[PDF] Colorado Medicaids Breast and Cervical Cancer Program (BCCP)

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Colorado Medicaid's Breast and Cervical Cancer Program (BCCP)

Enrollment process for clients diagnosed outside of WWC Clients diagnosed for breast or cervical cancer may be eligible for treatment through the Breast and Cervical Cancer

P

rogram (BCCP). The following outlines the enrollment steps for clients diagnosed outside of the Women's Wellness

Connection. Clients diagnosed on or after December 1, 2013 may be eligible to enroll. If y ou are he lping a client e nroll, please use this as a guide.

For any

q uestions re garding t his p rocess, please call Courtney Sedon at 303-866-27Ϯϭ. c.Citizenship or immigration status d.Health insuranceϭ͘Confirm eligibility for BCCP The criteria that remain the same include the following:

Ă͘Age

Ϯ͘Determine whether the diagnosis

is e ligible f or BCCP. The lis t of diagnoses is t he same fo r A LL BC CP c lients r egardless o f where they ar e d iagnosed. If pathology report indicates diagnosis that is not on the list of eligible diagnoses, please call Courtney Sedon at

303-866-27

before d eciding not t o proceed.

ϯ͘Obtain signed Attestation the diagnosing providerThis attestation must be signed by the diagnosing provider.

If providers have any questions about the form, either the provider or WWC site can contact Courtney Sedon at

303-866-27

ϰ͘Obtain Presumptive Eligibility (PE) number C

all the Presumptive Eligibility Hotline at 303-239-4357, option 1-1 or option 1-3 to enroll the client.

PE H otline w ill pr ovide a S tate M edicai d Identification number for the client (Example: A123456)

ϱ͘Enroll in BCCP Medicaid

ϭ͘Work with the client to complete the full Medicaid application. If you don't already have hard copies, it can

be f ound h ere: http Ϯ͘Fax the following documents to Courtney Sedon at (303) 866-2573 Ă͘The signature page of the full application (the last page)

Đ͘Attestation

Ğ͘Pathology Report

Ĩ͘Submit the completed, full Medicaid application to the County

Department

of

Human/Social Services

where th e client resides.

ŝ͘If you submit via fax, please use the included fax cover sheet to notify the County office that this

is a BCCP application.

ϯ͘Retain copies of documents.

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