Presumptive eligibility is a policy option that allows hospitals to provide temporary Medicaid coverage to people likely to qualify for Medicaid. Find training and resources available for healthcare providers certified to determine whether a patient is likely to meet modified adjusted gross income (MAGI) Medicaid eligibility criteria.
Presumptive eligibility Medicaid is immediate, temporary health coverage for eligible people receiving care. This coverage is short term, but the application will also be used to determine a customer’s eligibility for long-term health coverage.
To partner with the Department of Health and Welfare as a presumptive eligibility provider, you hospital will need to submit a Memorandum of Understanding between your organization and the Division of Welfare.
After your hospital has been accepted as a presumptive eligibility provider, review this training material.
