Presumptive Eligibility Providers for MA-BC (Archive)

Providers who participate in the Sage Screening Program A free statewide comprehensive breast and cervical cancer screening program administered by the Minnesota Department of Health whose primary objective is to increase the proportion of low or moderate income age-appropriate women who are screened for breast and cervical cancer. may choose to register with DHS to become presumptive eligibility providers for Medical Assistance for Breast/Cervical Cancer (MA-BC). These health care providers have signed agreements with DHS to conduct presumptive eligibility A temporary period of eligibility that is determined at the point of service by certain health care providers using preliminary information. Presumptive eligibility is used in the Minnesota Family Planning Program (MFPP), and MA for Breast and Cervical Cancer (MA-BC). determinations for women who are screened through the program and who need treatment for breast or cervical cancer or a precancerous condition.

These authorized providers will determine initial MA-BC eligibility for Minnesota women who meet all of the following:

l  Have been screened through the Sage Screening Program and need treatment for breast or cervical cancer, including precancerous conditions and early stage cancer.

l  Complete one of the following Sage Screening Program forms:

n  Enrollment form.

n  Return Visit form.

n  Colposcopy Program form

Note:  These Minnesota Department of Health forms, which were included with Bulletin #02-21-07, Medical Assistance Coverage for Women Screened by the Minnesota Breast and Cervical Cancer Control Program, do not have DHS form numbers.

l  Are under age 65.

l  Have no health coverage.

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The following is a list of providers who are currently authorized by DHS to grant presumptive eligibility for MA-BC.

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