Massachusetts 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. Massachusetts Presumptive Eligibility for Pregnant Women FAQ: A Comprehensive Guide 1. What is Massachusetts Presumptive Eligibility for Pregnant Women? Massachusetts Presumptive Eligibility for Pregnant Women (MAPPED) is a program designed to provide temporary healthcare coverage to pregnant women who meet certain income requirements. This coverage allows pregnant women to receive necessary prenatal care and other essential healthcare services until formal eligibility for IMS Health or other insurance programs is determined. 2. How does Massachusetts Presumptive Eligibility for Pregnant Women work? Under the MAPPED program, eligible pregnant women can receive immediate healthcare coverage by completing a simple application process. This coverage usually lasts for a period of 60 days, during which the pregnant woman can access prenatal care, laboratory tests, ultrasounds, and other necessary healthcare services. 3. Who is eligible for Massachusetts Presumptive Eligibility for Pregnant Women? To be eligible for MAPPED, pregnant women must meet certain income guidelines. Generally, women whose household income is at or below 200% of the federal poverty level (GPL) may qualify for temporary coverage. Additionally, women must be Massachusetts residents and have a verified pregnancy confirmed by a qualified healthcare provider. 4. Are there different types of Massachusetts Presumptive Eligibility for Pregnant Women? Yes, there are different types of MAPPED based on income eligibility. These include: — Full Presumptive Eligibility: Pregnant women who meet the income guidelines for IMS Health Standard or Commonwealth can receive full coverage under MAPPED. — Limited Presumptive Eligibility: Pregnant women whose income exceeds the IMS Health Standard or Commonwealth limits but does not exceed 200% of the GPL may receive limited coverage for prenatal care and essential services. 5. How can pregnant women apply for Massachusetts Presumptive Eligibility? Pregnant women can apply for MAPPED by visiting a qualified healthcare provider or community organization participating in the program. The provider will assist in completing the application form and verifying the pregnancy. Once the application is submitted, coverage should begin immediately, allowing the pregnant woman to access healthcare services. 6. What happens after the 60-day coverage period of Massachusetts Presumptive Eligibility ends? After the 60-day coverage period, pregnant women are encouraged to apply for ongoing health coverage through IMS Health or other insurance programs. They may be eligible for IMS Health Standard or Commonwealth depending on their income and other eligibility criteria. It is essential to complete the formal application process to ensure continuous access to healthcare services. In conclusion, Massachusetts Presumptive Eligibility for Pregnant Women is a valuable program that provides temporary healthcare coverage to pregnant women in need. By offering immediate access to prenatal care and essential services, this program plays a crucial role in promoting the health and well-being of expectant mothers across Massachusetts.

Massachusetts Presumptive Eligibility for Pregnant Women FAQ: A Comprehensive Guide 1. What is Massachusetts Presumptive Eligibility for Pregnant Women? Massachusetts Presumptive Eligibility for Pregnant Women (MAPPED) is a program designed to provide temporary healthcare coverage to pregnant women who meet certain income requirements. This coverage allows pregnant women to receive necessary prenatal care and other essential healthcare services until formal eligibility for IMS Health or other insurance programs is determined. 2. How does Massachusetts Presumptive Eligibility for Pregnant Women work? Under the MAPPED program, eligible pregnant women can receive immediate healthcare coverage by completing a simple application process. This coverage usually lasts for a period of 60 days, during which the pregnant woman can access prenatal care, laboratory tests, ultrasounds, and other necessary healthcare services. 3. Who is eligible for Massachusetts Presumptive Eligibility for Pregnant Women? To be eligible for MAPPED, pregnant women must meet certain income guidelines. Generally, women whose household income is at or below 200% of the federal poverty level (GPL) may qualify for temporary coverage. Additionally, women must be Massachusetts residents and have a verified pregnancy confirmed by a qualified healthcare provider. 4. Are there different types of Massachusetts Presumptive Eligibility for Pregnant Women? Yes, there are different types of MAPPED based on income eligibility. These include: — Full Presumptive Eligibility: Pregnant women who meet the income guidelines for IMS Health Standard or Commonwealth can receive full coverage under MAPPED. — Limited Presumptive Eligibility: Pregnant women whose income exceeds the IMS Health Standard or Commonwealth limits but does not exceed 200% of the GPL may receive limited coverage for prenatal care and essential services. 5. How can pregnant women apply for Massachusetts Presumptive Eligibility? Pregnant women can apply for MAPPED by visiting a qualified healthcare provider or community organization participating in the program. The provider will assist in completing the application form and verifying the pregnancy. Once the application is submitted, coverage should begin immediately, allowing the pregnant woman to access healthcare services. 6. What happens after the 60-day coverage period of Massachusetts Presumptive Eligibility ends? After the 60-day coverage period, pregnant women are encouraged to apply for ongoing health coverage through IMS Health or other insurance programs. They may be eligible for IMS Health Standard or Commonwealth depending on their income and other eligibility criteria. It is essential to complete the formal application process to ensure continuous access to healthcare services. In conclusion, Massachusetts Presumptive Eligibility for Pregnant Women is a valuable program that provides temporary healthcare coverage to pregnant women in need. By offering immediate access to prenatal care and essential services, this program plays a crucial role in promoting the health and well-being of expectant mothers across Massachusetts.