what is presumptive eligibility medicaid
Presumptive eligibility is a process that allows qualified hospitals and qualified entities to determine if an individual can get short-term Medicaid. It provides individuals with Medicaid coverage while HHSC processes their application for regular Medicaid.
Home Â» Programs Â» Medicaid Â» Applying for Medicaid Â» Presumptive Eligibility Medicaid. Presumptive Eligibility (PE) is an expedited process of enrolling eligible applicants in the Medicaid program. PE allows certain providers, designated as Qualified Provider (QP)/ Qualified Hospital (QH), to make a preliminary Medicaid eligibility determination for an applicant.