Sage Screening Program 2013 Program Basics Note: Click on red text items for hyperlink

Program Review: THE BASICS What will be covered: – Eligibility – Services – Forms – Follow-up – Assistance Cheat Sheets Contacts

Program Review: Eligibility Minnesota Women – Out of state women can be eligible for Sage, but residency is required for MABC treatment coverage – Men can receive free mammography by contacting Susan G. Komen Twin Cities Race for the Cure® Women age 40 or more – There are exceptions for breast cancer screening only! (Symptoms or Family hx)

Program Review: Eligibility cont. Income guidelinesguidelines – Are based on 250% of FPL – Change at the end of January each year – Are based on HOUSEHOLD size and GROSS INCOME – No proof of income is required

Program Review: Eligibility cont. Insurance status – Uninsured- enroll them – Unmet deductibles- enroll them early in the yr. HSAs are not insurance – Co-pays- How much of a barrier is it? Your choice to offer Sage to them or not – If patient has insurance you must submit claims to insurance first Send EOB along with claim to Sage

Program Review: Services Office Visit (covered annually) – Clinical breast exam (CBE) and pelvic exam Mammogram (covered annually) Pap test (covered every other year) Follow-up services (when screening is abn.) – Further imaging (f-up mamm., dx mamm, br. us) – Breast surgical consult and/or biopsy – HPV testing (only for ASC-US Pap results) – colposcopy

Program Review: Services cont. MA-BC: For women who need Treatment – Breast & Cervical Cancer Coverage Group of MN Medical Assistance – Complete MA coverage – Patient must be diagnosed through Sage – Patient must have no insurance – Enroll through county Social Services There are specific contact people for MABC. Contact your RC for the name or check our websitewebsite Patient needs the Sage Enrollment form to apply

Program Review: Process Patient is enrolled at the clinic – Enrollment occurs each visit – New Sage encounter # each visit Mamm. appt. must be coordinated (between clinic and imaging facility) – Clinic should schedule the patient’s mammogram (then send Imaging form to imaging facility) – Use same encounter number as the office visit

Program Review: Forms Enrollment form – Instructions for this form Instructions for this form Imaging Summary – Instructions for this form Instructions for this form Pap Summary – Instructions for this form Instructions for this form

Program Review: 4 Cheat Sheets (click on them to download) Jim McLean Gay Lynn Richards or

Program Review: Communications communiqués Bi-monthly Newsletter Website

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