Kent County Health Department
700 Fuller NE, Grand Rapids, MI 49503
Phone: (616) 632.7283
Fax: (616) 632.7018
January 10, 2008
Dear Ms. ______;
You have been receiving benefits through the Medicaid Treatment Program to support participants of the Michigan Breast and Cervical Cancer Control Program Demonstration Program offered locally through the Women’s Health Network of the Kent County Health Department and Planned Parenthood Centers of West Michigan. According to a recent State of Michigan program audit reviewing program guidelines, you may no longer meet the medical requirements to continue the Medicaid coverage.
- If you are still actively receiving medical treatment, then your coverage will continue. Enclosed is an application and medical update form for you to complete and send back to our office in the Self Addressed Stamped Envelope. The medical provider and treatment information is very important. This is necessary to fully protect your benefits. Only medical care and prescriptions related to treating a diagnosis can continue the Medicaid coverage.
- Please also provide copies of your Drivers License and of your birth certificate. These are NEW requirements in the State of Michigan. If you have any difficulties with these documents, please contact me immediately for alternatives.
- If however, you are currently in a screening situation and/or you no longer receive any treatment including prescriptions to combat your diagnosis, your Medicaid coverage as distributed through our program may discontinue as early as November 30, 2007. A letter from the State of Michigan will be issued directly to you indicating the specific date. I do encourage you to fully utilize your benefits. Please contact our office immediately regarding your current medical situation if you feel this in error.
- Local programs, specifically Plan First! through Planned Parenthood Centers of West Michigan now provides screening services for patient’s who qualify. Additionally, the Women’s Health Network can provide screening services for patients who qualify. Please call your local health department for more details about the program eligibility and access to their services. Congratulations on successfully fulfilling your medical directives and it has been our pleasure serving you
Thank you for attention to this very important matter, and best wishes for your health! My direct program telephone number is 616.632.7294 if you have any questions.
Most sincerely,
Sally Cory
Program Coordinator
Women's Health Network
CC:WHN Patient Chart Copy