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Added Breast and Cervical Cancer Coverage to BCCTP Program

January 9, 2017

Effective January 1, 2017, Assembly Bill 1795 (Chapter 608, Statutes of 2016) provides that an individual who is diagnosed with a recurrence of breast or cervical cancer will be granted an additional, covered treatment period. A recurrence of breast or cervical cancer may be in the original cancer site or a different cancer site. Prior to January 1, 2017, individuals diagnosed with a recurrence of breast or cervical cancer would not qualify for an additional coverage period. This is an important change for individuals who have exhausted their initial coverage period.

The individual must meet all applicable eligibility requirements to receive an additional period of cancer and cancer-related treatment coverage. As of January 1, 2017, Breast and Cervical Cancer Treatment Program (BCCTP) enrolling providers can enroll applications for state-funded BCCTP eligibility for beneficiaries who have exhausted their first period of eligibility, but are still in need of treatment or have a new or subsequent diagnosis.

Individuals who are currently active in the state-funded BCCTP program will receive a notice with a physician statement and certification form to be completed by their treating doctor prior to the end of their initial eligibility period. This new streamlined process will establish a new coverage period without the need to submit a new BCCTP application for those individuals who continue treatment after exhausting their initial coverage period. Individuals whose BCCTP benefits expired in the past and have had a break in coverage will need to submit a BCCTP application for a new eligibility determination.

For questions or assistance, providers may email BCCTP at: BCCTP@dhcs.ca.gov. Providers should include specific questions and their preferred method of contact. If the general public needs information about BCCTP, refer them to 1-800-824-0088.