What is the duration of coverage under Presumptive Eligibility (PE) while Medicaid application is pending?

Presumptive Eligibility (PE) is designed to provide immediate, temporary health care coverage for individuals while their Medicaid applications are being processed. This coverage allows eligible individuals, such as pregnant women or children, to receive necessary services without delay, ensuring access to critical care during the application period. Typically, the duration of this coverage is short-term, intended to bridge the gap until a full determination can be made.

This means that while PE is temporarily in place, recipients should also be aware that it does not guarantee long-term or permanent coverage under Medicaid. Once the application process is complete, the individual's eligibility will be determined, which may result in continued coverage under Medicaid or the cessation of benefits if they do not qualify.