Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
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.