Presumptive Eligibility for Hospitals

Announcements

Announcement (PDF)    Issue Date       Changes to Hospital Presumptive Eligibility processes, effective immediately.pdf 3/24/2020

Compliance Details

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To conduct HPE assistance by phone:

1. Whenever possible, please have applicants complete a full OHP application via the ONE Applicant Portal. This is expected to be the quickest path to coverage for most applicants.
2. Review all information on the HPE Application (Form 7260) verbally with the applicant.
3. Ask the applicant whether they agree that the information reviewed is true and accurate as stated; the applicant’s answer will act as the verbal signature.
4. Put the applicant's name into the signature line with a note that signature was obtained verbally.
5.  Review the approval or denial notice verbally with the applicant and tell them the notice is their proof of coverage until benefits show in the OHP system. 
6. Submit the following forms to OHP within 5 days of completing the HPE determination:
• Fax Cover Sheet (for all submissions) 
• HPE Application
• HPE Approval or Denial notice

If faxing: 503-373-7493.

If you are unable to fax the documents, send by secure email to hospital.presumptive@dhsoha.oregon.gov.

Forms

Tools for hospitals

Documents    DHS-OHA secure email instructions Hospital Presumptive Eligibility Roles and Responsibilities Manual HPE Contacts and Resources HPE Fax Cover Sheet HPE Reporting Guidelines.pdf HPE Reporting Template Quick guide to citizenship and immigration status for HPE determinations Quick guide to Eligibility for HPE Determinations Webinar Slides - HPE Overview.pdf Webinar Slides - HPE Reporting Requirements.pdf Webinar Slides - Making HPE Determinations

Compliance Details

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