Bill > HB89

This bill establishes a new Medicaid presumptive eligibility program for pregnant women in Alabama. Under the proposed law, a qualified healthcare provider can determine a pregnant woman's preliminary eligibility for Medicaid coverage based on proof of pregnancy and household income, without requiring a full agency review. The presumptive eligibility period can last up to 60 days, during which the woman can receive ambulatory prenatal care. A woman can only receive one presumptive eligibility period per pregnancy, and she must apply for full Medicaid coverage by the last day of the month following the initial determination. The qualified provider must notify the Medicaid agency within five working days of making the preliminary eligibility determination and inform the woman of her obligation to apply for coverage. The agency is required to develop rules defining acceptable documentation, which can only include proof of pregnancy and current household income. The bill includes a sunset provision, meaning the program will automatically be repealed on October 1, 2028, and is set to become effective on October 1, 2025.

Budget and Finance

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