Enroll America has developed a web-based toolkit to help hospitals get started and learn more about making presumptive eligibility determinations. Under the new Medicaid “presumptive eligibility” regulations, hospitals can temporarily enroll patients in Medicaid coverage at the point of service with a few basic pieces of information such as income and household size. This not only will help patients get connected to needed health coverage, but also will help hospitals receive payment for services provided before a full Medicaid determination is made.
Statewide training for providers and Medicaid Information Technology System (MITS) portal administrators is required and anticipated to begin at the end of August for the launch of the Ohio Department of Medicaid’s presumptive eligibility program.
Proper training will ensure the effective follow through of full Medicaid application processing and that all consumer information is successfully entered into the MITS portal. Qualified entities will be required to sign acknowledgement forms that will specify the responsibilities and obligations associated with being authorized to make presumptive eligibility determinations.
The department will issue a notification in the near future which sets a timetable for training and also establishes procedures for signing up to become a qualified entity. The Ohio Hospital Association will provide updates as they become available. Questions can be directed to PEquestions@medicaid.ohio.gov . (Alyson DeAngelo)