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Has Presumptive Eligibility for Pregnant Women, December 2009

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 Has Presumptive Eligibility for Pregnant Women
United States29+DC Yes
AlabamaNo
AlaskaNo
ArizonaNo
ArkansasYes
CaliforniaYes
ColoradoYes
ConnecticutNo1
DelawareYes
District of ColumbiaYes
FloridaYes
GeorgiaYes
HawaiiNo
IdahoYes
IllinoisYes
IndianaYes2
IowaYes
KansasNo
KentuckyYes
LouisianaNo1
MaineYes
MarylandNo1
MassachusettsYes
MichiganYes
MinnesotaNo
MississippiNo
MissouriYes
MontanaYes
NebraskaYes
NevadaNo
New HampshireYes
New JerseyYes
New MexicoYes
New YorkYes
North CarolinaYes
North DakotaNo
OhioNo1
OklahomaYes
OregonNo
PennsylvaniaYes3
Rhode IslandNo
South CarolinaNo1
South DakotaNo
TennesseeYes
TexasYes
UtahYes
VermontNo
VirginiaNo
WashingtonNo
West VirginiaNo
WisconsinYes
WyomingYes
(show/hide notes)
Notes: 

Data as of December 2009.

Sources: 

A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, December 2009. Available at http://www.kff.org/medicaid/7855.cfm. 2009 HHS Poverty Guidelines: http://aspe.hhs.gov/poverty/09poverty.shtml.

Footnotes: 
  1. Connecticut, Louisiana, Maryland, Ohio, and South Carolina do not have presumptive eligibility, but all have presumptive eligibility-like processes. Connecticut has a process for pregnant women, known as expedited eligibility. The state plans to implement presumptive eligibility for pregnant women, although no implementation date is planned. Louisiana has an expedited enrollment process in which the state can enroll a pregnant woman in 3 calendar days. Maryland has section 1115 waiver authority to operate an Accelerated Certification of Eligibility process that provides for accelerated enrollment in coverage for pregnant women who appear eligible based on preliminary income determination. Ohio has an “expedited eligibility” process through which pregnant women can obtain 60 days of partial coverage pending documentation of eligibility factors. Inpatient coverage is not available during this period. South Carolina has an “assumptive” eligibility process through which pregnant women can obtain 30 days of coverage pending documentation of eligibility factors.
  2. Indiana implemented presumptive eligibility for pregnant women in July 2009.
  3. In Pennsylvania, presumptive eligibility is available in most of the state; however, an alternate expedited procedure is being piloted in Philadelphia and four surrounding counties.



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