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BEM 173 2 of 5 BREAST AND CERVICAL CANCER PREVENTION AND TREATMENT PROGRAM BPB 2016-014 10-1-2016

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

The health department program has its own financial test for BCCCP. Income cannot exceed 250 percent of the federal poverty level. However, that determination is not an MDHHS responsibility. BCCPTP APPLICATION AND ELIGIBILITY DETERMINATION A simplified application form (DCH-1088, Medicaid Breast and Cer- vical Cancer Prevention and Treatment Program) has been created for this Medicaid category. It will be completed by a health department program coordinator or case manager and sent to MSA. MSA will register the application. MSA will determine Medicaid eligibility for this Medicaid category at application (including any retro Medicaid eligibility), redetermination and when a change is reported. BCCPTP is the only Medicaid category considered when the DCH- 1088 is used. BCCPTP AND OTHER MEDICAL ASSISTANCE A woman who is already receiving Medicaid will not be approved for BCCPTP. If a woman receiving BCCPTP is found eligible for FIP, notify MSA by calling the BCCPTP coordinator, Michele Barton at 517- 241- 8164. If a woman found eligible under BCCPTP is in Medicaid deductible status, MSA will end the Medicaid deductible status, open BCCPTP and notify the local office. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte reivew should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all Medicaid categories; see BAM 115 and 220.