10- 144 C.M.R. ch. 708, § 3
General Information
After a woman is determined to be eligible for services [as defined in Section 2 ]:
TheMaineCare Enrollment Form: Treatment Act application will be mailed to the woman for signature.
She must sign and return the form to MBCHP. When the form is returned, the start and review date is determined and her coverage is activated.
She may qualify for retroactive eligibility provided that she meets the eligibility requirements for any month during and up to the 90 days prior to the first day of the month the application is received by MBCHP in accordance with theMaineCare Eligibility Manual, 10-144 CMR, Ch 332, § 1530.
MBCHP must receive proof of diagnosis and determination of treatment plan directly from the woman's physician. The plan must be based on a recent examination and must fully describe the physician's findings and the medical necessity for proposed treatment.
Review date is one year from the month of start date. The woman shall provide appropriate medical confirmation demonstrating that she continues to be in need of treatment for breast or cervical cancer or pre-cancerous lesions.
The review process will require confirmation of ongoing lack of creditable insurance coverage.
If a woman is to turn 65 years old before her review date, her coverage under the Treatment Act will end when she turns 65.
The review is a redetermination of eligibility. The Department shall approve all forms to be used for review. If the recipient is no longer eligible under the Treatment Act coverage, the Office of Integrated Access and Support will determine whether she is eligible for continued coverage under another category, in accordance with theMaineCare Eligibility Manual, 10-144 CMR, Ch 332, § 1000.
10- 144 C.M.R. ch. 708, § 3