Presumptive Eligibility Providers for MA-BC (Archive)

Providers who participate in the Sage Screening Program 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 (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.

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.

Presumptive Eligibility Providers

City

Affiliated Medical Center
Mary Sondrol

Willmar

Allina Medical Clinic
Mary Olmscheid

Buffalo

Austin Medical Center
Susan Schmeling

Austin

Bloomington Public Health - Sage Women's Clinic
Patricia Heil, Karen Stanley

Bloomington

CommonHealth Clinic
Joan Oien, Mary Sandgren

Stillwater

Family Tree Clinic
Amy Gilbert, Barbara Peterson

St. Paul

Hennepin County Medical Center
Mary E. Peterson

Minneapolis

Lake Superior Community Health Center
Christine Sandal

Duluth

Lakewood Clinic/Staples
Julie Goff

Staples

Madelia/Parkview Clinic

Madelia

Meritcare
Rita A. Cowie

Pelican Rapids

Mid Minnesota Health Clinic
Pam Siewert

St. Cloud

New Ulm Medical Center
David Jones

New Ulm

Olmsted Medical Center
Susan Baker

Rochester

Owatonna Clinic
Cindy Oleson / Delores Kubicek / Marilyn Styndl

Owatonna

Pilot City Health Center
Dia Xiong

Minneapolis

Pipestone County Medical Center
Del Thies

Pipestone

Planned Parenthood of MN/SD
Heidi M. Olson

Alexandria

Planned Parenthood of MN/SD
Amy Shepard

Burnsville

Planned Parenthood of MN/SD
Cathy Sandmann

Mankato

Planned Parenthood of MN/SD
Kristin Goff, Ann Kabore, Patti Morrison, Michelle Rach, Kari Reinbold

Minneapolis

Planned Parenthood - Rochester
Sara Meincke, Mimi Rauenhorst

Rochester

Planned Parenthood – St. Cloud
Judy Huebner

St. Cloud

Regina Medical Center/ Regina Medical Group
Lon Peterson

Hastings

St. Paul-Ramsey County Department of Public Health
Carol Ball, Norma Cheesebrow, Sheila Peizel, Mary Sonnen

St. Paul

West Side Community Health Services
Mary Nesvig

St. Paul

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