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Hospital Based Presumptive Eligibility

The Affordable Care Act gave hospitals the option as of January 2014 to determine presumptive eligibility (PE) for certain Medicaid coverage groups. A qualified hospital may elect to make PE determinations for populations whose eligibility is determined using the Modified Adjusted Gross Income methodology. Determinations are made based on preliminary information, and according to policies and procedures established by the Bureau for Medical Services.

Hospital Based Presumptive Eligibility Authorized Worker training is now available at
Click here for instructions for enrolling in public LMS Course

Quarterly Report Dispute Form

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