66.04 Presumptive coverage111

Effective dates Presumptive coverage begins on the date the individual is determined to be presumptively eligible. Presumptive coverage ends with the earlier of (and includes): 108 42 CFR § 435.1102(b), as applied to hospital determination of presumptive eligibility by 42 CFR § 435.1110(a). 109 42 CFR § 435.1102(d)(1), as applied to hospital determination of presumptive eligibility by 42 CFR § 435.1110(a). 110 42 CFR § 435.1102(d)(2), as applied to hospital determination of presumptive eligibility by 42 CFR § 435.1110(a). 111 42 CFR § 435.1101, as applied to hospital determination of presumptive eligibility by 42 CFR § 435.1110(a). Eligibility-and-Enrollment Procedures Part 7 – Page 51 (Sec.67.00, Sub.0) (i) The date that the individual is determined to be eligible or ineligible for ongoing Medicaid. (ii) If the individual has not applied for ongoing Medicaid, the last day of the month following the month in which the individual was determined to be presumptively eligible. (b) No retroactive coverage. No retroactive coverage may be provided as a result of a presumptive eligibility determination. (c) Frequency. An individual may receive only one presumptive Medicaid eligibility period in a calendar year. A pregnant woman may receive only one presumptive Medicaid eligibility period for each pregnancy, even if she has not yet otherwise received a presumptive Medicaid eligibility period during the current calendar year.