Requirements

Presumptive Eligibility (PE) Medical Assistance allows Qualified Providers (QP) and Qualified Hospitals (QH) authorized by the Department of Community Health (DCH), to make temporary determinations of Medical Assistance eligibility for applicants whose statement of net BG income is less than the appropriate FPL for the Class of Assistance (COA) requested. PE continues while a formal determination of eligibility for ongoing and/or retroactive Medical Assistance is pending with the Division of Family and Children Services (DFCS) office.