Presumptive Eligibility for Pregnant Women

Presumptive Eligibility (PE) for Pregnant Women

AAA Comprehensive Healthcare (AAACHC) is a registered as a PEPW provider. Presumptive Eligibility (PE) for Pregnant Women is a Medi-Cal program designed to provide immediate, temporary coverage for prenatal care to low-income pregnant women pending a formal Medi-Cal application.

Any woman who thinks she is pregnant and whose family income is under a certain amount is eligible for Presumptive Eligibility (PE) for Pregnant Women. AAACHC’s PE offers specific ambulatory (walk-in) prenatal care and prescription drugs for conditions related to pregnancy; however does not cover labor and delivery, or inpatient care.

What happens at the first appointment? At AAACHC clinic you be asked to complete a Statement of California Residency and then a “Presumptive Eligibility for Pregnancy Only” application. If you are determined eligible for PE, AAACHC staff will then complete your pregnancy test. If your pregnancy test is negative, you will not be eligible for PE. If your test is positive, you will be issued a temporary Medi-Cal card (paper) for PE only (up to 2 months). This card IS NOT A MEDI-CAL CARD. It is only for specific PE services. AAACHC staff will complete your examination and then schedule you for your next appointment.

Next steps. Prior to your next appointment, you must formally apply for Medi-Cal at the County Department of Social Services and provide proof of application to your PE provider before the expiration date on your temporary Medi-Cal card (paper). AAACHC will then extend your temporary Medi-Cal card for up to 2 months. The county will determine if you are eligible to receive Medi-Cal. If you are determined to be eligible for Medi-Cal you will be mailed a Medi-Cal Beneficiary Identification Card.