See ACES Screens and Online Pages for an example of pages or screens used in this chapter.
Women who meet the criteria listed in the Apple Health eligibility manual - WAC 182-505-0120 Washington apple health breast and cervical cancer treatment program for women--Client eligibility may be eligible for S30 medical coverage.
S30 medical is certified for 12 months and is not subject to reporting requirements. However, S30 may be manually terminated prior to the end of the certification period using Reason Code 530 - Termination-Cancer Treatment Ends Prior to Cert Period if the client completes treatment before the certification period ends. Also, S30 has retroactive medical coverage up to three months prior to the date of application.
Approximately 45-50 days prior to the end of the certification, ACES generates Alert 100 BREAST/CERV CANCER E/R DUE, CALL DOH. When this alert is received, the worker needs to contact the Department of Health (DOH) in order to determine continued eligibility. Letter 022-09 (Re-determination for Medical - BCCTP) can be sent to the client if necessary. An Eligibility Review form DSHS 14-78 is included with this letter when centrally printed.
The Department of Health (DOH) completes the S30 eligibility determination and screening for breast and/or cervical cancer under the CDC Breast and Cervical Cancer Early Detection Program (BCCED) program.
The Medical Eligibility Determination Services unit (MEDS) Community Services Office (CSO) 076 administers the S30 program and open cases based on medical information received from the Department of Health (DOH). An active S30 cannot be transferred out of CSO 076.
Financial eligibility tests cannot be performed on S30 Assistance Units.
When a client is active or approved under some medical coverage groups while incarcerated, they can still be eligible to receive medical assistance in a suspended status. For more information, see Suspended Medical – State Bill (SB 6430).
To screen an S30 medical Assistance Unit, follow the steps in the Screening an Application chapter.
On the Programs page click the checkbox next to Breast/Cervical Cancer.
To process a pending S30 AU take the following steps:
On the Assistance Units page, update the following fields:
See ACES Screens and Online Pages for an example of pages or screens used in this chapter.