Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 100 - General Provisions
Chapter 8 - Coverage of the Categorically Needy in Mississippi
Rule 23-100-8.11 - Mandatory Presumptive Eligibility Determined by Qualified Hospitals

A. As required by the Affordable Care Act (ACA), qualified hospitals must be allowed to determine presumptive eligibility for individuals eligible for Medicaid in certain Medicaid coverage groups, referred to as Hospital Presumptive Eligibility (HPE).

B. HPE affords qualified hospitals the opportunity to immediately enroll patients in Medicaid who are determined eligible for Medicaid by authorized hospital staff.

C. HPE provides temporary Medicaid eligibility but also allows access to continuing Medicaid coverage provided the HPE decision includes filing a full Medicaid application.

D. Medicaid populations eligible for HPE decisions include children up to age nineteen (19), pregnant women, low income parents or caretaker relative(s), former foster children and certain women with breast or cervical cancer.

E. The Division of Medicaid certifies HPE Medicaid eligibility.