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Revision 25-3; Effective Sept. 1, 2025
Grantees must provide or assure the provision of breast and cervical cancer screening, diagnostic and support services, including tracking, follow-up, patient navigation and individual client education. Although BCCS allows the provision of diagnostic services, grantees must make sure program focus supports cancer screening consistent with funding intent.
Grantee requirements also include:
- program management;
- eligibility determination;
- initiation of or referral to treatment if clinically indicated;
- quality management;
- professional development;
- recruitment, including public education and outreach; and
- data collection, including tracking and follow-up.
Grantees:
- Are responsible for coordinating a client’s services from screening through diagnosis if clinically warranted.
- Who have expended their awarded funds must continue to serve their existing BCCS eligible clients currently in the process of an approved care plan.
- Must make sure existing clients receive services from qualified breast and cervical cancer providers to continue client care.
All grantees must have an established referral relationship and subcontract with a qualified provider of each service the grantee does not provide.
Note: Duplication of BCCS services by multiple grantees is not reimbursed. Before services may be rendered, grantees must have procedures to verify clients are not receiving services with another BCCS grantee. NBCCEDP funds cannot be used to cover services covered by another public health program or private coverage per 42 USC Section 300n(d).
Data Collection – Grantees must comply with and use the web-based system Med-IT® to collect and process breast and cervical cancer data. This includes reports and billing per the business requirements of the program.
Eligibility – Grantees must determine BCCS program eligibility of every client at enrollment and annually thereafter. Insurance status should be reassessed at each client visit.
Evidence-Based Interventions (EBIs) – Grantees must participate in HHSC-sponsored Evidence Based Intervention (EBI) project(s) based on performance and program goals, if identified by HHSC.
Partnerships – Grantees must establish and maintain partnerships with coalitions, community-based organizations and other health and human services agencies that further the goal of providing BCCS in the proposed service area.
Program Management – The process of leading, facilitating and making sure the strategic planning, implementation, coordination, integration and evaluation of programmatic activities and administrative systems to ensure efficiency and effectiveness.
Professional Development – Grantees are responsible for making sure health care professionals provide BCCS services competently.
Quality Management – Grantees are expected to ensure the quality of services by monitoring performance and identifying opportunities for improvement. They must have policies and procedures to make sure health care providers follow evidence-based clinical guidelines and provide clinical services consistent with current nationally recognized standards of care.
Recruitment – Grantees must establish and maintain outreach and in-reach methods to recruit priority populations.