Louisiana Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

The Louisiana Application for Presumptive Eligibility for Medicaid is an essential tool for individuals seeking expedited access to Medicaid benefits. This application serves as a preliminary step to determine if an individual meets the eligibility criteria for immediate Medicaid coverage while their full application is being processed. The Louisiana Department of Health (LDH) offers different types of applications for Presumptive Eligibility, tailored to specific populations and circumstances. One such application is the Louisiana Application for Presumptive Eligibility for Pregnant Women, designed for expectant mothers who require immediate access to prenatal care and maternity services. Another type is the Louisiana Application for Presumptive Eligibility for Children, which targets families with dependent children who meet certain income and resource guidelines. This application ensures that eligible children receive immediate healthcare coverage while their complete Medicaid application is being reviewed. The Louisiana Application for Presumptive Eligibility for Adults is intended for individuals aged 19-64 who need emergency Medicaid services but have not yet completed the traditional Medicaid application process. This application assists adults in gaining immediate access to vital medical treatment, prescription medications, and other necessary healthcare services. The process of completing a Louisiana Application for Presumptive Eligibility for Medicaid involves gathering relevant personal and financial information such as income, household size, assets, and expenses. Individuals can submit the completed application at designated enrollment sites, hospitals, clinics, and other healthcare facilities across the state. It may also be possible to apply online or over the phone. Applicants are advised to provide accurate and up-to-date information to ensure a seamless process. Once the application is reviewed, eligible individuals will receive a temporary Medicaid identification card that grants them immediate access to healthcare services for a limited period. During this time, it is crucial for applicants to proceed with the full Medicaid application to maintain continuous coverage beyond the presumptive eligibility period. In summary, the Louisiana Application for Presumptive Eligibility for Medicaid offers a valuable opportunity for individuals who urgently need healthcare services. With various application types catered to specific populations, it aims to provide expedited access to Medicaid coverage, assisting pregnant women, children, and adults in need. Proper completion and submission of this application are vital steps in securing immediate medical assistance while the comprehensive Medicaid application is being processed.

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We will make a decision and you will be notified within 45 days (with some exceptions) after you apply. If your application is based on disability, it may take up to 90 days. Coverage can start as early as 3 months before the month you apply.

Medicaid is also required to check with your financial institutions electronically to be sure we know about all assets and resources.

If you are not sure if you have Medicaid health coverage, call Medicaid Customer Service toll free at 1-888-342-6207. You can apply for Medicaid at any time.

The most common thing Medicaid will ask for is proof of income, like check stubs from a job. If you have access to the Internet on a computer, mobile device or smartphone, you can scan documents or take pictures of documents and submit them online in the Louisiana Medicaid Self-Service Portal (SSP).

The most common thing Medicaid will ask for is proof of income, like check stubs from a job. If you have access to the Internet on a computer, mobile device or smartphone, you can scan documents or take pictures of documents and submit them online in the Louisiana Medicaid Self-Service Portal (SSP).

You may qualify for Medicaid if you are: Are age 19-64 and make less than 138% of the Federal Poverty Level (about $16,000 for a single person living alone, or about $33,000 for a family of four.

ProgramFamily Size/Monthly Income LimitsLaCHIP - for children$2,637$9,143LaCHIP Affordable Plan - for children$3,099$10,744LaMOMS - for pregnant women$5,815Medicaid Purchase Plan - for workers with disabilities$1,2156 more rows

Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580. Per CMS guidance, there is no deadline for states to implement the Medicaid expansion.

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If an application for full Medicaid benefits is submitted during the presumptive eligibility ... actually complete a BHSF Form 1-A for full Medicaid benefits;. Advising the individual that they may apply for a formal determination of Medicaid eligibility by: ▫ Seeking assistance from the in-hospital financial.Sep 20, 2023 — Effective December 31, 2013 any hospital designated by Louisiana Medicaid as a hospital presumptive eligibility qualified provider (HPEQP) ... Is the presumptive eligibility application different from a full application for Medicaid, CHIP, and exchange? If so, what steps are being taken to ensure ... Hospital presumptive eligibility (PE) is a policy option that allows hospitals to provide temporary. Medicaid coverage to individuals likely to qualify for ... by T Brooks — the application for on-going Medicaid or CHIP, gather documents needed to verify eligibility, and submit the application. The state provides qualified entities. Jan 1, 2020 — Louisiana began using federal funds to cover lawfully ... complete and submit an online application for Medicaid through a state-level portal. Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed. Qualified ... Jun 2, 2023 — The PE4PW program is designed for low-income California residents who believe they are pregnant and who do not have Medi-Cal coverage for ... ... complete an HPE application or need to register to use the HPE Application Portal. HPE Application Portal. Learn more about presumptive eligibility here;.

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Louisiana Application for Presumptive Eligibility for Medicaid