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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 4: Client Eligibility : 4.10 Medicaid for Breast and Cervical Cancer (MBCC) : 4.10.1 Initial MBCC Program Enrollment

A woman may be eligible for initial enrollment in the MBCC Program if she has active disease as indicated by a biopsy-confirmed precancerous or cancerous breast or cervical diagnosis as specified in “Medicaid for Breast and Cervical Cancer Guidelines for Determination of Qualifying Diagnosis,” which is available on the DSHS website at
Women who only require monitoring for hormonal treatment or triple negative receptor breast cancer (TNRBC) do not qualify for initial MBCC enrollment.

Texas Medicaid & Healthcare Partnership
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