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PE4PW Frequently Asked Questions Updated

April 24, 2017

Four questions and answers have been added or updated on the Presumptive Eligibility for Pregnant Women Frequently Asked Questions Web page of the Medi-Cal website.

  1. When will the automation of Presumptive Eligibility for Pregnant Women (PE4PW) program go live?

    The automation of the PE4PW program went live on April 1, 2017.

  2. How will providers enroll to become a PE4PW Program Qualified Provider (QP)?

    Effective, April 1, 2017, Medi-Cal providers wishing to become QPs of the PE4PW program must enroll using the Qualified Provider Application and Agreement for Participation in the Presumptive Eligibility for Pregnant Women (PE4PW) Program (MC 311) (revised 2/2017).

  3. What is changing in the PE4PW program?

    Currently, existing QPs can enroll individuals in the program using a manual paper application process. The recipient enrollment process was automated April 1, 2017. Providers who meet the eligibility requirements as governed by the PE4PW program can enroll individuals through this automated process. The last day that QPs can enroll recipients manually is September 31, 2017.

  4. Are existing QPs exempt from submitting a revised MC 311 form after PE4PW is automated?

    No. However, current QPs will have six months from the implementation date of PE4PW automation to submit a new MC 311 (revised 2/2017) to the DHCS Fiscal Intermediary (FI) before access to the online PE4PW application is disabled. DHCS sent letters in mid-November 2016 to existing QPs notifying them of requirements.