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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL A woman is considered to be underinsured when she; ● Is in a period of exclusion (such as a preexisting condition exclusion or an HMO affiliation period); ● Is not actually covered for treatment of breast or cervical cancer; or ● Has contract health care coverage through Indian Health Services or Tribal Clinics. A woman is considered to have been screened if she has received a screening mammogram, clinical breast exam, or Pap test; or she 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 women is considered to need treatment if, in the opinion of the individual’s treating health professional, the diagnostic evaluation following the clinical screening indicates the woman is in need of treatment services. Services include diagnostic services necessary to determine the extent and proper course of treatment, as well as treatment itself. D-210.4 Do Not Apply the Following Eligibility Requirements ● SNAP Joint Processing ● Household Determination ● Resources and Income ● Applicant Job Search/Employment Services/NEON ● Assistance Unit Needs Budgeting ● Transitional Medicaid ● Third Party Liability ● Medicaid Managed Care Health Plans (MCHP) ● Financial Management ● Cooperation with Child Support Enforcement D-210.5 Termination 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. D-215 CHILDREN FOR WHOM A PUBLIC AGENCY HAS ASSUMED FINANCIAL RESPONSIBILITY Medicaid is available for some children for whom financial responsibility is assumed in whole or in part by a public agency. Public agencies include county, state and Native American social service agencies. D-210.3 Division of Welfare and Supportive Services SPECIALIZED GROUPS-APPLICATION PROCESSING Medical Assistance Manual ELIGIBILITY REQUIREMENTS MTL 01/13 01 Oct 13