County Eligibility Worker Section
This section is strictly for County Eligibility Worker (CEW) use.
BCCTP Applicant or Beneficiary Section
Enrolling Provider Section
Introduction to BCCTP
The BCCTP provides cancer treatment benefits to eligible low-income (at or below 200 percent of the Federal Poverty Level) California residents diagnosed with breast and/or cervical cancer and found to be in need of treatment for the cancer.
Due to the nature of the program, and the urgency of providing access to care for a vulnerable population of individuals, there is a need to expedite the coordination of services between the BCCTP Eligibility Specialist (ES) and county eligibility worker (CEW).
To be eligible for BCCTP, all BCCTP applicants that have not applied for county Medi-Cal within the last 30 days, must apply and be determined not eligible for full-scope Modified Adjusted Gross Income (MAGI) Medi-Cal or no cost Non-MAGI benefits. Individuals eligible for full-scope County Medi-Cal benefits without Share of Cost (SOC) are not eligible for Federal or State BCCTP coverage.
- Federal BCCTP benefits are full-scope Medi-Cal benefits that cover breast and/or cervical cancer treatment and related services, and includes other non-cancer health care services.
- State BCCTP Medi-Cal benefits are limited to breast and/or cervical cancer treatment and related services.
An individual eligible for State BCCTP can concurrently be eligible for county Medi-Cal with SOC or restricted benefits (pregnancy-related, emergency services). Examples of allowable combination of County/State benefits:- County Medi-Cal aid code M2/M4 and State Medi-Cal aid code 0U.
- County Medi-Cal aid code 1U and State Medi-Cal aid code 0T.
- County Medi-Cal aid code 17 with SOC and State Medi-Cal aid code 0R.
Presumptive Eligibility (PE)
While a BCCTP applicant is waiting for the county to make a determination of eligibility of all Medi-Cal programs, they may be eligible for Presumptive Eligibility (PE). PE temporarily grants an applicant immediate, full-scope, no cost Medi-Cal benefits under Federal BCCTP. Individuals on PE can initiate treatment for their cancer while they apply for Medi-Cal benefits at their County Social Services Office. Beneficiaries with 0N or 0M aid code are only eligible to receive PE until the last day of the following month when they applied for BCCTP. PE will extend when a Medi-Cal application registers in MEDS by the last day of the following month and will not end until the County makes a determination of Medi-Cal eligibility. BCCTP will make a determination of continuing BCCTP eligibility after the County makes their eligibility determination of Medi-Cal programs.
Referring an Applicant to BCCTP
Individuals requesting a referral to BCCTP shall be immediately referred to BCCTP. If an individual asks to apply for BCCTP, please refer them by using the MC 373 County Referral to the Breast and Cervical Cancer Treatment Program form. A pending county Medi-Cal application shall be registered in MEDS immediately. PE will not continue if the pending county Medi-Cal application does not show in MEDS. BCCTP cannot make a continuing eligibility decision until the county determines eligibility.
When you complete and send the MC 373 form, a BCCTP ES will evaluate the individual for PE eligibility. If the individual is eligible for PE, they can initiate cancer treatment immediately. Applicants that do not meet the Federal BCCTP eligibility criteria do not receive immediate coverage through PE. However, BCCTP will process their application and they may be eligible to initiate cancer treatment once BCCTP completes a full eligibility determination.
Do not refer individuals directly to BCCTP to apply. All applicants requesting a referral to BCCTP must be referred using an MC 373 through a County referral.
Please refer to the following All County Welfare Directors Letter (ACWDL) for guidance provided on how to send a referral to BCCTP when an individual states they have breast and/or cervical cancer.
The Medi-Cal Eligibility Division Information Letter (MEDIL) below provides the most current MC 373 version to use when sending referrals to BCCTP.
If after sending the BCCTP referral, the individual is eligible for a full-scope, no cost county Medi-Cal aid code, all BCCTP eligibility will end. BCCTP will receive a MEDS alert when the county decision displays in MEDS.
Steps to Follow When Receiving a Referral from BCCTP
Please ensure that BCCTP has current contact information for the BCCTP County Liaison in your office. Upon receipt of the BCCTP County Transmittal packet, the county will immediately register a Medi-Cal application in MEDS and make a determination of eligibility. We would like to provide the quickest service to our customers by sending all referrals to counties via email or fax. If you need to update the BCCTP County Liaison, please email us at BCCTP@dhcs.ca.gov.
Public Health Emergency
On December 29, 2022, the Consolidated Appropriations Act of 2023 (also referred to as the Omnibus spending bill), was enacted with broad implications for the Medi-Cal program and the resumption of Medi-Cal redeterminations.
Previously, the resumption of Medi-Cal redeterminations was tied to the termination of the COVID-19 public health emergency (PHE). The Omnibus spending bill delinks the continuous coverage requirements that paused all Medi-Cal redeterminations since March 2020. Effective April 1, 2023, Medi-Cal redeterminations will resume.
BCCTP will mail annual redetermination packets starting April 1, 2023. Included in the annual packet is the Annual Redetermination Notice that states BCCTP needs to know if the beneficiary is eligible for other Medi-Cal benefits. If the beneficiary does not have Medi-Cal benefits through the county at time of renewal, they must complete a Medi-Cal application with their local County Social Services office online, by phone, or in person. A beneficiary's benefits will be discontinued if they fail to complete a county Medi-Cal application by the date that their BCCTP benefits expire. If they already have county Medi-Cal, they do not need to reapply.
BCCTP Aid Codes (Q1, Q2, Q3 MEDS screens)
Federal Aid Codes
- 0M: Accelerated Enrollment (AE). Temporary, full-scope Medi-Cal with no SOC.
- 0N: Presumptive Eligibility. Temporary, full-scope Medi-Cal with no SOC.
- 0P: Full-scope Medi-Cal with no SOC.
Federal Transitional Aid Code
- 0W: Transitional full-scope Medi-Cal with no SOC.
State AID Codes
- 0R: State-Funded, High-Cost Other Health Coverage. Medi-Cal eligible for Coinsurance, Deductibles, Breast/Cervical Cancer Treatment and Related Services with no SOC.
- 0T: Other State-Funded; 65 years of age and older; has no creditable health coverage. Medi-Cal eligible for Breast/Cervical Cancer Treatment and Related Services with no SOC.
- 0U: Federal/State-Funded. Medi-Cal eligible for Long-Term Care (LTC), Pregnancy, Emergency, and Breast/Cervical Cancer Treatment and Related Services with no SOC.
- 0V: Restricted to LTC, Emergency, Pregnancy Related, postpartum services.
State Transitional Aid Codes
- 0X: Beneficiary is no longer in need of treatment for breast and/or cervical cancer; or has acquired creditable health coverage, but their out-of-pocket expenses will not exceed $750 in the next 12-month period. Medi-Cal eligible for LTC, Pregnancy, Emergency, Breast/Cervical Cancer Treatment and Related Services with no SOC.
- 0Y: Beneficiary has turned 65 years of age and has no creditable health coverage. Medi-Cal eligible for LTC, Pregnancy, Emergency, Breast/Cervical Cancer Treatment and Related Services with no SOC.
Master Aid Code List for aid code descriptions
Contact BCCTP
If you have any questions, please contact us by:
Phone: (800) 824-0088
Fax: (916) 440-5693
Email: BCCTP@dhcs.ca.gov
