General Information

Target Population

• Uninsured, underinsured, medically underserved and minority women
• Women who have never been screened for breast or cervical cancer
  • Women 50 years of age and older for mammography screenings
  • Women 40 years of age and older for cervical cancer screenings

Eligibility Criteria

To qualify for MS-BCCP, a woman must meet all of the following guidelines:

• Income: Household income at or below 250% of Federal Poverty Level. View income table
• Insurance status: Uninsured, underinsured, or without third-party payers such as Medicaid or Medicare Part B
• Resident: State of Mississippi for at least 12 consecutive months
• Enrollment Age: 21-64 years old
  • For cervical cancer screening: Age 40 to 64
  • For breast cancer screening: Age 50 to 64
    For women aged 40-49 years old, breast screening is offered ONLY when special funds are available. Providers must call BCCP for prior approval.
  • For breast or cervical diagnostic services: Age 21 to 64
• Enrolled by: A contracted BCCP Provider

Services

• Screening and/or diagnostic mammograms annually for women 50 years of age and older
• Ultrasound. Fine needle aspiration of the breast and breast biopsy, if indicated
• Colposcopy and biopsy, if indicated
• Follow-up and referral for abnormal Pap exams and/or Mammograms
• Educational programs for professional and the public

Policies

Screening Policy

• Medicare-Eligible Women
  BCCP will not provide additional screening services (Pap exam, pelvic exam, or clinical breast exam). All Medicare eligible women should be referred for appropriate screening/rescreening. BCCP will not provide additional screening services (Pap exam, pelvic exam, or clinical breast exam).
• Women 50-64 years of age
  A minimum of 75% of all program-eligible women who are provided a mammogram by the BCCP must be 50 to 64 years of age.
• Women under 50
  Must not exceed 25% of all program-eligible women who are provided a mammogram by the BCCP.

Medicare Coverage

• Mammography
  Annual coverage for a screening mammogram for women 65 years of age and older.
• Pap Exam/Pelvic Exam
  Covered every 3 years, unless a women is at high risk for cervical cancer. If at high risk, coverage is provided annually.
• Clinical Breast Exam
  Specifically included as part of the office visit for a Pap exam/pelvic exam. Therefore, coverage would be provided every 3 years, unless a women is at high risk.

Women can be referred to Medicaid who:

• Have been screened for breast and cervical cancer under the Centers for Disease Control and Prevention, Breast and Cervical Cancer Early Detection Program
• Need treatment for breast or cervical cancer.
• Are not yet 65
• Must be a resident of the state of Mississippi
• Are not otherwise covered by creditable coverage as defined in the Public Health Services Act PL 106-354

For more information about the program, please call 1-800-721-7222.