Every Woman Matters
Provider Information
 
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Every Women Matters         Office of Women's Health 

FORMS and LETTERS (2013-2014)
Breast Diagnostic Enrollment/Follow-Up Treatment
PDF 
English
PDF Spanish

Cervical Diagnostic Enrollment/Follow-Up Treatment

PDF English
PDF Spanish

Client Informed Refusal Form

PDF English
PDF Spanish
Enrollment and Screening Packet (Presumptive Enrollment)
PDF English
PDF Spanish
PDF Women Deemed Lost to Follow-Up Form
PDF 
Provider Materials Re-order Form
PDF Treatment Funds Request Form

PDF file Provider Letter (2012)
PDF file
Client Letter (2012)
PDF file
Provider Notification Update (2011)
PDF Claim Status Form
PDF Payment Status Form
PDF file Procedure in Verifying Immigration Status(2011)
PDF file
Letter Regarding Clients with Rectal Bleeding
PDF
Straight Talk About Breast Cancer Order Form

RESOURCES and INFORMATION
Medical Advisory Committee
CDC Expert Panel on Screening

PDF Breast Policy and Physician Survey Results
PDF
Physician Survey Results Only
Upcoming Professional Education Opportunities
Speakers Bureau
Living Well ~ Chronic Disease Management

New STATE PAP PLUS PROGRAM (June 2013)
State Pap Plus Program Provider Update
State Pap Plus Program Q & A 
(revised 07/17/13) 

To download the Pap Plus form(s), please complete this short Survey. Once you enter the information, the form will be made available to you. The program will be using this information when there are updates to send out for the State Pap Plus Program.

PROVIDER CONTRACT MANUEL
Every Woman Matters Provider Contract Manual
PDF file EWM Fee Schedule (2013-14)
PDF file NCP Fee Schedule  (2013-14)
PDF file Income Eligibility Guidelines (2013-14) 
PDF Cervical Treatment Eligibility Update (2009)
PDF WiseWomen Policy Update (2008)
PDF Breast Policy Update (2008)
PDF Cervical Policy Update (2008)

FAQs
What is Every Woman Matters?
How do clients qualify?
What does Every Woman Matters pay for?
What are the benefits of becoming provider?
How does my facility become a provider?
Nebraska Colon Cancer Screening Program
Submission of Claims and Documentation Policy

What is Every Woman Matters?

Every Woman Matters can help women get their health examinations.  The program is for women between the ages of 40 and 74 years of age, who have limited or no health insurance, and have a low to moderate income.

Enrollment Forms English  Spanish

How do clients qualify?

  • Women must be between the ages of 40 and 74 years of age
  • They must not be enrolled in an HMO (Health Maintenance Organization)
  • They must not be enrolled in Medicare Part B
  • They must not be enrolled in Medicaid
  • They must fulfill PDF file Income Eligibility Guidelines (2013-14)
  • Every Woman Matters pays for the following screening services:
  • Clinical breast exam (CBE), according to guidelines
  • Screening Mammogram, according to guidelines
  • Pap test, according to guidelines
  • Pelvic exam yearly if done with a CBE, according to guidelines
  • Blood Pressure Check, according to guidelines
  • Height/Weight Check, according to guidelines
  • Lipids/Triglycerides Check, according to guidelines
  • Glucose or A1c if previously diagnosed with diabetes, according to guidelines

Every Woman Matters also pays for other follow up tests for women ages 40 through 74 including:

  • Diagnostic Mammogram
  • Breast Ultrasound
  • Repeat Clinical Breast Exam
  • Referral for breast lump evaluation
  • Fine Needle/Cyst Aspiration of the Breast
  • Ultrasound Guided Cyst Aspiration/Fine Need Aspiration
  • Breast Biopsy of any kind
  • Colposcopy-directed Biopsy

How does your facility become an Every Woman Matters provider?

All providers in the state have an opportunity to participate in the Every Woman Matters program.  If you are interested, please call us at 800-532-2227 and ask for Provider Contracts.  Or, you may email us at dhhs.ewm@nebraska.gov. All providers who participate agree to:

What are the benefits of becoming an Every Woman Matters provider?
  • Free or low-cost educational opportunities
  • Professional and continuing education information
  • Marketing of your facility to a health network of over 50,000 women
  • Being part of a health network of over 750 providers and many community partners
  • Reminders to your clients about checkups
  • Opportunity to build your community by being a resource to low-to-moderate income women by providing necessary women’s health screening services
  • Case management services for clients with abnormal test results

Nebraska Medical Association Speaker’s Bureau

NAMA Logo 

In coordination with the Nebraska Medical Association, and the Nebraska Health and Human Services System, a Women's Health Speaker Bureau is being formed. Throughout the year the agencies receive numerous requests for physician speakers, and we want you to help us a build diverse group to speak on women's health in Nebraska.

As a volunteer speaker, you will always have the option of declining an invitation.  We will not ask you to travel to another community unless you indicate that you are willing to do so.  We regret that we do not have funding to reimburse you for travel expenses. 

If you are interested, please read the Welcome Letter and fill out the Speaker Form below.

PDF Welcome Letter

PDF Speaker Form


Providers please note: Timely Submission of Claims and Documentation  Policy

Claims for services provided during a previous Fiscal Year (FY ends June 30) are no longer accepted after August 31 of the same calendar year (i.e., if a bill is received by EWM on December 10, 2004 for services received on June 20, 2004, it is not payable and the provider cannot bill the client). Notification is sent by the EWM Billing Staff of the deadline annually.  If the claim was for a service that EWM would have paid with proper documentation, the provider may not bill the client.

PDF  Claim Status Form, 28KB                       PDF  Payment Status Form, 28KB


CDC Expert Panel Results on Technologies for the Screening of Breast & Cervical Cancer

Every Woman Matters is funded through a federal grant, The National Breast and Cervical Cancer Early Detection Program, administered by the Centers for Disease Control and Prevention (CDC).  CDC convened two independent expert panels for assessment of technologies and recommendations for reimbursement guidelines for the early detection of breast cancer and the early detection of cervical cancer.  The following technologies were reviewed:

-Film Mammography (conventional)
-Full field digital mammography
-Computer Aided Detection (CAD)
-Magnetic Resonance Imaging (MRI)
-Breast Ultrasound
-Conventional Cytology
-Liquid-Based Cytology
-HPV testing (as a replacement of and as an adjunct to screening cytology)

Both a summary of the Reimbursement Policies Expert Panel Recommendations and the entire body of the White Papers from the Expert Panels on Technologies for the Early Detection of Breast Cancer and Cervical Cancer are available below.*

PDF Cervical Cancer White Paper - Summary, 53KB

PDF Cervical Cancer White Paper - Full Version, 230KB

PDF Breast Cancer White Paper - Summary, 45KB

PDF Breast Cancer White Paper - Full Version, 133KB

* Refer to the Every Woman Matters Program Provider Contract Manual for Specific Age and Compensation Guidelines.

NOTE:


For more information, contact:
Office of Women's Health
Every Woman Matters
301 Centennial Mall South, 3rd Floor
P.O. Box 94817
Lincoln, NE 68509-4817
In Lincoln:  (402) 471-0929
Outside Lincoln:  (800) 532-2227
Fax: (402) 471-0913 or (402) 742-2379
TDD: (800) 833-7352
E-mail: dhhs.ewm@nebraska.gov

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Nebraska Colon Cancer Screening Program

Office of Women's Health