Presumptive Eligibility Policies and Procedures Handbook


Hospital/entity staff must complete required training to make presumptive eligibility determinations. Trainings must be completed with a passing score of 80 percent or higher. Trainings may be accessed through the Presumptive Eligibility website. The trainings that must be completed include:
  1. Policy Course
    • Program Overview
    • Eligibility Criteria
    • Household Income/Expenses/Standard Disregards
    • Coverage Periods and Forms
    • Presumptive Eligibility Portal
    • Determination Steps/Putting it All together
  2. QH/QE Login and Client Account Set up
  3. Completing the Online Application
  4. Client Account Overview
Once staff has successfully completed the training, HHSC will provide login information for the Presumptive Eligibility Portal to the staff and they may begin submitting determinations.