W. Va. Code R. § 64-69-4

Current through Register Vol. XLI, No. 36, September 6, 2024
Section 64-69-4 - Eligibility
4.1. To be eligible financially for services under the fund, a patient's income shall be at or below two hundred percent (200%) of the federal poverty level. No patient who is covered by medical insurance, Medicaid or Medicare is financially eligible for participation in the fund.
4.2. To be eligible medically for diagnostic services under the fund, a patient shall have a condition strongly suspicious of cancer which requires diagnostic services to confirm the preliminary diagnosis. The bureau shall authorize only those services determined by the advisory committee as established in this rule to be medically necessary to confirm a preliminary diagnosis.
4.3. To be eligible medically for treatment services under the fund, the patient shall have a positive pathology report.

W. Va. Code R. § 64-69-4