Ohio Presumptive Eligibility for Pregnant Women FAQ
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In Ohio, having a disability does not guarantee automatic qualification for Medicaid. However, individuals with disabilities may qualify under specific income and resource limits. It is essential to evaluate your circumstances and explore available options to see which programs you may be eligible for. For comprehensive guidance, check the Ohio Presumptive Eligibility for Pregnant Women FAQ on our site.
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.
Every year, about 50,000 Ohioans with a disability newly qualify for Medicaid coverage, including individuals with developmental disabilities and mental illness. Today, these Ohioans must prove they are disabled twice, once to receive Supplemental Security Income (SSI) and again to receive Ohio Medicaid benefits.
Medicaid can also deny pregnant women because their household size is too small relative to the total income.
Information through Interactive Voice Response lines at (800) 686-1516.The first response states patient eligibility;The second prompt provides the patient's managed care plan enrollment, if any.
CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. In some states, CHIP covers pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program.
Pregnant women are usually given priority in determining Medicaid eligibility. Most offices try to qualify a pregnant woman within about 2-4 weeks. If you need medical treatment before then, talk with your local office about a temporary card.
Family Size Monthly Income 1 $1,699 2 $2,289 3 $2,879 4 $3,469 5 $4,059 6 $4,649 7 $5,239 8 $5,829 9 $6,419 10 $7,009 Families with monthly incomes higher than the amount in the first column, but lower than the amount in the second column MUST apply if they do not have private health insurance.
Medicaid and the Children's Health Insurance Program (CHIP) provide no-cost or low-cost health coverage for eligible children in Ohio. These programs provide health coverage for children so that they can get routine check-ups, immunizations and dental care to keep them healthy.
Once approved, how long will Hospital PE Period last? The Hospital PE Period lasts for up to 60 days. The 60-day PE period begins the first day of the month the Hospital PE Application is approved and ends the last day of the following month.