Limitations on Medi-Cal Presumptive Eligibility Enrollment

Based on CMS guidance, DHCS has implemented limitations on Presumptive Enrollment (PE) periods.  PE portals will screen new applicants for any PE enrollment in the prior 12 months.  Former foster youth, parents and caretaker relatives, and expansion group adults are permitted one PE enrollment per period.  Children under 19 are permitted two such enrollments, while pregnant women may have one PE enrollment per pregnancy.  Those who have exceeded their PE enrollments will be encouraged to apply for coverage.  DHCS MEDIL I 15-26 (8/28/15).