Definitions
For purposes of this section—
(1)#
the term “presumptive eligibility period” means, with respect to a pregnant woman, the period that—
(A) begins with the date on which a qualified provider determines, on the basis of preliminary information, that the family income of the woman does not exceed the applicable income level of eligibility under the State plan, and
(B) ends with (and includes) the earlier of— (i) the day on which a determination is made with respect to the eligibility of the woman for medical assistance under the State plan, or (ii) in the case of a woman who does not file an application by the last day of the month following the month during which the provider makes the determination referred to in subparagraph (A), such last day; and
(1)(A)#
begins with the date on which a qualified provider determines, on the basis of preliminary information, that the family income of the woman does not exceed the applicable income level of eligibility under the State plan, and
(1)(B)#
ends with (and includes) the earlier of—
(i) the day on which a determination is made with respect to the eligibility of the woman for medical assistance under the State plan, or
(ii) in the case of a woman who does not file an application by the last day of the month following the month during which the provider makes the determination referred to in subparagraph (A), such last day; and
(2)#
the term “qualified provider” means any provider that—
(A) is eligible for payments under a State plan approved under this subchapter,
(B) provides services of the type described in subparagraph (A) or (B) of section 1396d(a)(2) of this title or in section 1396d(a)(9) of this title ,
(C) is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A), and
(D) (i) receives funds under— (I) section 254b or 254c of this title, (II) subchapter V of this chapter, or (III) title V of the Indian Health Care Improvement Act [ 25 U.S.C. 1651 et seq.]; (ii) participates in a program established under— (I) section 1786 of this title , or (II) section 4(a) of the Agriculture and Consumer Protection Act of 1973; (iii) participates in a State perinatal program; or (iv) is the Indian Health Service or is a health program or facility operated by a tribe or tribal organization under the Indian Self-Determination Act ( Public Law 93–638 ) [ 25 U.S.C. 5321 et seq.].
(2)(A)#
is eligible for payments under a State plan approved under this subchapter,
(2)(B)#
provides services of the type described in subparagraph (A) or (B) of section 1396d(a)(2) of this title or in section 1396d(a)(9) of this title ,