Every Woman Counts and the Breast and Cervical Cancer Treatment Program (free cancer screening, and Medi-Cal for treatment): who qualifies, what you get, how to apply, and what happens next
Every Woman Counts gives free breast and cervical cancer screening and diagnosis to uninsured or underinsured low-income Californians: breast screening from age 40, cervical from 21, diagnostic tests at any age with symptoms. The Breast and Cervical Cancer Treatment Program then gives Medi-Cal coverage for treatment to people diagnosed with either cancer whose income is under the limit. Apply through an EWC or Family PACT provider or the county office.
What Every Woman Counts and BCCTP is, in one paragraph
These are two linked California programs. Every Woman Counts (EWC) pays for breast and cervical cancer screening, diagnostic tests and treatment referrals for low-income people who have no or limited insurance (rule:ewc_definition). The Breast and Cervical Cancer Treatment Program (BCCTP) gives Medi-Cal coverage for treatment to Californians diagnosed with breast or cervical cancer whose income is under the limit, including people over 65 and people with insurance that does not cover all of the treatment (rule:bcctp_definition, rule:bcctp_eligibility). EWC providers start the BCCTP application when screening finds cancer.
$2,660 a month
income limit for a family of one for Every Woman Counts screening and for BCCTP treatment coverage, 2026 (DHCS, rule:ewc_income_200, rule:bcctp_income)
Who may qualify
Every Woman Counts (rule:ewc_breast, rule:ewc_cervical, rule:ewc_other_tests):
Breast: routine screening for women 40 or older; diagnostic services at any age, regardless of gender, for anyone with symptoms.
Cervical: 21 or older.
No or limited insurance; not getting these services through Medi-Cal or another government program; living in California.
BCCTP (rule:bcctp_eligibility): living in California, diagnosed with breast or cervical cancer and needing treatment, and income under the limit. Family size is the applicant, a spouse, and their children under 21 at home; an adult child's income does not count.
Both programs use 200% of the 2026 poverty guidelines (rule:ewc_income_200, rule:bcctp_income):
Family size
Monthly income
Annual income
1
$2,660
$31,920
2
$3,608
$43,280
3
$4,554
$54,640
4
$5,500
$66,000
5
$6,448
$77,360
6
$7,394
$88,720
7
$8,340
$100,080
8
$9,288
$111,440
9 (BCCTP)
$10,234
$122,800
10 (BCCTP)
$11,180
$134,160
each additional (EWC)
+$948
+$11,360
Immigration: from 1 January 2026 some new adult BCCTP applicants get only limited-scope Medi-Cal for the cancer treatment, not full scope; people already enrolled keep their coverage if they renew on time (rule:bcctp_immigration_2026).
How to apply, and what happens after
For screening, find an EWC provider with the provider locator or call the EWC line, available 24 hours a day in many languages (rule:contact). The provider enrolls you.
For treatment after a diagnosis, apply for BCCTP in one of three ways: through an EWC provider, through a Family PACT provider, or at the county social services office. A BCCTP eligibility specialist calls you (rule:bcctp_apply). Ask for retroactive Medi-Cal: it can pay for treatment in the 90 days before applying, falling to 60 days from 1 January 2027 (rule:bcctp_retro). An approved person gets a Medi-Cal card and keeps coverage as long as treatment is needed (rule:bcctp_benefit). From 2027 some members get care through fee-for-service Medi-Cal (rule:bcctp_ffs_2027), and from 1 July 2027 some lose full dental coverage because of immigration status (rule:bcctp_dental_2027).
Every 12 months BCCTP mails a redetermination packet with a physician statement; return it by the due date (rule:bcctp_redetermination). If coverage ends, there are 90 days to fix the problem and restore it (rule:bcctp_restore_90), and the county checks other Medi-Cal before it ends (rule:bcctp_county_review).
Disagree with a BCCTP decision? Request a State Hearing within 90 days of receiving the notice; within 10 days to keep coverage during the hearing (rule:fair_hearing_90).
The procedure, stage by stage, as data
JSONThe procedure, stage by stage, as data
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BCCTP by mail: Department of Health Care Services, Medi-Cal Eligibility Division, Breast and Cervical Cancer Treatment Program, P.O. Box 997417, MS 4611, Sacramento, CA 95899-7417
Every Woman Counts — California Department of Health Care Services“The Every Woman Counts (EWC) Program provides free breast cancer and cervical cancer screening, diagnostic services and treatment referrals to eligible uninsured and underinsured low-income California residents.”
Every Woman Counts: breast screening — California Department of Health Care Services“Are a women 40 years old or older, you may qualify for routine breast cancer screenings”
Every Woman Counts: other requirements — California Department of Health Care Services“are not getting these services through Medi-Cal or another government-sponsored program”
Welcome to the Breast and Cervical Cancer Treatment Program — California Department of Health Care Services“This program provides coverage for cancer treatment to eligible low-income California residents diagnosed with breast and/or cervical cancer.”
BCCTP: who can get it — California Department of Health Care Services“If you are age 65 or older, or have other health coverage, you may still qualify.”
BCCTP: income — California Department of Health Care Services“For BCCTP, the family size is the total number of persons in the home which includes the applicant, spouse, and their children under 21 years of age.”
BCCTP: how long coverage lasts — California Department of Health Care Services“You can access needed care as long as you need cancer treatment and meet other criteria.”
BCCTP: 2026 enrollment freeze — California Department of Health Care Services“However, eligible applicants may still receive limited scope BCCTP Medi-Cal to cover treatment for breast and cervical cancer.”
BCCTP: retroactive coverage — California Department of Health Care Services“Starting January 1, 2027, BCCTP retroactive Medi-Cal coverage will be reduced from 90 days to 60 days.”
BCCTP: fee-for-service — California Department of Health Care Services“Starting January 1, 2027, some BCCTP applicants will receive care through Fee-For-Service (FFS) Medi-Cal instead of through a health plan.”
BCCTP: how to apply — California Department of Health Care Services“A BCCTP Eligibility Specialist will call you directly.”
BCCTP: annual redetermination — California Department of Health Care Services“You must return an annual redetermination packet, which will be sent to you every 12 months by mail.”
BCCTP: contact — California Department of Health Care Services“Contact us if you need help by calling 1-800-824-0088 or emailing BCCTP@dhcs.ca.gov.”
BCCTP Member Section: dental — California Department of Health Care Services“Starting July 1, 2027, some BCCTP members will stop getting full scope dental services as part of their coverage because of their immigration status.”
BCCTP Member Section: restore coverage — California Department of Health Care Services“If your BCCTP Medi-Cal ends, you have 90 days to fix the problem and restore your coverage.”
BCCTP Member Section: county review — California Department of Health Care Services“Your BCCTP Medi-Cal coverage will continue while the County Social Services office reviews your information.”
Medi-Cal Fair Hearing — California Department of Health Care Services“You may be able to file after 90 days if you have a good reason, like illness or a disability.”
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{
"id":"stage:issuance_use",
"order":7,
"name":"Issuance / use",
"what_happens":"Medi-Cal card (BIC) used for treatment; fee-for-service for some from 2027; premium reimbursement for other insurance",
"who_acts":"Providers / Medi-Cal",
"timeline":"As long as treatment is needed",
"evidence":"BIC",
"failure_mode":"Not showing the card at the pharmacy",
"model_role":"Explain the card and coverage type",
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},
{
"id":"stage:report_changes",
"order":8,
"name":"Report changes",
"what_happens":"Report address and other changes to BCCTP",
"who_acts":"Person",
"timeline":"As changes happen",
"evidence":"New information",
"failure_mode":"Missing renewal packets after a move",
"model_role":"Prompt address updates",
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{
"id":"rule:ewc_definition",
"kind":"definition",
"text":"Every Woman Counts (EWC) provides free breast cancer and cervical cancer screening, diagnostic services and treatment referrals to eligible uninsured and underinsured low-income California residents.",
"jurisdiction":"US-CA",
"source":"s_ewc",
"status":"verified 2026-10-09 (DHCS pages, read in a browser on the Mac)"
},
{
"id":"rule:ewc_breast",
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"text":"Breast services: women 40 or older may qualify for routine screening; anyone with symptoms, at any age and regardless of gender, may qualify for diagnostic services.",
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"source":"s_ewc_breast",
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"jurisdiction":"US-CA",
"source":"s_ewc_insurance",
"status":"verified 2026-10-09"
},
{
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"text":"EWC income: family or household gross income at or below 200% of the HHS poverty guidelines, effective 1 April 2026 through 31 March 2027. A family is two or more people related by birth, marriage or adoption who live together.",
"jurisdiction":"US-CA",
"effective":"2026-04-01 to 2027-03-31",
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"1":2660,
"2":3608,
"3":4554,
"4":5500,
"5":6448,
"6":7394,
"7":8340,
"8":9288,
"each_additional":948
},
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"2":43280,
"3":54640,
"4":66000,
"5":77360,
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"8":111440,
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},
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"status":"verified 2026-10-09 (EWC 2026 Income Eligibility Guidelines PDF, read in a browser on the Mac)"
},
{
"id":"rule:bcctp_definition",
"kind":"definition",
"text":"The Breast and Cervical Cancer Treatment Program (BCCTP) gives Medi-Cal coverage for cancer treatment to eligible low-income California residents diagnosed with breast or cervical cancer who are uninsured or whose insurance does not cover all of the treatment.",
"jurisdiction":"US-CA",
"source":"s_bcctp",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_eligibility",
"kind":"categorical",
"text":"BCCTP: live in California, have breast or cervical cancer and need treatment, and have gross monthly income under the limit for the family size. People 65 or older, or with other coverage, may still qualify.",
"jurisdiction":"US-CA",
"source":"s_bcctp_age",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_income",
"kind":"income_test",
"text":"BCCTP income limits by family size. Family size is the applicant, a spouse, and their children under 21 living in the home; an adult child's income does not count.",
"jurisdiction":"US-CA",
"effective":"2026",
"values_usd_monthly": {
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},
"source":"s_bcctp_income",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_benefit",
"kind":"benefit",
"text":"An approved person receives Medi-Cal coverage for as long as cancer treatment is needed and other criteria are met, and may be reimbursed for other health insurance premiums.",
"jurisdiction":"US-CA",
"source":"s_bcctp_duration",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_immigration_2026",
"kind":"immigration",
"text":"From 1 January 2026 some new adult applicants no longer qualify for full-scope BCCTP Medi-Cal because of immigration status; they may still receive limited-scope BCCTP Medi-Cal for breast and cervical cancer treatment. Current members keep coverage regardless of status if they renew on time.",
"jurisdiction":"US-CA",
"effective":"from 2026-01-01",
"source":"s_bcctp_freeze",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_retro",
"kind":"timing",
"text":"Retroactive Medi-Cal may cover treatment received in the 90 days before applying; from 1 January 2027 this becomes 60 days.",
"jurisdiction":"US-CA",
"value_days": {
"until_2026_12_31":90,
"from_2027_01_01":60
},
"source":"s_bcctp_retro",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_ffs_2027",
"kind":"administration",
"text":"From 1 January 2027 some BCCTP applicants receive care through fee-for-service Medi-Cal instead of a health plan.",
"jurisdiction":"US-CA",
"effective":"from 2027-01-01",
"source":"s_bcctp_ffs",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_dental_2027",
"kind":"restriction",
"text":"From 1 July 2027 some BCCTP members lose full-scope dental services because of immigration status; emergency dental care continues.",
"jurisdiction":"US-CA",
"effective":"from 2027-07-01",
"source":"s_bcctp_dental",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_apply",
"kind":"procedure",
"text":"Three ways to apply for BCCTP: through an Every Woman Counts provider, through a Family PACT provider, or at the county social services office. A BCCTP eligibility specialist calls the applicant.",
"jurisdiction":"US-CA",
"source":"s_bcctp_apply",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_redetermination",
"kind":"renewal",
"text":"Every 12 months BCCTP mails an annual redetermination packet, including a physician statement that treatment is still needed; it must be returned by the due date or coverage may end.",
"jurisdiction":"US-CA",
"value_months":12,
"source":"s_bcctp_annual",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_restore_90",
"kind":"deadline",
"text":"If BCCTP Medi-Cal ends, the person has 90 days to fix the problem and restore coverage.",
"jurisdiction":"US-CA",
"value_days":90,
"source":"s_bcctp_restore",
"status":"verified 2026-10-09"
},
{
"id":"rule:bcctp_county_review",
"kind":"procedure",
"text":"Before BCCTP coverage is reduced or ended, the county social services office reviews whether the person qualifies for other Medi-Cal; coverage continues during that review.",
"jurisdiction":"US-CA",
"source":"s_bcctp_review",
"status":"verified 2026-10-09"
},
{
"id":"rule:fair_hearing_90",
"kind":"appeal",
"text":"BCCTP is Medi-Cal: a State Hearing can be requested within 90 days of receiving the Notice of Action, later with good cause. Benefits continue pending the hearing when it is requested before the action takes effect, or within 10 days of the notice when 10-day notice is not required.",
"jurisdiction":"US-CA",
"value_days": {
"request":90,
"aid_paid_pending":10
},
"source":"s_dhcs_fh",
"status":"verified 2026-10-09; EWC screening denials have no appeal process on the pages read"
},
{
"id":"rule:contact",
"kind":"administration",
"text":"Phone numbers published by EWC and BCCTP.",
"jurisdiction":"US-CA",
"phones": {
"ewc_24_7":"(800) 511-2300",
"bcctp":"(800) 824-0088",
"bcctp_fax":"(916) 440-5693",
"medi_cal_member_benefits":"(800) 541-5555"
},
"emails": {
"bcctp":"BCCTP@dhcs.ca.gov"
},
"mailing_addresses": {
"bcctp":"Department of Health Care Services, Medi-Cal Eligibility Division, Breast and Cervical Cancer Treatment Program, P.O. Box 997417, MS 4611, Sacramento, CA 95899-7417"
},
"source":"s_bcctp_contact",
"status":"verified 2026-10-09"
}
],
"fiscal_year": {
"fiscal_year":"Income guidelines 2026 (1 April 2026 to 31 March 2027)",
"effective":"2026-04-01 to 2027-03-31",
"source":"s_ewc_income",
"area":"California"
},
"fields": [
{
"field_id":"f:state",
"canonical_fact":"person.address.residential.state",
"label":"Do you live in California",
"data_type":"boolean",
"required":true,
"sensitivity":"personal",
"used_by_rules": [
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]
},
{
"field_id":"f:dob",
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"label":"Date of birth",
"data_type":"date",
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},
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"canonical_fact":"person.health.condition.diagnosis",
"label":"Breast symptoms, an abnormal result, or a breast or cervical cancer diagnosis",
"data_type":"enum",
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},
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"## What Every Woman Counts and BCCTP is, in one paragraph\n\nThese are two linked California programs. **Every Woman Counts (EWC)** pays for breast and cervical cancer screening, diagnostic tests and treatment referrals for low-income people who have no or limited insurance (rule:ewc_definition). **The Breast and Cervical Cancer Treatment Program (BCCTP)** gives Medi-Cal coverage for treatment to Californians diagnosed with breast or cervical cancer whose income is under the limit, including people over 65 and people with insurance that does not cover all of the treatment (rule:bcctp_definition, rule:bcctp_eligibility). EWC providers start the BCCTP application when screening finds cancer.",
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"## Who may qualify\n\n**Every Woman Counts** (rule:ewc_breast, rule:ewc_cervical, rule:ewc_other_tests):\n- **Breast**: routine screening for women 40 or older; diagnostic services at any age, regardless of gender, for anyone with symptoms.\n- **Cervical**: 21 or older.\n- No or limited insurance; not getting these services through Medi-Cal or another government program; living in California.\n\n**BCCTP** (rule:bcctp_eligibility): living in California, diagnosed with breast or cervical cancer and needing treatment, and income under the limit. Family size is the applicant, a spouse, and their children under 21 at home; an adult child's income does not count.\n\nBoth programs use 200% of the 2026 poverty guidelines (rule:ewc_income_200, rule:bcctp_income):\n\n| Family size | Monthly income | Annual income |\n|---|---|---|\n| 1 | $2,660 | $31,920 |\n| 2 | $3,608 | $43,280 |\n| 3 | $4,554 | $54,640 |\n| 4 | $5,500 | $66,000 |\n| 5 | $6,448 | $77,360 |\n| 6 | $7,394 | $88,720 |\n| 7 | $8,340 | $100,080 |\n| 8 | $9,288 | $111,440 |\n| 9 (BCCTP) | $10,234 | $122,800 |\n| 10 (BCCTP) | $11,180 | $134,160 |\n| each additional (EWC) | +$948 | +$11,360 |\n\n**Immigration**: from 1 January 2026 some new adult BCCTP applicants get only limited-scope Medi-Cal for the cancer treatment, not full scope; people already enrolled keep their coverage if they renew on time (rule:bcctp_immigration_2026).",
"## What the model on this page can do for you\n\nThis article is also the context of a model you can text or chat with. The buttons under the title open Messages with a note already written, or a chat on this page. The model has read this exact page: the rules above with their source ids, the procedure below, and the other programs the same facts open. It asks for one or two facts at a time, starting with age and whether you need screening or treatment, then family size, income and insurance, tells you which program fits, and gives the exact next step. It has no tools: it cannot apply for you, and it says so. Every message is kept on this build's Ledger.\n\nA screening here is a screening, not a decision. DHCS (with the provider or county) decides.",
"## How to apply, and what happens after\n\n**For screening**, find an EWC provider with the provider locator or call the EWC line, available 24 hours a day in many languages (rule:contact). The provider enrolls you.\n\n**For treatment after a diagnosis**, apply for BCCTP in one of three ways: through an EWC provider, through a Family PACT provider, or at the county social services office. A BCCTP eligibility specialist calls you (rule:bcctp_apply). Ask for **retroactive Medi-Cal**: it can pay for treatment in the 90 days before applying, falling to 60 days from 1 January 2027 (rule:bcctp_retro). An approved person gets a Medi-Cal card and keeps coverage as long as treatment is needed (rule:bcctp_benefit). From 2027 some members get care through fee-for-service Medi-Cal (rule:bcctp_ffs_2027), and from 1 July 2027 some lose full dental coverage because of immigration status (rule:bcctp_dental_2027).\n\n**Every 12 months** BCCTP mails a redetermination packet with a physician statement; return it by the due date (rule:bcctp_redetermination). If coverage ends, there are **90 days** to fix the problem and restore it (rule:bcctp_restore_90), and the county checks other Medi-Cal before it ends (rule:bcctp_county_review).\n\n**Disagree with a BCCTP decision?** Request a State Hearing within 90 days of receiving the notice; within 10 days to keep coverage during the hearing (rule:fair_hearing_90).",
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"## The same facts open other programs\n\nAge, family size, monthly income and insurance are the facts these programs run on. The same 200% line decides Family PACT.\n\n- **Family PACT (B019)**: [[california-family-pact]]. Family PACT covers cervical cancer screening and its providers can start a BCCTP application.\n- **Medi-Cal (Medicaid) (B011)**: [[california-medi-cal]]. BCCTP is a Medi-Cal program, and the county checks other Medi-Cal before it ends.\n- **Covered California premium tax credits (APTC) (B012)**: [[california-covered-california-premium-tax-credits]]. A person who does not qualify for BCCTP may get a Covered California plan.\n- **County indigent health programs (CMSP, Healthy San Francisco, county clinics) (B017)**: [[california-county-indigent-health]]. County indigent programs cover other care for uninsured adults.",
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"## How this page works\n\nThis page is one JSON object. The page, the Markdown and the machine copy at [/a/california-every-woman-counts-bcctp.json](https://miscsubjects.com/a/california-every-woman-counts-bcctp.json) are three views of it. Its `facts` carry the article's identity and jurisdiction, the procedure with its stages, every rule with its source id and verification status, the fields a screening asks for with their canonical fact names, the ontology edges into the benefits graph, the declared actions, the model's instructions, and the permissions the model has (none). The model's context is served separately at [/a/california-every-woman-counts-bcctp/context](https://miscsubjects.com/a/california-every-woman-counts-bcctp/context): the same object, projected for a model, so there is one source of truth for the reader and the machine.\n\nWhat is saved: a thread per phone number that texts, holding which articles it asked about, how many messages, and the facts it stated, so a person who comes back continues rather than restarts. Every message, in either direction, is a row on this build's Ledger.\n\nFigures carry their status in `facts.rules[].status`. Every DHCS page here, including the EWC 2026 income PDF, refuses automated fetches and was read in a browser on the Mac on 9 October 2026; the hashes are in `facts.verification`. No appeal process for EWC screening denials is stated on the pages read.",
"## Official addresses\n\n- Screening: [Every Woman Counts](https://www.dhcs.ca.gov/services/every-woman-counts/) and its [2026 income guidelines (PDF)](https://www.dhcs.ca.gov/wp-content/uploads/2025/10/FedIncome.pdf)\n- Treatment: [Breast and Cervical Cancer Treatment Program](https://www.dhcs.ca.gov/services/medi-cal-resources/welcome-to-the-breast-and-cervical-cancer-treatment-program/) and [BCCTP Member Section](https://www.dhcs.ca.gov/services/medi-cal-resources/bcctp-member-section/)\n- BCCTP by mail: Department of Health Care Services, Medi-Cal Eligibility Division, Breast and Cervical Cancer Treatment Program, P.O. Box 997417, MS 4611, Sacramento, CA 95899-7417\n- Hearings: [Medi-Cal Fair Hearing](https://www.dhcs.ca.gov/services/medi-cal-resources/medi-cal-fair-hearing/)\n- Phone: EWC (800) 511-2300 (24/7); BCCTP (800) 824-0088, fax (916) 440-5693, BCCTP@dhcs.ca.gov; Medi-Cal member benefits (800) 541-5555 (rule:contact)"
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