Medicaid Presumptive Eligibility (PE)
Presumptive Eligibility (PE) is short-term (60 days or less) Medicaid coverage for children up to age 19 or for pregnant women. It is also the process of applying for this short-term coverage. Presumptive Eligibility is effective from the date of the eligibility determination until the last day of the following month. This means covered medical services accessed during this time by the eligible individual will be paid by Medicaid.
There are a number of individuals, called PE/MOSAA Determiners, throughout the state who are trained and certified to help you with Presumptive Eligibility and Medicaid On-Site Application Assistance. They can be school or community organization employees or employees at doctors? offices, hospitals or clinics. Call the Insure New Mexico! Solutions Center at (888) 997-2583 to find a PE/MOSAA Determiner in your area.