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EWC Provider Covered Procedures Forms Updated

Febuary 1, 2016

The following Every Woman Counts (EWC) forms have been added to the Every Woman Counts (EWC) Manuals, Forms and Worksheets Web page and Forms Web page of the Medi-Cal website:

  • Breast Only Primary Care Provider Covered Procedures (DHCS 8471)
  • Breast & Cervical Primary Care Provider Covered Procedures (DHCS 8472)
  • Referral Provider Covered Procedures (DHCS 8473)

These forms have been updated to include EWC program benefits announced in the September 2015 Medi-Cal Update bulletins.