• General Information
  • Introduction
  • Provider Certification
  • Eligibility Criteria
  • Applications
    • Introduction
    • Obtaining Forms
  • Eligibility Verification
  • Duration of Benefits
    • Introduction
    • Extensions
  • Applying for Full-Benefit Medicaid
  • Covered Services
  • Claims
• Appendix
  • Appendix 1 — Instructions for Completing the Presumptive Eligibility for Pregnant Women Application
  • Appendix 2 — Sample Presumptive Eligibility for Pregnant Women Application
• PDF

DATE:	August 26, 2005
TO:	Presumptive Eligibility for Pregnant Women Providers, HMOs and Other Managed Care Programs
FROM:	Mark B. Moody, Administrator Division of Health Care Financing
SUBJECT:	Revised Guide to Determining Presumptive Eligibility for Pregnant Women

The Division of Health Care Financing is pleased to provide you with a copy of the revised Guide to Determining Presumptive Eligibility for Pregnant Women. Providers should maintain and refer to this guide in conjunction with the All-Provider Handbook. This revised version of the Guide to Determining Presumptive Eligibility for Pregnant Women replaces the previous version published in March 2003.

All-Provider Publications

Providers are reminded to retain their all-provider publications. The revised Guide to Determining Presumptive Eligibility for Pregnant Women does not replace these publications.

Additional Copies of Publications

The Wisconsin Medicaid Web site, dhs.wisconsin.gov/medicaid/, contains additional information for all Medicaid providers, service-specific information, and electronic versions of the Guide to Determining Presumptive Eligibility for Pregnant Women and the All-Provider Handbook.

Providers who have questions about the information in this guide may call Provider Services at (800) 947-9627 or (608) 221-9883.

Guide to Determining Presumptive Eligibility for Pregnant Women
December 2005