Policy Library

EPM 2.5.1.2.1

Basis of Eligibility

Effective:
December 1, 2020
Version:
1
Last edited:
October 3, 2026

The basis of eligibility for Medical Assistance for people with Breast or Cervical Cancer (MA-BC) requires the person must be:

  • Screened by the Minnesota Department of Health Sage Screening Program or by the American Indian Cancer Foundation Screen Our Circle Program
  • In need of treatment or further diagnostic services for breast or cervical cancer
  • Age 64 or younger
  • Not otherwise eligible for MA under the following bases:
    • Parents and relative caretakers, without a spenddown
    • Children younger than age 19, without a spenddown
    • Pregnant people, without a spenddown
    • People who are blind of have a disability including:
      • Supplemental Security Income (SSI) recipients
      • 1619 (a) 1619 (b)
      • Minnesota Supplemental Aid (MSA) recipients
      • People eligible for a Disabled Adult Child, Widow or Widowers’ or Pickle disregard
  • Not otherwise covered under the following healthcare coverage:
    • Group health care coverage, unless the plan does not cover the needed treatment
    • Individual health care coverage, unless the plan does not cover the needed treatment
    • Medicare
    • Armed forces insurance (TRICARE, CHAMPVA)
    • Peace Corps volunteers health plan
    • Federal employees group health plan
  • Breast and Cervical Cancer Prevention and Treatment Act of 2000
  • Breast and Cervical Cancer Mortality Prevention Act of 1990 (Public Law 101-354)
  • Minnesota Statutes, section 256B.057 subdivision 10
  • United States Code, title 42, section 300gg-3(c)