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Title 8: Medicaid Page 21 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Eligibility Period

The IM worker cannot establish Medicaid eligibility for March under the BCCT coverage group since Ms. A had not been diagnosed in March. The worker explores eligibility for March (and February) under all other coverage groups. 2. Same as Example 1, except that Ms. A was diagnosed on May 4, the same day as the application date. The IM worker cannot establish Medicaid eligibility for any retroactive month under BCCT. Ms. A had not been diagnosed in any of the months in the retroactive period. Length of Treatment The length of treatment is not a condition of initial Medicaid eligibility under BCCT. Verification of when treatment will end is generally due by the end of the month following the month of the eligibility decision. Request the individual provide proof of when treatment will end. If they need assistance, have them sign form 470-3951, Authorization to Obtain or Release Health Care Information. An individual who fails to provide proof of when treatment will end or to sign and return the release of information loses BCCT eligibility. You must:  Complete an automatic redetermination, since the date treatment will end pertains only to the BCCT coverage group.  Cancel Medicaid under the BCCT group.  Issue a Notice of Action unless the individual is eligible under another coverage group (except for Medically Needy with a spenddown). The BCCEDP will not be treating the individual. Accept the statement of the medical professional providing the individual’s treatment as to when treatment is expected to end. Set a reminder for the first working day of the month in which treatment is expected to end. Do not recoup Medicaid under BCCT if the individual fails to:  Provide proof of when treatment will end after application approval, or  Report that treatment ended before the predicted date.