The Medicaid Policy and Procedures Manual describes the process for determining eligibility for the Puerto Rico Medicaid Program (PRMP). PRMP includes Medicaid, the Children’s Health Insurance Program (CHIP), and a state-only health insurance benefit (State Coverage). The manual governs the application, evaluation, verification, and case maintenance process es for all PRMP programs and is the basis for conducting eligibility processes uniformly.
You can request a copy of the Puerto Rico Medicaid Program Policies and Procedures Manual: