News for Current Providers
Breast and Cervical Reimbursement Rates Updated for 2022
BreastCare has updated the reimbursement amounts for covered procedures for 2022. The updated reimbursement rate tables can be found under Billing Information on the Forms and Manuals page.
BreastCare Provider Forms and Manuals Updated
BreastCare has updated several forms and manuals including the BreastCare Provider Manual, Billing Manual, the tobacco fax referral form, Welcome to BreastCare patient handout, and provider management forms for updating your banking details, contract information, and providers. All of these updated forms and manuals can be found on the Forms and Manuals page.
Phishing E-mail Alert
It has been brought to our attention that phishing e-mails are being sent to BreastCare providers posing as our Contracts Manager or BreastCare Provider Management. Since many of you recognize our staff’s name or BreastCare, you may be tempted to open the email and its attachments but don't. These e-mails are not from BreastCare. Instead, this is an attempt to gain access to your system to get information from you or infect your computer with a virus. Delete the e-mail and report it to your IT department in case they can track or block it. Please contact BreastCare with any questions or concerns you may have.
BreastCare Patient Eligibility Verification (September 2017)
Eligibility verification for BreastCare patients is no longer available through the Medicaid portal. This service ended on August 31, 2017. BreastCare providers can verify eligibility from the plan dates on the patient’s BreastCare card or by contacting BreastCare at 1-833-693-2942.
BreastCare Billing System Launched (September 2017)
Our new web-based BreastCare Billing System was launched in early September. Billing personnel who need access and have not already requested it should complete and return the form below. Only BreastCare providers with current agreements can access the system. If your provider group(s) does not have a current agreement or have not yet completed the re-enrollment process, you are encouraged to do so soon.
We appreciate your service as a BreastCare provider and look forward to our continued partnership offering high-quality breast and cervical screening and diagnostic services to the women of Arkansas.
Questions or concerns regarding this transition can be directed to BreastCare via e-mail at BreastCare@arkansas.gov or the mailing address below.
Arkansas Department of Health
Attn: BreastCare Billing
4815 West Markham Street, Slot 11
Little Rock, AR 72205
BreastCare Now Covers 3D Mammography (January 2017)
The Arkansas BreastCare program is now covering 3D mammography (tomosynthesis) as a reimbursable procedure as of October 1, 2016. BreastCare is using the following CMS guidance for Medicare reimbursement instructions for billing these codes:
- 77063 should be listed as a separate code in addition to the code for the primary mammogram code, 77057 or G0202. Do not report this code with 77055 or 77056.
- G0279 should be listed as a separate code in addition to G0204 or G0206 for the primary mammogram.
- The codes 77061 and 77062 are not allowed as they are not approved by Medicare.
The BreastCare program has revised eligibility guidelines to expand coverage. The revised guidelines include expanding the age range for cervical cancer screening and diagnostic services and providing diagnostic services for underinsured (insured but meet financial criteria) women who qualify. BreastCare now covers Pap testing for uninsured women between 21 and 39 years old as well as any diagnostics and follow-up needed as a result of an abnormal screening. Diagnostic services may also be covered for those who are insured but need assistance with co-pays, co-insurance, or deductibles. For questions about these new guidelines, please contact your Regional BreastCare Coordinator. (March 2016)
Becoming a BreastCare Provider
Regular screening and early detection are our best bets for helping Arkansas women fight breast and cervical cancer. We always welcome the opportunity to partner with more providers to offer breast and cervical services.
It is easy to enroll! Just go to https://health.arkansas.gov/BreastCareProviderNew/ and complete your online application. It only takes about 15 minutes to complete a basic application.
In order to enroll as a BreastCare provider, you will need to complete: Provider Basic Identification, Provider Demography, Provider Banking Information, W-9 Form, Provider Specialty Form, and Questionnaire. Have all documents for the application ready and the process will move faster.
For questions or additional information, contact our Provider and Contracts Manager at 501-661-2836.