REVISED 11/01/09 – CHANGE N0. 14-09
The federal Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) of 2000 amended Title XIX of the Social Security Act to give States enhanced matching funds to provide Medicaid eligibility to a new group of individuals previously ineligible under any Medicaid program.
The North Carolina General Assembly approved funding for this option in Senate Bill 1005.
In North Carolina the program is known as Breast and Cervical Cancer Medicaid (BCCM). This coverage group is authorized in the MAF aid program/category with the classification code as "W." The woman receives a gray Medicaid card giving her access to covered services provided under the Medicaid program.
The Breast and Cervical Cancer Control Program (BCCCP) is a screening service for the early detection of breast and cervical cancer. The local health departments, some community health centers, or other designated medical facilities are screening providers for the BCCCP. These providers complete the application for women that have been enrolled, screened and determined to need treatment for breast or cervical cancer. The BCCCP screening providers fax and mail the application to the local Department of Social Services.
Title XV (Public Law 101-354) precludes men from being eligible to receive screening and/or diagnostic services through BCCCP. Therefore, men may not be considered screened under BCCCP and are ineligible for Medicaid coverage for breast cancer.
Below are the guidelines the women have to meet to be enrolled and screened for breast or cervical cancer by the local screening providers under the BCCCP.
These are not the eligibility requirements for BCCM.
REISSUED 06/01/13 – CHANGE NO. 04-09
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.