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Client eligibility and enrollment

Before Health Navigation or Clinical Services are provided, organizations must verify the client meets eligibility requirements. Health Navigation and Clinical Services eligibility and enrollment requirements are found in the Health Navigation and Clinical Services Strategy Administrative Program Manual. The tools below relate to some of the eligibility and enrollment requirements.

Eligibility* and enrollment requirements

One: Verify eligibility

Breast services are available for:

  • Women
  • Transgender women who have taken or are taking hormones for gender transition
  • Transgender men who have not had a bilateral mastectomy
  • Non-binary individuals
  • Ages 40-64

Cervical services are available for:

  •  Clients 21-64 with cervixes

Two: Verify a family income at or below 250 percent of the federal poverty level (self-report)

Three: Assess insurance status

Four: Complete the Combined Consent form

Five: Complete the Client Profile Tool

 

*As of July 1, 2022, SB21-199 removed the lawful presence requirement from state and local benefit programs, including the CPED/WWC and WISEWOMAN Programs.