55 Pa. Code § 140.702

Current through Register Vol. 54, No. 37, September 14, 2024
Section 140.702 - Definitions

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

BCCPT Program-Breast and Cervical Cancer Prevention and Treatment Program-A Federally-funded option that provides full MA benefits to uninsured women under 65 years of age who have been screened and diagnosed and are in need of treatment for breast or cervical cancer, or a precancerous condition of the breast or cervix. These women have been identified through an entity funded in full or in part by CDC.

CDC-Centers for Disease Control and Prevention-The lead Federal agency for protecting the health and safety of people at home and abroad by applying disease prevention and control.

NBCCEDP-National Breast and Cervical Cancer Early Detection Program-A program established by Congress under the Breast and Cervical Cancer Mortality Act of 1990 ( Pub. L. No. 101-354, 104 Stat. 409) which authorizes the CDC to promote breast and cervical cancer screening and to pay for screening services for eligible individuals.

Treatment for breast and cervical cancer- Medical services, which are, or are reasonably expected to provide one of the following:

(i) Ameliorate the direct effects of breast or cervical cancer.
(ii) Aid in the clinical characterization of breast or cervical cancer, including testing for the effectiveness of curative treatment but excluding screening for recurrence or new primary cancers.
(iii) Prevent the recurrence of breast or cervical cancer.

Uninsured-Having no "creditable coverage" as the term is defined under the Health Insurance Portability and Accountability Act (HIPAA) (Section 2701(c) of the Public Health Service Act ( 42 U.S.C.A. § 300gg(c)(1).

55 Pa. Code § 140.702