Breast and Cervical Cancer Early Detection Program 510-05-67

 

General Information 510-05-67-05

(Revised 10/1/13 ML #3390)

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IM 5443

 

 

(N.D.A.C. Section 75-02-02.1-24.1)

 

The breast and cervical cancer early detection group consists of women under age sixty-five who:

 

  1. Are uninsured and not otherwise eligible for Medicaid (If otherwise eligible for Medicaid with a client share (recipient liability), the woman can choose coverage  as Medically Needy with a client share or through the Women’s Way program);

 

Note: Effective with applications received starting October 1, 2013 for benefits to start January 1, 2014 and reviews starting January 1, 2014, individuals will be first tested under the MAGI methodologies. If an individual is referred by the Health Department for Women’s Way treatment and has failed Medicaid under the Parents, Caretaker Relatives, and their Spouses group, and the new Adult Group, the individual may be eligible under the Women’s Way treatment program up to two hundred percent of the poverty level. If income is above 200 percent of the poverty level, the individual will be referred to the Federally Facilitated Marketplace to choose a health insurance plan.

  1. Have been screened for breast and cervical cancer through the Women's Way Screening Program under the Centers for Disease Control and Prevention's breast and cervical cancer early detection program and have been found to require treatment for breast cancer, cervical cancer, or a precancerous condition relating to breast cancer or cervical cancer;
  2. Have family income below 200% of the poverty level; and
  3. Meet the residence, citizenship, social security number, and inmates of public institutions requirements.

 

The earliest date of eligibility is the month of diagnosis, but not more than three months prior to the month of application. Eligibility can continue until the woman reaches age 65, is no longer a state resident, is admitted to a public institution, is eligible for Medicaid through a different category, becomes insured, or no longer needs treatment for breast or cervical cancer.

 

Eligibility for this group is determined by the Women’s Way program of the North Dakota Department of Health and the Medicaid Eligibility unit of the Department. Coverage for this group began July 1, 2001.