Florida Medicaid enrolled hospital providers may elect to make presumptive eligibility determinations in accordance with federal law and state policy.
Qualified hospitals (QH) may make presumptive eligibility determinations for:
Hospitals must meet the following qualifications in order to become qualified to determine presumptive eligibility:
Qualified Hospital Presumptive Eligibility (QHPE) Certificate Training - June 2018 [963KB PDF] Posted June 19, 2018
Use the Presumptive Eligibility Worksheet [261KB PDF] to assist when making PE determinations. Posted February 13, 2017
Presumptive Eligibility Income Limits – Effective June 2018 [80KB PDF]
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Florida Medicaid enrolled providers electing to make Presumptive Eligibility determinations must first renew their Medicaid Provider Agreement.
Institutional Medicaid Provider Agreement for QH Electing to Make Presumptive Eligibility Determinations [249KB PDF]
QHs must submit the INSTITUTIONAL PROVIDER AGREEMENT & ELECTION TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS AS A QUALIFIED HOSPITAL to:
QH Enrollment Coordinator
Health Facilities and Ancillary Services
2727 Mahan Drive, Mail Stop 20
Tallahassee, Florida 32308