Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Presumptive Eligibility

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Presumptive Eligibility

Presumptive Eligibility

Presumptive Eligibility is available to hospitals and their affiliated facilities that participate with Medicaid in Montana. Personnel from these facilities must be trained and certified to make Presumptive Eligibility determinations for short-term, temporary coverage for the following coverage groups:

  • Healthy Montana Kids Plus;
  • Healthy Montana Kids;
  • Parent/Caretaker Relative Medicaid;
  • Pregnant Women (ambulatory prenatal care);
  • Adults between the ages of 19 and 64;
  • Adults between the ages of 18 and 26 who were in Foster Care and receiving Medicaid at age 18; and
  • Women between the ages of 19 and 64 who have been screened and diagnosed with Breast or Cervical Cancer.

Please contact us at any time if you have questions, need training or additional supplies, or need to verify any information about presumptive eligibility.

For Training Questions contact:
Kaye Van Gilder
 (406) 731-5768
 kvangilder@mt.gov           

For Eligibility Questions contact:
Justine Welker
(406) 883-7848
jwelker@mt.gov