Presumptive Eligibility Training

Ohio's statewide Presumptive Eligibility (PE) initiative provides uninsured residents with the opportunity to receive immediate health care services through Medicaid if they are presumed to be eligible. Individuals who qualify through PE will then be provided with the information to apply for full Medicaid coverage.

Hospitals and Federally Qualified Health Centers (FQHCs) are eligible to participate in Ohio's PE initiative. To become a Qualified Entity (QE), providers are required to complete a couple of steps.

Presumptive Eligibility (PE) Portal Tutorial Update – October 31, 2017
This new tutorial provides Ohio Benefits Qualified Entities with updated system steps required to enroll eligible individuals presumptively into Medicaid using the Presumptive Eligibility and Deemed Portal.

Step 1: Read the Presumptive Eligibility Training Guide (Please Also See Most Recent Functional Updates Above)

Provider training is essential in determining eligibility for presumptively eligible individuals. Proper training ensures the effective follow through of full Medicaid application processing and that all consumer information is successfully entered into the MITS portal.

Training Guide: How to use the Presumptive and Deemed Eligibility Portal

Step 2: Send in the Acknowledgement Form

Qualified entities will be required to sign an acknowledgement form that will specify the responsibilities and obligations associated with being authorized to make presumptive eligibility determinations. Statewide training for providers’ MITS portal administrators will be required and administered by state staff.

After reading the training guide posted above, download the Acknowledgement Form. Print, sign and scan the document and email a PDF to pequestions@medicaid.ohio.gov.

Questions? Contact pequestions@medicaid.ohio.gov