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Who is eligible to participate in the MCTP? BREAST and CERVICAL CANCER TREATMENT To be eligible for treatment coverage for breast or cervical cancer, or pre-cancerous breast or cervical conditions, individuals must be: Screened for and diagnosed with breast or cervical cancer, or a precancerous breast or cervical condition, by a New York State-licensed health care provider, OR, if diagnosed with such in another state, were screened and/or diagnosed by that state’s National Breast and Cervical Cancer Early Detection Program; Not covered under any creditable insurance at the time of MCTP application; In need of treatment for breast or cervical cancer or pre-cancerous breast or cervical conditions; A resident of New York State; and A United States citizen or an alien with satisfactory immigration status. COLORECTAL CANCER TREATMENT To be eligible for treatment coverage for colorectal cancer, or pre-cancerous colorectal con- ditions, individuals must be: Cancer Services Program eligible at the time of screening or diagnosis; Screened and/or diagnosed with colorectal cancer by a current CSP credentialed provider; Under 65 years of age; Income eligible (income at or below 250% Federal Poverty Guideline [FPG] at the time of MCTP application); Not covered under any creditable insurance at the time of MCTP application; In need of treatment for colorectal cancer or a pre-cancerous colorectal condition; A resident of New York State; and A United States citizen or an alien with satisfactory immigration status. PROSTATE CANCER TREATMENT To be eligible for treatment coverage for prostate cancer, or pre-cancerous prostate conditions, individuals must be: Screened and/or diagnosed with prostate cancer by a current CSP credentialed provider*; Under 65 years of age; Income eligible (income at or below 250% Federal Poverty Guideline [FPG] at the time of MCTP application); Not covered under any creditable insurance at the time of MCTP application; In need of treatment for prostate cancer or a pre-cancerous prostate condition; A resident of New York State; and A United States citizen or an alien with satisfactory immigration status. *For the purposes of program implementation, screened or diagnosed with prostate cancer through a current CSP credentialed provider is interpreted as a man having received screening or diagnostic testing by a health care provider or facility currently credentialed as a provider in the CSP. Please note that this eligibility criterion reflects the fact that the CSP does not currently provide reimbursement for prostate cancer screening or diagnostic services. If an individual who meets the above requirements appears to be eligible for Medicaid in any of the mandatory categories, the individual will be given Medicaid coverage under the MCTP for a limited time pending a Medicaid eligibility determination. For more information about cancer screening please call the toll-free CSP referral line at 1-866-442-CANCER (2262). For information about the MCTP contact John DeFlumer or Terri Campbell at [PHONE REDACTED]. What is the Cancer Services Program? The New York State Department of Health Cancer Services Program (CSP) oversees the delivery of comprehensive breast, cervical and colorectal cancer screening services to underserved populations in New York State through contractual agreements with local community-based organizations known as partnerships. What is the Medicaid Cancer Treatment Program? The Medicaid Cancer Treatment Program (MCTP) is a Medicaid program for eligible persons who are found to be in need of treatment for breast, cervical, colorectal or prostate cancer (and in some cases pre- cancerous conditions of these cancers). To be enrolled in the MCTP, an individual must complete an application with a New York State Department of Health Cancer Services Program (CSP) Designated Qualified Entity (DQE). A DQE is a person designated and trained by the New York State Department of Health as a “Qualified” entity for the purpose of assisting individuals to complete the MCTP application. Once an individual is enrolled in the MCTP, full Medicaid coverage is provided for an initial period of enrollment as determined by the type of cancer or precancerous condition being treated. Recertification is required yearly, if the individual is still in need of treatment, at which time eligibility is reassessed. Enrollees must receive services from a Medicaid enrolled provider in order to have their services covered. MCTP coverage is limited to the individual enrollee and cannot be extended to family members or dependents. Medicaid Cancer Treatment Program New York State Department of Health Cancer Services Program Updated 4/11