KENTUCKY COLON CANCER SCREENING PROGRAM

KCCSP

The following only applies if you are receiving grant funds from the Department for Public Health for the Kentucky Colon Cancer Screening Program.

Service Contract Contract must address what services are to be

covered:ColonoscopyFacilitiesAnesthesiaRemoval of polyps Who is providing the prepWho is doing prep instructions

Service Contract cont...Language that addresses:

Colonoscopy procedural report and pathology report are due to the patient navigator before payment for completed services will occur

Patient will not be balance billed for any services of colonoscopy, facilities, anesthesia, removal of polyps, pathology related to polyps

Service Contract cont..Language that address:

Cecum reached and enteredPrep quality as Excellent/Good/Fair/PoorRecommended future test cycle If a second colonoscopy is needed, it will not be paid

for without the approval of State KCCSP staff.

Program Personnel Contract Contract must address:

Patient Navigator (PN) is required to attend state sponsored trainings sessions and teleconferences related to program

Required participation in site visits by state staffProgram participants eligibility must be verified and

documented

Program Personnel Contract Verify and document that program participant

does not have Medicaid

PN must assist the program participant to a KYNECT if they are eligible for Medicaid or for other insurance based on income

Program Personnel Contract The PN is to assist patient through the

screening processPN is to navigate patients with abnormal

screenings results or colon cancer diagnosis to additional services/navigators

PN ensures that referrals, procedures, communications and follow-up occur in a timely fashion

Program Personnel Contract PN is to enter required information into the

appropriate data systemPN/local program is responsible for outreach

to target population PN will assign the patient to either FIT or

Colonoscopy screening based on the outcome of the eligibility and enrollment form

Program Personnel Contract PN will collaborate with KCP on this projectThe FIT Kits are to be disturbed only during a

face to face encounterPN is to provide FIT Kite educationPN is responsible to follow up with patients

who have not completed the screening process

Program Personnel Contract PN is responsible for maintaining HIPPA

compliance Who will over see program when PN is absent

from workPN is responsible to notify patients of FIT

result