Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 1 - Coverage of the Categorically Needy in Mississippi
Rule 23-101-1.12 - Mandatory Presumptive Eligibility Determined by Qualified Hospitals
Universal Citation: MS Code of Rules 23-101-1.12
Current through September 24, 2024
A. Qualified hospitals are allowed to determine presumptive eligibility for individuals eligible for Medicaid in certain Medicaid coverage groups, referred to as Hospital Presumptive Eligibility (HPE).
1. Qualified hospitals are
to immediately enroll patients in Medicaid who are determined eligible for
Medicaid by authorized hospital staff.
2. HPE provides temporary Medicaid
eligibility but also allows access to continuing Medicaid coverage provided the
HPE decision includes filing a full Medicaid application.
B. 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.
C. The Division of Medicaid is responsible for HPE Medicaid in conjunction with qualified hospitals that certify HPE eligibility.
42 C.F.R. § 435.1110.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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