Hospital Presumptive Eligibility (HPE) Federal Poverty Level (FPL) Updates

May 9, 2022

The HPE Portal will be updated with the 2022 FPLs on May 24, 2022. In the interim, providers are advised to review denials due to income based upon the 2021 FPLs for potential eligibility based on the 2022 FPLs. The updated 2022 FPLs can be accessed in ACWDL 22-03.

If providers receive an incorrect denial for HPE based upon 2021 FPLs, please send an email including the signed and dated HPE application to DHCS will manually review for eligibility based on 2022 FPLs. If the individual is determined eligible, DHCS will activate eligibility beginning on the date of application and alert the provider that eligibility has been granted.

This guidance pertains only to denials received due to incorrect FPLs in the HPE Portal.