WAG 06-20-04
The BCC Eligibility Unit is responsible for maintaining active BCC cases.
REDETERMINATIONS
BCC participants receive certification periods that are based on their diagnosis. The BCC certification periods are:
- 3 months for precancerous conditions ,
- 6 months for cervical cancer, and
- 12 months for breast cancer or recurrent metastasized cancer.
Note: If an initial BCC application is approved and certified too late for IES to automatically generate the 3 or 6 month REDE, the worker must initiate the REDE manually as soon as the EDG is certified.
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.
