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.
To become a PE/MOSAA Determiner, you must first be a member of an eligible agency or organization. You will be required to go through a PE training session in order to become certified. This training is now available on-line as well as in person.
For more information regarding trainings or the PE process, please e-mail us at: PEDeterminers.hsd@state.nm.us