Page 456

after the screening and diagnosis of breast or cervical cancer or certain precancerous condition of the breast or cervix. The filing date of a WWWMA application is the day a signed, valid application is received by EM CAPO. See SECTION 2.4 VALID APPLICATION. WWWMA eligibility begins the first day of the month in which the valid application is submitted and all eligibility requirements are met. Example 1 Maria is diagnosed with cervical cancer on December 16. She applies for WWWMA on December 17. She does not request backdated coverage. Maria is determined eligible for WWWMA. Her WWWMA enrollment starts on December 1. 36.2.1 WWWMA Backdated Eligibility All applicants may have their WWWMA eligibility backdated to the first of the month, up to three months prior to the month of application. Eligibility may not be backdated earlier than the first of the month of the date of diagnosis. The applicant may be certified for any backdate month in which they would have been eligible had they applied in that month. Example 2 Yura is diagnosed with a precancerous condition of the breast on October 25. She applies for WWWMA on December 5. She requests three months of backdated coverage (September, October, November). Yura is determined eligible for WWWMA. Her WWWMA enrollment starts on October 1 since that is the first of the month of her diagnosis date. She is not eligible for WWWMA in September since that month was before her diagnosis. 36.2.2 WWWMA Enrollment through the Wisconsin Well Woman Program The Wisconsin Well Woman Program (WWWP) is administered by the DHS Division of Public Health (DPH). WWWP provides eligible persons with breast and cervical cancer screenings, referrals, education, and outreach. In addition to the requirements in SECTION 36.3 WWWMA NONFINANCIAL REQUIREMENTS and SECTION 36.4 WWWMA FINANCIAL REQUIREMENTS, a WWWP client must have a health screening through WWWP, be diagnosed, and need treatment for breast or cervical cancer or a precancerous condition of the breast or cervix to be eligible for WWWMA. WWWP coordinating agencies enroll persons in WWWP and may assist them with completing the WWWMA application. They also coordinate the WWWP, client's referral to a health care provider for breast and cervical cancer screening. 36.2.2.1 WWWP Process for Assisting with WWWMA Application 1. The WWWP coordinating agency will complete the F-44818 with the assistance of the applicant prior to the applicant’s health care screening. The F-44818 enrolls the person in WWWP. Their WWWP eligibility will be in interChange under medical status code "CS." 2. The WWWP client will receive a breast and cervical cancer screening from a WWWP provider. 3. If the WWWP client is diagnosed with breast or cervical cancer or a precancerous condition of the breast or cervix and wants to apply for WWWMA, they will complete Part A -