Health Compass

NY STATE OF HEALTH

What Does it Mean for You?

NY State of Health, The Official Health Plan Marketplace, is where New Yorkers can shop for, compare and enroll in health insurance coverage.  You have a choice of health plans and help finding the plan that is right for you.  It’s the only place to get financial assistance to reduce the cost of coverage.Health insurance offered in the Marketplace includes a comprehensive set of benefits. To learn more, visit nystateofhealth.ny.gov or call         1-855-355-5777.

Coordinator/Case Manager: Kathy Sochia

Data Manager: Sarah Thompson 

Telephone: (315) 376-5453

Hours of Operation:
M - F: 8:30 am - 4:30 pm

 

Cancer Screening Quick Facts

  • More than 30% of New Yorkers are not up-to-date with their colorectal cancer screening.
  • 1 in 5 New York women are not up-to-date with their mammography screening.
  • The Pap test has reduced cervical cancer rates dramatically since it was first introduced in the United States 65 years ago.
  • At least 6 of every 10 deaths from colon cancer could be prevented if every adult 50 years and older got tested regularly.
  • Adults 18 - 64 years old with no health insurance at all in the past 12 months were 7 times more likely to skip medical care for cost reasons, compared with those continuously insured.
  • Updated Cancer Screening Guidelines for Cervical Cancer

For Providers

Here are some important forms for provider use:   

  • To learn more about the Cancer Services Program, click here
  • To find out who is eligible to participate in the Medicaid Cancer Treatment Program, click here
  • To access the Consent for Cancer Services Program Participation, click here
  • To access the Cancer Services Program Clinical Breast Exam form, click here. 

 

 

Cancer Services Program

The Cancer Services Program (CSP) of Lewis and Jefferson provides comprehensive, age-appropriate breast, cervical and colorectal screenings at no cost to men 50 and older and women 40 and older who:

  • Do not have health insurance or have health insurance that does not cover the cost of these screenings
  • Cannot pay for these screenings
  • Meet income eligibility requirements
  • Meet age requirements
  • Live in New York State

Currently, all NYS counties are served by one or more CSP "Partnerships" providing screening services for breast and cervical cancer, colorectal cancer or all three of these cancers. The partnership model was selected as the most efficacious approach to provide statewide screening services. The model is based on the concept of the "community of solution," in which a variety of existing community entities contributes and mobilizes their resources collectively to solve a community problem.

Through the partnership model, screening programs are better able to identify and meet the diverse needs of the priority populations in communities across the state. Note that the term "partnership" does not imp0ly a formal legal entity. Partners assist with implementation of required activities as appropriate to the mission and role of their organizations. These partners provide a valuable source of services, promote the screening programs, and add in-kind resources. Partnership members include community organizations, health care providers in a variety of settings, local businesses, health-related organizations, and government.

Who do I call for a FREE cancer screening or to be connected to other CSP services?

Call 1-866-442-CANCER (2262) to talk to someone 24 hours a day, 7 days a week who will connect you to a Cancer Services Program near you. The call is free.

Where are these screening services provided?

Services are provided in local clinics, health centers, doctors' offices, and hospitals in every country and borough in New York State by health care providers participating in the CSP.

What if they find something or I need treatment after the screening?

  • If screening tests find something abnormal, diagnostic (testing) services are available through the CSP for eligible men and women at no cost.
  • If breast, cervical or colorectal cancer is found, eligible men and women may be able to enroll in the NYS Medicaid Cancer Treatment Program to receive full Medicaid coverage for the entire time they are being treated for cancer.
  • Men diagnosed with prostate cancer by a doctor in this program may be able to enroll in the Medicaid Cancer Treatment Program (the CSP does not pay for prostate cancer screening or diagnostic services).

Why should I be screened for cancer?

Breast, cervical and colorectal cancer may not always cause symptoms, but there are screening tests that can find these cancers early.

  • The risk for breast cancer increases withh age. Talk to your doctor about when and how often you should be screened.
  • All men and women ages 50 and older should be screened for colorectal cancer. If a member of your family has had colorectal cancer, your health care provider may recommend starting screening earlier. Screening tests can find colorectal cancer early.
  • All women are at risk for cervical cancer. Cervical cancer is the easiest gynecologic cancer to prevent with regular screening tests and follow-up. It also is highly curable when found and treated early.

Early cancer detection saves lives!

Here are up-to-date Cervical Cancer Screening Reimbursement Guidelines

Reimbursable Screening Services

The CSP reimburses participating providers for the following breast, cervical and colorectal cancer screening tests for eligible, uninsured or underinsured women and men:

  • Breast Cancer Screening (Mammogram and Clinical Breast Exam)
    • Women ages 40 or older
    • Women under age 40 at high risk for breast cancer*
  • Cervical Cancer Screening (Pap Test and Pelvic Exam)
    • Women ages 40 or older
  • Colorectal Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test Kit)
    • Men and women ages 50 or older at average risk for colorectal cancer
  • Colorectal Cancer Screening (Colonoscopy)
    • Men and women at high risk for colorectal cancer*

*As determined by a clinical risk assessment performed and documented by a NYS-licensed provider, per CSP protocol.

Reimbursable Diagnostic Services

Reimbursement is available for many diagnostic services including imaging, facility fees, biopsies, pre- and post-operative procedures, pathology and consultations.

NYS Medicaid Cancer Treatment Program (MCTP)

Women and men who are in need of treatment for breast, cervical, colorectal or prostate** cancer may be eligible for full Medicaid coverage through the NYS MCTP. Coverage lasts for the entire treatment period and includes medications.

  • Clients must meet certain other eligibility criteria such as age, income, U.S. citizenship, New York State residency, and must not be covered under any creditable insurance at the time of application
  • All eligible individuals must be seen by a Medicaid approved provider for treatment

**The CSP does not currently support routine population-based screening for prostate cancer. The CSP does not currently provide reimbursement for prostate cancer screening and diagnostic services.

Eligibility for breast and cervical cancer, or pre-cancerous breast or cervical conditions, individuals must be:

  • Screened for and diagnosed with breast or cervical cancer, or a pre-cancerous breast or cervical condition, by a New York State-licensed health care provider, OR, if diagnosed with such in another state, were screened and/or diagnosed by the state's National Breast and Cervical Cancer Early Detection Program;
  • Not covered under any creditable insurance at the time of MCTP application;
  • In need of treatment for breast or cervical or pre-cancerous breast or cervical conditions

Eligibility for colorectal cancer or pre-cancerous colorectal conditions, individuals must be:

  • Cancer Services Program eligible at the time of screening or diagnosis;
  • Screened and/or diagnosed with colorectal cancer by a current CSP credentialed provider;
  • Under 65 years of age;
  • Not covered under creditable insurance at the time of MCTP application;
  • In need of treatment for colorectal cancer or a pre-cancerous colorectal condition

Eligibility for prostate cancer, or pre-cancerous prostate conditions, individuals must be:

  • Screened and/or diagnosed with prostate cancer by a current CSP credentialed provider;
  • Under 65 years of age;
  • Not covered under any creditable insurance at the time of MCTP application;
  • In need of treatment for prostate cancer or a pre-cancerous prostate condition

To find out more information about cancer:

New York State Department of Health Cancer Services Program

1-866-442-CANCER (2262)

www.health.ny.gov/nysdoh/cancer/center/partnerships/

American Cancer Society (ACS) National Hotline

Provides free information and emotional support from trained volunteers anytime before, during, or after treatment. Local chapters are listed in the white pages of your phone book and may be found on the ACS website.

1-800-ACS-2345 (1-800-227-2345)

www.cancer.org

National Cancer Institute Cancer Information Hotline

Offers free state-of-the-art information in English or Spanish on treatment, clinical trials, nutrition, advanced cancer, and services in your area.

1-800-422-6237

www.nci.nih.gov

Centers for Disease Control and Prevention

Provides information about cancer prevention, screening, diagnosis, and survivorship.

www.cdc.gov/cancer