Medical Assistance for People with Breast or Cervical Cancer
2.5.1.1.2 Mandatory Verifications
Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailable. Self-attestation of certain eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available.
Presumptive Eligibility Period
For presumptive eligibility for MA-BC, the following must be verified:
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Screened by the Minnesota Department of Health Sage Screening Program or the American Indian Cancer Foundation Screen Our Circle Program
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Need for treatment or further diagnostic services for breast or cervical cancer
A Sage Enrollment form or Screen Our Circle Enrollment form are acceptable proof of both Sage screening and the need for treatment.
A Social Security number (SSN) or verification of an SSN is not required for PE. Verification of US citizenship and immigration status is not required for PE.
On-going MA-BC Eligibility
For on-going MA-BC coverage, the following must be verified:
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Screened by the Minnesota Department of Health Sage Screening Program or the American Indian Cancer Foundation Screen Our Circle Program
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Need for treatment or further diagnostic services for breast or cervical cancer
A Minnesota Department of Health Sage Enrollment form or American Indian Cancer Foundation Screen Our Circle Enrollment form are acceptable proof of both Sage screening and the need for treatment.
County, tribal and state servicing agencies must retain verification documentation in accordance with the County Human Service Records Retention Schedule (DHS-6928).
Legal Citations
Minnesota Statutes, section 265B.056, subdivision 10