Enrolling Providers Section
Applicant Section |
Member Section | County Eligibility Worker Section
The Breast and Cervical Cancer Treatment Program (BCCTP) provides cancer treatment benefits to eligible low-income California residents diagnosed with breast and/or cervical cancer. Enrolling Providers play an important role assisting individuals in obtaining the treatment and services they need by screening and enrolling them online.
If you are interested in enrolling individuals onto our program, please see below for more information.
Become a Medi-Cal Provider today!
To become a Medi-Cal provider, and to help individuals enroll into the BCCTP you can apply through the
Provider Application and Validation for Enrollment (PAVE) System Webpage.
Medi-Cal Providers interested in submitting applications to BCCTP
Only Medi-Cal providers may submit applications on behalf of applicants for a BCCTP eligibility determination. To do so, you also must participate in the Every Woman Counts (EWC) or Family Planning, Access, Care and Treatment (Family PACT) programs.
To become a EWC Provider
| To obtain the contact information of the regional contractor in your area, click the link:
EWC representative for your area.
|
To become a Family PACT Provider
| Call the Telephone Service Center (TSC) at (800) 541-5555
|
To obtain a National Provider Identifier (NPI) User ID
| Provider Enrollment at (916) 323-1945 for enrollment requirements
|
The Department of Health Care Services provides information on topics such as, eligibility, claim forms and claim submission, electronic billing, general resources, outreach, education and provider training, and frequently asked questions (FAQs), for newly enrolled Medi-Cal providers. To access this information visit the New Provider Checklist Webpage.
If an individual would like to designate a person or organization to assist them with the application process, the Authorized Representative forms can be found below. Forms must be completed and signed by the applicant and designated Authorized Representative.
- MC 382 - Appointment of Authorized Representative
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MC 383 - Authorized Representative Standard Agreement for Organizations
BCCTP Qualifying Diagnoses
If the applicant's diagnosis is not on the list of
Qualifying Diagnoses or is not otherwise specified (NOS), the current pathology report must be faxed or e-mailed, with any supporting medical records to (916) 440-5693; or
BCCTP@dhcs.ca.gov. A DHCS Medical Consultant will review documentation to determine if the applicant has a qualifying diagnosis and needs treatment. BCCTP will inform you if the applicant can be enrolled.
Contact BCCTP
If you have any questions, please contact us by:
Phone: (800) 824-0088
Fax: (916) 440-5693
