WAC 182-505-0120

Effective January 1, 2014

WAC 182-505-0120 Breast and cervical cancer treatment program (BCCTP) for women--Client eligibility.

1. Effective July 1, 2001, through December 31, 2013, a woman is eligible for categorically needy (CN) coverage under the federally funded breast and cervical cancer treatment program (BCCTP) only when she:

a. Has been screened for breast or cervical cancer under the center for disease control (CDC) breast and cervical cancer early detection program (BCCEDP);

b. Is found to require treatment for either breast or cervical cancer or for a related precancerous condition;

c. Is under sixty-five years of age;

d. Is not eligible for another CN medicaid program;

e. Is uninsured or does not otherwise have creditable coverage;

f. Meets residency requirements as described in WAC 182-503-0520;

g. Meets Social Security number requirements as described in WAC 182-503-0515;

h. Meets the requirements for citizenship or U.S. national status or "qualified alien" status as described in WAC 182-503-0535; and

i. Meets the income and asset limits that are set by the CDC-BCCTP.

2. A woman who is eligible for BCCTP on or before December 31, 2013, will continue to receive coverage after December 31, 2013, for the certification period if:

a. She applies for Washington apple health (WAH) coverage on or before December 31, 2013; and

b. She is determined to be not eligible for any other WAH pro-gram whose scope of services (as described in WAC 182-501-0060) includes breast and cervical cancer treatment.

3. The WAH coverage referred to in subsection (2) of this section will continue uninterrupted for the certification period and will be under one of the following programs:

a. A WAH program that the woman is determined eligible for, other than the state-only funded breast and cervical cancer treatment continuation program (BCCTCP); or

b. BCCTCP if the woman is determined not eligible for any other WAH program.

4.The certification period breast and cervical cancer treatment covered under subsection (2) of this section is the full course of treatment as certified by the CDC-BCCEDP.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.