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Coverage
does not include treatment procedures that are palliative. |
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Medications
for the patient's use outside of the treatment facility or the doctor's
office are not covered. |
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Dental
treatment is not covered except in cases of head and neck cancer and
when necessary for the delivery of oncologic care. |
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The
Program will not cover late discharge fees, transportation, telephone
calls, or other miscellaneous charges. Reimbursement for patient mileage
is not an allowable charge. |
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Cosmetic
surgery will not be covered. This does not preclude the coverage of
functional reconstructive surgery. |
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Reconstructive
surgery may only be covered for a patient when the Cancer Control
Program paid for a treatment related to the same diagnosis. |
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Treatment
for patients suspected of having cervical intraepithelial neoplasia
(CIN) should be performed in accordance with the guidelines of the
American College of Obstetricians and Gynecologists (ACOG). |
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Coverage
includes both hospital and professional services. It can include short-term
stays in hotel or motels when authorized treatment services are covered
by the program and when the patient's residence is at least 50 miles
from the medical facility providing the outpatient services. Reimbursement
will be at the state rate for meals and lodging current at the time
of service. Information on the current rate can be obtained from the
Cancer Control Program. |
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Requests
for inpatient diagnostic services must include justification as to
why services can not be done on an outpatient basis. |
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