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Breast and Cervical Cancer Treatment Program (BCCTP)

About BCCTP

The Breast and Cervical Cancer Treatment Program (BCCTP) provides Medicaid coverage to eligible individuals in need of cancer treatment.

Individuals who qualify do not need to be enrolled in ScreenWise in order to access BCCTP. Any provider who determines an individual to need treatment for breast or cervical cancer, including pre-cancerous conditions, may screen for presumptive eligibility of BCCTP and submit the application to Oregon Health Plan for processing.

Individuals may be eligible for BCCTP at the full OHP Plus level if they meet the requirements of the program, and are either a citizen or meet noncitizen status requirements. Learn more about what benefits are covered under OHP Plus.

Individuals may be eligible for BCCTP at the Citizenship Waived Medical (CWM) level, also known as emergency medical, if they meet all other criteria for the BCCTP program except for immigration status requirements. Learn more about what benefits are covered under CWM.

BCCTP News

  • As of January 1, 2022, the Oregon Health Authority (OHA) expanded the Citizenship Waived Medical (CWM) benefit package to include cancer treatment as an emergency service. This change allows CWM members in need of full breast or cervical cancer treatment access to care through OHP (Oregon Health Plan). Learn more about the CWM benefit package.

  • As of July 1, 2022, more adults are now eligible for full Oregon Health Plan (OHP) benefits and other services and supports, regardless of their immigration status. The program is known as “Healthier Oregon." What this means is that individuals in age ranges 19-26 or 55 and older, and who meet all other OHP eligibility requirements except for citizen and immigration status, are now eligible for full OHP Plus benefits. Learn more about Healthier Oregon.

FAQs

Who is eligible for BCCTP?:

  • Individuals are eligible if they:
    • Have been determined to need treatment for breast or cervical cancer by a provider;
    • Are under the age of 65;
    • Are not covered for treatment by minimum essential coverage;
    • Are not eligible for any other Medicaid programs; and
    • Have income under 250% FPL

For more information refer to the Breast and Cervical Cancer Treatment Application Guide

What benefit packages are available under BCCTP?

  • Individuals can have BCCTP at the full OHP Plus level or CWM-level (and CWM now includes cancer treatment).

How can a person enroll?

  • Through any provider who determines that an individual needs treatment for breast or cervical cancer.
  • The provider must complete the application.
  •  By completing the application, the provider will determine eligibility.

When does coverage begin for a patient?

  • Once the faxed application is received by OHP, the individual will have coverage by the following day.  OHP will start to pay for the treatment from the date of the diagnosis. OHP may also pay for outstanding medical bills related to the diagnosis, if the individual would have met eligibility criteria on that date.

What happens after coverage starts?

  • Once presumptive eligibility for BCCTP begins, an OHP application will be mailed to the individual to collect more information and to perform a full determination for ongoing OHP eligibility.
  • If the individual is not eligible for other OHP programs but continues to meet BCCTP requirements, the individual will receive a renewal notice every year to determine if BCCTP requirements are still met. Both the individual and the provider will need to complete this form.

BCCTP Resources

BCCTP Application and Referral Form

Breast and Cervical Cancer Treatment Application Guide

Questions about the program, how to enroll, or services covered?

Follow the application guidelines referenced above and contact the Oregon Health Plan (OHP) directly at 1-800-699-9075 for any questions about the program or to follow-up on the status of an application. After calling OHP, please ask to be transferred to the BCCTP team.

Additional contact information for OHP members or Providers:

  • If you are an OHP member and have questions about your services and what is covered:
    • And you are enrolled in a Coordinated Care Organization (CCO), please contact the CCO. Find CCO contact information here.
    • And you are not enrolled in a CCO and have “Open Card"/"Fee-for-Service", please contact the Client Services Unit at 1-800-273-0557.
       
  • If you are a provider and have questions about services and what is covered:
    • And the member is enrolled in a Coordinated Care Organization (CCO), please contact the CCO. Find CCO contact information here.
    • And the member is not enrolled in a CCO but has “Open Card"/"Fee-for-Service" status please contact OHP Provider Services at 1-800-336-6016.

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