Presumptive Eligibility Policies and Procedures Handbook

Table of Contents
(Print Current Section)

Overview
Definitions
Qualification and Requirements (+)
Conflict of Interest
Steps to Complete PE Determinations
Due Dates
Eligibility Policy (+)
Eligibility Dates
Systems Support
Case Example
Forms

Training

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:

Policy Course
- Program Overview
- Eligibility Criteria
- Household Income/Expenses/Standard Disregards
- Coverage Periods and Forms
- Presumptive Eligibility Portal
- Determination Steps/Putting it All together
QH/QE Login and Client Account Set up
Completing the Online Application
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.