KENTUCKY PRIMARY CARE ASSOCIATION 2011 ANNUAL MEETINGOCTOBER 17, 2011

JOY HOSKINS, RN, BSN, BA

Kentucky Women’s Cancer Screening Program

Objectives

Compare and contrast the statewide morbidity and mortality breast and cervical data with U.S. data.   

List the eligibility criteria for the Kentucky Women’s Cancer Screening Program.

Describe the role of the KWCSP to provide breast and cervical cancer screening, diagnostic and case management services to Kentucky’s women in need.

 

Female Invasive Breast Cancer Incidence Rates in Kentucky, 2003-2007

Age –Adjusted to the U.S. 2000 Standard Million PopulationData Source: Kentucky Cancer Registry and U.S. SEER

Female Breast Cancer Mortality Rates in Kentucky, 2003-2007

Age –Adjusted to the U.S. 2000 Standard Million PopulationData Source: Kentucky Cancer Registry and U.S. SEER

Female Invasive Cervical Cancer Incidence Rates in Kentucky, 2003-2007

Age –Adjusted to the U.S. 2000 Standard Million PopulationData Source: Kentucky Cancer Registry and U.S. SEER

Female Cervical Cancer Mortality Rates in Kentucky, 2003-2007

Age –Adjusted to the U.S. 2000 Standard Million PopulationData Source: Kentucky Cancer Registry and U.S. SEER

Kentucky Women’s Cancer Screening Program

In 1990, legislation (KRS 214.554) established and funded the Kentucky Women’s Cancer Screening Program (KWCSP) within the Department for Public Health

The KWCSP provides breast and cervical

cancer screenings, diagnostic follow-up services and case management services to women

Mission Statement

The mission of the KWCSP is to provide breast

and cervical cancer screening and diagnostic services of high quality and at a low or reduced cost to women who many not otherwise receive this healthcare.

The KWCSP promotes and provides awareness activities, screening, early detection and prompt referral for treatment of cancer to achieve this goal.

KWCSP Eligibility Criteria

Women 21 – 64 years of ageHousehold income below 250% of the federal

poverty levelClient has no Medicaid, Medicare, or third

party payer

KWCSP Revenue

State general fundsFederal funds from the CDC National Breast

and Cervical Cancer Early Detection Program (NBCCEDP)

Sliding fee scale for clients 101% - 250%Health department local tax dollars

Provider Reimbursement

Fee for Service reimbursement negotiated with local provider

Approved list of CPT codes

Per the CDC, reimbursement rates cannot exceed Medicare B rates

Breast Cancer Services

Office visits: Preventative and E/MScreening Services:

Clinical breast examinations (CBE)Screening Mammograms In FY 2010, nearly 18,000 screening mammograms

provided

• Diagnostic Services:Diagnostic MammogramsUltrasoundsFine Needle AspirationsOther Diagnostic services

Cervical Cancer Services

Office Visits: Preventative and E/MScreening Services:

Pap tests Conventional and thin prep tests In FY 2010, nearly 77,000 pap tests provided

Diagnostic Services:ColposcopiesLEEPSOther diagnostic services

KWCSP Program Components

Program Management

Clinical Services

Data Management

Recruitment

Kentucky Breast and Cervical Treatment Program (BCCTP)

Enacted in October, 2002 (907 KAR 1:805)Administered through the local health

departments and by the KY Department for Medicaid Services

Women who are eligible for and screened through the KWCSP and found to need treatment for breast or cervical cancer may be eligible for coverage through the BCCTP

Time limited Medicaid card

BCCTP Resources

KY Department for Medicaid Services website: http://chfs.ky.gov/dms/bcctp.htm

“Quick Reference Guide for Health Care Providers” Breast and Cervical Cancer Screening and Treatment in Kentucky website:http://chfs.ky.gov/NR/rdonlyres/CDC92097-06F0-434A-B338-49FE08E2131E/0/PurpleBook.pdf

Partnerships

Approximately 500 contracts with local health departments, private providers, FQHCs, rural health clinics, primary care clinics, hospitals, universities, laboratories, mammography providers among others

State and community partners include the American Cancer Society, KY Cancer Program, KY Cancer Registry, LHD cancer coalitions, Kentucky Pink Connection, Susan G. Komen For a Cure, Cervical Cancer Free Kentucky Initiative and other community-based and faith-based organizations

“Driving for a Cure”

Breast Cancer Research and Education Trust Fund Program

In June, 2005, in accordance with KRS 211.580, the

Breast Cancer Research and Education Trust Fund (BCTF) program was established

The purpose of the trust fund program is to collect and

distribute monies to support breast cancer research, education, treatment, screening, and awareness in Kentucky

The trust fund consists of funds collected from the state income tax check-off, the breast cancer license plate, and any other proceeds from grants, contributions, appropriations, or other monies made available for the purposes of the trust fund

Questions?

Joy Hoskins, RN, BSN, BADirector, Division of Women’s HealthJoy.hoskins@ky.gov(502) 564-3970 x 3107

Carolyn Kerr, RN, BSNKWCSP Clinical CoordinatorCarolyn.kerr@ky.gov(502) 564-3236 x 3753

Sivaram Maratha (Ram), MS, MPAKWCSP Epidemiologist/Data ManagerSivaram.maratha@ky.gov(502) 564-3236 x 3772