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Title 8: Medicaid Page 16 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Responsibilities of the Screening Program Responsibilities of the Screening Program The National Breast and Cervical Cancer Early Detection Program (BCCEDP) is responsible for determining that the individual:  Is in need of treatment for cancerous or precancerous condition of the breast or cervix.  Is under age 65.  Meets income guidelines.  Does not have creditable health insurance coverage, except when the individual: • Has exhausted their lifetime benefits for breast or cervical cancer treatment, or • Has an exclusion clause in their health insurance coverage for breast or cervical cancer treatment. “Creditable coverage” is defined in the Health Insurance Portability and Accountability Act. Most health insurance is considered creditable coverage, including insurance that has limits on benefits or high deductibles. For the purposes of this coverage group, the Indian Health Services tribal organization, or Urban Indian organization available to Native Americans is not creditable coverage. An individual who has been screened and diagnosed through the BCCEDP and is in need of treatment will be referred to DHS to apply for Medicaid.  The individual will be instructed to present verification of the screening and diagnosis through the BCCEDP, to the DHS office.  The individual will usually complete an Application for Health Coverage and Help Paying Costs, form 470-5170 or 470-5170(S), at the program office. The program will attach the proof of screening form to the application. However, if you are aware that an individual is eligible but the verification is not attached to the application, either:  Make a written request for the individual to obtain it and provide it to you, or  Ask the individual to sign a specific release, if needed, so you can request verification from the program.