BCCTP: Resource Guide
The Department of Health Care Services (DHCS) implemented the
new BCCTP program on January 1, 2002, as authorized by
Assembly Bill 430 (Chapter 171, Statutes of 2001). BCCTP
provides urgently needed cancer treatment coverage to
individuals diagnosed with breast and/or cervical cancer,
who require treatment and have met the Centers for Disease
Control (CDC) screening criteria, or were screened by a CDC
provider.
Applicant Eligibility
An eligible applicant must be a resident of California
with an income that does not exceed 200 percent of the
Federal poverty level, based on family size. Eligible
applicants must be screened by a State-funded Breast
Cancer Early Detection Program (BCEDP), Federally-funded
Breast and Cervical Cancer Control Program (BCCCP) or
Family PACT screening provider and found to be in need
of breast and/or cervical cancer treatment. Individuals
may be eligible, even if they have other health
coverage, as long as their premiums, copayments and
deductibles are expected to exceed $750 annually.
Eligible applicants who appear to meet Federal
requirements (female; under 65; citizen or national of
the United States or satisfactory immigration status; no
creditable health insurance; breast and/or cervical
cancer diagnosis; in need of treatment) will receive
full-scope, no-cost Medi-Cal coverage for the duration
of their cancer treatment. Federally-eligible applicants
are issued a Confirmation Document that grants
immediate, temporary BCCTP eligibility, allowing them
immediate access to services through any Medi-Cal
provider.
Those applicants who do not meet Federal standards, but
who have a breast and/or cervical cancer diagnosis, need
treatment, and meet State-only BCCTP standards (male
regardless of age; female over 65; male or female with
unsatisfactory immigration status; or creditable health
insurance over $750 annually), will receive services
limited to cancer treatment for a specified time period
(18 months for breast cancer and 24 months for cervical
cancer). Those applicants not granted immediate coverage
of breast and/or cervical cancer treatment will receive
a Confirmation Document with the message "Application
Accepted for Processing" and will be able to access
breast and/or cervical cancer treatment services as soon
as the DHCS Eligibility Specialist determines
eligibility.
Enrolling Applicants
BCEDP, BCCCP and Family PACT providers are authorized to
screen and enroll applicants into BCCTP. These providers
enroll eligible applicants into BCCTP by using the new
Internet-based application form. To access this form,
providers should:
- Go to www.medi-cal.ca.gov
- Click on "Transaction Services"
- Enter a valid provider number and PIN
- Select the BCCTP icon
The BCCTP applicant helps the provider complete the
Internet-based application. The application work sheet
and required documents are available in 11 languages,
including English, Spanish, Vietnamese, Cambodian,
Hmong, Armenian, Cantonese, Korean, Russian, Farsi and
Laotian.
After reviewing the information with the applicant, the
provider enters the information into the Internet-based
application form and electronically submits the
application to DHCS. The provider will then receive a
Confirmation Document, which indicates eligibility
status. A copy must be given to the applicant. If the
Confirmation Document indicates eligibility, the
applicant may use the Confirmation Document for
immediate access to medical services until the applicant
receives a Benefits Identification Card (BIC). The
enrolling provider will then mail the application and
the Rights and Responsibilities form, each with the
applicant's original signature, to DHCS.
DHCS Eligibility Specialists review each Internet-based
application form to complete the determination of BCCTP
eligibility. The specialist may require additional
information from the applicant to determine eligibility.
BCEDP, BCCCP and Family PACT providers willing to be
BCCTP enrolling providers, and complete the
Internet-based application for other providers, should
call 1-800-824-0088. Please leave your name, address and
phone number with an DHCS Eligibility Specialist to be
placed on the BCCTP referral list. When a non-enrolling
provider or an applicant calls needing to locate an
enrolling provider, he/she will be referred to an
enrolling BCCCP, BCEDP or Family PACT provider.
For providers who are not an authorized, enrolling
BCCTP provider, please refer the patient to an
authorized, enrolling provider. For referrals to
authorized, enrolling BCCTP providers, please call BCCTP
at 1-800-824-0088.
More Information
Providers and applicants seeking information about the
program should review the Resource Guide.
