Breast and Cervical Cancer Control Navigation Program
Women's Cancer Screening Program in Michigan
Since 1991, the Michigan Department of Health and Human Services (MDHHS) has implemented a comprehensive Breast and Cervical Cancer Control Navigation Program (BCCCNP) through a multi-year grant from the U.S. Centers for Disease Control and Prevention (CDC). With these funds, low-income women now have access to life-saving cancer screening services and follow-up care, including cancer treatment if that should be needed.
Who Is Eligible?
The following information MUST be determined PRIOR to enrolling women in BCCCNP
1. Insurance status: Ask the following questions:
a. Are you on Medicaid or the Healthy Michigan Plan?
If yes, NOT eligible for BCCCNP
If no, do you have insurance -> determine eligibility based on income.
a. 40-64 to receive BCCCNP reimbursed screening and/or diagnostic services
b. 19-39 and referred from a Title X/Family Planning provider for cervical diagnostic services as follow-up of a cervical abnormality
a. < 138% Federal Poverty Level (FPL)
b. > 138% but < 250% and UNINSURED
c. > 138% but < 250% and INSURED
d > 250%: Ineligible for BCCCP – Inform woman that she can enroll in a health plan during open enrollment for the Insurance Marketplace.
4. Residency and Citizenship Status: (must be Michigan Resident)
a. US Citizen and Michigan Resident (as determined by verifiable current address (E.g. driver’s license, voter ID, Passport)
b. Non US Citizen but Michigan Resident: Enroll in BCCCP (Not eligible for Medicaid or Insurance Marketplace unless non-citizen has been a resident for at least 5 years)
c. EXCEPTIONS for Residency Status:
- Migrant workers
- Women living near the border of a neighboring state (Indiana, Ohio, Wisconsin, Minnesota) who plan to receive screening and/or diagnostic services in Michigan
- Women who opt not to purchase insurance secondary to religious objections
Note: Women who are enrolled in a managed care program, a health maintenance organization, or Medicare Part B are not eligible for the BCCCNP.
|Federal Poverty Level (2015) *|
|Size of Family Unit||Poverty Guideline||250% of Poverty||138% of Poverty|
|Each additional member
|* The federal poverty level figures are updated annually.|
What Services Are Available Through the Program?
Through these local public health programs, women aged 40-64 can receive screening services such as:
- Clinical breast exams
- Pap smears
- Pelvic exams
- Screening mammograms
If a breast and/or cervical abnormality is identified from the screening test/exam, the woman will be referred to community providers for follow-up. Over 75 diagnostic services are provided free of cost through the BCCCNP. Some of these include:
- Diagnostic mammograms
- Breast Biopsy
- Colposcopy services
- Colposcopy-directed biopsy services
- Medical Consultations
- Selected anesthesia services
Family Planning women enrolled in the BCCCNP are eligible to receive cervical diagnostic services.
In the event of a diagnosis of breast or cervical cancer through the BCCCNP, a woman may be eligible for Medicaid coverage. If eligible, Medicaid will pay for all of her medical expenses for as long as she is being treated for the cancer. Once treatment is no longer needed, the woman is then potentially eligible (once again, based upon age and income) for continued annual screening services through the BCCCNP.
A woman remains eligible for Medicaid coverage until:
- Her health professional deems the woman is free from cancer an will not require continued cancer therapy or
- She no longer meets the eligibility criteria for this program (e.g., has obtained creditable insurance coverage, has reached the age of 65 and has Medicare Part B, or has an income that exceeds 250 percent of the federal poverty level).
Note: Women who are illegal aliens, although eligible for BCCCNP services, cannot receive Medicaid coverage. Federal law limits Medicaid coverage to citizens and legal aliens.
Where Are These Services Available?
Women throughout Michigan may seek these services from over 700 contracted BCCCNP providers across the state. Services are also available through the tribal health clinics of seven federally recognized Indian tribes.
Any Michigan woman, ages 40 through 64, can call 1-800-922-MAMM to obtain a local phone number to talk to the BCCCNP coordinating agency closest to her home. The local agency will assess each woman for program eligibility based on age and income, and provide an appointment to a health care provider or clinic near her home.
For the name and number of the local BCCCNP agency nearest you, call (toll-free) 800-922-MAMM or click here to download a county-by-county list of local BCCCNP coordinating agencies within Michigan.
The WISEWOMAN Program provides chronic disease risk factor screening and lifestyle interventions to Michigan women with little or no insurance. In order to be enrolled in WISEWOMAN, a woman must first be in the Michigan Breast and Cervical Cancer Control Navigation Program (BCCCNP).
For information about Michigan's WISEWOMAN program, please visit: Michigan's WISEWOMAN Program
For additional information about the WISEWOMAN Program, please visit: http://www.cdc.gov/wisewoman/index.htm
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