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Title 8: Medicaid Page 17 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 The individuals that receive screening or services must meet eligibility requirements established by the Iowa Care For Yourself Program. If the BCCEDP is a qualified provider, the provider may also determine presumptive Medicaid eligibility for the BCCT coverage group. For requirements to be a presumptive eligibility provider, refer to the Medicaid Provider Manual, All Providers, II. Member Eligibility for policies and procedures related to presumptive eligibility determinations. Referrals to a BCCEDP Only coordinators that receive DHS training and are approved by the Iowa Department of Public Health can be qualified entities for BCCT. If an individual with a breast or cervical condition contacts DHS and someone other than the individual paid for a mammogram to be done, but they have no verification form from BCCEDP and is not eligible for a mandatory Medicaid coverage group, you may refer them to the nearest BCCEDP. Referrals to a local BCCEDP may be made for:  Breast and cervical cancer screening services  Verification of breast and cervical cancer screening services Call 1-866-339-7909 or 1-515-242-6200 to identify the nearest program and contact information. Do not suggest that the individual is eligible or make any determination. Simply refer them by saying, “There is a program I suggest you call. Their staff should be able to determine if you are eligible for any services or assistance.” Application Processing DHS income maintenance is responsible for determining that the applicant:  Is not eligible for Medicaid under a mandatory coverage group, and  Has supplied proof of BCCT eligibility.