Medical Assistance for Women with Breast Cancer

Program provides comprehensive medical coverage to women who need treatment for breast or cervical cancer or for a precancerous condition of the breast or cervix. To qualify for this medical assistance, the woman must be screened through the Department of Health’s Women’s Cancer Screening Program (WCSP). Women over age 40 with income less than 250% FPL who are uninsured or whose insurance does not cover screening services are eligible for the free WCSP. WCSP does not check for citizen or immigrant status. All community health centers and hospitals participate in WCSP as do many community providers. For more information or to find a local provider contact the Women’s Cancer Screening Program at (401) 222-4324.

Women screened through WCSP who are in need of treatment can qualify for medical assistance if they meet the requirement below.

Who Qualifies for Medical Assistance?

  • Under age 65.
  • Screened through the WCSP and need treatment for breast or cervical cancer or for a precancerous condition of the breast or cervix.
  • Not otherwise eligible for Medical Assistance and has no creditable health insurance.
  • Must be citizen or eligible immigrant. Eligible immigrants include: refugee or person granted asylum. Lawful Permanent Residents (LPR) who entered the U.S. before 8/22/96 or if entered on/after 8/22/96 must be in status for at least 5 years. In addition, immigrants who were in lawful status in the U.S. before 8/22/96 and lived in RI at some time before 7/1/97 may be eligible for coverage.

Income and Resource Limits

There is no resource test. There is no separate income test: as long as the woman was income eligible for the WCSP, she is income eligible for the Medical Assistance.

How to Apply

Complete a one page application for Medical Assistance at the WCSP provider site. The provider needs to complete a Verification of Medical Need for Treatment which is attached to the application. The application is mailed to the Department of Health which transmits it to the Center for Adult Health at the Department of Human Services. A decision of eligibility must be made within 30 days from the date the application was filed. If the application is denied, the woman has 30 days to file a written appeal. For more information contact the Women’s Cancer Screening Program.

Income Guidelines Women’s Cancer Screening Program (2020)

Family Size Monthly Income Annual Income
1  $2,602 $31,225
2  $3,523 $42,275
3  $4,444 $53,325
4  $5,365 $64,375
5  $6,285 $75,425
6  $7,206 $86,475

Note: Women age 19-64 who have income below 138% FPL ($1,467/$17,609) are otherwise eligible for Medicaid. This access to Medicaid under the “Breast and Cervical Cancer” category is only necessary for women with income above 138% and below 250% FPL.

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