---
id: "epm:2.5.1.1.2"
source: "Minnesota Health Care Programs Eligibility Policy Manual"
source_short: "EPM"
publisher: "Minnesota Department of Human Services"
section: "2.5.1.1.2"
title: "Mandatory Verifications"
breadcrumb: "2 Medical Assistance > 2.5 Medical Assistance for Certain Populations > 2.5.1 Medical Assistance for a Person with Breast or Cervical Cancer > 2.5.1.1 General Requirements > 2.5.1.1.2 Mandatory Verifications"
effective_date: 2022-09-01
last_modified: 2026-10-03T03:51:59.785796+00:00
version: 1
url: "https://bot-corpus.mn-dhs.online/s/epm/2.5.1.1.2"
official_origin: "https://hcopub.dhs.state.mn.us/epm/2_5_1_1_2.htm"
legal_citations:
  - "Minnesota Statutes, section 265B.056, subdivision 10"
---
# EPM 2.5.1.1.2 Mandatory Verifications

Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailable. Self-attestation of certain eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available.

## Presumptive Eligibility Period

For presumptive eligibility for MA-BC, the following must be verified:
- Screened by the Minnesota Department of Health Sage Screening Program or the American Indian Cancer Foundation Screen Our Circle Program
- Need for treatment or further diagnostic services for breast or cervical cancer

A Sage Enrollment form or Screen Our Circle Enrollment form are acceptable proof of both Sage screening and the need for treatment.

A Social Security number (SSN) or verification of an SSN is not required for PE. Verification of US citizenship and immigration status is not required for PE.

## On-going MA-BC Eligibility

For on-going MA-BC coverage, the following must be verified:
- Screened by the Minnesota Department of Health Sage Screening Program or the American Indian Cancer Foundation Screen Our Circle Program
- Need for treatment or further diagnostic services for breast or cervical cancer

A Minnesota Department of Health Sage Enrollment form or American Indian Cancer Foundation Screen Our Circle Enrollment form are acceptable proof of both Sage screening and the need for treatment.
- [U.S. Citizenship](https://bot-corpus.mn-dhs.online/s/epm/2.1.2.2.1)
- [Immigration Status](https://bot-corpus.mn-dhs.online/s/epm/2.1.2.2.2)
- [Social Security Number](https://bot-corpus.mn-dhs.online/s/epm/2.1.2.5)

County, tribal and state servicing agencies must retain verification documentation in accordance with the County Human Service Records Retention Schedule ([DHS-6928](http://edocs.dhs.state.mn.us/lfserver/Public/DHS-6928-ENG)).

## Legal Citations

- Minnesota Statutes, section 265B.056, subdivision 10