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    Maryland Department of Health
    Maryland Medicaid Administration

    ​Presumptive Eligibility for Correctional Facilities

    Presumptive eligibility is designed to provide a pathway to longer-term Medicaid coverage by allowing participants to have timely access to health care services through an on-site eligibility determination. Under Presumptive Eligibility for correctional facilities, eligible individuals temporarily receive a full range of Maryland Medicaid services upon re-entry into the community. Maryland is the first state to offer presumptive eligibility for individuals within prisons and detention centers.

     

    For Presumptive Eligibility Participants

    Presumptive Eligibility is very short-term Medical Assistance coverage program.

    You must provide true and accurate information about your income and family circumstances on your Presumptive Eligibility application. If you are approved, you will receive immediate notice of approval from a caseworker. The notice you receive is your proof of coverage. Your coverage will terminate if you do not enroll fully in Maryland Medicaid.

    You must submit a complete Maryland Medicaid application as soon as possible to receive full Medicaid coverage. Your caseworker can assist you in completing the full Maryland Medicaid application.

    If you are denied for Presumptive Eligibility coverage, you will receive a notice of denial from the caseworker. You may not appeal the denial decision for Presumptive Eligibility, but you may complete a full Maryland Medicaid application if you wish.

    If you have questions about Presumptive Eligibility, please email dhmh.pe@maryland.gov

     

    Presumptive Eligibility for Correctional Facilities Worker Training

    To register for the July 2017 Presumptive Eligibility for Correctional Facilities Training, your facility's Presumptive Eligibility Contact must email dhmh.pe@maryland.gov a list of attendees by noon on [date]. Only names submitted by your facility's Primary Presumptive Eligibility Contact will be registered.

    The Department will send the Presumptive Eligibility for Correctional Facilities Training link to your facility's Presumptive Eligibility Primary Contact. The training will be accessible from [date] to [date]. You may attend the Presumptive Eligibility for Correctional Facilities training at any time while the training is available.

    Following the close of the Presumptive Eligibility for Correctional Facilities training, the Department will send the Presumptive Eligibility Knowledge Test to your facility's Presumptive Eligibility Primary Contact on [date]. Your facility's Presumptive Eligibility Primary Contact will share the Knowledge Test with you.

    If you complete and pass the Presumptive Eligibility Knowledge Test by [date], you will be activated in the eMedicaid system by [date].

     

    Resources

    Presumptive Eligibility for Correctional Facilities Frequently Asked Questions [date]

    COMAR 10.09.XX X Presumptive Eligibility for Correctional Facilities