Hospital Presumptive Eligibility (PE) Program
Back to Medi-Cal Eligibility
Beginning January 1, 2014, the Hospital Presumptive Eligibility (PE) program will provide individuals with temporary, no cost, Medi-Cal benefits for up to two months.
Those potentially eligible for Hospital PE benefits are:
- children (ages 0-18)
- parents caretaker relatives
- pregnant women
- “new adults” (ages 19-64, not pregnant, not on Medicare, and not eligible for any other mandatory group)
- former foster care children between the ages of 18-26
In order to receive Hospital PE benefits, an individual must submit a simplified application online during their hospital stay. Individuals will be notified immediately of their eligibility determination. Individuals will also be provided with the Covered California health insurance affordability application which they can complete to ensure their benefits will not expire after two months.
Inquiries regarding Hospital PE Program may be directed to: DHCSHospitalPE@dhcs.ca.gov. If your hospital doesn’t appear on the list and it should, please call (916) 552-9467.
Providers & Partners
If you have any questions, please call the Telephone Service Center: 1-800-541-5555 (outside of California, please call 916-636-1980)
(Monday - Friday, 8:00 A.M. to 5:00 P.M.)
- Option 1: for Provider
- Option 2: for Hospital Presumptive Eligibility
- Option 3: for the Technical Help Desk
Last modified on:
1/22/2016 2:14 PM