New

National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

 


WEBINAR - BCCCP Orientation Overview - July 24, 2014

CANCER MAPPER: August 28th, 8:30 - 9:30 a.m.
MBCIS 101: September 25th, 8:30 - 9:30 a.m.
PATIENT NAVIGATION: October 23rd, 8:30 - 9:30 a.m.


Project Accessibility USA provides information, resources and services to staff of Susan G. Komen affiliates and grantees across the country to assist them in their efforts to be community leaders in providing quality services to women with disabilities. For more information, visit http://project-accessibility-usa.org/Home.htm

10 Things Immigrant Families Need to Know About the Marketplace

Affordable Care Act (ACA) Reference Guide - June 2014

Affordable Care Act (ACA) Reference Guide - May 2014

Healthy Michigan Plan Toolkit - effective April 1, 2014

Healthy Michigan Plan
Jackie Prokop, RN MHA
Director, Program Policy Division of Medicaid
Presentation at the MCC Board of Director's Meeting - 03/26/2014

Michigan Primary Care Association is happy to provide this Outreach & Enrollment Toolkit to Health Centers to support efforts to assist consumers in Medicaid, CHIP and Health Insurance Marketplace enrollment. The toolkit will be updated as new materials become available. Please contact our O & E Team at enroll@mpca.net if you need any assistance using the tools or templates provided.

How the Health Insurance Marketplace Works - Henry Ford Health System

Michigan's Approach to Medicaid Expansion and Reform - NEJM, Nov 7, 2013


About the BCCCP

Since 1991, the Michigan Department of Community Health (MDCH) has implemented a comprehensive Breast and Cervical Cancer Control Program (BCCCP) through a multi-year grant from the U.S. Centers for Disease Control and Prevention. With these funds, low-income women now have access to life-saving cancer screening services and follow-up care, including cancer treatment if that should be needed.


Local Coordinating Agencies

BCCCP services are coordinated through 21 local coordinating agencies (LCAs). These agencies have enlisted the cooperation and participation of physicians, hospitals, and other health care organizations in their communities to assure that all necessary follow-up services are provided.

LCAs are required to provide or arrange for basic screening services, i.e., clinical breast exams, screening mammograms, pelvic exams, Pap smears, and patient education.

In accordance with HIPAA standards, effective January 1, 2012, providers must submit electronic 837P and 837I claims files using the X12 version 5010. 

NOTE: Paper claims WILL be accepted. Please click here for paper submission details and guidelines.

  • Payer ID: "D00111"
  • Submitter ID: "00_ _" (example: DCH00AB)
  • Application ID (File Name): "5495"

Loop 1000B, Segment NM103 – ‘BCCCP’
Loop 1000A, Segment NM109 - '00_ _' (example:  DCH00AB)
Loop 1000B, Segment NM109 – ‘D00111’

Clearinghouse Submitter IDs:
006I - All Scripts / Payer Path
004V - Automated Business Systems
0070 - ClaimRemedi
00DL - Emdeon

00P1 - Gateway EDI
00NF - Netwerkes
0049 - PMG - The Physician's Billing Specialists
00VV - QUADAX
00YB - Relay Health / McKesson
00ZA - Tri-Med Group
0099 - Western MI Business Services
005U - XACTIMED / Med Assets

999 files will be generated:
"A" = Accepted
"E" = Accepted w/ Errors - no need to resubmit
"R" = Rejected - file must be corrected and resubmitted

835RA files will be generated:
File Name: 5469
Sender: DCHBULL
Availability: Weekly on Thursday mornings
** If you have the capability to receive 835RA files, but are currently not doing so, please contact Tory Doney.


Updated 4/10/2014

Provider News


FACILITY FEES

Facility fees will be paid beginning with dates of service April 1, 2014 going forward.  Click HERE for complete details.


REFUNDS

All refunds, over payments or adjustments are to be made payable to:

STATE of MICHIGAN-BCCCP
DCH Accounting Division
PO Box 30437
Lansing, MI 48909


Payment Detail Reports

Payment Detail Reports will be FAXED to each agency. Please email Tory Doney (DoneyT@michigan.gov) if you have not received detail for payment(s) received.

- Federal Tax ID
- Amount of the payment
- Fax number


Paper Claim Submission

MDCH - Claims
109 Michigan Ave
WSB - 5th Floor
Lansing, MI 48913

866-930-6324 - Phone
517-335-8752 - Fax

Paper Claim Submission Guidelines


For additional information regarding the BCCC Program, please see BCCCP Provider Information link to the left.

 


Click here for an archive of information that has been posted by BCCCP.