The WV Breast and Cervical Cancer Screening Program(WVBCCSP) is a comprehensive public health program that helps uninsured or underinsured women gain access to breast and cervical cancer screening services. Screening and early detection reduces death rates, improves treatment options, and greatly increases survival.
Women 25—64 years of age, with household incomes at or below 200% of the federal poverty level (FPL), are eligible for WVBCCSP services. Under the federal act, Title XV of the Public Health Service Act known as the Breast and Cervical Cancer Mortality Prevention Act of 1990, program must give priority to providing services to low-income women.
The federal law also required that providers who impose a charge for services must utilize a schedule of charges that is adjusted to reflect the income of the woman. The law prohibits providers from charging a fee to any woman with an income less than 100% of the current FPL. Based in state Program guidelines:
Patients of the WVBSSCP whose income is at or below 150% of FPL are not to be charges a fee for service.
If the clinic charges a fee for services, WVBCCSP patients whose income and family size place them between 150% and 200% of the FPL are to be charged a fee based on the sliding fee scale.
Those patients with income above 200% of the FPL are not eligible to enroll as a WVBCCSP participant. The sliding fee scale is updated annually in accordance with revised federal poverty income guidelines.
A woman not seeking birth control or opting not to participate in the Family Planning Program, has the option to choose WVBCCSP if age and financially eligible.
WVBCCSP funds are used as a last resort for payment. A patient may have medical insurance and still qualify as a participant of the Program if her income is below 200% FPL. In this instance, third parties must be billed prior to billing WVBCCSP.
Any eligible Medicaid, Medicare Part B Client or HMO enrollee is not eligible to be enrolled as a WVBCCSP participant.
Based on Public Law 101-354, men are not eligible to receive WVBCCSP screening and/or diagnostic services.