UPM 1521 - Presumptive Eligibility for Pregnant Women

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 3-1-10 Transmittal: UP-11-01 1521 ______________________________________________________________________________ Section: Type: The Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: Presumptive Eligibility for Pregnant Women MA _______________________________________________________________ Subject:

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1521 Presumptive eligibility for pregnant women is a method of determining temporary Medicaid eligibility for pregnant women. The determination is made by providers authorized under federal and state law and approved by the Department to make presumptive eligibility determinations. These organizations are called “qualified providers.” Presumptive eligibility determinations made by “qualified providers” are temporary and end when a final determination of eligibility is made by the Department, or on an earlier date as specified in section 1521.10 A.2.

This chapter describes the conditions and methods used in the determination of presumptive eligibility for pregnant women.