MS HB662

Amends Section 43-13-115.1 of Mississippi Code to revise presumptive eligibility criteria for pregnant women seeking Medicaid coverage for ambulatory prenatal care.

Defines "presumptive eligibility" as a reasonable determination of Medicaid eligibility based solely on countable family income, allowing pregnant women to receive prenatal care while the Division of Medicaid processes their formal application.

Establishes that the presumptive eligibility period begins when a qualified provider determines a pregnant woman's countable net family income does not exceed the income limits and ends on the earlier of: (1) the date Medicaid makes an eligibility determination, or (2) the last day of the month following the month when the determination is made if no application is filed.

Requires qualified providers (including county health departments, federally qualified health centers, and Division-approved entities) to notify the Division of Medicaid within five working days of making a presumptive eligibility determination and to inform the pregnant woman she must apply for Medicaid by the last day of the following month.

Limits pregnant women to one presumptive eligibility period per pregnancy and directs the Division of Medicaid to provide simplified application forms and assistance to facilitate the application process.