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:
Alla Kirilovich
Telephone: (406) 329-1218
Email: AKirilovich@mt.gov


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


Presumptive Eligibility Tools

2020 Training Dates

Wednesday, May 20, 2020
Wednesday, June 17, 2020
Wednesday, July 15, 2020
Wednesday, August 19, 2020

All trainings are from 9 - 11am
Classes are presented online and participants may be located anywhere Skype is available..

To Register please contact:
Alla Kirlovich via email AKirilovich@mt.gov
or telephone (406)731-5768

Presumptive Eligibility Application Forms

Presumptive Income Tool


Presumptive Eligibility Guide