Application for Presumptive Eligibility for Medicaid
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How to fill out Application For Presumptive Eligibility For Medicaid?
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FAQ
Presumptive eligibility (PE) is temporary coverage provided by Medicaid for those who currently don't have coverage. The patient may not have signed up for Medicaid (for any number of reasons) or they could have submitted an application, but approval is pending.
Presumptive eligibility is a Medicaid policy option that permits states to authorize specific types of "qualified entities," such as federally qualified health centers, hospitals, and schools, to screen eligibility based on gross income and temporarily enroll eligible children, pregnant women, or both in Medicaid or
Covered for those services. If you do not fill out and send the State information: State single streamlined application to see if you qualify for regular Medicaid or other health coverage, your presumptive eligibility for Medicaid coverage will end on the last day of the month after the month you are approved.
Participate as a provider under the Indiana State Plan or under a demonstration program under Section 1115 of the Social Security Act. Notify the Family and Social Services Administration (FSSA) of the provider's intention to make presumptive eligibility determinations.
Who Is Eligible? Any woman who thinks she is pregnant, whose family income is under a certain amount, and who seeks prenatal care through a participating Medi-Cal provider. Undocumented women are eligible.
To find out if you qualify for regular Medicaid or other health coverage, you must complete State information: State single streamlined application. While you wait to learn if you qualify for regular Medicaid or other health coverage, you can get your health services through presumptive eligibility for Medicaid.
Presumptive Eligibility (PE) is a Medi-Cal program providing immediate, temporary coverage for prenatal services (except delivery, family planning, and optional abortion procedures) to low-income women. PE will cover the cost of these services while the County is processing a woman's Medi-Cal application.