(A) This rule describes the medicaid breast and cervical cancer project .
(B) The rules in Chapter 5160:1-5 of the Administrative Code set forth the eligibility requirements for participation in the breast and cervical cancer project. The Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA), in accordance with Pub. L. No. 106-354 and 42 U.S.C. 1396a(a)(10)(A)(ii) (as in effect on October 1, 2016), authorizes an optional category of medicaid to provide full medicaid benefits to certain individuals who need treatment for breast or cervical cancer, breast or cervical pre-cancerous conditions, and/or breast or cervical early stage cancer. The goals of the BCCPTA are as follows:
(1) To improve access to needed breast and cervical cancer treatment for uninsured individuals identified under the national breast and cervical cancer early detection program as needing such treatment;
(2) To facilitate the prompt enrollment in medicaid and immediate access to services for individuals who are in need of treatment for breast or cervical cancer;
(3) To ensure that needed treatment begins as early as possible; and
(4) To coordinate activities between medicaid and public health agencies, including but not limited to application procedures and case management.
Five Year Review (FYR) Dates: 10/17/2017 and 01/01/2023
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
Prior Effective Dates: 7/1/02, 03/23/15