Eligibility Online Manual
M1301 Breast & Cervical
Purpose: This section will provide basic information on the Breast & Cervical Cancer Treatment program.
Current Policy Effective Date: September 1, 2017
Date Last Reviewed: October 30, 2017
Previous Policy: September 1, 2016
POL M1301: BREAST & CERVICAL
1. Breast and Cervical Cancer Early Detection Program
The Department of Health, Prevention and Health Promotion Unit Division, screens applicants for assistance under the Wyoming Breast and Cervical Cancer Early Detection Program (WBCCEDP). This program provides access to breast and cervical cancer screening services.
Refer questions about the WBCCEDP to the Department of Health, Prevention and Health Promotion Unit Division at 1-800-264-1296.
Applicants, who are financially eligible and identified to be in need of treatment by WBCCEDP, are referred to the Medicaid Customer Service Center to determine eligibility for the Breast and Cervical Cancer Treatment program.
2. Applicants Must Meet Basic Eligibility Factors
Refer to Section M600 for a description of all basic eligibility factors.
3. Applicants Must Meet Income Requirements
4. Applicants Must Be Under The Age of 65
5. Applicants Must Not Be Eligible for Medicaid and Must Have No Health Insurance
6. Benefits Begin First Month of Eligibility
7. Applicants May Be Eligible For Retroactive Medicaid
Applicants may receive retroactive Medicaid benefits if they incurred medical bills and would have been eligible during any of the three months prior to the month of application.
Retroactive benefits may not be authorized prior to the month of the biopsy.
8. Clients Must Be Reviewed
Clients must be periodically reviewed every 12 months to determine continued eligibility.
Clients must provide verification of income and need for continued breast or cervical cancer treatment.
9. Clients May Lose Benefits
The case will close on the first day of the next month when any of the following occur:
Client does not complete review.
Client obtains other insurance.
Client enters a public institution, excluding the Geriatric Hall at the State Hospital in Evanston.
Client is no longer receiving treatment.
Client moves out of state.
Client turns 65.
Client determined no longer eligible.
Defining Group: Social Security Act § 1902(a)(10)(A)(ii)(xviii)
A referral from the Wyoming Breast and Cervical Cancer Program is required
1. Check to see if a referral has been received by the Wyoming Breast and Cervical Cancer Early Detection Program. This is a requirement before authorizing any applicant for the Breast and Cervical Cancer Treatment Program.