§ 1396r-1. Presumptive eligibility for pregnant women
(a)
Ambulatory prenatal care
A State plan approved under section
1396a of this title may provide for making ambulatory prenatal care available to a pregnant woman during a presumptive eligibility period.
(b)
Definitions
For purposes of this section—
(1)
the term “presumptive eligibility period” means, with respect to a pregnant woman, the period that—
(A)
begins with the date on which a qualified provider determines, on the basis of preliminary information, that the family income of the woman does not exceed the applicable income level of eligibility under the State plan, and
(2)
the term “qualified provider” means any provider that—
(B)
provides services of the type described in subparagraph (A) or (B) of section
1396d
(a)(2) of this title or in section
1396d
(a)(9) of this title,
(C)
is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A), and
(c)
Duties of State agency, qualified providers, and presumptively eligible pregnant women
(1)
The State agency shall provide qualified providers with—
(2)
A qualified provider that determines under subsection (b)(1)(A) of this section that a pregnant woman is presumptively eligible for medical assistance under a State plan shall—
(3)
A pregnant woman who is determined by a qualified provider to be presumptively eligible for medical assistance under a State plan shall make application for medical assistance under such plan by not later than the last day of the month following the month during which the determination is made, which application may be the application used for the receipt of medical assistance by individuals described in section
1396a
(l)(1)(A) of this title.
(d)
Ambulatory prenatal care as medical assistance
Notwithstanding any other provision of this subchapter, ambulatory prenatal care that—
shall be treated as medical assistance provided by such plan for purposes of section
1396b of this title.