• 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

General Information

Eligibility Criteria

To qualify for the PE for Pregnant Women Benefit, a woman must meet the following criteria:

• Her pregnancy is medically verified (by a pregnancy test). Refer to Appendix 1 of this guide for pregnancy verification criteria.
• Her household’s gross income does not exceed 185 percent of the Federal Poverty Level (FPL) guidelines. Refer to the Recipient section of the Medicaid Web site for the most current FPL guidelines.

There is no asset test for the PE for Pregnant Women Benefit.

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