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MRG UPDATED: JUNE 2010 69 CATEGORICAL FACTORS THE MEDICAID CANCER TREATMENT PROGRAM: BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCER (MCTP) References: SSL Sect. 366(4)(v) GISs 07 MA/026 05 MA/038 Interpretation: There are specific application forms and unique procedures for the MCTP. If an individual meets the CSPP screening and diagnosis criteria for treatment for breast, cervical, colorectal or prostate cancer, the CSPP assists the individual with completing the MCTP application process. The State Department of Health’s Cancer Services Program reviews the application, certifies the need for treatment and submits the application to the State Office of Health Insurance Programs (OHIP). State OHIP staff review each application and make the final determination of eligibility. If it appears the individual may be eligible for regular Medicaid under any of the mandatory categories, the case will be authorized by State OHIP staff for at least 90 days and the individual will be sent a letter referring him/her to apply for Medicaid at the local district. For an individual to continue on the MCTP past the 90 days, the individual must show a notice of decision by the county or show just cause why they did not apply. State OHIP staff will work with the local district to coordinate the closing of the MCTP case and the opening of the Medicaid case in the district if required. If the individual is not otherwise eligible for Medicaid, State OHIP staff will maintain the case in District 99; this includes undercare and renewal. Transportation is authorized by local department of social services staff. NOTE: Individuals eligible for the MCTP are not eligible for managed care.