Page 19 - Delaware Medical Journal - March 2016
P. 19
Delaware Division of Public Health Regulation Update
Effective July 1, 2014, The Health Promotion & Disease Prevention section of the Division of Public Health (DPH), De- partment of Health and Social Services (DHSS), amended the 4203 State of Delaware Cancer Treatment Program (DCTP) regulation.
The DCTP is a program intended to provide medical insurance coverage to uninsured Delawareans for the treatment of can-
requirements of this regulation.
Eligibility includes but is not limited to the following:
• The applicant must need treatment for cancer in the opinion of the applicant’s licensed physician of record. Cancer treatment will not include routine monitoring for pre-cancerous conditions, or monitoring for recurrence during or after remission.
• The applicant must be a Delaware resident at the time of cancer diagnosis. A Delaware resident is an individual who lives in Delaware with the intention to remain or where the individual is living and has entered into a job commitment, or seeking employment whether or not currently employed.
• The applicant must have countable household income that is less than 650% of the Federal Poverty Level (FPL)
plans.
Amongst the most noticeable changes are:
• The addition of a new disposition of applications. The new disposition of “Temporary Eligibility” has been added.
• The addition of Section 10.3 states: when temporary eligibility is terminated or a disposition of ineligibility is received,
hardship exists.
o application process.
o
more than 15% of their income (does not include premiums)
o If approved, DCTP will pay for co-pays and co-insurances for cancer treatment services until deductible has been met.
o
-
tion; etc)
link:
http://tinyurl.com/DE-cancer-treatment
Finally, as a result of Medicaid expansion and in collaboration with the Division of Medicaid and Medical Assistance (DMMA), the DCTP has implemented the process of having ALL applicants complete a Medicaid application at the time of beginning. The DCTP program will evaluate ALL Medicaid applications prior to sending them to DMMA for processing. This new process will eliminate the delay in processing time if the applicant is determined to be Medicaid eligible.
To apply for the DCTP, patients should call 1-800-996-9969. If providers have any questions regarding the regulations or the DCTP, please call the Division of Public Health Comprehensive Cancer Control Program at 302-744-1040.
