Maryland Breast and Cervical Cancer Screening Program
The Center for Cancer Prevention and Control of the Maryland Department of Health and Mental Hygiene receives a cooperative agreement from the federal Centers for Disease Control and Prevention under the National Breast and Cervical Cancer Early Detection Program in order to facilitate the Maryland Breast and Cervical Cancer Screening Program (BCCP). The purpose of this program is to increase breast and cervical cancer screening levels among uninsured, low income women statewide, to provide follow-up to diagnosis, to carry out public and professional education, to assure the quality of screening services, to monitor the cancer problem in Maryland, and to carry out evaluation of these programs. At least 75% of the women who receive breast cancer screening using federal funds must be 50 years of age or older. Additional funding, provided by the State in 1998, has enabled the department to increase the number of women 40 - 50 years of age that can receive breast cancer screenings.
Each jurisdiction in the state has been awarded grants through 22 local health departments and 2 hospitals to coordinate the provision of breast and cervical cancer outreach, education, screening, and follow-up services. Each local jurisdiction subcontracts with private physicians, radiologists, surgeons, and medical laboratories to perform screening services. Services are offered through a network of more than 950 private providers and community health centers throughout the state. There is a coordinator in each jurisdiction for this program who arranges for these services for eligible patients.
The following clinical services are covered by the program:
Once enrolled, women in the BCCP may also receive the following diagnostic services:
|Pap test and pelvic exam
|Clinical breast exam
|HPV testing (when appropriate)
To be eligible to receive services under this program, a woman must meet the following criteria:
Residency: A woman must be a Maryland resident.
Age: Women must be 40-64 years of age. Women over 65 without Medicare, or with Medicare Part A only are eligible for this program.
Insurance: Women eligible for this program must either be uninsured or have health insurance which does not cover the screening procedures.Women on Medical Assistance, and women enrolled in Medicare Part B, HMOs or PPOs are NOT eligible for this program.
Income: Women with household incomes at or below 250% of the federal poverty level are eligible for this program.
Outreach and Education:
The program staff from each jurisdiction educates the public by speaking and distributing literature at various community meetings and functions. The coordinators also educate patients about follow-up procedures and annual rescreening. Lay health outreach workers are hired using grant funds to educate, motivate and recruit women in the priority populations to enroll in the program for screening services.
The Maryland BCCP provides professional development to affect health care providers’ knowledge, attitudes, and behaviors about breast and cervical cancer early detection; promote the current program guidelines for breast and cervical cancer screening; disseminate evidence-based breast and cervical cancer prevention and early detection education materials to providers, program staff, and regional staff; and build professional development resources through partnerships with professional organizations and academic institutions.
All radiology facilities participating in this program are required to be accredited by the American College of Radiology and certified under the federal Mammography Quality Standardization Act (MQSA). Mammography facilities are required to report their mammography results using the Breast Imaging Reporting and Data System (BI-RADS) lexicon of the American College of Radiology.
All medical laboratories participating in this program are required to pass the cytology proficiency testing program in the state of Maryland and meet the requirements of the federal Clinical Laboratory Improvement Act. Laboratories are required to report their Pap test results using the Bethesda System nomenclature.
Applicants should contact their local program at the phone numbers listed below to determine eligibility and enrollment into the program. You may be asked questions about income, health insurance, and where you live to determine if you qualify for services.
||410.632.1100 ext. 1101 |
||(Harbor and Union Memorial Hospitals)|
The Maryland BCCP has developed numerous partnerships and coalitions at both the state and local levels. Baltimore City and each of Maryland's 23 counties have developed local cancer coalitions which include the local BCCP. Many jurisdictions have formed local coalitions with other community organizations. All local programs have partnered with local physicians, radiology facilities and a cytology lab to provide CBEs, mammograms and Pap tests to BCCP clients. At the State and local level, BCCP works closely with the American Cancer Society and the Maryland affiliate of Susan G. Komen for the Cure for the purpose of providing education, outreach, and screening for breast and cervical cancer among Maryland women.