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Implementation Guide: Medicaid State Plan Eligibility Presumptive Eligibility Parents and Other Caretaker Relatives – Presumptive Eligibility

Guidance for the reviewable unit (RU) that describes the provisions under which the state determines presumptive eligibility (PE) for the mandatory eligibility group for parents and other caretaker relatives. This option, as described at 42 CFR 435.1103, allows an individual to be determined presumptively eligible by a qualified entity and to access Medicaid-covered services while his or her full application is being processed.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 01, 2019

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.