaware Presumptive Eligibility for Pregnant Women covers a range of essential prenatal care services, including: 1. Prenatal doctor visits 2. Laboratory tests 3. Prescription medications 4. Ultrasounds 5. Childbirth education 6. Nutrition counseling 7. Substance abuse treatment (if needed) 8. Mental health counseling (if needed) Is there a time limit for Delaware Presumptive Eligibility for Pregnant Women? Yes, Delaware Presumptive Eligibility for Pregnant Women coverage lasts for up to 60 days from the date of enrollment or until you are determined ineligible for full Medicaid coverage, whichever comes first. What happens after my Delaware Presumptive Eligibility for Pregnant Women coverage ends? After your Delaware Presumptive Eligibility for Pregnant Women coverage ends, you should receive a notice informing you of the next steps. This will typically involve applying for full Medicaid coverage through the regular application process. It is crucial to complete the full application as soon as possible to ensure continuous healthcare coverage. Different types of Delaware Presumptive Eligibility for Pregnant Women FAQ: 1. Benefits and Coverage: Explaining the services covered under Delaware Presumptive Eligibility for Pregnant Women and answering questions about specific benefits and limitations. 2. Application Process: Providing detailed information on how to apply, necessary documents, and where to go for assistance. 3. Eligibility Requirements: Informing individuals about the criteria they need to meet to qualify for Delaware Presumptive Eligibility for Pregnant Women and answering common eligibility-related queries. 4. Duration and Transition: Addressing questions regarding the duration of coverage and the steps to take once the Presumptive Eligibility period ends. 5. Non-citizen Eligibility: Clarifying the eligibility criteria for non-citizens, including immigrants with qualified immigration status and victims of domestic violence.

Delaware Presumptive Eligibility for Pregnant Women FAQ What is Delaware Presumptive Eligibility for Pregnant Women? Delaware Presumptive Eligibility for Pregnant Women is a program that provides temporary health coverage for pregnant women who have not yet been determined eligible for Delaware Medicaid. This program allows pregnant women to receive immediate prenatal care while their full Medicaid application is being processed. Who is eligible for Delaware Presumptive Eligibility for Pregnant Women? To be eligible for Delaware Presumptive Eligibility for Pregnant Women, individuals must meet the following criteria: 1. Be pregnant and a resident of Delaware 2. Have a Social Security number or have applied for one 3. Have income at or below 350% of the federal poverty level Note: Certain non-citizens may also be eligible for this program, such as documented immigrants with a qualified immigration status and victims of domestic violence. How do I apply for Delaware Presumptive Eligibility for Pregnant Women? To apply for Delaware Presumptive Eligibility for Pregnant Women, you can visit a participating healthcare provider or a community agency that offers this service. The application process typically involves completing a short form and providing proof of your pregnancy and income. What services does Delaware Presumptive Eligibility for Pregnant Women cover? Delaware Presumptive Eligibility for Pregnant Women covers a range of essential prenatal care services, including: 1. Prenatal doctor visits 2. Laboratory tests 3. Prescription medications 4. Ultrasounds 5. Childbirth education 6. Nutrition counseling 7. Substance abuse treatment (if needed) 8. Mental health counseling (if needed) Is there a time limit for Delaware Presumptive Eligibility for Pregnant Women? Yes, Delaware Presumptive Eligibility for Pregnant Women coverage lasts for up to 60 days from the date of enrollment or until you are determined ineligible for full Medicaid coverage, whichever comes first. What happens after my Delaware Presumptive Eligibility for Pregnant Women coverage ends? After your Delaware Presumptive Eligibility for Pregnant Women coverage ends, you should receive a notice informing you of the next steps. This will typically involve applying for full Medicaid coverage through the regular application process. It is crucial to complete the full application as soon as possible to ensure continuous healthcare coverage. Different types of Delaware Presumptive Eligibility for Pregnant Women FAQ: 1. Benefits and Coverage: Explaining the services covered under Delaware Presumptive Eligibility for Pregnant Women and answering questions about specific benefits and limitations. 2. Application Process: Providing detailed information on how to apply, necessary documents, and where to go for assistance. 3. Eligibility Requirements: Informing individuals about the criteria they need to meet to qualify for Delaware Presumptive Eligibility for Pregnant Women and answering common eligibility-related queries. 4. Duration and Transition: Addressing questions regarding the duration of coverage and the steps to take once the Presumptive Eligibility period ends. 5. Non-citizen Eligibility: Clarifying the eligibility criteria for non-citizens, including immigrants with qualified immigration status and victims of domestic violence.