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 and Cervical Cancer (MA-BC) An MA basis of eligibility for women who have been screened through the Sage Screening Program and found to need treatment for breast or cervical cancer.. These health care providers have signed agreements (see DHS-4786) with DHS to conduct presumptive eligibility determinations for women who are screened through the program and who need treatment for breast or cervical cancer or a precancerous condition.

Authorized providers will approve presumptive MA-BC eligibility for a minimum of 30 days from the application date 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  Completed 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. If you receive an application from a provider who is not on the list, follow your agency's procedures to submit a policy question to HealthQuest.

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