Click Here for the Federal Poverty Level for Presumptive Eligibility as of 4/1/09.
Click Here for the Presumptive Eligibility, Emergency Services, Pregnant Woman Matrix.
Click Here for the Presumptive Eligibility Fact Sheet.
Click Here for the Medicaid Qualified Provider Application Agreement.
Presumptive Eligibility Providers' Manual
Presumptive Eligibility for Qualified Providers
PE Intake Form
PE Calculation Form
PE Rights and Responsibilities Form
PE Approval Notice
PE Denial Notice
Healthcare Coverage Application
Healthcare Coverage Application SPANISH
Click on the link below to go to take the PE Quiz!
<a href="http://www.surveymonkey.com/s.aspx?sm=hLtf7Xxm0hjIFeAMMGsgmw_3d_3d">Click Here to take survey</a>