Sage Screening Program

2013 Program Basics

Note: Click on red text items for hyperlink

Program Review: Program Review: THE BASICSTHE BASICS

What will be covered:– Eligibility– Services– Forms– Follow-up– Assistance

Cheat Sheets Contacts

Program Review: Program Review: EligibilityEligibility

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® 952-746-1760

Women age 40 or more– There are exceptions for breast cancer screening only!

(Symptoms or Family hx)

Program Review: Program Review: Eligibility cont.Eligibility cont.

Income guidelines

– 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: Program Review: Eligibility cont.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: Program Review: ServicesServices

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: Program Review: Services cont.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 website

Patient needs the Sage Enrollment form to apply

Program Review: Program Review: ProcessProcessPatient 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: FormsProgram Review: Forms

Enrollment form– Instructions for this form

Imaging Summary– Instructions for this form

Pap Summary– Instructions for this form

Program Review:Program Review:4 Cheat Sheets (click on them to download)

Jim McLean 651-201-5620 jim.mclean@state.mn.us or

Gay Lynn Richards 651-201-5632 or gaylynn.richards@state.mn.us

Program Review: Program Review: CommunicationsCommunications

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Bi-monthly Newsletter

Website www.mnsage.com

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