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BCCP Frequently Asked Questions

Program Eligibility and Enrollment 

Provider Contracting and Enrollment Allotments

BCCP Enrollment and Data Submission Materials 

Clinical Procedures and Coverage Protocols 

Program Eligibility and Enrollment

How do I find out if a client is eligible for the Breast and Cervical Cancer Program (BCCP)?

To determine client eligibility, use the BCCP eligibility checklist by visiting www.healthoregon.org/bcc.

Who are the priority populations for the BCCP?

According to funding guidelines, the BCCP must serve:

  • A minimum of 20 percent of all clients who are "rarely or never screened."
  • These clients have not received breast or cervical cancer screening within the past five years. 
  • Due to the prevalence of breast cancer in older women, 75 percent of all breast screenings must be to women ages 50-64.

How can I find a current list of participating providers?

  • There is a provider list posted on the BCCP Web site.
  • The list is updated monthly and you can access it by clicking Provider Resources and then scrolling through items to find and click on "list."
Provider Contracting and Enrollment Allotments

What is a  Medical Services Agreement?

  •  The Medical Services Agreement (MSA) is a  streamlined contract that is only eight pages long and does not have an expiration date.
  • The MSA adheres providers to the program Oregon Administrative Rules (OARs) that define program policy and protocols regarding client care and payment for services. Also, the MSA requires providers to use the new BCCP Web Data System to report data and submit claims.
  • The BCCP is unable to reimburse providers that do not have an executed MSA.

What does the provider limit/allotment number mean? Why is there a need to limit enrollment into the Breast and Cervical Cancer Program (BCCP)?

  • While it is estimated that there are over 40,000 women who are eligible for BCCP services in Oregon, the program only has funding to support screening for approximately 7,000 each year.
  • In order for the BCCP to stay within budget, each BCCP provider has an enrollment allotment. The allotment number is the number of clients that can be enrolled at any one site during a BCCP fiscal year.
  • Regardless of the services a client may receive, from screening to a full diagnostic work-up, each client counts as one enrollment per year. The clients can be new clients or clients that are returning from last year.
  • The BCCP fiscal year is July 1 through June 30.
  • The BCCP cannot guarantee reimbursement for enrollments beyond the assigned number. It is very important for providers to stay within the allotted enrollment number.

I am a BCCP contracted provider, but have reached my screening allotment limit. What should I do when eligible clients call to schedule appointments?

  • If the client presents with symptoms that are suspicious for cervical or breast cancer, then you may enroll the client even if it goes over your allotment number. The provider must call or e-mail BCCP for prior approval before enrollment at 971-673-0581 or BCCP.Info@state.or.us. American Cancer Society Making Strides
  • If the client is not symptomatic, you can refer them to the BCCP referral line
    (1-877-255-7070) to see if they can be scheduled for a screening through another provider who may still have enrollment slots left. Or, you can recommend that the client wait to return during the next fiscal year.

Please also contact the BCCP to be removed from the referral list.

I am a clinical provider and I want to get contracted with the BCCP. What should I do?

  • If you are an existing provider and have yet to renew your contract using the new Medical Services Agreement (MSA), please e-mail BCCP.Info@state.or.us.
  • If you are not an existing provider, you can e-mail BCCP.Info@state.or.us to let us know that you are interested in contracting. Unfortunately, due to funding limitations, we will not be able to expand our provider network until possibly Summer 2009.

I have a patient coming in today, but I still don't have my username and password because my agency's Medical Services Agreement (MSA) is still not signed. Can I enroll patients using the old paper forms with the 77 number?

  • No, you cannot enroll the client using the old paper forms. All clients enrolled on or after October 27, 2008, must be enrolled using the new Web Data System.
  • If the client is symptomatic, please call the BCCP main administrative line at 971-673-0581.
BCCP Enrollment and Data Submission Materials

As a clinical provider, how do I get more enrollment and data forms?

  • If you have a signed MSA with the BCCP you can go to the BCCP Web site to download the forms. The data forms are for your internal purposes only. You should not send enrollment or data forms into the BCCP administrative offices.
  • All data that you provide to the BCCP must be submitted through the Web Data System. The BCCP Web site is available at www.healthoregon.org/bcc and contains more information about the Web Data System, including online training.
  • Please keep in mind that reimbursement cannot be guaranteed for services provided to clients enrolled beyond your allotted screening number.

Do we still use the vouchers now that the new data system is running?

  • Yes, the vouchers are now available through the BCCP Web Data System.
  • Once the client is enrolled in the program you can print out a voucher with the client's BCCP ID number on it and fax it to an ancillary provider and/or give it to the client to take with her to her appointment. 
Clinical Procedures and Coverage Protocols

Do women have to wait one full year (12 full months) after their last annual exam and mammogram before they can come back for their annual exam or can it be earlier?

The annual exam must be at least 12 full months after the last annual exam. This is not true for follow-ups for suspicious findings.

What services and data are required for an office visit to be covered under the BCCP?

In order for an office visit to be covered by the BCCP, the client must be eligible for the program and have at least one of the following procedures performed: clinical breast exam (CBE), Pap smear, or pelvic exam.

If a patient had her Pap six months ago and now it is time for her annual breast exam and mammogram, can we schedule her an appointment for the CBE and mammogram?

  • If the patient has not had abnormal findings and is NOT returning for follow-up, the patient should be scheduled for the Pelvic, Pap, CBE all at the same time on the same day. In this example, schedule the woman for her Pap/pelvic and CBE six months out when her next Pap is due.
  • The BCCP will pay for one annual screening office visit per year for women without abnormal findings.
  • In cases where a woman shows for her annual exam and is on her menstrual cycle, do not perform the CBE at that time unless she is symptomatic. Reschedule her so all annual visit procedures are performed on the same day. If a patient just doesn't want to have a CBE or a Pap on the day of her visit, inform her that she will not be eligible for the BCCP to pay for the Pap or CBE for a full year.
  • The screening mammogram should be scheduled no more than 60 days out from the date of the CBE.
  • By following these guidelines, we will be able to screen more women vs. paying for two or more office visits per annum for one patient.

According to the BCCP protocol, what is usually recommended after an abnormal clinical breast exam (CBE)?

  • Regardless of the CBE result, a mammogram should also be performed as a part of the screening protocol. If the mammogram is benign after an abnormal CBE, then the client can go back to routine screening, except in one case.
  • If the CBE is abnormal because of a discrete palpable mass that is suspicious for cancer, then two diagnostic procedures must be performed to rule out the possibility of breast cancer.

I have a patient who needs to be put on OHP. She had an abnormal Pap and needs further testing for cancer.  Does BCCP cover that? 

  • If you have a patient who has had an abnormal Pap that requires a colposcopy, please refer the client to a colposcopist that is contracted with the BCCP using the BCCP voucher. The BCCP will pay for the colposcopy if the client is eligible and enrolled in the BCCP. To find providers that are contracted in your area, go to the BCCP Web site, www.healthoregon.org/bcc.
  • If the colposcopy is unsatisfactory, i.e., unable to rule out the possibility of CIN II or worse, the BCCP will pay for a diagnostic LEEP or a diagnostic  CKC. The BCCP does NOT pay for LEEP or CKC for the purposes of treatment.
  • Please call the BCCP office for the required pre-authorization for the diagnostic LEEP or CKC.
  • If the client is diagnosed with CIN II or worse, she will then be given an application for the BCC Medical Treatment program. Please call the BCCP office immediately upon diagnosis at 971-673-0581.

I have a patient that was diagnosed with cancer. Can you pay for her treatment?

  • If a patient was enrolled and screened in the BCCP she may be eligible to enroll in OHP for treatment coverage.
  • Unfortunately, if she was not enrolled and screened through the BCCP we are unable to assist her in receiving treatment services. Hospital charity care programs and foundations can be a resource in finding treatment services.