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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care ServicesPresumptive Eligibility for Pregnant Women Program PATIENT FACT SHEET What is Presumptive Eligibility (PE)? PE

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What is what is presumptive eligibility?

Presumptive eligibility is a process that allows individuals to receive temporary Medicaid coverage while their full Medicaid application is being processed.

Who is required to file what is presumptive eligibility?

Healthcare providers are required to file for presumptive eligibility on behalf of patients who may qualify for Medicaid.

How to fill out what is presumptive eligibility?

Healthcare providers can fill out the presumptive eligibility application with the patient's basic information and income details.

What is the purpose of what is presumptive eligibility?

The purpose of presumptive eligibility is to provide temporary healthcare coverage to individuals who may qualify for Medicaid but are waiting for their full application to be approved.

What information must be reported on what is presumptive eligibility?

The application for presumptive eligibility must include the patient's basic information, income details, and proof of residency.

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