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WBCHP Services

  WBCHP Service Locations

  What is a WBCHP Clinical Screening Site?

  WBCHP Women's Health Exam

  WBCHP Mammography Referral Process

  WBCHP Client Eligibility

  Federal Poverty Level Guidelines


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.

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WBCHP Women's Health Exam

WBCHP pays for regular screenings.  This includes a breast examination and a mammogram, and a pelvic exam and Pap test, as indicated.

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Mammography Referral Process

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.

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WBCHP Client Eligibility

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.

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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.

Family Size Monthly Income Annual Income

1

$2,127

$25,525

2 $2,852 $34,225
3 $3,577 $42,925
4 $4,302 $51,625
5 $5,027 $60,325
6 $5,752 $69,025
7 $6,477 $77,725
8 $7,202 $86,425

For family size greater than 8, add $725 per month or $8,700 per year, for each additional family member.

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Washington Breast and Cervical Health Program
Washington State Department of Health
111 Israel Rd, Town Center 2, 3rd Floor
Tumwater, Washington, 98501

Last Update : 03/13/2008 11:30 AM
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