1. (1) The department shall reimburse a contracted provider or local health department for services provided in accordance with:

   1. (a) each manual included in the provider agreement or contract; and
   2. (b) each fee schedule included in the provider agreement or contract.
2. (2) A provider may not bill or collect any additional fee beyond the department's payment for services provided pursuant to a Breast and Cervical Cancer or BeWise Program's agreement or contract.

3. (3)(a) The department may not pay for Breast and Cervical Cancer Screening or BeWise Program services while an individual is eligible to receive these services under Medicaid, Medicare, or any other primary payer source.

   1. (b) The department may pay after every other primary payer source has been exhausted.

KEY: breast and cervical cancer screening, WISEWOMAN, Cancer Control Program

Date of Last Change: February 17, 2026

Notice of Continuation: February 22, 2024

Authorizing, and Implemented or Interpreted Law: 26B-1-202; 26B-1-213; 26B-7-227(2)