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:
- FY12 English Eligibility and Consent Form
- FY12 Spanish Eligibility and Consent Form
- FY12 BCC Screening and Referral Form
- Services Eligibility Guidelines
Case Management Forms:
- FY12 Case Management Instructions and Forms
- BCC Medicaid Instructions and Application
- Anita Salas Memorial Fund Application
- Medical/Financial Resources
Billing:
Clinical Algorithms:
Policies:
- Axillary Node Diagnostic Policy
- BCC Policy Regarding Screening at Non-BCC Providers
- Diagnostic LEEP (updated 7-2011)
- Endometrial Biopsy
Other Documents:
Ask BCC
- Ask BCC #1 - The following questions were posed to staff from the Department of Health Breast and Cervical Cancer Early Detection (BCC) Program during the BCC Annual Provider Meeting held in Albuquerque, July 31, 2008. Due to time constraints, staff were unable to respond to some of these questions in person, but have taken the time to answer them here.
- 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.
