The applicant must meet all the following requirements to be eligible for Breast and Cervical Cancer Medicaid.
Women who have moved to N.C. from another state and were enrolled in the BCCCP screening program in another state and women who are referred from a private physician must be enrolled, screened and found to need treatment for either breast or cervical cancer by BCCCP.
Do not authorize the woman for BCCM if she is eligible for another Medicaid benefit. If the woman is potentially eligible for MAF-M (medically needy), authorize her for MAF-M if her medical expenses to meet the deductible have been incurred as of the date of the BCCM application.
The following types of coverage are creditable medical insurance coverage:
A woman with creditable medical insurance coverage is ineligible for BCCM. However, if the insurance coverage consists solely of limited benefits such as accidents or limited-scope dental, vision, or long term-care she may be eligible for BCCM. There may also be limited circumstances where a woman has major medical insurance, but she is not actually covered for treatment of breast or cervical cancer.
REVISED 08/01/13 - CHANGE NO. 04-13
In this situation, she would meet the requirement for having no creditable medical insurance coverage.
NOTE: If the woman is an alien limited to emergency medical care only, she may still be able to receive Medicaid coverage related to an "emergency condition," other than services related to an organ transplant. Breast or cervical cancers may be identified at various stages.
NOTE: There is no income or asset test for this Medicaid coverage group. The a/r meets the Medicaid income and asset test based on eligibility for BCCCP.
REISSUED 08/01/13 - CHANGE NO. 04-13
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.