Sec. 10.09.91.08. Certification Period  


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  • A. Presumptive eligibility begins on the day the hospital determines that the individual is presumptively eligible.

    B. Presumptive eligibility ends on the earlier of:

    (1) The day in which the individual is determined eligible for Medical Assistance; or

    (2) The last day of the month following the month in which the hospital determined presumptive eligibility, if:

    (a) An individual is found ineligible for Medical Assistance; or

    (b) An individual failed to apply for Medical Assistance.

    C. A non-pregnant individual may be determined presumptively eligible once per a 12-month period.

    D. A pregnant individual may be determined presumptively eligible once per pregnancy.