Michigan Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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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.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Who is eligible for Michigan Medicaid Health Care Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Ohio's statewide Presumptive Eligibility (PE) initiative provides uninsured residents with the opportunity to receive immediate health care services through Medicaid if they are presumed to be eligible. Individuals who qualify through PE will then be provided with the information to apply for full Medicaid coverage.

Presumptive Eligibility for Pregnant Women is immediate and temporary coverage for low-income women who are pregnant and might be eligible for Medi-Cal. Coverage is available for up to 60 days while you apply for ongoing Medi-Cal.

PE allows eligible individuals can get needed coverage while their application is being processed. This ensures that the individual will have access to needed services and medications, and that providers will be reimbursed for eligible services.

Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed.

Like Supplemental Security Income (SSI), SSI-related Medicaid is for people with disabilities who have low income and low resources. However, some rules are different. For example, SSI-related Medicaid has a higher income limit. The bottom line: If you get SSI payments, you automatically get Medicaid coverage.

The presumptive eligibility policy shall be applied to an uninsured patient as soon as possible after the patient receives hospital services and prior to issuing any bill for those hospital services. A presumptive eligibility policy is defined as the criteria used to deem a patient eligible for financial assistance.

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Michigan Application for Presumptive Eligibility for Medicaid