Presumptive Eligibility (PE) Programs Manual

1900.020.00 Eligibility Requirements

IM#51, May 18, 2017

Applicant self-attestation is accepted for all eligibility factors. Applicants must meet the following eligibility requirements in addition to the requirements listed below under each specific category:

  • They must be Missouri residents;
  • They must not be receiving MO HealthNet under any other category;

    EXCEPTION: The Uninsured Women’s Health Services (UWHS/ME89) , Extended Women’s Health Services (EWHS/ME80), and Gateway to Better Health (GTBH/ME91) only provide limited coverage. An individual receiving coverage from any of these programs would be able to receive PE if he/she met all other eligibility requirements.

  • Household Composition status will be determined using Modified Adjusted Gross Income (MAGI) Methodology and be based on requirements for the individual PE programs; and
  • Income calculations will be based on MAGI guidelines plus 5% of Federal Poverty Level disregard. See Appendix A.

    NOTE: BCCT and Former Foster Care Youth do not use income calculations.