Partner Hub Home

NHeLP Published E-Newsletter on Hospital Presumptive Eligibility

NHeLP: The National Health Law Program (NHeLP) published the latest issue of Lessons from California, focusing on the ACA’s requirement to implement Hospital Presumptive Eligibility (HPE). As of January 2014, HPE allows uninsured individuals who may be eligible for Medicaid to apply at qualified hospitals and receive benefits for up to two months. In California, individuals were incorrectly being HPE because they were previously eligible for coverage and tax credits through Covered California. As a result of NHeLP and other advocates’ actions, CMS has required the state to submit a mitigation plan by the end of the year and develop a manual work around by April to re-determine eligibility for all those who were incorrectly denied HPE in the past.