601.03.01 Eligibility Worker

The eligibility worker is an SCDHHS employee such as a sponsored Medicaid worker located on site in a hospital. The eligibility worker may assist the hospital in gathering information for the PE application. The eligibility worker may assist the hospital in the calculation of Modified Adjusted Gross Income. The eligibility worker may assist the hospital in operational aspects of the PE program. However, the eligibility worker is prohibited from making the determination of presumptive eligibility on behalf of the hospital.