1 / 27

A federal, state and local partnership for women in Texas ~ October 2007 ~ Evelyn Delgado

Breast & Cervical Cancer State Programs. A federal, state and local partnership for women in Texas ~ October 2007 ~ Evelyn Delgado Assistant Commissioner Division of Family & Community Health Services. Breast & Cervical Cancer Programs. Early Detection Early Treatment.

elkan
Download Presentation

A federal, state and local partnership for women in Texas ~ October 2007 ~ Evelyn Delgado

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breast & Cervical Cancer State Programs • A federal, state and local partnership for women in Texas • ~ October 2007 ~ • Evelyn Delgado • Assistant Commissioner • Division of Family & Community Health Services

  2. Breast & Cervical Cancer Programs • Early Detection • Early Treatment

  3. Breast Cancer in Texas and Harris County Texas N=59,774 Harris Co. N=9,340 Source: Texas Cancer Registry

  4. Cervical Cancer in Texas and Harris County Texas N=5,408 Harris Co. N=911 Source: Texas Cancer Registry

  5. Mortality Rates in Texas Breast N=12,465 Cervical N=1,756 Source: Texas Cancer Registry

  6. Ana Sierra - Austin, TX 2007

  7. Early Detection: Breast & Cervical Cancer Services • Title XV Federal funding - $6.4 million/year for the screening of the target population (uninsured women most at risk) • State - DSHS responsibilities • Provide statewide coverage • Data Management & Surveillance • Professional Education • Quality Assurance

  8. Early Detection: Breast & Cervical Cancer Services • BCCS focuses on high priority populations • Breast (50+) • Cervical (18-64) • Any woman with an abnormal screening

  9. Early Detection: Breast & Cervical Cancer Services • Local Community Responsibilities • Screening & Education • Case Management of women with abnormal findings • Outreach • Partnerships

  10. Treatment: EnactingLegislation U.S. Congress - 2000  Texas Legislature - 2001

  11. Treatment: Medicaid for Breast & Cervical Cancer (2002 - 2007) • Medicaid coverage for women diagnosed by Texas BCCS with Title XV funds and who need treatment of breast or cervical cancer • DSHS confirms diagnoses and BCCS enrollment • HHSC processes Medicaid enrollment and re-certification

  12. Medicaid for Breast & Cervical Cancer Texas (2002 – 2007)

  13. Medicaid for Breast & Cervical Cancer Today • 80th Texas Legislature authorized the broadest expansion allowable under federal guidance • Additional state funds for treatment and diagnosis • $14.9 million - Medicaid • $5.2 million - BCCS • BCCS contractors are the primary contacts for assisting women and providers • BCCS contractors coordinate with local providers and HHSC/Medicaid

  14. BCCS Expansion • Current BCCS contractors with capacity will offer services in new clinics • DSHS will release a new request for proposals targeting those counties that are not currently served or underserved. • Will be released by early November. • New contracts will begin January 1, 2008

  15. Medicaid for Breast & Cervical CancerToday Eligibility: • Uninsured, no creditable insurance coverage • U.S. citizen or qualified immigrant • Income eligible (200% FPL) • A qualifying diagnosis • Under 65 • Texas Resident

  16. Medicaid for Breast & Cervical CancerToday • Enrolled for full Medicaid coverage • 6 month recertification as long as there is a continued need for treatment

  17. MBCC Breast Qualifying DiagnosesToday A qualifying pre-cancerous breast diagnosis* is biopsy confirmed: ◄Ductal carcinoma in situ (DCIS) Qualifying breast cancer diagnoses must be biopsy-confirmed. 1. Ductal Carcinomas: ◄Invasive ◄Comedo ◄Inflammatory ◄Medullary ◄Mucinous (colloid) ◄Papillary or Micropapillary ◄Scirrhous ◄Tubular ◄Cribiform 2. Lobular Carcinoma: ◄Invasive 3. Nipple Carcinoma: ◄Paget’s disease 4. Other Carcinomas (For the full list visit: ww.dshs.state.tx.us/chscontracts/pdf/MBCCQualifyingDx91807.pdf)

  18. MBCC Cervical Qualifying DiagnosesToday Qualifying pre-cancerous cervical diagnoses are biopsy-confirmed: ◄CIN III ◄Severe dysplasia ◄Carcinoma or adenocarcinoma in situ Qualifying malignancies of the cervix are biopsy-confirmed: ◄Squamous cell carcinoma ◄Adenocarcinoma ◄Invasive endocervical adenocarcinoma ◄Small cell carcinoma ◄Invasive cervical cancer ◄Invasive neoplasm ◄Malignant neoplasia ◄Melanoma ◄Sarcoma ◄Glassy cell ◄Adenoid cystic ◄Adenosquamous carcinoma

  19. MBCC Today, BCCS Enrolled

  20. MBCC Today, Referral

  21. Case Management for Treatment • BCCS conducts an assessment of medical, educational and essential support needs

  22. Enrollment in Medicaid for Breast & Cervical Cancer • 2003 : 497 women • 2007: 678 women • 2008* Projected ~1,800 • 2009* Projected ~3,000

  23. A Federal, State, and Local Partnership

  24. Challenges • Some women will not qualify but need still need treatment: • Non-qualifying diagnosis • Immigration status • Education and Outreach on new policies • Covering both cervical cancer and breast cancer

  25. How can you help? • Know your local BCCS provider • Talk to your provider • Identify ways to help those that need support • Let us know what works; what doesn’t • Call us if you have questions

  26. For More Information • To find a BCCS clinic call 211 or visit the BCCS website: www.dshs.state.tx.us/bcccs • Email David Hagerla david.hagerla@dshs.state.tx.us • Call DSHS (512) 458-7796

More Related