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6. Indian Health Services/Tribal Health Programs; and 7. Qualified Hospitals NOTE: Presumptive pregnancy eligibility can be determined by any of the entities listed; however, only qualified hospitals can determine PE for the other PE populations listed above. PE FINANCIAL and NONFINANCIAL REQUIREMENTS: Individuals may be found presumptively eligible if: 1. Countable income is within allowable limits for the appropriate program; 2. The individual meets US citizen or qualified noncitizen status; 3. ACA Adult Expansion individuals meet community engagement requirement or have an exclusion, 4. There has not been a PE period for either the current pregnancy or previous 12- month period; and/or 5. Pregnancy and due date are self-attested. NOTE: Pregnancy information is only needed for women seeking presumptive pregnancy eligibility or those where pregnancy is the only exclusion to community engagement criteria. PRESUMPTIVE ELIGIBILITY PERIOD: Eligibility begins the day a qualified entity determines the individual is eligible. The QE will provide proof of eligibility that allows the individual to receive approved services. PE period ends the: 1. Day the individual is determined ineligible for Medicaid; or 2. Last day of the month following the month of PE (if no regular Medicaid application has been submitted); or 3. Day a pending Medicaid application is processed (if received prior to the PE period ending). PE may overlap a month of regular Medicaid coverage if a Medicaid application is pending at the time a PE determination is made. Effective Date: 7/1/2026