Breast and/or Cervical Cancer Treatment Program

Breast and/or Cervical Cancer Treatment Program – BCCTP

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Breast and/or Cervical Cancer Treatment Program – BCCTP

Revised March 10, 2008

Purpose:

Who is eligible to receive S30 Medical?

How long is the S30 certification?

How is eligibility determined for S30?

How is S30 opened?

How do I screen S30 medical?

How do I process a pending S30 AU?

Who is eligible to receive S30 medical?

Women who meet the criteria listed in EA-Z Manual WAC 388-462-0020 Breast and cervical cancer treatment program (BCCTP) for women--Client eligibility may be eligible for S30 medical coverage.

How long is the S30 certification period?

S30 medical is certified for 12 months and is not subject to reporting requirements.

S30 may be manually terminated prior to the end of the certification period using Reason Code 530 - Termination – Cancer Treatment Ends Prior to Cert Period if the client completes treatment before the certification period ends.

Approximately 45 – 50 days prior to the end of the certification, ACES generates Alert 100 BREAST/CERV CANCER E/R DUE, CALL DOH. When this alert is received, the worker will need to contact DOH in order to determine continued eligibility.

User generated LTR 022-09 (Re-determination for Medical - BCCTP) can be sent to the client if necessary. An Eligibility Review form DSHS 14-78 will be included with this letter when centrally printed.

How is eligibility determined for S30?

The Department of Health (DOH) completes the S30 eligibility determination and screening for breast and/or cervical cancer under CDC Breast and Cervical Cancer Early Detection Program (BCCED).

How is S30 opened?

The Medical Eligibility Determination Services unit (MEDS) CSO 076 will administer the S30 program and open cases based on medical information received from the DOH.

Active S30 AUs cannot be transferred out of CSO 076.

Financial eligibility tests will not be performed on S30 AUs

S30 has retroactive medical coverage up to three months prior to the date of application.

How do I screen S30 medical?

To screen an S30 AU, take the following steps:

From the Welcome Back page in aces.online, click the Screen New Application link at the top of the page. The Applicant page displays in a new window.

On the Applicant page, enter the applicant’s (head of household) Name, Residential and Mailing Addresses.

Click the AREP/Payee checkbox if the hospital needs to be entered as an authorized representative.

To add the hospital as an authorized representative, see Screening – aces.online - Authorized Representatives.

Continue with the screening process until you reach the Programs page.

On the Programs page:

Click the checkbox next to Breast/Cervical Cancer; or

On the Finalize page, click the Specify Program button.

On the Finalize – Program Details page:

From the Program drop-down list, select Medical Assistance (MA).

From the Medical Coverage Group drop-down list, select Breast/Cervical Program (S30)

Complete the screening process. See Screening a Client.

How do I process a pending S30 AU?

To process a pending S30 AU take the following steps:

From the AMEN, access the pending AU via Option O – Interview.

On the STAT screen, enter complete the Finl Resp field as follows:

[PN] – for applicant

[NM] – for all other household members.

Complete the interview following instructions in the Interview chapter.

From AMEN, access the AU via Option P – Process Application Months.

Complete processing following steps in the Process Application Month chapter.

From AMEN, access the AU via Option Q – Finalize Application.

Breast and/or Cervical Cancer Treatment Program – BCCTP
Revised March 10, 2008

Purpose:
Who is eligible to receive S30 Medical? How long is the S30 certification? How is eligibility determined for S30? How is S30 opened? How do I screen S30 medical? How do I process a pending S30 AU?
Who is eligible to receive S30 medical? Women who meet the criteria listed in EA-Z Manual WAC 388-462-0020 Breast and cervical cancer treatment program (BCCTP) for women--Client eligibility may be eligible for S30 medical coverage. How long is the S30 certification period? S30 medical is certified for 12 months and is not subject to reporting requirements. S30 may be manually terminated prior to the end of the certification period using Reason Code 530 - Termination – Cancer Treatment Ends Prior to Cert Period if the client completes treatment before the certification period ends. Approximately 45 – 50 days prior to the end of the certification, ACES generates Alert 100 BREAST/CERV CANCER E/R DUE, CALL DOH. When this alert is received, the worker will need to contact DOH in order to determine continued eligibility. User generated LTR 022-09 (Re-determination for Medical - BCCTP) can be sent to the client if necessary. An Eligibility Review form DSHS 14-78 will be included with this letter when centrally printed. How is eligibility determined for S30? The Department of Health (DOH) completes the S30 eligibility determination and screening for breast and/or cervical cancer under CDC Breast and Cervical Cancer Early Detection Program (BCCED). How is S30 opened? The Medical Eligibility Determination Services unit (MEDS) CSO 076 will administer the S30 program and open cases based on medical information received from the DOH. Active S30 AUs cannot be transferred out of CSO 076. Financial eligibility tests will not be performed on S30 AUs S30 has retroactive medical coverage up to three months prior to the date of application. How do I screen S30 medical? To screen an S30 AU, take the following steps: From the Welcome Back page in aces.online, click the Screen New Application link at the top of the page. The Applicant page displays in a new window. On the Applicant page, enter the applicant’s (head of household) Name, Residential and Mailing Addresses. Click the AREP/Payee checkbox if the hospital needs to be entered as an authorized representative. To add the hospital as an authorized representative, see Screening – aces.online - Authorized Representatives. Continue with the screening process until you reach the Programs page. On the Programs page: Click the checkbox next to `Breast/Cervical Cancer`; or On the Finalize page, click the Specify Program button. On the Finalize – Program Details page: From the Program drop-down list, select Medical Assistance (MA). From the Medical Coverage Group drop-down list, select `Breast/Cervical Program (S30)` Complete the screening process. See Screening a Client. How do I process a pending S30 AU? To process a pending S30 AU take the following steps: From the AMEN, access the pending AU via Option O – Interview. On the STAT screen, enter complete the `Finl Resp` field as follows: [PN] – for applicant [NM] – for all other household members. Complete the interview following instructions in the Interview chapter. From AMEN, access the AU via Option P – Process Application Months. Complete processing following steps in the Process Application Month chapter. From AMEN, access the AU via Option Q – Finalize Application.