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Title 8: Medicaid Page 19 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Application Processing  Expanded Medicaid for Independent Young Adults (EMIYA)  Mandatory State Supplementary Assistance recipients  Essential persons  SSI recipients  People ineligible for SSI (or SSA) due to: • Requirements that do not apply to Medicaid • The October 1972 social security COLA • Social security COLAs (also referred to as the 503 Group) • Receipt of widow’s social security benefits • Actuarial change for widowed persons • Social security benefits paid from a parent’s account If the individual is eligible under a mandatory coverage group, establish Medicaid eligibility under that group, even if they are eligible under the Breast and Cervical Cancer Prevention and Treatment Act of 2000.

Ms. A has been diagnosed with breast cancer by a health care provider authorized by the BCCEDP and is in need of treatment. She applies for Medicaid and provides proof of diagnosis from the BCCEDP. The worker determines that Ms. A is eligible for MAGI-related Medicaid coverage. Her 16-year-old son lives with her and she meets all of the other eligibility criteria. Medicaid eligibility for Ms. A is established under MAGI-related. Eligibility Period Legal reference: 441 IAC 75 (Rules in Process) The effective date of BCCT coverage is the first of the month the individual applied for Medicaid. Receiving presumptive eligibility does not change this effective date. If the individual was diagnosed in an earlier month and incurred medical bills, examine retroactive BCCT eligibility if they meet a category of eligibility for the retroactive period as defined in 8-A, Definitions. See Retroactive Coverage Under BCCT. Eligibility under the BCCT coverage group continues until the individual:  Is covered under creditable insurance coverage; or  Is eligible under a mandatory coverage group; or