9-001.02 Eligibility Period

469 NAC 9-001.02

Eligibility begins with the first of the month that the client signs the application for the Women’s Cancer Program on the prescribed application which is incorporated into the appendix of these rules.

The application is Form EA-20.

Eligibility continues as long as the client requires treatment for breast or cervical cancer, as determined by her physician, unless she becomes ineligible for some other reason. Eligibility automatically ends the last day of the month of the client’s 65th birthday.

For pre-cancerous cervical conditions, eligibility automatically ends the last day of the month following the month treatment begins unless the physician provides the agency with a monthly statement that continued treatment is required. Continued treatment does not include continued surveillance, testing, or screening.

For pre-cancerous cervical conditions, it is the client's responsibility to provide the agency with the physician's statement.

For breast and cervical cancer, a physician’s statement verifying the need for treatment must be provided to the agency every six months for the woman to remain eligible for Medicaid coverage.

{9/19/2001}