District of Columbia Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
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 District of Columbia Application for Presumptive Eligibility for Medicaid is a crucial document that aims to provide temporary healthcare coverage to individuals while their full Medicaid application is being processed. This program allows those who meet certain eligibility criteria to receive immediate access to essential healthcare services. The application process involves collecting essential personal information, including names, addresses, social security numbers, and income details, to establish an individual's preliminary eligibility. It is important to accurately complete each section to ensure a swift determination of eligibility for healthcare benefits. Keywords: District of Columbia, Application for Presumptive Eligibility, Medicaid, temporary healthcare coverage, full Medicaid application, eligibility criteria, immediate access, essential healthcare services, personal information, preliminary eligibility, determination of eligibility, healthcare benefits. Different types of District of Columbia Application for Presumptive Eligibility for Medicaid may include: 1. Adult Application: Designed for adults aged 19 to 64 years who are seeking temporary healthcare coverage while their full Medicaid application is pending. 2. Child Application: Specifically created for children under the age of 19 who need immediate access to healthcare services until their full Medicaid application is processed. 3. Pregnant Woman Application: Tailored to pregnant women who meet certain income and residency requirements, providing them with temporary healthcare coverage until their full Medicaid application is finalized. 4. Emergency Application: Emergency applications are intended for individuals experiencing urgent medical situations who need immediate access to healthcare services. These applications expedite the process of receiving temporary Medicaid coverage. Keywords: Adult Application, Child Application, Pregnant Woman Application, Emergency Application, temporary healthcare coverage, pending full Medicaid application, immediate access, residency requirements, urgent medical situations, expedite, Medicaid coverage.

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FAQ

Medicaid coverage is divided into certain eligibility groups. These eligibility groups consist of MAGI Medicaid and Non- MAGI Medicaid. MAGI Medicaid includes children (newborn to age 20), Parents/Caretake Relatives with minor dependents, Pregnant Individuals, and non-disabled adults aged 21 to 64.

As noted above, DC expanded Medicaid in 2010, well before most of the rest of the country.

DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.

Infants & Children (0-20) CategoryChildren (0-18), 319%Children (19-20)1 person household, monthly$3,937$2,6852 person household, monthly$5,324$3,6323 person household, monthly$6,712$4,5784 person household, monthly$8,100$5,5255 more rows

Medicaid Eligibility Salary in Washington, DC Annual SalaryMonthly PayTop Earners$59,150$4,92975th Percentile$54,700$4,558Average$46,216$3,85125th Percentile$39,800$3,316

After you submit your application, it can take up to 45 days (or 60 days if you are disabled) for you to hear whether you have been approved for enrollment into the Medicaid program.

Who is eligible for District of Columbia Medicaid? Household Size*Maximum Income Level (Per Year)5$46,7376$53,5737$60,4098$67,2454 more rows

In 2023, a single individual applying for Nursing Home Medicaid in DC must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $4,000 3) Require the level of care provided in a nursing home facility.

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Presumptive Eligibility · Your income is at or below 319% FPL · You are a District of Columbia resident · You are a US Citizen or have an eligible immigration ... Hospitals seeking qualified status must complete a “Certified Application Counselor Program. Designated Organization Application” and “Certified Application ...Is the presumptive eligibility application different from a full application for Medicaid, CHIP, and exchange? If so, what steps are being taken to ensure ... This is not a full Medicaid application. Tell us about the individual's family. If you have more people to add, complete this form for each additional person. (A) “TANF-related Medicaid recipient” means a family that has dependent children under 21 years of age in the home and whose income is not low enough to qualify ... PART 435—ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE ... in completing and submitting the full application and understanding any documentation ... Provider will provide a Medicaid application to the individual and assist them in completing the application process in order to obtain a full eligibility ... Jul 16, 2014 — Under a presumptive access policy, applicants for Medicaid HCBS are temporarily assumed to be eligible and may begin receiving services ... Jun 11, 2012 — PREGNANT WOMEN. • Provide eligibility determination for Medicaid, CHIP, Head Start,. Child Care and Development Block. (c) Individuals who may be eligible under this section must file a written application for Medicaid. Medicaid coverage may begin no earlier than July 1, 1988.

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District of Columbia Application for Presumptive Eligibility for Medicaid