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)

Additional Information

• PE Income Standards
• PE Flow Programs Chart
• PE Determination Checklist
• Presumptive Eligibility Manual
• Contact Information for Providers

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)