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 (CDC) 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 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 cancer rates 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
beginning in 1998, has enabled the department to increase the number of
women 40 - 49 years of age that can receive breast cancer screenings.
For more information on the National Breast
and Cervical Cancer Early Detection Program, see http://www.cdc.gov/cancer/nbccedp/about.htm
Breast and Cervical Cancer brochures, which describe the services available for
eligible Maryland residents can be found via the following links:
English: Spanish: Korean:
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 screening through outreach, education, 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.
Once enrolled in the program, a woman may be eligible for:
- Clinical breast exam (CBE)
- Screening and/or diagnostic mammogram(s)
- Breast ultrasound/sonogram
- Surgical consultation
- Breast biopsy
- Pap test and/or pelvic exam
- HPV test
- Colposcopy/cervical biopsy
To be eligible to receive screening services paid
through this program, a woman must meet the following criteria:
Residency: Be a Maryland resident.
Age: Be 40-64 years of age. Women over 65 without Medicare, or
with Medicare Part A only are eligible for this program.
Income: Have a household incomes at or below
250% of the Federal Poverty Guidelines.
Insurance: Either be uninsured or have health insurance which does not
fully cover breast and/or cervical cancer screening services and/or
diagnostic work-up. Women in Medical Assistance and women enrolled in
Medicare Part B are NOT eligible for Clinical Services in this program but
may qualify for Patient Navigation Services.
Patient Navigation Services:
In July 2015, BCCP began offering Patient
Navigation services for women who meet program eligibility criteria, but have
Medical Assistance or private insurance, that fully pays for breast and
cervical cancer screening services. Women who have Medicare Part B may also be
eligible for Patient Navigation Services if they meet other program eligibility
criteria. Staff from the BCCP local programs may be able to help women with
scheduling their breast and/or cervical cancer screening appointments, finding
transportation to appointments, understanding test results and arranging any
follow-up that may be recommended by a health care provider.
Outreach and Education:
The program staff from each jurisdiction
educates the public by speaking and distributing literature at various
community meetings and functions. Staff members also educate patients about
follow-up procedures and the importance of 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
The Maryland BCCP provides professional
development to advance health care providers’ knowledge, attitudes, and
behaviors about breast and cervical cancer screening and early detection;
promote 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.
assurance measures are in place to assure that high quality program services
are delivered and reported in a timely and standardized manner. A Medical Advisory Committee is in place that
oversees and regulates these quality assurance measures. The Medical Advisory Committee developed the Minimal Clinical Elements for Breast Cancer Detection and
Diagnosis (Breast MCEs) and Minimal Clinical Elements for Cervical Cancer Detection and
Diagnosis (Cervical MCEs) which provide
guidance to the program regarding screening and follow-up services.
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. Applicants may be asked questions about income, health insurance, and where they live to determine qualification for services.
||(301) 759 - 5083
||(410) 313 - 4255|
||(410) 222 - 6180
||(410) 778 - 7970|
||(410) 887 - 3432
||(240) 777 - 1750|
||(410) 286 - 7992
||(301) 883 - 3525|
||(410) 479 - 8080
||(443) 262 - 4509|
||(410) 876 - 4423
||(301) 475 - 4395|
||(410) 996 - 5168
||(443) 523 - 1740|
||(301) 609 - 6843
||(410) 819 - 5600|
||(410) 228 - 3223
||(240) 313 - 3235|
||(301) 600 - 3362
||(410) 548 - 5175|
||(301) 334 - 7770
||(410) 632 - 1100 |
||(410) 612 - 1780
||(410) 350 - 2001|
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 and 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.