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Table of Contents
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Overview
Definitions
Qualification and Requirements (
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Requirements
Qualification Process
Notice of Intent
Medicaid Provider
Memorandum of Understanding
Training
Conflict of Interest
Steps to Complete PE Determinations
Due Dates
Eligibility Policy (
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)
Groups Eligible for PE
Citizenship and Immigration Status
Residence
Household Composition
Income
Periods of PE
Current Medicaid Recipients
Verification
Eligibility Dates
Systems Support
Case Example
Forms
Presumptive Eligibility Policies and Procedures Handbook
Household Composition
The following individuals are included in the Household Composition
if living together:
The individual
The individual’s spouse
The individual’s children who are ages 18 and under
If the individual is age 18 or under, count the individual’s parents and siblings ages 18 and under who are living with the individual.
When determining household composition for a pregnant woman or the child of a pregnant woman who receives Medicaid, include the needs of the unborn child/ren.
Consider the countable income of any individual included in the household composition.