Iowa Administrative Code
Agency 641 - PUBLIC HEALTH DEPARTMENT
Chapter 8 - IOWA CARE FOR YOURSELF (IA CFY) PROGRAM
Rule 641-8.7 - Verification for the breast or cervical cancer treatment (BCCT) option of Medicaid
Universal Citation: IA Admin Code 641-8.7
Current through Register Vol. 46, No. 19, March 20, 2024
The Iowa department of public health and the Iowa department of human services have coordinated to develop procedures for individuals to access Medicaid coverage for treatment of breast or cervical cancer or precancerous conditions.
(1) Before referring an individual to the individual's county of residence's local office of the department of human services, a contracted county board of health designated agency staff member shall document the following regarding the individual:
a. The individual was enrolled in the IA CFY
program when diagnosed; has had at least one of the screening services (Pap
test, screening mammogram, CBE or MRI) or diagnostic procedures paid for by the
IA CFY program or with funds from family planning centers, community health
centers, or nonprofit organizations; and must be in need of treatment for
breast or cervical cancer or precancerous conditions; or
b. The individual was enrolled in NBCCEDP and
has moved to Iowa. To be considered enrolled in NBCCEDP, the individual must
meet the Iowa program age guidelines; have had at least one of the basic
screening services (Pap test, screening mammogram, CBE or MRI) or a diagnostic
procedure paid for by the NBCCEDP or with funds from family planning centers,
community health centers, or nonprofit organizations; and be in need of
treatment for breast or cervical cancer or precancerous conditions;
and
c. The individual has
creditable coverage circumstances or has no creditable coverage for breast or
cervical cancer treatment.
(2) The BCCT option of Medicaid is administered by the Iowa department of human services under 441-Chapter 75, "Conditions of Eligibility."
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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