data.medicaid.gov

Presumptive Eligibility for Medicaid and CHIP Coverage

Health care providers and Head Start programs can play a major role in finding and enrolling uninsured children through presumptive eligibility.

Freshness

Last posted
Period covered
Update frequency

Dates as CMS lists them in its catalog.

Columns 3

ColumnWhat it meansType
Statestatetext
CHIPchiptext
Medicaidmedicaidtext

At a glance

Catalog
data.medicaid.gov
Publisher
Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov
Rows
20
Columns
3
State column
state
Topics
Medicaid and CHIP

API

Free, no key needed. This request returns the first 10 rows as JSON:

https://data.medicaid.gov/api/1/datastore/query/47329369-e935-5de3-880f-d6a85a5fe9d1/0?limit=10

To keep only one state, filter on the state column.

CMS's description

Health care providers and Head Start programs can play a major role in finding and enrolling uninsured children through presumptive eligibility. States can authorize “qualified entities” -- health care providers, community-based organizations, and schools, among others -- to screen for Medicaid and CHIP eligibility and immediately enroll children who appear to be eligible. Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed. Qualified entities can also help families gather the documents needed to complete the full application process, thereby reducing the administrative burden on States to obtain missing information.

The summary at the top is the first sentence of this description. Record id mcd:47329369-e935-5de3-880f-d6a85a5fe9d1. This record as JSON.

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