• Children's Presumptive Eligibility


    COMING JULY 2024: CHILDREN'S PRESUMPTIVE ELIGIBILITY

    The Child Health and Disability Prevention (CHDP) Gateway is being rebranded as the Children’s Presumptive Eligibility (CPE) Portal. Provider participation in Presumptive Eligibility (PE) is also being expanded. Effective for dates of service on or after July 1, 2024, most Medi-Cal and most Medi-Cal Dental fee-for-service provider types can participate in the enrollment of children into temporary coverage through PE.

    Note: CPE is not a program. It is a means for providers to grant temporary, full-scope coverage to eligible applicants through an online portal.

    As listed below, CPE eligibility requirements are the same as they are under the CHDP Gateway. Determinations are based on the applicant/family’s self-attestation of facts on the application.

    Applicants are potentially eligible for Children’s Presumptive Eligibility if they are:

    • Under the age of 19
    • A California resident
    • Not receiving Medi-Cal
    • Within the income limits for their household size
    • Have not exceeded two PE enrollment periods in the last 12 months

    Additional information will be released ahead of the July 1, 2024, implementation.

    If you have any questions about Children’s Presumptive Eligibility, contact ChildrenPE@dhcs.ca.gov.