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 presumptive eligibility allows immediate access to health coverage for eligible individuals. HPE improves individuals' access to Medicaid and necessary service options by providing another channel to apply for healthcare coverage.
HPE ensures the qualified hospitals will be reimbursed for healthcare services provided, just as if the person was enrolled in standard Medicaid at the time of treatment.
We have all the necessary data compiled and scored to help you make accurate PE determinations. Our software can deliver the completed applications right to the user's desktop within seconds.
CoverMe's automation of Hospital Presumptive Eligibility takes the guesswork out of the complicated manual Medicaid application process - patients get covered, and providers get paid.
Using our HPE program support, CoverMe provides hospital presumptive eligibility compliance solutions and guarantees that providers will meet state policies and 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), qualified individual applicants or families can be temporarily enrolled in Medicaid immediately if it appears they are presumptively eligible in one of the HPE coverage groups (Children under age 19, former foster care children, pregnant women, parents, or caretakers).
CoverMe's HPE software is a preferred choice for healthcare providers looking for the fastest and most reliable path to complete a patient's Medicaid eligibility determination.
CoverMe offers real-time identification of patients who will be eligible for Medicaid enrolment. Providers can also make informed enrollment recommendations with CoverMe's assistance during the screening process.