Presumptive Eligibility
Presumptive Eligibility for Pregnant Women
Presumptive Eligibility (PE) offers temporary coverage of
prenatal care services to pregnant women while their Medicaid
applications are pending. The goal of the PE program is to offer
healthcare to women early in their pregnancies, so they stay
healthy and have healthy babies. Presumptive Eligibility means that
we presume you are eligible for the Hoosier Healthwise program
based on some preliminary information that you provide.
Eligibility
PE is for pregnant women who are not currently receiving
Medicaid and who do not have health insurance. In addition, your
family income must be below a certain amount. PE is not for women
who already have Medicaid or who do not live in Indiana. You can
learn more about PE under Programs and Benefits
on this site. If you have further questions, please call us
at 1-800-889-9949.
Applying for PE
If you are pregnant and think you need help from Medicaid,
contact your doctor or clinic and ask for help applying for
Presumptive Eligibility and Medicaid. If you do not have a doctor,
use the provider search tool to find a doctor in your area.