Enrolling Providers Section
This section is strictly for EWC and Family PACT Provider use.
BCCTP Applicant or Beneficiary Section
County Eligibility Worker Section
The Breast and Cervical Cancer Treatment Program (BCCTP) provides cancer treatment benefits to eligible low-income (at or below 200 percent of the Federal Poverty Level) California residents diagnosed with breast and/or cervical cancer and found to be in need of treatment for the cancer. These individuals are not eligible for cancer treatment coverage through County Medi-Cal.
Medi-Cal Providers interested in obtaining authority to submit applications to BCCTP
You cannot enroll applications into BCCTP unless you are a Medi-Cal provider and you are participating in the Cancer Detection Programs: Every Woman Counts (CDP:EWC) or Family PACT. For information on how to become a CDP:EWC provider, call 1-800-511-2300 and ask for the number of the regional contractor in your area. For information on how to become a Family PACT provider, call the Telephone Service Center (TSC) at 1-800-541-5555 or Provider Enrollment at (916) 323-1945 for enrollment requirements.
If you do not have a National Provider Identifier (NPI) User ID, call the TSC at 1-800-541-5555 or Provider Enrollment at (916) 323-1945.
If you're interested in becoming a Medi-Cal provider, here's how:
To become a Medi-Cal provider, and to help individuals enroll into the BCCTP, you must contact the Department of Health Care Services (DHCS) Provider Enrollment Division (PED). They are responsible for the enrollment and re‑enrollment of health care service providers into the Medi-Cal program. You can apply through PED's Provider Application and Validation for Enrollment (PAVE) System.
Information for New Medi-Cal Providers
DHCS 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.
EWC and Family PACT providers who are authorized to enroll applicants into BCCTP
Instructions for Submitting Applications to BCCTP
EWC and Family PACT providers are authorized to screen and submit applications to BCCTP. You can enroll eligible applicants into BCCTP by using an Internet-based application form. You may access this application form by:
- Going to the DHCS Medi-Cal Providers Transaction Services Page: Login to the Medi-Cal Provider Web Portal
- Entering a valid National Provider Identifier (NPI) User ID and Password
- Selecting the “Prgms" tab
- Selecting BCCTP Enrollment Application Worksheet (includes Instructions to Providers)
Once you are logged-in, the BCCTP Enrollment Application Worksheet is available to print and use to gather information needed from the applicant for you to complete the Internet-based application. The application form is available in several different languages through Transaction Services-Programs-BCCTP Enrollment-Download BCCTP Documents link. Two pages of instructions to providers are included with the BCCTP application worksheet.
Instructions for Providers
After the information is reviewed for accuracy with applicant, enter the information into the Internet-based application, so that it can be electronically submitted to the Medi-Cal Eligibility Data System (MEDS). A “Confirmation Document" that indicates eligibility status, and “Directions to Apply for Medi-Cal", is then generated and must be given to the applicant. Within five days you must then fax or e-mail both the signed application form (MC210BC and/or Internet-based application) and the Rights and Responsibilities form to BCCTP at the following:
- Fax 916-440-5693; or
- E-mail BCCTP@dhcs.ca.gov.
Note: If a provider does not elect to process a BCCTP application for an individual that was screened elsewhere, refer the individual to apply for full-scope Medi-Cal benefits at their local county eligibility office, in order to be referred to BCCTP. If the individual already has restricted or Share of Cost (SOC) Medi-Cal, they should contact their county eligibility worker and request to be referred to BCCTP. BCCTP will not accept county referral documents directly from the beneficiary or any medical provider.
BCCTP accepts applications and designations of authorized representatives via fax, e-mail, telephone, and mail. Federal regulations (CFR § 435.907(a)) require that the Medi-Cal program accept electronic, including telephonically recorded, signatures and handwritten signatures transmitted by fax or e-mail signed under penalty of perjury.
Provider Information Notices (Provider Bulletin, Newsflash)
This is where updates to BCCTP program and policy can be found. The most recent informational notice that BCCTP has provided to Every Woman Counts and Family PACT providers is the following:
Public Health Emergency
On December 29, 2022, the Consolidated Appropriations Act of 2023 (also referred to as the Omnibus spending bill), was enacted with broad implications for the Medi-Cal program and the resumption of Medi-Cal redeterminations.
Previously, the resumption of Medi-Cal redeterminations was tied to the termination of COVID-19 public health emergency (PHE). The omnibus spending bill delinks the continuous coverage requirements that paused all Medi-Cal redeterminations since March 2020. Effective April 1, 2023, Medi-Cal redeterminations will resume.
BCCTP will mail annual redetermination packets starting April 1, 2023. A reminder that is included in the annual packet is the Physician Statement and Certification (PSC) form that requires the treating physician to complete, sign, and certify if the patient is still in need of breast and/or cervical cancer treatment. The PSC must be completed and signed by the treating physician (MD or DO only) and returned to the patient or BCCTP within 20 days.
As a reminder, all BCCTP beneficiaries not receiving county Medi-Cal benefits must complete a Medi-Cal application with their local county social services office by phone, online, or in person, to remain eligible for services under BCCTP. A beneficiary's benefits will be discontinued if they fail to complete a Medi-Cal application by the date that their BCCTP benefits expire.
The completed and signed PSC can be sent to BCCTP by:
Email: BCCTP@dhcs.ca.gov.
Fax: (916) 440-5693
Mail: Department of Health Care ServicesMedi-Cal Eligibility Division
Breast and Cervical Cancer Treatment Program
P.O. Box 997417, MS 4611
Sacramento, CA 95899-7417
Continuous Coverage will end soon, and millions of Medi-Cal beneficiaries may lose their coverage. DHCS will engage community partners to serve as DHCS Coverage Ambassadors to deliver important messages to Medi-Cal beneficiaries about maintaining Medi-Cal coverage after Continuous Coverage ends. DHCS Coverage Ambassadors will be trusted messengers comprised of diverse organizations that can reach beneficiaries in culturally and linguistically appropriate ways.
If you wish to sign up and become a DHCS Coverage Ambassador, learn more about how you can educate, engage, and provide consistency to Medi-Cal beneficiaries at the local level: Planning For the End of the Continuous Coverage Requirement.
BCCTP qualifying diagnoses
If the applicant's diagnosis is not on the list of qualifying diagnoses, is unclear, or is not otherwise specified (NOS), prior to enrolling the applicant, you should fax or e-mail the pathology report, and any other medical records available to 916-440-5693; or BCCTP@dhcs.ca.gov. A DHCS Medical Consultant will review the information to determine if the applicant has a qualifying diagnosis. A BCCTP Eligibility Specialist will contact you with a response after the review.
Qualifying Diagnoses
BCCTP: Frequently Asked Questions
Assistance Available | Contact Information |
- Medi-Cal BCCTP application
- Technical difficulties
- Billing assistance
- TAR information
- Medi-Cal provider enrollment
| Telephone Service Center (TSC) 1-800-541-5555 Phone Prompts: Press 9 after Medi-Cal RX message Press 1 for English Press 4 for Technical Help Desk Press 2 for Presumptive Eligibility Monday-Friday, 8:00 a.m. - 5:00 p.m. |
What can I do if I'm having technical difficulties submitting an application online?
Call the Telephone Service Center (TSC) at 1-800-541-5555 (select the Technical Help Desk option and then the Presumptive Eligibility for Pregnant Women option to get in contact with a representative).
I'm having billing issues who do I call?
Call the telephone Service Center (TSC) at 1-800-541-5555
What if I discover an error after submitting the application?
If you have any questions or require corrections to the application after submitting it, please contact BCCTP via e-mail (BCCTP@dhcs.ca.gov), fax (916) 440-5693, or phone 1-800-824-0088; BCCTP will make all edits/corrections. Do not submit multiple applications for the same person, unless a BCCTP staff has instructed you to do so. Multiple submissions for the same person will create duplicate cases and cause delays in the application process.
What are providers expected to do after the application has been submitted?
Providers must give the applicant the “Confirmation Document" and the “Directions to Apply for Medi-Cal" that are generated together when the application is submitted. The “Confirmation Document" tells the applicants if they were granted presumptive eligibility (PE) and gives them their BIC number so they can obtain services. The “Directions of Apply for Medi-Cal" explains what the applicants must do in order for their benefits to continue beyond the end of the following month and serves as a notification that the benefits will terminate if they do not comply.
Do all applicants receive PE benefits when enrolled?
All applications submitted to BCCTP are considered for Federally-funded PE benefits. However, not all individuals will get immediate PE benefits. PE benefits are temporary and may extend until the end of the month following the application month. All BCCTP applicants must apply for Medi-Cal at their county Social Services Office in order to extend their PE benefits. Once the application is submitted to the county, their PE benefits continue until the county completes a determination.
Should an application be sent to BCCTP if the applicant was denied PE benefits?
Yes, the signed application should be sent to BCCTP for evaluation for other BCCTP benefits. Applicants meeting one or more of the following criteria will not receive Federally-funded PE benefits.
- Age 65 or older.
- Have other comprehensive coverage (Medicare, or private insurance).
- Have received PE benefits within the last 12 months (hospital emergency or pregnancy).
- Are already identified in the Medi-Cal database as having unsatisfactory immigration status.
What is the BCCTP Requirement for applicants to apply for Medi-Cal?
All applicants that have not had a Medi-Cal determination within the last 30 days must apply for and receive an eligibility decision by their local county Social Services Office before BCCTP will make a final determination.
- Applicants that currently have active restricted scope Medi-Cal benefits do not need to reapply.
- Enrolling Providers should not wait until the county makes a decision to submit a BCCTP application.
What can I do if the applicant needs immediate treatment?
- If the applicant is currently hospitalized, the patient can request a Hospital Presumptive Eligibility application from hospital staff.
- If the Medi-Cal provider needs to expedite a Treatment Authorization Request (TAR), they must contact their regional TAR office (800) 541-5555. TARs for BCCTP must be submitted to the TAR Processing Center. The TAR should be clearly marked with BCCTP in the Medical Justification field (Box 8C) of the TAR form.
- If the applicant needs hospice services, please have the hospice provider/facility send the required forms to Medi-Cal via fax (916) 552-9477.
All BCCTP applicants are considered to need immediate assistance and access to care; therefore, BCCTP must process applications in the order that they were received.