IM-120 December 18, 2007; IM-111 November 26, 2007; IM-158 August 28, 2001
As of August 28, 2001, MO HealthNet (Title XIX) coverage became available for uninsured women under the age of 65 who have been screened through the Missouri Department of Health and Senior Services (DHSS) Show Me Healthy Women (SMHW) program, formerly known as the Breast and Cervical Cancer Control Project (BCCCP), and are in need of treatment for breast or cervical cancer. This includes treatment of certain pre-cancerous conditions and early stage cancer. DHSS considers screenings by both their own SMHW contracted providers and MO HealthNet providers to be SMHW screenings. Screenings by MO HealthNet providers must have been while the participant was eligible for and receiving MO HealthNet benefits under any MO HealthNet program except for Presumptive Eligibility for Children and Temporary MO HealthNet During Pregnancy (TEMP) programs. Contracted SMHW providers are allowed to make Presumptive Eligibility determinations for MO HealthNet coverage based on the need for treatment.
MO HealthNet based on the need for Breast or Cervical Cancer Treatment (BCCT) is intended for women ineligible for all other MO HealthNet categories. When a BCCT application is received, explore possible eligibility for other categories, but do not delay the BCCT approval. If a woman is eligible for MO HealthNet for the Aged, Blind and Disabled (MHABD) spend down and BCCT, the BCCT coverage should be approved as it is to the participant’s advantage. If the participant is approved for BCCT and it is later determined that the woman is eligible for MHABD non-spend down coverage take action to transfer eligibility from BCCT to MHABD non-spend down.