Okla. Admin. Code § 310:566-1-4

Current through Vol. 42, No. 4, November 1, 2024

Section 310:566-1-4 - Eligibility for Breast and/or Cervical Cancer Treatment (BCCPTA)

A woman who is an Oklahoma resident is able to apply for Medicaid coverage for treatment of breast or cervical cancer including breast carcinoma in situ or precancerous conditions of the cervix if:

(1) She is currently enrolled in the Oklahoma Breast and Cervical Cancer Early Detection Program (OKBCCEDP). To be considered enrolled in OKBCCEDP she must meet program age guidelines and have at least one of the basic screening services (pap test or CBE) paid by the OKBCCEDP and be in need of treatment due to an abnormal screen which is suspicious for breast or cervical cancer, and/or breast and cervical pre-cancerous conditions; or

(2) She is referred by an OKBCCEDP certified provider and is documented to be in need of treatment due to an abnormal screen which is suspicious for either breast or cervical cancer, and/or breast or cervical pre-cancerous condition.

(3) Have a family income that is at or below one hundred eighty-five percent (185%) of the federal poverty income level.

(4) Have not attained the age of sixty-five (65) years.

(5) Have no or have inadequate creditable health insurance or health benefit coverage.

(6) Is an Oklahoma and US Citizen or qualified alien.

(7) Has an abnormal breast or cervical cancer screening test result, or has been diagnosed with breast or cervical cancer and is still in need of treatment.

Okla. Admin. Code § 310:566-1-4

Added at 22 Ok Reg 400, eff 12-21-04 (emergency); Added at 22 Ok Reg 2409, eff 7-11-05