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Title 8: Medicaid Page 15 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025

Breast and Cervical Cancer Treatment Legal reference: Breast and Cervical Cancer Prevention and Treatment Act of 2000; 42 CFR 435.213; 441 IAC 75 (Rules in Process); 42 USC 1396a(aa); Public Law 107-121 Medicaid is available under the breast and cervical cancer treatment (BCCT) coverage group to an individual under the age of 65 who meets the following eligibility requirements:  Does not have creditable health insurance coverage;  Is not eligible for Medicaid in one of the mandatory coverage groups;  Was screened and diagnosed: • Through the National Breast and Cervical Cancer Early Detection Program (BCCEDP), or • through funds from family planning centers, community health centers, or non- profit organizations;  Needs treatment for cancerous or precancerous condition of the breast or cervix; and  Must be one of the following: • A citizen of the United States, • A United States national, or • A qualified alien. See 8-L, Aliens for more information on eligibility criteria. The following sections explain:  Responsibilities of the screening program  Referrals to the Breast and Cervical Cancer Early Detection Program  Application processing  The BCCT eligibility period  Responsibilities of the BCCT client  Annual reviews  Case maintenance