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Title 8: Medicaid Page 20 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Eligibility Period  No longer receives treatment for breast or cervical cancer or precancerous condition; or  Reaches age 65. NOTE: If the individual turns 65 on the first day of the month, their eligibility ends as of the last day of the previous month. If the individual turns 65 on any day other than the first of the month, eligibility ends on the last day of the birth month. An individual is not limited to one period of eligibility. A new verification form is not required unless treatment has stopped and started again. The following sections give more information on:  Determining retroactive eligibility under BCCT  Determining the length of treatment Retroactive Coverage Under BCCT BCCT eligibility can cover the retroactive period if the individual has met all relevant BCCT eligibility requirements and meets a category of eligibility for the retroactive period as defined in 8-A, Definitions. An individual isn’t eligible for Medicaid until they are diagnosed and in need of treatment. Eligibility before being screened, diagnosed, and having a need for treatment would require an eligibility determination under another coverage group. See 8-B, Determining Eligibility for the Retroactive Period.

1. Ms. A applies for Medicaid May 4. The verification form showing that she was diagnosed with cervical cancer April 28 accompanies her application form. Residing with Ms. A is her 16-year-old son. After all verification is submitted, the IM worker determines that Ms. A would be eligible only for Medically Needy with a spenddown, so eligibility under the BCCT coverage group is established effective May 1. Ms. A requests retroactive coverage to cover her screening costs. If Ms. A would not have been eligible under any mandatory Medicaid coverage group in April, the worker can establish Medicaid eligibility for April under the BCCT coverage group because she was diagnosed in April, as long as she meets a category of eligibility for the retroactive period as defined in 8-A, Definitions.