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Title 8: Medicaid Page 25 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Case Maintenance  Armed forces insurance  A state health risk pool  Medical care provided directly, through insurance, or by reimbursement  Medicaid, including meeting spenddown during a Medically Needy certification period An individual is ineligible for BCCT if they have creditable health insurance coverage. An individual does not have creditable health insurance coverage if:  Their coverage is limited, such as dental, vision, or long-term care, or coverage only for a specified disease or illness.  Their policy does not cover treatment of breast or cervical cancer.  They are in a period of exclusion for treatment of breast or cervical cancer (such as a pre-existing condition).  They have exhausted their lifetime limit on all benefits under their plan.  They have a waiting period of uninsurance. Automatic Redetermination for BCCT Legal reference: 42 CFR 435.930; 441 IAC 76.17(249A) Policy: Complete an automatic redetermination when:  Eligibility under another coverage group ends.  Eligibility under BCCT ends. Procedure: When an individual is no longer eligible under another coverage group, determine if treatment under BCCT is continuing. If treatment continues, eligibility under BCCT exists based on the initial verification of screening and diagnosis.