Breast and Cervical Cancer Program

Breast and Cervical Cancer Program A. Women screened for breast and/or cervical cancer through the Center for Disease Control (CDC) screening program for the early detection of breast and cervical cancer, including a pre- cancerous condition of the breast or cervix, may qualify for time-limited Medicaid coverage. B. The woman must be under age sixty-five (65) and have no other creditable health coverage, including Medicare, and must not be otherwise eligible for Medicaid. C. The State Department of Health has the responsibility for the CDC screening services and is the initial point of contact for a woman seeking both screening services and coverage through the Breast and Cervical Cancer Program. The Health Department establishes the age range for women that can be screened based on CDC funding and determines each participant’s financial eligibility, which must be less than two hundred fifty percent (250%) of the federal poverty level. D. A woman who meets the criteria can be found presumptively eligible for Medicaid by designated Health Department staff on the first (1st) day of the month in which the diagnosis is made. The Division of Medicaid makes the final decision based on non-financial factors of eligibility and notifies the participant of the eligibility outcome. E. A woman determined eligible for coverage is eligible throughout the course of her active treatment for cancer. Active treatment is the period in which the cancer is aggressively treated with chemotherapy or radiation and does not include the time in which maintenance drugs are administered.