UPM 1521.05 - Identifying Eligible Assistance Units

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 3-1-10 Transmittal: UP-11-01 1521.05 ______________________________________________________________________________ Section: Type: The Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: MA Presumptive Eligibility for Pregnant Women _______________________________________________________________ Subject: Identifying Eligible Assistance Units ______________________________________________________________________________

1521.05 A. Cases Entitled to Presumptive Eligibility for Pregnant Women

The Department determines HUSKY eligibility on a presumptive basis for those who qualify for the coverage group of Pregnant Women Under 250% of the Federal Poverty Level (P02). (Cross Reference: 2540.43)

Eligibility Determinations

1. The presumptive eligibility determination for pregnant women is made by the qualified provider. In making presumptive eligibility determinations, qualified providers act as agents of the Department and are governed by all Department policies and procedures including, but not limited to, the areas of confidentiality, equal treatment and nondiscrimination.

The qualified provider secures a completed application form from the applicant.

The qualified provider makes its presumptive eligibility determination that the applicant meets the categorical, technical and income eligibility criteria based on the information reported on the application form.

The qualified provider is not required to verify factors of eligibility, but shall forward to the Department a copy of the completed application and any readily available verification documents.

The qualified provider’s presumptive eligibility determination remains in effect until the ending date of presumptive eligibility specified in subsection A.2. of section 1521.10.