Page 3

MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-210 BREAST/CERVICAL CANCER MEDICAID

Public Law 106-354 authorizes Medicaid to uninsured women under age 65 who are identified through the Centers for Disease Control and Prevention’s (CDC) National Breast and Cervical Cancer Early Detection Program for further diagnosis or are in need of treatment. The Women’s Health Connection under Access to Healthcare Network is Nevada’s Breast and Cervical Cancer Early Detection Program. Breast/Cervical Cancer Medicaid begins July 1, 2002. Case managers with the Women’s Health Connection identify and refer uninsured women under age 65 who have been screened through them. A referral Form 2591-EM is submitted to DWSS for approval. Note: Referrals and redetermination applications will be processed at the Elko District Office. D-210.1 Verification Citizenship must be verified for all MCB applicants. Follow the policy outlined in manual section C-400 for obtaining verifications electronically. D-210.2 MCB Presumptive Eligibility Eligibility begins the date on which the Women’s Health Connection’s (WHC) contracted provider determines the individual meets the eligibility requirements. Once approved, the DWSS case manager sends an application for assistance to the individual. If the individual does not return the application for assistance by the last day of the month following the month during which presumptive eligibility was determined, medical assistance may be terminated. 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.

D-210.3 Eligibility Requirements Individuals who apply for Breast and Cervical Cancer Medicaid must meet the following requirements: • Must be a Nevada resident; ● Must be under age 65; ● Must be uninsured or underinsured; ● Not eligible under any other Medicaid eligibility group; ● Must have been screened for breast or cervical cancer by the “Disease Control and Prevention (CDC)”. In Nevada Women’s Health Connection is the CDC licensed provider; and ● Found to need treatment for either breast or cervical cancer. Division of Welfare and Supportive Services D-210 Medical Assistance Manual SPECIALIZED GROUPS-APPLICATION PROCESSING 17 Jul 01 MTL 04/17 BREAST/CERVICAL CANCER MEDICAID