Information for Current Providers
BCC Program documents are available for BCC contracted healthcare providers to download. All documents are available in PDF format. BCC will provide new and updated information as needed.The BCC Program will make a reasonable effort to contact BCC contracted healthcare providers to let them know when new and updated information is available. Providers are responsible for accessing and using current BCC forms and resources. If you have any questions, email Sylvia Baca.
BCC Program Current Provider Forms and Documents
Eligibility Forms:
- FY13 English Eligibility and Consent Form
- FY13 Spanish Eligibility and Consent Form
- FY13 BCC Screening and Referral Form
- Services Eligibility Guidelines
Case Management Forms:
- FY13 Case Management Instructions and Forms
- BCC Medicaid Instructions and Application
- Anita Salas Memorial Fund Application
- Medical/Financial Resources
Billing:
Clinical Algorithms:
- Breast
- Cervix (new algorithm coming in FY 13, see current guidelines and recommendations below)
- Cervical Cancer Screening Guidelines from U.S. Preventive Services Task Force
- ASCCP Cervical Cancer Screening Recommendations
Policies:
- Axillary Node Diagnostic Policy
- BCC Policy Regarding Screening at Non-BCC Providers
- Diagnostic LEEP (updated 7-2011)
- Endometrial Biopsy
Other Documents:
- Services & Eligibility
- Screening Locations
- Treatment Options
- Breast Cancer Facts
- Cervical Cancer Facts
- Anita Salas
Memorial Fund
The Breast Cancer Awareness plate is available to any motor vehicle owner. Of the $37 fee collected, $25 goes to the NM Department of Health to help fund breast cancer screening, outreach and education. This fee is assessed each year with license renewal. Click to apply for this plate.
