HAR §17-1733.1-10. Categorical requirements

(a) An individual shall meet the following requirements: (1) Under age sixty-five; (2) Eligible and screened for breast or cervical cancer or a precancerous condition of the breast or cervix by an authorized CDC BCCEDP; (3) Require treatment for breast or cervical cancer or a precancerous condition of the breast or cervix; (4) Not otherwise covered under creditable coverage; and (5) Not eligible under any other Medicaid coverage group. (b) A new period of eligibility may be established for an individual who is screened by an authorized CDC BCCEDP with a recurrence or a new occurrence of breast or cervical cancer or a precancerous condition of the breast or cervix that requires treatment and meets the provisions of subsection (a). [Eff 09/30/13] (Auth: HRS §346-14; 42 C.F.R. §§435.213) (Imp: HRS §346-14; 42 C.F.R. §§435.213) UNOFFICIAL 1733.1-4 §17-1733.1-11 Non-financial eligibility requirements and effective date of coverage. (a) An individual who is determined eligible in accordance with this chapter shall remain eligible while receiving required treatment. (1) Breast or cervical cancer shall be medically reevaluated annually by a treating physician to verify and confirm the need for continued treatment at the time of the annual eligibility review; or (2) A precancerous condition of the breast or cervix shall be medically reevaluated at six-month intervals by a treating physician to verify and confirm the need for continued treatment, and one of the reevaluations shall coincide with the annual eligibility review. (b) Eligibility shall be effective retroactively to the date the individual is screened and initially diagnosed with breast or cervical cancer or a precancerous condition of the breast or cervix by the authorized CDC BCCEDP or ten calendar days immediately prior to the date the application is received by the department as described in chapter 1720.1, whichever occurs first. [Eff 09/30/13] (Auth: HRS §346-14; 42 CFR §§430.25, 431.40, 435.213, 438.6) (Imp: HRS §346-14; 42 CFR §§430.25, 431.40, 435.213, 438.6)