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Medicaid Special Coverage Conditions
Breast and Cervical Cancer, Tuberculosis, and Sickle Cell Disease are grouped together in this section (Special Coverage Conditions) because they are disease specific.
Breast and Cervical Cancer and Tuberculosis are optional Medicaid eligibility groups defined by disease. However, Sickle Cell Disease is an optional coverage benefit under Medicaid and not a Medicaid eligibility group.
The Omnibus Budget Reconciliation Act of 1993 (OBRA ’93), amended the Social Security Act to allow states, at their option, to extend Medicaid eligibility to low-income individuals infected with TB, while limiting eligible individuals to coverage of TB related services.
The American Jobs Creation Act amended the Social Security Act to provide a new optional benefit in the Medicaid program and to make available federal matching funds for education and outreach to Medicaid eligible adults and children with SCD.
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