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2. Pregnant individuals -- Maternity services are limited to prenatal ambulatory care only. (Birthing expenses are not covered.) C. Service Delivery. Individuals determined to be presumptively eligible for Medicaid will be enrolled in a fee-for-service plan. When full Medicaid eligibility is determined, participants will be enrolled at EOHHS’ discretion in a managed care organization (MCO), as indicated in Subchapter 05 Part 2 of this Chapter. 4.7 Requirements for Hospitals to Participate in the HPE Program A. A hospital must meet certain requirements to be deemed qualified to participate in the HPE. 1. Participation. A qualified hospital must be licensed in RI and a participating Medicaid provider under the Rhode Island Medicaid State Plan or Section 1115 waiver. The hospital must notify EOHHS of its election to make presumptive eligibility determinations, and agree to HPE determinations in compliance with State policies/procedures and these rules. 2. Application Process: The qualified hospital must: a. Assist individuals in completing and submitting the full application for health insurance affordability programs in Rhode Island. This assistance includes assuring that the individual understands any documentation requirements. b. NOT require individuals assessed for HPE to verify information related to any HPE eligibility criteria/characteristic, including pregnancy. c. Accept self-attestation of income, citizenship, and residency, as applicable, when determining eligibility. d. Provide individuals with written notice after the HPE determination is made that includes, but is not limited to: (1) HPE determination (i.e., approved or denied); (2) If approved, the beginning and ending dates; (3) If denied, the reason(s) for the denial, options for submitting a regular Medicaid application and information on how to make application. e. The qualified hospital must utilize EOHHS-approved materials and methods in determining HPE and completing full Medicaid