Breast, Cervical & Colon Health (BCCHP) For Health Care Providers

We contract with numerous providers throughout a nine county region in Eastern Washington to provide medical services to the clients we serve. This includes clinics, labs, radiology, pharmacies, specialists and hospitals. We welcome those providers not contracted with the program to either refer clients to us for services, or contact us if interested in working with BCCHP.

Summary Overview

BCCHP provides screening and diagnostic services to eligible clients by enrolling eligible clients, authorizing and paying for eligible services provided by our providers.  The program also assists clients by providing navigation to help insure timely follow-up, assistance with barriers to screening, and access to treatment if diagnosed with cancer.


News

  • Income guidelines effective 1/19/18.  Click here for Income Eligibility Tables
  • Clients accepted for colonoscopies: Patients with positive stool sample test results can now be referred to BCCHP for colonoscopies.
  • New forms are here. Make sure to download forms from the website to insure you are using the correct ones.
  • MRIs are now covered in certain situations.  Please call for more information.

Please contact us if you have training questions or training needs

Community Health Worker Training

CHW is a title used to encompass a variety of roles for individuals within medical settings and in the community. Primarily, these individuals are trusted members of the community who have a unique understanding of the people they work with and can help them overcome barriers to important aspects of health, such as understanding and accessing information and medical care.   

CHWs are trained through a FREE eight-week course that combines in-person and online instruction to provide the basic skills needed by all CHWs. Once completed, graduates then have FREE access to additional health-specific, web-based trainings that can be tailored to their needs and specific work.    The next training starts April 12, 2017 in Spokane. For more information and to register for one of the quarterly trainings held in eastern Washington, click here or call (509) 324-3613.


Program Information

  • Program Services
    • Medical – Services that screen for and diagnose breast, cervical and colon cancers. This includes initial screening services, and diagnostics if needed.
    • Assistance for barriers – Interpreters and transportation
    • Access to treatment – Clients diagnosed with breast or cervical cancer are transitioned onto Washington Apple Health for treatment coverage. Clients diagnosed with colon cancer are assisted with referrals for treatment assistance.
  • Eligibility Guide (pdf)
  • Income Eligibility Tables (pdf)
  • Clinical Services (general process, screening and diagnostic services, algorithms)
  • Billing
    • The BCCHP is not insurance, therefore payment for services is directly connected to timely and complete forms and reports.
    • Fee Schedule (pdf)

Clinical Services

General Process:

  • Ensure BCCHP enrollment (through enrollment process or receive authorization number from referring provider).
  • Perform authorized services (document if client agrees to pay for any non-covered services).
  • Complete appropriate form(s) and submit to BCCHP along with any relevant report(s) within 10 days.
  • Refer only to contracted providers for any follow-up services, according to program algorithms/guidelines
  • Pass on authorization number
  • Inform BCCHP of any cancer/pre-cancer diagnosis.

Screening and Diagnostic Services:

Breast Cancer

  • BCCHP Breast Care Algorithm (pdf)
  • Services include clinical breast exam and mammogram. If needed, follow-up diagnostics (i.e., diagnostic mammogram, ultrasound, biopsy, MRI with approval) and specialist consult may be covered.
  • Transition to Medicaid or referral assistance for treatment.

Cervical Cancer

  • BCCHP Cervical Screening Algorithm (pdf)
  • BCCHP Cervical Care Algorithm (pdf)
  • The BCCHP is following the new Cervical Cancer Screening Guidelines for women over 40:
    • Pap every 3 years (if previous pap negative and HPV not done)
    • Pap every 5 years (if previous pap negative and previous HPV negative)
  • Services include vaginal exam with pap test. If needed, follow-up diagnostics (i.e., colposcopy) and specialist consult may be covered.
  • Referral assistance for treatment.

Colon Cancer

  • BCCHP Colon Care Algorithm (pdf)
  • The BCCHP is not able to offer colon screening to
    • Individuals currently experiencing colon symptoms
    • Individuals with G.I. conditions
  • Services include office visit and take-home stool sample test (FOBT or FIT). If positive, contact BCCHP to arrange a colonoscopy. Some individuals with a personal or family history of colon cancer or polyp removal may be eligible to go straight to a colonoscopy.
  • Referral assistance for treatment.

Forms

All forms are listed according to appointment type. They can be downloaded, completed electronically and printed. Please submit to BCCHP by either fax or mail.  

**NOTICE: If your clinic or provider is not currently contracted for BCCHP services, have the clinic manager call (509) 324-1520 to set up the contracting process. Forms received from non-BCCHP contracted facilities, providers, persons or other organizations will not be processed.

Community Health Worker

For information on becoming a community health worker, locating a worker or networking with one.

Click Here