Well Woman Healthcheck & the BCCTP Expansion

1. Well Woman Healthcheck& the BCCTP Expansion Provider Training August 9, 2012 Selena Llamas, WWHCP Specialist Selena.Llamas@pima.gov ¡Vida! Educational Series

2. 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?

3. 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

4. Well Woman Healthcheck Program • Goalis 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

5. 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

6. WWHP Services Clinical Breast Exam (CBE) Screening & diagnostic mammogram Pap test Pelvic exam Colposcopy Biopsy HPV testing Case management

7. History of WWHP? BCCTP is established AZ screened its 1st Woman Komen Grant $$ Congress passes Public Law 101-354 1993 2000 2003 2006 1990 1995 2002 2005 WWHP is established in AZ Treatment Act passed by Congress AZ Legislature approves funding for WWHP Pink Ribbon License Plate & Tobacco Tax $$

8. The WWHP in Arizona(county contractors)

9. Pima County Provider Sites I-10 St. Elizabeth’s Clinic 140 W. Speedway Grant Rd. Providers Direct 2122 N. Craycroft Rd, Ste 102 Speedway Congress Theresa Lee Clinic 332 S. Freeway Kolb Rd El Rio SE Clinic Craycroft I-19 Golf Links Irvington Rd. N W E El Pueblo/ El Rio 101 W. Irvington I-10 S I-19

10. 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

11. 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

12. Arizona’s Breast & Cervical Cancer Treatment Program

13. 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)

14. 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

15. 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

16. 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)

17. 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 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 • You must not be eligible for AHCCCS Health Insurance under any other Medicaid group • 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

18. 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.

19. 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.

20. 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

21. 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.

22. 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

23. 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.

24. Future WWHP Questions: Program Coordinator Victoria Altamirano at (520) 628-3591 victoria.altamirano@pima.gov WWHP Staff: Lilly ThorndalCase Manager Selena Llamas Program Specialist Selena.llamas@pima.gov Clementina Daniel Social Services Aide WWHP Brochures Available

25. Thank You for coming!Have a great day.