Presumptive Eligibility for Pregnant Women
Presumptive Eligibility for Pregnant Women (PEPW) offers
temporary coverage of prenatal care services to pregnant women
while their Medicaid applications are pending. The goal of the PEPW
process is to offer health care 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.
PEPW is for pregnant women who are not currently receiving
Medicaid. In addition, your family income must be below a certain
amount. PEPW is not for women who already have Medicaid or who do
not live in Indiana.
If you are pregnant and think you need help from Medicaid,
contact your doctor or clinic and ask for help applying for
Presumptive Eligibility for Pregnant Women and Medicaid. If you do
not have a doctor, use the provider search tool
to find a doctor in your area.
You can learn more about PEPW under Programs and Benefits by clicking
here. If you have further questions, please call us at
Hospital-Based Presumptive Eligibility
Some hospitals participate in Hospital-Based Presumptive
Eligibility. They are able to make temporary Medicaid
eligibility determinations for very low income adults, children,
parents, pregnant women, and former foster care children.
They may also determine temporary eligibility for individuals
seeking family planning services.