Eligibility for Screening Services
In order to qualify for early detection (i.e. screening) services, a woman must meet age, income and insurance status guidelines. In addition, a woman must not participate in any program that provides these same services, such as Family Planning in a parish health unit. The screening provider determines a patient's eligibility for participation in LBCHP.
For treatment services for women already diagnosed with breast or cervical cancer, refer to the Medicaid eligibility income guidelines found here: Medicaid information.
The following breast and cervical screening services are provided to eligible participants:
• Clinical breast exam
• Pelvic exam
• Pap test
The LBCHP does not provide treatment services. Providers can enroll women diagnosed with cancer in the Medicaid fast track program, if they qualify.
Eligibility Guidelines: Who Qualifies for Screening Services?
Eligible Screening Services by Age Group:
A woman who by virtue of symptoms or physical findings, regardless of age, is considered to have a substantial likelihood of having breast disease is to be referred for a diagnostic mammogram. She must be screened through the LBCHP to be eligible.
The participant's household income must be at or below 200% of the Federal Poverty Level. The Federal Poverty Level and the LBCHP's maximum allowable income are adjusted annually. LBCHP does not require proof of income for program participants. However, some providers may require proof of income according to their institution's policies. If a participant is diagnosed with cancer Medicaid may require proof of income.
Maximum Allowable Income (at or below 200% of Federal Poverty Level)*:
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Useful Phone Numbers:
Louisiana Breast & Cervical Health Program
Contact Medicaid Services for inquiries about treament. The LBCHP only provides screening services.
American Cancer Society Walk, 2011.
Past News and Events:
*Effective January 26, 2012.
Under-insured women are entitled to the same LBCHP services as eligible uninsured women.
Women under Medicare Part B and/or Medicaid are not eligible for LBCHP services. LBCHP cannot pay the co-payment for Medicare. A woman who meets the income requirements of LBCHP is considered under-insured and eligible for services under the following conditions:
• Her medical insurance does not cover LBCHP services or
• The deductible or co-payment required by her insurance deters her from receiving breast and cervical cancer early detection screening services.