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    • Presumptive Eligibility for Medicaid and CHIP Coverage

    Metadata Updated: July 4, 2025

    Health care providers and Head Start programs can play a major role in finding and enrolling uninsured children through presumptive eligibility. States can authorize “qualified entities” -- health care providers, community-based organizations, and schools, among others -- to screen for Medicaid and CHIP eligibility and immediately enroll children who appear to be eligible.

    Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed. Qualified entities can also help families gather the documents needed to complete the full application process, thereby reducing the administrative burden on States to obtain missing information.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    Dates

    Metadata Created Date October 8, 2021
    Metadata Updated Date July 4, 2025
    Data Update Frequency R/P10Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date October 8, 2021
    Metadata Updated Date July 4, 2025
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier 47329369-e935-5de3-880f-d6a85a5fe9d1
    Data First Published 2016-07-13
    Data Last Modified 2019-01-24
    Category Eligibility
    Public Access Level public
    Data Update Frequency R/P10Y
    Bureau Code 009:00
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Harvest Object Id 527fb176-d035-4ba7-9217-bbecf901d57f
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL https://healthdata.gov/d/mbsy-7qjz
    License https://www.usa.gov/government-works
    Program Code 009:076
    Source Datajson Identifier True
    Source Hash 9df71032a5d9f9ba31f324aa5fdf1119680e99f896218c5e66d55b657af1c978
    Source Schema Version 1.1

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