Presumptive Eligibility (PE) Programs

1900.040.00 FSD RESPONSIBILITIES

IM#51, May 18, 2017

Qualified entities must verify if:

  • Applicant is currently receiving full MO HealthNet coverage; and
  • Applicant has received PE within the last 12 months or, if pregnant, during the current pregnancy.

In addition, QEs will need a DCN for each applicant.

QEs may use one of the following methods to obtain DCNs and answers to the above questions:

  • Call the Family Support Division (FSD) at (573) 751-9023
    • If there is no answer at this number, call (573) 751-9007.¬† Only use this number if no response at (573) 751-9023; or
    • Send an email to FSD.MEDESIVR@dss.mo.gov requesting the needed information.

Medical Eligibility (ME) Category Codes indicate the type of assistance received by applicants. The ME codes for Presumptive Eligibility, shown on MXIX, are as follows:

  • TEMP = 58 or 59;
  • SMHB-PE = 94 ¬†with a “P” in the TOC field;
  • PC = 87;
  • BCCT-PE = 83; and
  • MHF-PE = 05 with a “P” in the TOC field