Presumptive Eligibility for Pregnant Women FAQ
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FAQ
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.
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.
Hospital presumptive eligibility (PE) is a policy option that allows hospitals to provide temporary Medicaid coverage to individuals likely to qualify for Medicaid. Previously, presumptive eligibility was an option limited to children or pregnant women and available only in states that selected this option.
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.
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
Medicaid provides health coverage to low-income pregnant women during pregnancy and up to two months after the birth of the baby.To get Medicaid for Pregnant Women or CHIP Perinatal, you must be a Texas resident and a U.S. citizen or qualified non-citizen.
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.
How long does the eligibility and enrollment process take? Texas Health and Human Services (HHS) staff have 15 business days to process the application from the day they received it. Once eligibility is determined, the pregnant woman enrolls in a CHIP perinatal health plan on behalf of her unborn child.
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