DPSS ePolicy

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The Breast and Cervical Cancer Treatment Program provides federal and State-funded Medi-Cal benefits for women who have been screened by an authorized provider and are found to be in need of treatment for breast and/or cervical cancer.  Determination of eligibility to BCCTP, as well as ongoing maintenance, is the responsibility of the Department of Health Care Services (DHCS) staff.

Once it is determined that the beneficiary is no longer eligible for BCCTP, BCCTP staff will terminate the BCCTP case, place the beneficiary in one of the BCCTP interim aid codes, and refer the case to the county of residence to evaluate for other Medi-Cal programs.

Federal BCCTP

The Federal funded BCCTP provides full-scope, no share of cost (SOC) Medi-Cal to uninsured women who are:

1. Under 65,
2. Citizens/lawful immigrants,
3. Screened through the Centers for Disease Control (CDC) and National Breast and Cervical Cancer Early Detection Program providers, and
4. Found to be in need of treatment for breast and/or cervical cancer.

Eligibility under the Federal BCCTP lasts as long as the woman is in need of treatment and meets all eligibility requirements.

State BCCTP

The State-funded program covers breast and/or cervical cancer patients needing treatment who have been determined ineligible for the federal BCCTP, such as:

• Women age 65 and over, regardless of immigration status,
• Women under age 65 without satisfactory immigration status,
• Men (breast cancer only) of any age or immigration status, and
• Persons who are uninsured or underinsured.

Eligibility under the State funded BCCTP is limited to up to 18 months for breast cancer and 24 months for cervical cancer.  An additional 18 month or 24-month period of coverage can be granted with a recurring breast or cervical cancer diagnosis, if their original period of coverage has expired.  As noted above, the determination of BCCTP eligibility, as well as the ongoing maintenance of the BCCTP case is done by the CDHCS.

The Breast and Cervical Cancer Treatment Prevention and Treatment Program Act of 2000 established the BCCTP.  Assembly Bill 430, enacted in 2001, provides the state the authority to implement the program in California.

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