Medicaid Cancer Treatment Program (MCTP): Breast, Cervical, Colorectal and Prostate Cancer

Generated from the gc-benefits catalog. It lists what the owner record states. It is not an eligibility decision; confirm current rules with the program.

Provides Medicaid coverage for eligible individuals who need treatment for breast, cervical, colorectal or prostate cancer, and in some cases pre-cancerous conditions.

• Owner record: ny/new-york-state-medicaid-cancer-treatment-program
• Jurisdiction code: NY
• Frame: care_recipient
• Review by: 2026-11-14
• Authority: New York State Department of Health

Offering 1: Breast cancer treatment coverage

Medicaid coverage for treatment of breast cancer or pre-cancerous breast conditions.

• Availability (owner codes): {"intake": "unknown", "type": "unknown"}

Conditions:

• All of these:
• Stated condition, not checked automatically: "Screened for and diagnosed with breast cancer or a pre-cancerous breast condition by a New York State licensed health care provider, OR, if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program"
• Stated condition, not checked automatically: "Not covered under any creditable insurance at the time of MCTP application"
• Stated condition, not checked automatically: "In need of treatment for breast cancer or a pre-cancerous breast condition"
• Stated condition, not checked automatically: "A resident of New York State"
• Stated condition, not checked automatically: "A United States (U.S.) citizen or an alien with satisfactory immigration status"

Access route 1.1

• Where: Cancer Services Program (CSP) Designated Qualified Entity
• How: Complete an MCTP application with a CSP-trained Designated Qualified Entity; contact the local CSP.
• Url: https://health.ny.gov/diseases/cancer/services/community_resources/

Access route 1.2

• Where: Cancer Services Program Hotline
• Phone: 1-866-442-2262

Offering 2: Cervical cancer treatment coverage

Medicaid coverage for treatment of cervical cancer or pre-cancerous cervical conditions.

• Availability (owner codes): {"intake": "unknown", "type": "unknown"}

Conditions:

• All of these:
• Stated condition, not checked automatically: "Screened for and diagnosed with cervical cancer or a pre-cancerous cervical condition by a New York State licensed health care provider, OR, if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program"
• Stated condition, not checked automatically: "Not covered under any creditable insurance at the time of MCTP application"
• Stated condition, not checked automatically: "In need of treatment for cervical cancer or a pre-cancerous cervical condition"
• Stated condition, not checked automatically: "A resident of New York State"
• Stated condition, not checked automatically: "A United States (U.S.) citizen or an alien with satisfactory immigration status"

Access route 2.1

• Where: Cancer Services Program (CSP) Designated Qualified Entity
• How: Complete an MCTP application with a CSP-trained Designated Qualified Entity; contact the local CSP.
• Url: https://health.ny.gov/diseases/cancer/services/community_resources/

Access route 2.2

• Where: Cancer Services Program Hotline
• Phone: 1-866-442-2262

Offering 3: Colorectal cancer treatment coverage

Medicaid coverage for treatment of colorectal cancer or pre-cancerous colorectal conditions.

• Availability (owner codes): {"intake": "unknown", "type": "unknown"}

Conditions:

• All of these:
• Stated condition, not checked automatically: "Screened and/or diagnosed with colorectal cancer by a current CSP credentialed provider"
• Fact rule: recipient.age ≤ 64
• Stated condition, not checked automatically: "Income eligible (income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application)"
• Stated condition, not checked automatically: "Not covered under any creditable insurance at the time of MCTP application"
• Stated condition, not checked automatically: "In need of treatment for colorectal cancer or pre-cancerous colorectal condition"
• Stated condition, not checked automatically: "A resident of New York State"
• Stated condition, not checked automatically: "A United States (U.S.) citizen or an alien with satisfactory immigration status"

Access route 3.1

• Where: Cancer Services Program (CSP) Designated Qualified Entity
• How: Complete an MCTP application with a CSP-trained Designated Qualified Entity; contact the local CSP.
• Url: https://health.ny.gov/diseases/cancer/services/community_resources/

Access route 3.2

• Where: Cancer Services Program Hotline
• Phone: 1-866-442-2262

Offering 4: Prostate cancer treatment coverage

Medicaid coverage for treatment of prostate cancer or pre-cancerous prostate conditions.

• Availability (owner codes): {"intake": "unknown", "type": "unknown"}

Conditions:

• All of these:
• Stated condition, not checked automatically: "Screened and/or diagnosed with prostate cancer by a current CSP credentialed provider"
• Fact rule: recipient.age ≤ 64
• Stated condition, not checked automatically: "Income eligible (Income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application)"
• Stated condition, not checked automatically: "Not covered under any creditable insurance at the time of MCTP application"
• Stated condition, not checked automatically: "In need of treatment for prostate cancer or pre-cancerous prostate condition"
• Stated condition, not checked automatically: "A resident of New York State"
• Stated condition, not checked automatically: "A United States (U.S.) citizen or an alien with satisfactory immigration status"

Access route 4.1

• Where: Cancer Services Program (CSP) Designated Qualified Entity
• How: Complete an MCTP application with a CSP-trained Designated Qualified Entity; contact the local CSP.
• Url: https://health.ny.gov/diseases/cancer/services/community_resources/

Access route 4.2

• Where: Cancer Services Program Hotline
• Phone: 1-866-442-2262

Evidence

• /name: "# Medicaid Cancer Treatment Program (MCTP): Breast, Cervical, Colorectal and Prostate Cancer" (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /caregiving_effect: "The Medicaid Cancer Treatment Program (MCTP) is a Medicaid program for eligible persons who are found to be in need of treatment for breast, cervical, colorectal or prostate cancer (and in some cases, pre-cancerous conditions of these cancers)." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/0/summary: "* Screened for and diagnosed with breast cancer or a pre-cancerous breast condition by a New York State licensed health care provider,OR,if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program; \n Not covered under any creditable insurance at the time of MCTP application;\n In need of treatment for breast cancer or a pre-cancerous breast condition; \n A resident of New York State; and \n A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/0/rules: "* Screened for and diagnosed with breast cancer or a pre-cancerous breast condition by a New York State licensed health care provider,OR,if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program; \n Not covered under any creditable insurance at the time of MCTP application;\n In need of treatment for breast cancer or a pre-cancerous breast condition; \n A resident of New York State; and \n A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/1/summary: "* Screened for and diagnosed with cervical cancer or a pre-cancerous cervical condition by a New York State licensed health care provider,OR,if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program; \n Not covered under any creditable insurance at the time of MCTP application;\n In need of treatment for cervical cancer or a pre-cancerous cervical condition; \n A resident of New York State; and \n A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/1/rules: "* Screened for and diagnosed with cervical cancer or a pre-cancerous cervical condition by a New York State licensed health care provider,OR,if diagnosed with such in another state, were screened and/or diagnosed by that state's National Breast and Cervical Cancer Early Detection Program; \n Not covered under any creditable insurance at the time of MCTP application;\n In need of treatment for cervical cancer or a pre-cancerous cervical condition; \n A resident of New York State; and \n A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/2/summary: "* Screened and/or diagnosed with colorectal cancer by a current CSP credentialed provider;\n* Under 65 years of age; \n* Income eligible (income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application);\n* Not covered under any creditable insurance at the time of MCTP application;\n* In need of treatment for colorectal cancer or pre-cancerous colorectal condition; \n* A resident of New York State; and \n* A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/2/rules: "* Screened and/or diagnosed with colorectal cancer by a current CSP credentialed provider;\n* Under 65 years of age; \n* Income eligible (income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application);\n* Not covered under any creditable insurance at the time of MCTP application;\n* In need of treatment for colorectal cancer or pre-cancerous colorectal condition; \n* A resident of New York State; and \n* A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/3/summary: "* Screened and/or diagnosed with prostate cancer by a current CSP credentialed provider;\n* Under 65 years of age; \n* Income eligible (Income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application);\n* Not covered under any creditable insurance at the time of MCTP application;\n* In need of treatment for prostate cancer or pre-cancerous prostate condition; \n* A resident of New York State; and \n* A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/3/rules: "* Screened and/or diagnosed with prostate cancer by a current CSP credentialed provider;\n* Under 65 years of age; \n* Income eligible (Income at or below 250% Federal Poverty Level (FPL) at the time of MCTP application);\n* Not covered under any creditable insurance at the time of MCTP application;\n* In need of treatment for prostate cancer or pre-cancerous prostate condition; \n* A resident of New York State; and \n* A United States (U.S.) citizen or an alien with satisfactory immigration status. " (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/0/access/0: "To be enrolled in the MCTP, an individual must complete an application with a New York State Department of Health Cancer Services Program (CSP) trained designee, referred to as a Designated Qualified Entity (DQE). A DQE is a person designated and trained by the New York State Department of Health as a \"Qualified\" entity, for the purpose of assisting individuals to complete the MCTP application." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/0/access/0: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/0/access/1: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/1/access/0: "To be enrolled in the MCTP, an individual must complete an application with a New York State Department of Health Cancer Services Program (CSP) trained designee, referred to as a Designated Qualified Entity (DQE). A DQE is a person designated and trained by the New York State Department of Health as a \"Qualified\" entity, for the purpose of assisting individuals to complete the MCTP application." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/1/access/0: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/1/access/1: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/2/access/0: "To be enrolled in the MCTP, an individual must complete an application with a New York State Department of Health Cancer Services Program (CSP) trained designee, referred to as a Designated Qualified Entity (DQE). A DQE is a person designated and trained by the New York State Department of Health as a \"Qualified\" entity, for the purpose of assisting individuals to complete the MCTP application." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/2/access/0: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/2/access/1: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/3/access/0: "To be enrolled in the MCTP, an individual must complete an application with a New York State Department of Health Cancer Services Program (CSP) trained designee, referred to as a Designated Qualified Entity (DQE). A DQE is a person designated and trained by the New York State Department of Health as a \"Qualified\" entity, for the purpose of assisting individuals to complete the MCTP application." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/3/access/0: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)
• /offerings/3/access/1: "Check the New York State Department of Health Cancer Community Programs List. \nor \n Call the Cancer Services Program Hotline at 1-866-442-2262." (source, capture d54d0db6048c736c0612c686421c71bbb398ddade38f71a379af2bd565eda314)