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Chapter: 2000 Coverage Groups Program: MSSI, SFP 24 To qualify as a Qualifying Individuals 1 beneficiary, an individual must meet all the following eligibility criteria:

1. Be enrolled in Medicare Part A; 2. Have income greater than 120% of the federal poverty level but equal to or less than 135% of the federal poverty level; 3. Have assets not exceeding three times the SSI resource limit with annual increases based on the yearly Consumer Price Index (refer to Appendix A-9); 4. Be a U.S. citizen or qualified noncitizen; 5. Take necessary steps to access any other benefits to which they may be entitled; and 6. Does not qualify for Medicaid under any other Medicaid coverage group, except Medically Needy.

Note: Cross reference passage 1440.1504. 2040.0821 Breast and Cervical Cancer Treatment Program (MSSI) A special Medicaid Program is available for women needing treatment for breast and cervical cancer.

To be eligible, a woman must:

1. be screened and diagnosed for breast or cervical cancer by the Department of Health (DOH) under the Center for Disease Control (CDC) Screening Program in Florida, 2. need treatment for the disease, 3. be uninsured or have health coverage that does not cover the necessary treatment, 4. not be eligible under a Medicaid group (excluding Medically Needy), 5. be under age 65, and 6. be a citizen or qualified noncitizen.

Exception: Apply EMA policy for noncitizens who meet all technical requirements, except citizenship.

Do an ex parte when a woman becomes ineligible, unless she moves out of state or dies.

Refer women who do not meet the above qualifications to the toll-free the American Cancer Society National Hotline at 800 227-2345. 2040.0822 Optional State Supplementation Program (SFP) An individual must qualify under one of the following coverage groups to be eligible for OSS assistance:

The individual must be eligible for and receiving a check from Social Security’s Supplemental Security Income Program. The Department accepts receipt of SSI as meeting all factors of OSS eligibility criteria in 0240.0118 except age and placement, which must be verified by the Department.

The individual must meet all SSI and OSS eligibility criteria, except for the amount of their income, which must be equal to or less than the OSS income standard established by the Department.

The individual must have been eligible for and receiving Aid to the Aged, Blind or Disabled (AABD) from the state as of December 1973. This federally protected coverage group lives in Homes for Special Services, which generally is a private family home.