Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 14 - CANCER CONTROL
Chapter 10.14.02 - Reimbursement for Breast and Cervical Cancer Diagnosis and Treatment
Section 10.14.02.03 - Patient Eligibility
Universal Citation: MD Code Reg 10.14.02.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. To be eligible to have a covered service reimbursed under the Program, an applicant shall:
(1) Be a resident;
(2) Be screened for breast cancer or cervical
cancer, or both, by a:
(a) Hospital;
(b) Local health department; or
(c) Health care provider;
(3) Be found to have an eligible
medical condition as described in §B of this regulation;
(4) Meet the health insurance criteria
specified in §C of this regulation;
(5) Meet the financial eligibility criteria
of an annual gross income that is not more than 250 percent of the federal
poverty guidelines, as amended, which are incorporated by reference and updated
periodically in the Federal Register by the U.S. Department of Health and Human
Services; and
(6) Receive a medical
service only from participating health care providers for breast cancer
diagnosis, breast cancer treatment, cervical cancer diagnosis, or cervical
cancer or precancer treatment, or any combination of these services.
B. A medical condition which may render an applicant medically eligible includes the following:
(1) A mammogram, or breast ultrasound or
other diagnostic breast imaging requiring further diagnosis;
(2) A clinical breast examination requiring
further diagnosis;
(3) A Pap test,
or human papilloma virus test, or other approved cervical cancer screening test
requiring further diagnosis;
(4) A
breast biopsy which indicates the need for further diagnosis or treatment; or
(5) A cervical biopsy which
indicates the need for further diagnosis or tr e at me nt .
C. Health insurance statuses which may render an applicant eligible include the following:
(1) The applicant is not currently covered by
health insurance, including Medical Assistance;
(2) The applicant is covered by Medicare
which:
(a) Does not provide reimbursement for
the covered medical procedure or service;
(b) Has a deductible for the year that has
not been met; or
(c) Has a patient
contribution amount for the reimbursed medical procedure or service that the
applicant is required to pay; or
(3) The applicant has health insurance other
than Medical Assistance or Medicare which:
(a)
Does not provide reimbursement for the covered medical procedure or
service;
(b) Requires that a
deductible be paid by the applicant for the covered medical procedure or
service;
(c) Reimburses at a rate
lower than the Medical Assistance approved rate in the State; or
(d) Has a patient contribution amount for the
reimbursed medical procedure or service that the applicant is required to
pay;
(4) The applicant
is enrolled in one of the following Medical Assistance programs:
(a) Family Planning;
(b) Primary Adult Care (PAC);
(c) Specified Low Income Medicare Beneficiary
(SLMB); or
(d) Qualified Medicare
Beneficiary (QMB).
D. An applicant is not eligible if:
(1) The applicant is enrolled in a Medical
Assistance program other than those listed in §C(4) of this
regulation;
(2) During diagnosis or
treatment of breast or cervical cancer, the applicant becomes enrolled in a
Medical Assistance program other than those cited in §C(4) of this
regulation; or
(3) Any of the
criteria established in §§A-D of this regulation are not
met.
E. An applicant is responsible for the following:
(1) Furnishing
factual information regarding the applicant's eligibility, including but not
limited to verifying documents regarding financial eligibility and the
applicability of health insurance;
(2) Completing, which may include the
applicant providing the applicant's social security number, and signing the
application form, provided that the Program informs the applicant that:
(a) The applicant's disclosure of the
applicant's social security number on the application is voluntary;
(b) The Program's request for the applicant's
social security number is authorized by federal law under the Social Security
Act (42 U.S.C.
405(c), as amended);
and
(c) The applicant's social
security number will be used only for the Program's administrative purposes;
and
(3) Completing and
submitting a Medical Assistance application when notified by the Program that
the applicant is considered potentially eligible.
F. Social Security Number Collection.
(1) An applicant is not required to have or
disclose a social security number to be eligible for Program
benefits.
(2) An applicant's
disclosure of the applicant's social security number on the application form is
voluntary.
(3) The Program's
request for the applicant's social security number is authorized by federal law
under the Social Security Act at
42 U.S.C. § 405(c)(2)(C)(i) and (vi), as
amended.
(4) The Program may only
use the social security number provided by an applicant to establish the
identity of the applicant for administrative purposes.
(5) The Program may request a copy of an
applicant's social security card for administrative purposes.
G. An eligible patient is responsible for the following:
(1) Keeping the
Program, local health department, hospital, or health care provider who
determines the patient's eligibility for the Program informed of any change in
health insurance status;
(2)
Selecting and using only a participating health care provider; and
(3) Signing the release of patient
information form for the Program developed and approved by the
Department.
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