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Title 8: Medicaid Page 18 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Application Processing The following are required before determining eligibility under BCCT: A completed application, except in an automatic redetermination. A determination the individual is not eligible under a mandatory coverage group. Verification of screening and diagnosis from the Iowa Department of Public Health (IDPH). After approval, request verification of when treatment will end. If the applicant needs assistance, have them sign form 470-3951 or 470-3951(S), Authorization to Obtain or Release Health Care Information. There are no resource tests for this group. Income eligibility is determined by the BCCEDP. Collect financial information only to the extent necessary to determine if the applicant is eligible for Medicaid under a mandatory coverage group. See Mandatory Medicaid Coverage Groups. Accept the statement on the verification form regarding the absence of creditable health insurance coverage. If you have reason to believe that the applicant has creditable coverage, request a statement from the insurance company documenting the scope of coverage or that coverage has been dropped or exhausted. If you verify that the applicant does have creditable coverage, report this to the local BCCEDP. Mandatory Medicaid Coverage Groups The individual must not be eligible for Medicaid under any of the mandatory Medicaid coverage groups. The mandatory Medicaid coverage groups are: Family Medical Assistance Program (FMAP) People ineligible for FMAP due to the receipt of alimony or other spousal support Transitional Medicaid Mothers and children (MAC) Postpartum eligibility Children receiving IV-E foster care, IV-E subsidized adoption, or IV-E Subsidized Guardianship Iowa Health and Wellness Plan (IHAWP)