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Presumptive Eligibility (PE) Resources for Providers

Forms

  • Qualified Entity PE Worksheet (PE-2 Worksheet)
  • Qualified Entity PE-2 Worksheet Instructions
  • MO HealthNet PE Authorization (PE-3)
  • MO HealthNet TEMP/SMHB-PE Authorization (PE-3TEMP)

Question & Answers

  • Applications
  • Citizenship and Alien Status
  • Eligibility Requirements
  • eMOMED
  • Existing Private or Employer Sponsored Insurance
  • Forms
  • Household Composition and Income
  • MO Healthnet Division
  • Presumptive Eligibility for Children
  • PE for Parents and Caretaker Relatives
  • PE for Pregnant Women
  • Performance Standards
  • Provider Issues

Training Presentations

  • Presumptive Eligibility Provider Training Slides (Children)
  • Presumptive Eligibility Provider Training Slides (Children and Pregnant Women)
  • Presumptive Eligibility Provider Training Slides (Pregnant Women)
  • Presumptive Eligibility Provider Training Slides (Hospitals)

Additional Information

  • Everything that a Heath Care Provider needs to Know about Presumptive Eligibility
  • PE Income Standards
  • PE Programs Flow Chart
  • PE Determination Checklist
  • Presumptive Eligibility Manual
  • Contact Information for Providers

Family Support Services

 Child Support  Food Assistance  Health Care  Temporary Assistance  Blind Services  Child Care  All Services  Find Offices/Contact FSD

Customer Service Feedback Resources & Agency Partners

Know Your Rights

You have the right to a hearing if you have applied for or are receiving Financial Assistance, MO HealthNet, or Food Stamp Benefits.

Learn more about your rights.

Voter Registration Application

If you wish to register to vote, please download and complete the Voter Registration Form and return it to your local FSD office. This has no impact on your application or continued eligibility for assistance.

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Resources

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Governor
Michael L. Parson

MO.gov State of Missouri

Acting Director
Jennifer Tidball

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Missouri Department of Social Services is an equal opportunity employer/program.
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