1. (1) ScreenWise BCC covers screening and diagnostic services specific to breast and cervical cancer. Contracted providers will only be reimbursed for services related to breast and cervical cancer screening and diagnosis.

2. (2) Screening and diagnostic services include, but are not limited to:

   1. (a) For breast cancer, both a clinical breast examination and a mammogram;
   2. (b) For cervical cancer, both a pelvic examination and a Pap smear; and
   3. (c) Laboratory tests and medical procedures necessary for detection and diagnosis of breast and cervical cancer.
3. (3) Information regarding covered services and CPT code lists, including required notice to providers regarding revisions, may be found in the provider’s Medical Services Agreement.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 413.042

History

PH 11-2016, f. & cert. ef. 4-1-16
PH 20-2015(Temp), f. & cert. ef. 10-12-15 thru 4-8-16
PH 9-2008, f. & cert. ef. 6-16-08