WV DHHR -  WVBCCSP Tutorial - June 2009
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WV DHHR - WVBCCSP Tutorial - June 2009

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WeWestst VirginiaBreast and Cervical Cancer Screening Program Tutorialƒƒƒƒƒƒ¾¾This presentation provides information and guidelines on the following WV Breast and Cervical Cancer Screening Program (WVBCCSP) components:About the Program EligibilityCovered ServicesPatient EnrollmentVisit TypesEnrollment ProcessForms CompliletionInvoicingAbout the ProgramAbout tthehe ProgramThe purpose oof f tthehe program is toto help low--income, uninsured, and underinsured women gain access ttoo bbreastreast andand cervical cancer screening and diagnostic services.Special emphasis is placed on older women of low-income who are never or rarely screened for breast and cervical cancer.About tthehe Program (continued)The pprogramrogram is administered by the CentersCenters for Disease Control and Prevention (CDC) within the National Breasteast and Cervical Cancer Early Detection Program (NBCCEDP). The NBCCEDP funds all 50 states, the District of Columbia,,, 5 U.S. territories, and 12 American Indian/Alaska Native tribes to ppgrovide breast and cervical cancer screening.DisclaimerThe ffollowingollowing policy isis notnot intended toto bebe aa setset of clinical guidelines for the general United States or WeWesst t VVirginia population. RatherRather, itit provides programmatic and reimbursement guidance.Screening Eligibilityƒƒƒƒ¾Screening EligibilityWoomen 2525 to 64 years ofof ageageIncome at or below 200% of the Federal Poverty ...

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WeWestst Virginia
Breast and Cervical
Cancer Screening
Program Tutorialƒ
ƒ
ƒ
ƒ
ƒ
ƒ
¾
¾
This presentation provides information and guidelines
on the following WV Breast and Cervical Cancer
Screening Program (WVBCCSP) components:
About the Program
Eligibility
Covered Services
Patient Enrollment
Visit Types
Enrollment Process
Forms Compliletion
InvoicingAbout the ProgramAbout tthehe Program
The purpose oof f tthehe program is toto help low--
income, uninsured, and underinsured women
gain access ttoo bbreastreast andand cervical cancer
screening and diagnostic services.
Special emphasis is placed on older women of
low-income who are never or rarely screened
for breast and cervical cancer.About tthehe Program (continued)
The pprogramrogram is administered by the CentersCenters for
Disease Control and Prevention (CDC) within
the National Breasteast and Cervical Cancer
Early Detection Program (NBCCEDP).
The NBCCEDP funds all 50 states, the District
of Columbia,,, 5 U.S. territories, and 12
American Indian/Alaska Native tribes to
ppgrovide breast and cervical cancer screening.Disclaimer
The ffollowingollowing policy isis notnot intended toto bebe aa setset of
clinical guidelines for the general United
States or WeWesst t VVirginia population. RatherRather, itit
provides programmatic and reimbursement
guidance.Screening Eligibilityƒ
ƒ
ƒ
ƒ
¾
Screening Eligibility
Woomen 2525 to 64 years ofof ageage
Income at or below 200% of the Federal
Poverty Level
Proof of income is not required
Uninsured or Underinsured*
Not a participant in a program that provides
these services (e.g. Family Planning)
*Underinsured defined on next slideƒ
ƒ
“Underinsured” Defined
Medical insurance:
Does not cover WVBCCSP services
or
Has an unmet deductible or a required
co-payment for services covered by
WVBCCSPƒ
ƒ
ƒ
Patients WWi ithth Insurance
WVBCCSP ffundsunds are ttoo bbe e uusedsed aas s a last
resort for payment
Any eeligibleligible Medicaid clientclient, Medicare PartPart B
client, or HMO enrollee is not eligible to be
enrolled asas a WVBCCSP participantparticipant