Provides individuals with temporary, no cost, Medicaid benefits for up to two months. Learn more about LA's Hospital Presumptive Eligibility (HPE) and find the right plan to reduce your out of pocket healthcare costs.

Hospital Presumptive Eligibility (Including Children, Pregnant Women, Parents/Caretaker Relatives, and Revised 4/1/2017 HPE Have income at or below the applicable income guideline for Must meet MO HealthNet for Families income guidelines (found on Appendix A in the Hospital Presumptive Eligibility Income Guidelines Effective February 1, 2019 . Note: Federal Poverty Levels (FPL) change in February of each year. Update amounts will be provided as soon as they are released by the federal government. income. Presumptive Eligibility 24 . FPL Income Limits The number of people in the household. Coverage Group . Once completed, use this table to determine the patient's Presumptive Eligibility. Presumptive Eligibility Work Sheet PE . may be eligible for HPE coverage while others are ineligible, even though the family members have the same household income and household size. Refer to the . HPE 2014-2015 Income Guidelines (DHS-3884) to see the applicable income limits for the various HPE eligibility groups. TennCare is implementing a Hospital Presumptive Eligibility (PE) process. The Hospital PE process allows qualified hospitals to determine whether applicants qualify for a period of temporary TennCare eligibility (i.e., 62 days).Qualified hospitals use TennCare Online Services to transmit to TennCare the temporary eligibility period for all persons the hospitals approve for Hospital PE. HPE financial eligibility differs in the following ways: HPE income limits are the same as MA-FCA income limits, but hospitals apply the five percent disregard when determining HPE eligibility. Refer to HPE Income and Asset Guidelines for more information. Sponsor deeming rules do not apply when determining HPE eligibility. Presumptive Eligibility Income Limits