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Women's and Men's Health Programs link

Provider Manual
2017 Women's and Men's Health Provider Contract Manual
Women's and Men's Health Fee Schedule (2018-2019)
Women's and Men's Health Fee Schedule (2017-2018)

Income Eligibility Guidelines (2018-2019) 


Screening Enrollment Lesson
Everything you need to know about qualifying factors and enrollment in the Every Woman Matters and Nebraska Colon Cnacer Screening Programs


Screening Cards Lesson 
What to do with the Screening Cards clients bring to their appointments



Referring EWM Clients to the Nebraska Tobacco Quitline
How to refer your Every Woman Matters patients to the Nebraska Tobacco Quitline



Forms and Letters

 Women Deemed Lost to Follow-Up Form
 Provider Materials Re-order Form
 Treatment Funds Request Form
 Claim Status Form
 Payment Status Form
 Mammogram Order Form

 
Diagnostic Enrollment/Follow-Up and Treatment

Diagnostic Presumptive Eligibility Checklist
2017-18 Diagnostic Reference Quick Guide

      Breast Diagnostic Enrollment/Follow-Up Treatment
     English
    
Spanish
     Breast Diagnostic Instructions

Breast Diagnostic Enrollment Lesson
Everything you need to know about the EWM Breast Diagnostic Enrollment, Follow-up and Treatment Plan
     
      Cervical Diagnostic Enrollment/Follow-Up Treatment
     English
     Spanish
     Cervical Diagnostic Instructions


Cervical Diagnostic Enrollment Lesson
Everything you need to know about the EWM Cervical Diagnostic Enrollment, Follow-up and Treatment Plan

Client Informed Refusal Form
English
Spanish
State Pap Plus Program
State Pap Plus Program Provider Update (revised, November 2015)
State Pap Plus Program Q & A (revised, November 2015)
State Pap Plus Program Enrollment Checklist (optional) (revised, November 2015)
State Pap Plus Form: English Spanish

State Pap Plus Program Enrollment Lesson
Everything you need to know about enrollment eligibility and navigation of the State Pap Plus Program for clients under 40 years of age

 
Timely Submission of Claims and Documentation Policy
 
Claims for services provided during a previous Fiscal Year (July 1- June 30) must be received by EWM/NCP with primary Explanation of Benefits and documentation by December 31st following the end of the Fiscal Year. Claims received after the filing deadline will be entered into the EWM/NCP Billing System and denied for Timely Filing. Claims denied for Timely Filing may not be billed to the client(s).
 
 
 
Nebraska Colon Cancer Program Data Entry Instructions for the Lab
Nebraska Colon Cancer Program Lab Data Entry Instructions (July 2018)
 
 
 

 

Health & Wellness Page

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