Download WWHCP & the BCCTP Expansion presentation

Well Woman Healthcheck
& the BCCTP Expansion
Provider Training
August 9, 2012
Selena Llamas, WWHCP Specialist
[email protected]
¡Vida! Educational Series
Educational Objectives
• How the new law benefits
uninsured women diagnosed
with breast or cervical
cancer.
• Who can apply for treatment?
• How to apply for treatment?
What is Well Woman Healthcheck?
•
•
Established in 1993
WWHP is the local name for the
National Breast and Cervical
Cancer Early Detection Program
• Since 1995:
• over 73,595 mammograms
• 40,563 pap tests
Well Woman Healthcheck Program
• Goal is to provide low-income,
uninsured and underserved
women access to timely, high
quality screening and diagnostic
services to detect breast and
cervical cancers at the earliest
stage
Target Population
• Women 40 yr old & older
• Women younger than 40 if symptomatic:
- family history of breast cancer
(breast pain is not considered a
symptom)
• Uninsured or underinsured
• Not AHCCCS eligible
• Between 0% - 250% federal poverty level
WWHP Services
Clinical Breast Exam (CBE)
Screening & diagnostic mammogram
Pap test
Pelvic exam
Colposcopy
Biopsy
HPV testing
Case management
History of WWHP?
BCCTP is
established
AZ screened its
1st Woman
Komen Grant $$
Congress passes
Public Law
101-354
1993
1990
2000
1995
WWHP is
established in AZ
2003
2002
Treatment Act
passed by
Congress
AZ Legislature
approves funding
for WWHP
2006
2005
Pink Ribbon
License Plate &
Tobacco Tax $$
The WWHP in Arizona
(county contractors)
Pima County Provider Sites
I-10
St. Elizabeth’s Clinic
140 W. Speedway
Grant Rd.
Providers Direct
Speedway
2122 N. Craycroft Rd,
Ste 102
I-19
Golf Links
El Rio SE Clinic
Irvington Rd.
N
W
El Pueblo/ El Rio
101 W. Irvington
I-19
Kolb Rd
Theresa Lee
Clinic
332 S. Freeway
Craycroft
Congress
E
I-10
S
ATTENTION!!!
• WWHP: cervical cancer screening to women
(<40 yo non- childbearing)
• Woman with a mammogram outside of the
WWHP, requiring diagnostic procedures, MAY
qualify for WWHP. Prior reports reviewed by a
Well Woman site provider
• Women already diagnosed with breast or
cervical cancer CAN NOT be enrolled
• Women currently undergoing breast or
cervical cancer treatment are NOT eligible
•
How does a woman become a
Well Woman patient?
Call (520) 628-3591
She will:
• Know if she qualifies for the
WWHP
• Receive an appointment
• Or be directed to a WWHCP
satellite office near her
Arizona’s Breast & Cervical
Cancer Treatment Program
What is BCCTP?
BCCTP = Breast & Cervical Cancer
Treatment Program
A comprehensive breast & cervical
cancer treatment provided by the
Arizona Health Care Cost
Containment System (AHCCCS)
The BCCTP of the Past
CDC National Breast &
Cervical Cancer Early
Detection Program
Provides:
• Access to breast & cervical
cancer screening services to
underserved women in all 50
states
• WWHCP: AZ contractor to provide
these screening services
• 2002: BCCTP has provided treatment
ONLY to AHCCCS eligible women
screened & diagnosed through the
WWHCP
• If an uninsured or underinsured woman
was diagnosed outside of the WWHP,
she was ineligible for the BCCTP
BCCTP Expansion - AZ
On or after August 2, 2012
Uninsured women diagnosed (breast or cervical
cancer)
May be able to receive comprehensive treatment
through the Breast and Cervical Cancer Treatment
Program (BCCTP) provided by AHCCCS
BCCTP, AHCCCS coverage for women who are
found to have breast or cervical
cancer, regardless of where they
were screened. Change in Arizona
law (ARS 36.2901.05)
BCCTP Eligibility Requirements
•
•
•
•
•
•
•
Be diagnosed as having breast cancer, cervical cancer, or pre-cancerous cervical lesions
Be under age 65
Provide a verifiable Social Security Number
Be a resident of Arizona
Be a U.S. Citizen or a non-citizen qualified to receive Medicaid
Meet the financial eligibility requirements for the WWHP
Be uninsured or have insurance that does not cover the treatment of breast and/or
cervical cancer
•
•
•
You must not be eligible for AHCCCS Health Insurance under any other Medicaid
group
•
•
You may also qualify if you are insured but your insurance excludes cancer treatment as a
pre-existing condition, OR
You have exhausted the lifetime limit for all benefits under your insurance plan including
breast or cervical cancer treatment
If you are eligible for AHCCCS Health Insurance under another group, you must be
approved under that program.
If you do not meet the eligibility requirements for the BCCTP, please visit the Other Cancer
Treatment Programs page for other treatment resources and services that you may qualify for.
http://azdhs.gov/hsd/healthcheck/wellwoman/bcctp/index.htm
BCCTP Application Process:
• Step 1. The uninsured woman diagnosed with breast or cervical
cancer will work with her healthcare provider to compile a
completed application packet. (The list of documents required in
a packet is on page 3.)
• Step 2. The woman will submit the completed application
packet to the WWHP via fax, mail, or in-person. (Submission
information is on page 4.)
Please Note: Complete application packets are required.
Incomplete pack-ets will not be submitted to the BCCTP.
Submitting incomplete packets causes time delays and lengthens
the time between diagnosis and treatment initiation. Prompt
treatment initiation supports the best out-come for women.
BCCTP Application Process:
• Step 3. The WWHP reviews the BCCTP application
packet for eligibility and completeness. The WWHP
maintains a 24-hour turn-around time for completed
BCCTP applications. If the application is complete, the
WWHP promptly faxes it to the BCCTP unit at AHCCCS
for processing.
• Step 4. Once AHCCCS receives the completed
application, the processing time is 7 days. Please
contact AHCCCS at (602) 417-5061 if you have
questions or concerns about the processing time for an
application.
• Step 5. Once BCCTP eligibility is approved, the woman
receives treatment through the BCCTP, managed by
AHCCCS, Arizona’s Medicaid Program.
Provider’s Role in BCCTP:
• Become informed of the BCCTP expansion to improve
your patient care and survivor rate. (review BCCTP
provider packet)
• Download the 2-page BCCTP Referral Form at:
http://azdhs.gov/hsd/healthcheck/wellwoman/bcctp/index.htm
• Complete page 1 of the BCCTP referral form
• Give your patient a copy of the Laboratory Pathology
Report indicating a diagnosis of:
- Invasive Cervical Cancer, CIN 2, CIN3,
- Breast Cancer, DCIS, Infiltrating, Invasive
What is the Patient
Responsible for?
• Step 1. Pick up an application packet from their health care
provider or print one online at
www.wellwomanhealthcheck.org/bcctp
• Step 2. complete the application packet.
• Step 3. Fax or mail in your completed application packet to the
Well Woman Healthcheck Program
Fax*: (602) 542-7520 OR
Mail/In-Person:
150 N. 18th Ave. Suite 300
Phoenix, AZ 85007
•
*Faxing the application will allow for faster processing.
BCCTP Publications
• BCCTP Provider Packet
• BCCTP Applicant Brochure
English | Español
• BCCTP Applicant Brochure (print
versions) English | Español
Available at: http://azdhs.gov/hsd/healthcheck/wellwoman/bcctp/index.htm
The Benefits of WWHP
• Your uninsured or underinsured patients receive
FREE Breast & Cervical Cancer screening and
diagnostic services.
• You have access to reports
• WWHP has a tracking system to insure the timely
follow-up of required procedures
• Patient diagnosed with breast or cervical cancer, the
WWHP Case Manager will assist with the BCCTP
• If ineligible for AHCCCS (immigration issues) WWHP
has access Komen grants.
Future WWHP
Questions:
Program Coordinator
Victoria Altamirano at
(520) 628-3591
[email protected]
WWHP Staff:
Lilly Thorndal
Selena Llamas
Case Manager
Program Specialist
[email protected]
Clementina Daniel Social Services Aide
WWHP Brochures
Available
Thank You
for coming!
Have a great day.