10-144-708 Me. Code R. § 2

Current through 2024-51, December 18, 2024

Section 144-708-2 - Eligibility for Services

2.1. To be found eligible for MaineCare covered services under the Treatment Act; the applicant must meet all of the following requirements:

Meet the age and gender requirements established by Department of Health & Human servicesRules Relating to the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) in Maine, 10-144 CMR, Ch 707, § 2.1.1

Be a US citizen or registered alien, and provide documentation as requested by the Office of Integrated Access and Support;

Be a Maine resident;

Meet the income requirements established by the Department of Health & Human servicesRules Relating to the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) in Maine, 10-144 CMR, Ch 707, § 2.3;

Have no creditable insurance coverage;

Creditable insurance coverage: has the same meaning as the term defined in §2701(c) of the Public Health Services Act, 42 U.S.C. § 300 gg(c)(1)

A woman will be considered to have no creditable insurance if her health insurance contains a pre-existing condition exclusion, which either excludes for treatment of breast or cervical cancer, or covers limited services, but not treatment for breast or cervical cancer.

Be otherwise ineligible for full MaineCare coverage under any other existing mandatory MaineCare categorically needy eligibility group;

Who has received an MBCHP covered screening or diagnostic service (see 10-144 CMR, Ch 707, § 4.1.1-4.1.7) at an MBCHP participating site, whether or not that service was paid with MBCHP funds;

Has been diagnosed with either breast or cervical cancer or pre-cancerous lesions and be in need of treatment for such conditions.

10-144 C.M.R. ch. 708, § 2