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    1. .05 Criteria for Eligibility for Cancer Treatment ​Services.
    2. A. A local click here for the desert picture health department or a Statewide academic health center shall use the following financial eligibility criteria for cancer treatment services under the Cancer Prevention, Education, Screening and Treatment Program:
    3. (1) The basis for determining financial eligibility shall be the gross annual household income;
    • (2) An applicant with a gross annual household income above 250 percent of the federal poverty level is not eligible to receive cancer treatment services;
    • (3) Written documentation required for determination of the gross annual household income shall include:
    • (a) The household’s most recent federal income tax return; or
    • (b) If a household income tax return was not filed, the following:
    (i) The most recent W-2 statement;
    (ii) Pay stubs from two consecutive pays;
    (iii) A Social Security entitlement letter; or
    (iv) A notarized letter from the applicant stating that the applicant is not working and does not have any income;​