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COMAR 10.09.24.03

332 State of Maryland Medical Assistance Manual Revised July 2012

(h) Women’s Breast and Cervical Cancer Health Program (WBCCHP) I. Introduction The Breast and Cervical Cancer Prevention and Treatment Act of 2000 (the Act) (Public Law 106-354) amends Title XIX of the Social Security Act to give states the option to cover a Medical Assistance (Medicaid) categorically needy coverage group for uninsured women between 40 and 64 years old, who are screened through the Centers for Disease Control (CDC) National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and are diagnosed as in need of treatment for breast or cervical cancer, including pre-cancerous conditions and early stage cancer. Coverage under this program is subject to the availability of State and federal funds. This Medicaid coverage group is named the Women‟s Breast and Cervical Cancer Health Program (WBCCHP), effective April 1, 2002. Services provided for Women with Breast or Cervical Cancer This program covers women for MA services who have been screened by the Breast and Cervical Cancer Program (BCCP) through the LHD (which has certain income limitations) and diagnosed with breast or cervical cancer. The following requirements must be met: Be a woman between the age of 40 and 64 years old, who is a Maryland resident; Be uninsured, or have insurance that does not cover cancer treatment; Be in need of treatment; and Not be eligible for Medicaid or Medicare.

There are no additional income and assets limitations, as long as the woman is screened through the BCCP program under the DHMH Public Health Services program and meets other eligibility criteria (i.e. residency, citizenship, social security number). (Section 300.1(h) Attachment A, WBCCHP Local Program Coordinators) Application

Women can obtain applications to enroll in the program from the Breast and Cervical Cancer Program coordinator at their LHD, The DHMH, Center for Cancer Surveillance and Control, Applications can also be completed at the offices of participating providers LDHs will forward complete applications to the DHMH case reviewer for eligibility requirements. Eligibility determinations will be the responsibility of the DHMH Women applying for the program must submit confirmation that breast or cancer screening services were received through the BBCCP a physician, certification of biopsy, diagnosis and the need for treatment