227.21 Family Planning MA Determining Presumptive Eligibility (PE) SR 13-35, 10/13 (MAM-A)

Authorized qualified entities (community outreach providers who have attended DHHS training on presumptive eligibility policy) may make presumptive eligibility (PE) decisions for Family Planning medical assistance (MA). Presumptive eligibility is a process by which a qualified entity (QE) acts on behalf of DHHS and makes an eligibility determination for Family Planning MA using verifications collected from the applicant.

References: He-W 509, He-W 520.01(g), He-W 626, RSA 126-A:4-c, Section 1902(a)(10)(A)(ii) of the Social Security Act [42 U.S.C. 1396a(a)(10)(A)(ii)], 42 USC 1396r-1c, 42 U.S.C. 1396a(ii)(3)