601.03.02 Hospital Worker
The hospital worker is the hospital employee who will make the presumptive eligibility determination. This person cannot be the employee of an affiliated entity such as a third-party financial counselor, navigator, or sponsored Medicaid worker. The hospital worker will assess the information provided by the applicant and make the decision of whether to determine the individual presumptively eligible. The hospital worker is responsible for ensuring that all tasks associated with making this determination have been performed such as the completion of the PE application, submitting the determination to SCDHHS, and following up on the completion and submission of the full Medicaid application before the end of the presumptive eligibility period.