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10.14.04.00.htm 10.14.04.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 14 CANCER CONTROL Chapter 04 Breast Cancer Program Authority: Health-General Article, §20-116, Annotated Code of Maryland
10.14.04.01.htm 10.14.04.01. 01 Purpose and Scope.. A. This chapter:. 1) Establishes the requirements for participating medical providers;. 2) Sets criteria for applicant eligibility;. 3) Outlines services covered; and. 4) Delineates the responsibilities of the Department and local health departments for breast cancer screening, diagnosis, and treatment services under the Breast Cancer Program created by Health-General Article, §20-116, Annotated Code of Maryland.
10.14.04.02.htm 10.14.04.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Annual gross income" means the total amount of income received by the applicant and, if applicable, the applicant's spouse, each year from all sources before taxes are withheld.2) "Applicant" means an individual who has applied to receive services under this chapter.. 3) "Biennial" means once every other year..
10.14.04.03.htm 10.14.04.03. 03 Overview of Funding and Delivery of Services.. A. The Breast Cancer Program created by Health-General Article, §20-116, Annotated Code of Maryland, provides State funding for breast cancer screening, diagnosis, and treatment for eligible individuals under this chapter.B. Services funded under the Breast Cancer Program shall be delivered through two previously existing programs as follows:1) Breast cancer screening and diagnostic services shall be provided to an
10.14.04.04.htm 10.14.04.04. 04 Eligibility ― Breast and Cervical Cancer Program.. A. To be eligible to receive breast cancer services under this chapter through the Breast and Cervical Cancer Program, an applicant shall:1) Be a resident of Maryland;. 2) Be 40 years old or older;. 3) Meet the financial eligibility criteria specified in §B of this regulation;. 4) Meet the health insurance criteria specified in §C of this regulation; and. 5) Be determined to be eligible to receive covered services by a:.
10.14.04.05.htm 10.14.04.05. 05 Eligibility ― Reimbursement for Breast and Cervical Cancer Diagnosis and Treatment Program.. To be eligible to receive breast cancer services under this chapter through the Reimbursement for Breast and Cervical Cancer Diagnosis and Treatment Program, an applicant shall meet the eligibility requirements specified in COMAR 10.14.02.03.
10.14.04.06.htm 10.14.04.06. 06 Covered Services.. A. The following breast cancer services are covered for enrollees under this chapter through the Breast and Cervical Cancer Program:1) Annual clinical breast examinations;. 2) Mammograms that are provided:. a) Annually to enrollees 50 years old or older; and. b) At least on a biennial basis to enrollees 40 years old through 49 years old; and. 3) Follow-up clinical breast examinations, mammograms, ultrasounds, and surgical consults as conside
10.14.04.07.htm 10.14.04.07. 07 Responsibilities of the Department.. The Department shall:. A. Award grants to local health departments and private entities in Baltimore City and Calvert County as specified by Health-General Article, §20-116, Annotated Code of Maryland, for use in providing breast cancer screening services to eligible women under the Breast and Cervical Cancer Program; andB. Reimburse a participating medical provider under the Reimbursement for Breast and Cervical Cancer
10.14.04.08.htm 10.14.04.08. 08 Responsibilities of Local Health Departments and Private Entities.. A. A local health department and the private entities in Baltimore City and Calvert County shall:. 1) Enter into written agreements with health care providers to provide breast cancer services to enrollees using the contracts developed by the Department for use in the Breast and Cervical Cancer Program;2) Reimburse a participating medical provider under the Breast and Cervical Cancer Program for perfo
10.14.04.09.htm 10.14.04.09. 09 Funding Availability.. The implementation and ongoing administration of this chapter is contingent upon the availability of funds.
10.14.04.9999.htm 10.14.04.9999. Administrative History Effective date: November 10, 2003 (30:22 Md. R. 1581). Regulation .04 amended effective March 16, 2015 (42:5 Md. R. 486).
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