UPM 1523 - Presumptive Eligibility for Children

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 11-1-05 Transmittal: UP-06-03 1523 ______________________________________________________________________________ Section: Type: The Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: Presumptive Eligibility for Children FMA _______________________________________________________________ Subject:

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1523 Presumptive eligibility for children is a method of determining temporary Medicaid eligibility for children under the age of nineteen (19). The determination is made by organizations authorized under Federal and State law and approved by the Department to make presumptive eligibility determinations. These organizations are called “Qualified Entities.”

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