Approximately 500 medical, clinical and laboratory providers have signed agreements with the Ohio Department of Health (ODH) to provide breast and cervical cancer screening and diagnostic services to Breast and Cervical Cancer Project (BCCP) clients. BCCP’s 5 Regional Enrollment Agencies work with medical providers in their respective geographic areas to provide services to BCCP direct service clients.

BCCP direct services include mammograms, Pap tests, office visits, clinical breast exams, colposcopy, breast ultrasound, biopsy and other diagnostic procedures. The CDC determines eligible Current Procedural Terminology codes for BCCP. In general, providers are reimbursed at Medicare Part B rates. Allowable codes and rates are updated annually. Services are reimbursed by a third party administrator.

Instructions to complete the BCCP Provider Agreement (documents below)

In order for a provider to be reimbursed for services to a BCCP client, the provider must have a signed agreement with ODH. The term of the current BCCP provider agreement is November 1, 2019 through June 30, 2026.

The BCCP Provider Agreement packet is comprised of the following components. The signature on the provider agreement must be original. The signature on the W-9 may be copied.

1. Provider Agreement

2. Form W-9

3. Electronic Fund Transfer Form

Please Note: 

• The “Provider’s Business Name” name on page 1 of the Provider Agreement must match exactly the “name” on line one the W-9.

• Our funder, the Centers for Disease Control and Prevention (CDC), asks that all BCCP clients be screened as to smoking status, and that current smokers be referred to the Ohio Tobacco Quit Line. Clients identified as current smokers should be referred to the Ohio Tobacco Quit Line at 1-800-QUIT-NOW (1-800-784-8669).

Completed Provider Agreements must be mailed to:

Breast and Cervical Cancer Project
Ohio Department of Health
246 North High Street 6th Floor
Columbus Ohio, 43215
ATTN: Provider Agreement

Upon receipt of your completed and signed Provider Agreement packet, it will be forwarded to the Director of Health for signature. A copy of the ODH-approved Provider Agreement will then be mailed to you. Only upon your receipt of the ODH-approved agreement may you provide services to BCCP clients for reimbursement.

If you have any questions, please call 1-844-430-BCCP(2227) and select option #6.

Provider Agreement Components and Attachments

Provider agreement term November 1, 2019 ending June 30, 2026

• Standard BCCP Provider Agreement For Term November 1, 2019 Through June 30, 2026

• IRS Form W9

• Payment Option & Electronic Fund Transfer Form

Attachments to provider agreement

•  Allowable Codes And Reimbursement Rates for June 30, 2019 – June 29, 2020

• Allowable Codes And Reimbursement Rates for June 30, 2020 – June 29, 2021

• Allowable Codes and Reimbursement Rates for June 30, 2021 - June 29, 2022

• Allowable Codes And Reimbursement Rates for June 30, 2022 - June 29, 2023

• Regional Enrollment Agencies

• Regional Enrollment Agencies Map

Ohio Breast & Cervical Cancer Project Manual for Providers

• BCCP Provider Manual

Ohio Breast & Cervical Cancer Project Claim Denial Descriptions

• Claim Denial Descriptions

Third Party Administrator

Public Partnerships is the third-party payer for the BCCP Program. Providers may contact them if they have questions about claim payments or explanation of benefits. Providers may contact Public Partnerships via their website or telephone. Their website can be found at:

Their Customer Service Telephone Number is 1-800-686-0734