Breast and Cervical Cancer Early Detection Program/Medicaid Coverage Group Client Program

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DESCRIPTION
Free statewide screening program for early detection of breast or cervical cancer. Program is for uninsured or underinsured low income women. Connecticut Department of Public Health administers the program and the screenings take place at contracted hospital and health service provider sites, https://portal.ct.gov/DPH/Comprehensive-Cancer/Comprehensive-Cancer/The-Connecticut-Breast-and-Cervical-Cancer-Early-Detection-Program

ELIGIBILITY:

MAMMOGRAM: Women ages 40-64, or under age 40 with symptoms and/or specific risk factors;

CLINICAL BREAST EXAM AND PAP TEST: Women ages 21-64

FOR BOTH SCREENINGS: Income must be at or under 250% Federal Poverty Level; Must have no insurance or insurance that does not provide coverage for Pap tests or mammograms or have a high insurance deductible

NOTE: Program sites will determine eligibility, including risk assessment

SCREENING SITES
Screenings are done at contracted hospitals and health service provider sites listed below.

MEDICAID COVERAGE GROUP PROGRAM DESCRIPTION:
Women diagnosed with cancer or pre-cancerous conditions through the free Breast and Cervical Cancer Early Detection Program can receive free treatment for the cancer or pre-cancerous condition through a special Medicaid coverage group. Women must have income at or below 250% of the Federal Poverty Level to be eligible for the screenings. A woman qualifying under this Medicaid group is also eligible for full Medicaid benefits, not only those relating to the diagnosed cancer or pre-cancer condition. Coverage under this group may remain in effect for as long as the woman continues to meet the following five eligibility factors:

APPLICATION PROCESS
Once a Breast and Cervical Cancer Early Detection Program site (contracted hospitals and health service providers) diagnoses a woman as needing breast or cervical cancer treatment, it will determine whether the woman meets the general eligibility criteria listed above. If eligible, the woman will receive full Medicaid coverage.

DURATION OF ELIGIBILITY FOR MEDICAID
A woman qualifies for Medicaid as “categorically needy” under this special Medicaid coverage group until her treatment is completed, or until she no longer meets all of the 5 requirements listed above. A woman is considered to need treatment for as long as her treatment health professional deems that treatment is needed. Also, women are not limited to one period of eligibility. Each time she is screened under the BCC program and is found to need treatment she can be eligible for Medicaid.

HOW TO FIND PROVIDERS IN CONNECTICUT’S COMMUNITY RESOURCES DATABASE:
Search by program name: Breast and Cervical Cancer Early Detection Program

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SOURCE: Connecticut Department of Public Health
PREPARED BY: 211/mm
CONTENT LAST REVIEWED: April2018