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MPPP Eligibility Pathways Coverage Group Full or Partial Eligible Income and Resource Limits Individual/Couple Benefits QWDI Partial Dual 200% FPL $4,000.00 – Individual $6,000.00 – Couple Lost Medicare Part A benefits because of return to work but eligible to purchase Medicare Part A and qualify for Medicaid payment of: Medicare Part A premiums 1.8 Special Coverage Groups 1.8.1 Overview A. There are certain IHCC groups that are exempt from various income and/or resource requirements because they provide coverage to people with unique characteristics and/or health needs. 1.8.2 Breast and Cervical Cancer A. The Breast and Cervical Cancer Prevention and Treatment Act of 2000, Pub. L. No. 106-354, amended Title XIX of the Social Security Act, 42 U.S.C. §§ 1396- 1396w-7, to include an optional Medicaid coverage group for uninsured people who are screened and need treatment for breast or cervical cancer or for precancerous conditions of the breast or cervix. The Rhode Island Department of Health (DOH), Women’s Cancer Screening Program, is responsible for administering the screening required for Medicaid eligibility through this pathway. 1. Eligibility Criteria – To qualify, an applicant must be under age sixty-five (65) and receive screening for breast or cervical cancer under the CDC Breast and Cervical Cancer Early Detection Program administered by DOH and found to need treatment for either breast or cervical cancer, or a precancerous condition of the breast or cervix. In addition, an applicant must not be Medicaid eligible in another coverage group or have access to or be enrolled in a health insurance plan that provides essential benefits, as defined in Federal Regulations at 42 C.F.R. § 447.56 (2023). All general requirements for Medicaid must also be met. There is no resource