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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL B-225 Division of Welfare and Supportive Services SPECIALIZED MEDICAL CATEGORIES Medical Assistance Manual BREAST/CERVICAL CANCER MEDICAID 17 Jul 01 MTL 04/17 A woman is considered to have been screened if she: a. has received a screening mammogram, clinical breast exam, or pap test; OR b. has received diagnosis of breast or cervical cancer or of a pre-cancerous condition of the breast or cervix as the result of the screening under the CDC program. A woman is considered to need treatment if: a. in the opinion of her treating health professional, the diagnostic evaluation following the clinical screening indicates she is in need of treatment services. Note: Services include diagnostic services necessary to determine the extent and proper course of treatment, as well as treatment itself. B-225.1 MCB Presumptive Eligibility Eligibility begins the date on which the Women’s Health Connection’s (WHC) contracted provider determines the individual meets the above eligibility requirements. Once approved, the DWSS case manager sends an application for assistance to the individual. If the individual does not file an application for assistance by the last day of the month following the month during which presumptive eligibility was determined, medical assistance may be terminated. A woman’s Medicaid eligibility ends when her course of treatment is completed or she no longer meets the criteria for this eligibility category. A woman eligible in this category is eligible for all Medicaid services. Note: The MCB presumptive eligibility program is not currently approved through the hospital presumptive eligibility portal. Applications and Form 2591-EM are submitted directly to DWSS and will be referred to the Elko District Office.