The BCC Eligibility Unit is responsible for maintaining active BCC cases.
BCC cases are to be redetermined at least once every 12 months. Review the following eligibility factors at Rede:
- 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.