CoverMe can effectively identify patients who will qualify for Medicaid in near real-time through the Hospital Presumptive Eligibility (HPE) program as allowed by the Affordable Care Act.
Medicaid eligibility under HPE allows immediate access to coverage for eligible individuals. HPE improves individuals’ access to Medicaid and necessary services by providing another channel to apply for coverage.
HPE ensures the hospital will be reimbursed for services provided, just as if the individual was enrolled in standard Medicaid at the time of treatment.
We have all the necessary data compiled and scored to help you make accurate determinations. Our software can deliver the completed applications right to the user's desktop within seconds.
Using our HPE program support, CoverMe guarantees that providers will meet state program compliance requirements without fail. Don’t be deterred - with CoverMe, timeliness and accuracy are assured.
CoverMe's HPE program support replaces the manual processes routinely used by onsite Medicaid vendors, saving providers time and money.
With Hospital Presumptive Eligibility (HPE), an individual or family can be temporarily enrolled in Medicaid immediately if it appears they are eligible.