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Aged, Blind and Disabled Manual Policy Manual Number: 115.005 Section: Categories of Eligibility Chapter: Breast or Cervical Cancer

July 1, 2021 Division of TennCare 3 d. DOH Responsibilities i. Establishing Presumptive Eligibility Once the TBCCSP determines presumptive eligibility, DOH staff complete the Presumptive Eligibility application using TennCare Access. DOH staff will either assist or instruct the individuals eligible for presumptive coverage to apply for Medicaid ii. Services and Treatment-Related Expenses The DOH TBCCSP provides all screening tests necessary to make a cancer diagnosis, as well as post-screening diagnostic services, such as surgical consultations and biopsy, to ensure that all individuals with abnormal results receive timely and adequate referrals. 4. Coverage under the BCC COE a. Applicants with Presumptive Eligibility i. Individuals who file a Valid Application during their presumptive eligibility period may receive continuous eligibility (i.e., no interruption between presumptive eligibility and TennCare Medicaid coverage) in the BCC COE if they meet all non-financial and financial eligibility requirements. See all non-financial and financial eligibility requirements listed below. ii. Individuals who file a Valid Application up to 45 days prior to the approval of the presumptive eligibility period may receive continuous eligibility in the BCC COE if they meet all non-financial and financial eligibility requirements. Individuals will not be required to file a subsequent application during the presumptive period b. Applicants who Require a Referral to DOH TBCCSP If TennCare Medicaid applicants indicate that they have breast or cervical cancer, and they are not eligible in any open non-BCC TennCare Medicaid COE, they must be referred to the DOH TBCCSP program. 5. Non-Financial Eligibility Requirements a. Age Eligible individuals must be under the age of 65.