WAG 06-20-04

new textThe BCC Eligibility Unit is responsible for maintaining active BCC cases.

REDETERMINATIONS

BCC cases are to be redetermined at least once every 12 months. Review the following eligibility factors at Rede:

  • age,
  • insurance (including Medicare),
  • residency, and
  • currently receiving treatment for breast or cervical cancer.

A person determined eligible will not lose eligibility due to income changes. A person can lose eligibility only for nonfinancial reasons.

Eligibility for BCC ends when:

  • the need for treatment for breast, cervical, or a related cancer no longer exist, 
  • the person reaches 65 years of age,
  • is no longer an Illinois resident, or
  • becomes covered by qualifying insurance (including Medicare).

BUREAU OF COLLECTIONS DISCOVERS HI-LEVEL TPL

The HFS Bureau of Collections notifies the BCC Eligibility Unit when they discover that a BCC client has Hi-Level TPL (codes A-E).  The BCC Eligibility Unit determines whether the case meets eligibility criteria (see PM 06-20-02).

ADMISSION TO A LONG TERM CARE FACILITY

If the FCRC receives screening or physician certification documents for a person who has an active Local Office 189 case, contact the HFS Bureau of Medical Eligibility Policy for Guidance.