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What is a WBCHP Clinical Screening Site? A WBCHP clinical screening site is a healthcare agency or provider's office that has agreed to provide early screening and detection services to a population identified by the Washington Breast and Cervical Health Program. The healthcare agency or provider's office has contracted with the local WBCHP Prime Contractor to provide these services for a fee that is reimbursed by the WBCHP Prime Contractor using Medicare Guidelines. WBCHP pays for regular screenings. This includes a breast examination and a mammogram, and a pelvic exam and Pap test, as indicated. Women enrolled in the WBCHP must receive mammography service by mammography facilities that have WBCHP vendor agreements in their communities. To make a referral, the clinic will call the participating mammography facility. It is recommended that the clinic ask the facility to make note in the appointment book that the appointment is for a WBCHP client. The clinic will complete the appropriate sections of the "Radiology-Breast Evaluation Reporting and Reimbursement Form" according to the clinic instructions, attach its usual referral form, and give it to the client to take to the mammography facility. The "Radiology-Breast Evaluation Reporting and Reimbursement Form" will serve as her referral to receive the mammogram. Women ages 40-64 whose household income is at or below 250 percent of the Federal Poverty Level (FPL) Guidelines are eligible for free breast and cervical cancer screening and diagnostic services. Eligible Third-party Coverage Age- and income-eligible women having insurance that covers the procedures either in part, or having not met their deductibles may get their screening and diagnostic services through this program. Ineligible Third-party Coverage Medicaid and Medicare Part B covers the same screening and diagnostic services as WBCHP. Women with Medicaid as their primary health coverage are not eligible for WBCHP. A woman's Medicaid coverage for her dependents has no bearing on her WBCHP eligibility. Women without Medicare Part B may be eligible for the program. Federal Poverty Level Guidelines Effective July 1, 2007 through June 30, 2008. Household income must be at or below 250% of the Federal Poverty Level Guidelines, as listed below.
For family size greater than 8, add $725 per month or $8,700 per year, for each additional family member.
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DOH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information Washington
Breast and Cervical Health Program Last
Update :
03/13/2008 11:30 AM
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