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Ohio Medicaid has offered a type of presumptive Medicaid coverageâformerly known as âexpedited. Medicaidââfor pregnant women for several years, but has only recently added presumptive eligibility for. children (ages 0-19). The purpose of presumptive Medicaid eligibility is to allow immediate, but time. limited, coverage for certain individuals who appear to meet Medicaid eligibility and have an immediate. need for medical care. For pregnant women, the goal is to offer prenatal care as quickly as possible in order.
The insured must qualify from an income standpoint to prevent over insurance. The Relation of earnings to insurance provision allows the insurance company to limit the insured benefits to his/her average income over the last 24 months. Presumptive Disability is a provision that is found in most disability income policies which specifies the conditions that will automatically qualify the insured for full disability benefits....