What is Medi-Cal presumptive eligibility?

Presumptive Eligibility (PE) programs provide qualified individuals immediate temporary Medi-Cal coverage based on the individual's self-attested preliminary information. Qualified PE providers approved by the Department of Health Care Services (DHCS) make presumptive eligibility determinations.

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Presumptive Eligibility for Pregnant Women FAQ

Contra Costa California Presumptive Eligibility for Pregnant Women FAQ

Name: Contra Costa California Presumptive Eligibility for Pregnant Women FAQ
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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.

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Medicaid can also deny pregnant women because their household size is too small relative to the total income. Therefore, you do not want to omit a dependent unknowingly or include an extra wage earner and hurt your eligibility.

The PE provider will ask you to complete a Statement of California Residency and then a Presumptive Eligibility for Pregnancy Only application. If you are determined eligible for PE, the provider will then complete your pregnancy test. If your pregnancy test is negative, you will not be eligible for PE.

Medi-Cal Coverage for Pregnant Women includes: Eligible pregnant women are required to enroll in a Medi-Cal managed care health plan unless they opt to remain with their physician in Fee-for-Service throughout their pregnancy and postpartum period.

Presumptive Eligibility (PE) programs provide qualified individuals immediate temporary Medi-Cal coverage based on the individual's self-attested preliminary information. Qualified PE providers approved by the Department of Health Care Services (DHCS) make presumptive eligibility determinations.

200bPresumptive Eligibility for Pregnant Women The PE4PW program allows Qualified Providers (QPs) to grant immediate, temporary Medi-Cal coverage for ambulatory prenatal care and prescription drugs for conditions related to pregnancy to low-income, pregnant patients, pending their formal Medi-Cal application.

The Program Presumptive Eligibility for Pregnant Women (PE4PW) is a Medi-Cal program designed to provide immediate, temporary coverage for prenatal care to low-income pregnant patients pending a formal Medi-Cal application.

Receive a Notification of Likely Eligibility by mail. Your county's social services office may contact you by mail or by phone to request paper verification if income, citizenship, and other criteria cannot be verified electronically. Receive Final Notice of Action notifying you of whether or not you can receive Medi-

Presumptive means speculation or unconfirmed. These are signs of pregnancy the woman is experiencing that makes her suspicious she may be pregnant.

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If you are pregnant or have breast or cervical cancer, you may apply for Presumptive Medicaid at your local county health department. These two programs give pregnant women the care they need to keep their babies healthy.You can apply for both programs at the same time. Eligibility Overview. WIC is available to pregnant, breastfeeding and postpartum women, infants and children up to age five. Call to find out the phone number for your county office. MEDICALLy NEEDy MEDI-CAL. The mission of the Immunization Action Coalition (IAC) is to increase immunization rates and prevent disease throughout the United States. If you are in a California state prison, a new state law requires.

Contra Costa California Presumptive Eligibility for Pregnant Women FAQ

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