Primary Care Providers (PCPs) are required to submit screening, diagnostic procedures, diagnosis status, final diagnosis, cancer staging, and treatment data using the Cancer Detection Programs: Every Woman Counts (CDP: EWC) Internet application. Claims may be submitted either hard copy or electronically through usual Medi-Cal channels. Claims must be submitted with the 14-digit ID number that is received after the Recipient Information Online Form has been completed and submitted. All claims submitted without the
14-digit ID number will be denied. All other Medi-Cal criteria will apply (e.g., timeliness guidelines, modifier requirements, etc.).

Prior to submitting the claim for case management, providers must complete and submit the necessary screening and follow up forms for the recipient for the certification time period being billed. The CDP: EWC Internet application allows data submission up to 2 years, or 730 days, after certification. However, CDP: EWC program policy requires data submission 10 – 30 days after receipt of results. When a recipient is recertified, screening and follow up information for the previous certification period is no longer available for update. For more information regarding claims, call the Telephone Service Center (TSC) at 1-800-541-5555.