182-505-0117  <<  182-505-0120 >>   182-505-0210

WAC 182-505-0120

Washington apple health breast and cervical cancer treatment program for womenClient eligibility.

(1) Effective April 1, 2014, a woman is eligible for categorically needy (CN) coverage under the Washington apple health (WAH) breast and cervical cancer treatment program (BCCTP) only when she:
(a) Has been screened for breast or cervical cancer under the department of health's breast, cervical, and colon health program (BCCHP);
(b) Requires treatment for breast cancer, cervical cancer, or a related precancerous condition;
(c) Is under sixty-five years of age;
(d) Is not eligible for other WAH-CN coverage, including coverage under the MAGI-based adult group;
(e) Is uninsured or does not otherwise have creditable coverage;
(f) Meets residency requirements under WAC 182-503-0520;
(g) Meets Social Security number requirements under WAC 182-503-0515;
(h) Is a U.S. citizen, U.S. national, qualifying American Indian born abroad, or qualified alien under WAC 182-503-0535; and
(i) Meets the income standard set by the BCCHP in DOH form 342-031.
(2) The certification period for breast and cervical cancer treatment covered under this section is twelve months, as provided in WAC 182-504-0015. To remain continuously enrolled, the client must renew her eligibility before the certification period ends. Eligibility for BCCTP coverage under subsection (1)(b) of this section continues throughout the course of treatment as certified by the BCCHP. Retroactive coverage may be available under WAC 182-504-0005.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 15-17-056, § 182-505-0120, filed 8/14/15, effective 9/14/15. Statutory Authority: RCW 41.05.021, 41.05.160, 2014 c 221. WSR 14-21-075, § 182-505-0120, filed 10/10/14, effective 11/10/14. WSR 12-02-034, recodified as § 182-505-0120, filed 12/29/11, effective 1/1/12. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057, 74.08.090. WSR 04-15-057, § 388-462-0020, filed 7/13/04, effective 8/13/04. Statutory Authority: RCW 74.08.090, 74.04.050, 74.04.057, 74.09.530, 74.09.510, and Public Law 106-354. WSR 02-01-134, § 388-462-0020, filed 12/19/01, effective 1/19/02.]
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