Active SLED Opportunity · MISSISSIPPI · MISSISSIPPI DEPARTMENT OF HEALTH
AI Summary
Mississippi Department of Health seeks healthcare providers for breast and cervical cancer screening services under the MS-BCCP. The program targets underserved women, offering comprehensive screening, diagnostics, patient navigation, and reimbursement per CMS rates. This non-competitive RFA supports reducing cancer morbidity and mortality statewide.
Eligible healthcare providers are invited to participate in this Request for Applications to become a primary or secondary provider of breast or cervical cancer screening services for the Mississippi Breast and Cervical Cancer Program (MS-BCCP). Through support provided by the Centers for Disease Control, National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and non-federal funding sources, the Mississippi Breast and Cervical Cancer Program (MS-BCCP) is a screening program that supports and promotes breast and cervical cancer screening for medically underserved women that are considered high risk. The goal of the program is to screen medically underserved women to reduce morbidity and mortality from breast and cervical cancer in Mississippi. These groups include underinsured, uninsured, medically underserved, minority, and women 40 years old and older. Often by the time symptoms appear and these women present to a healthcare provider, the disease has advanced, reflecting differences in access to screening and care. MS-BCCP continues its efforts in filling the gap for women to ensure adequate and quality health care access as it relates to breast and cervical cancer screenings. This goal is accomplished in tandem with a broad network of healthcare partners, by addressing patient barriers to screening, improving clinic processes to better identify women in need of screening, and enrolling women in MS-BCCP for screening and diagnostic tests.
The NBCCEDP target population is uninsured or underinsured women who are at or below 250% of the federal poverty level, aged 50 to 64 years for breast cancer services, and aged 21-64 years for cervical cancer services. High priority populations for MS-BCCP are underinsured Black, Hispanic, and Asian/Pacific Islander women who are at or below 250% of the federal poverty level, aged 50 to 64 years for breast cancer services, aged 21-64 years for cervical cancer services, and from rural and urban communities.
MS-BCCP aims to increase breast and cervical cancer screenings and diagnostic services across Mississippi among disproportionately affected populations, including racial and ethnic minority women through population-based approaches, which engage the support of health systems partners through the State. This Request for Applications (RFA) is issued to solicit applications from health systems who can increase breast and cervical cancer screenings rates throughout the State.
This is a non-competitive opportunity, open to any medical provider meeting the required qualifications.
Providers are expected to provide the following breast and cervical cancer screening and early detection services to Mississippi Breast and Cervical Cancer Program (MS-BCCP) eligible and enrolled individuals :
1. SERVICES TO BE PROVIDED
The provider must identify which among the following services it intends to offer enrolled MS-BCCP patients under this contract.
All providers listed below are considered secondary or auxiliary screening and/or diagnostic providers. Secondary or auxiliary screening providers may enroll patients on a case-by-case basis
provided all program criteria for patient eligibility, enrollment documentation, and patient navigation can be met.
B. An OB/GYN agrees to provide the necessary consultation and appropriate diagnostic tests or procedures as listed in the fee schedule and agreed to by both parties. The referring primary
provider will have the responsibility of determining patient eligibility for services based on program protocol and manual.
C. A Surgeon agrees to provide the · necessary consultation and appropriate Diagnostic test or procedures to determine a diagnosis of cancer. The referring primary provider will have the
responsibility of determining patient eligibility for services based on program protocol and manual.
D. A Mammography Facility agrees to provide breast cancer services to include screening and diagnostic mammograms and other related diagnostic procedures listed in the fee schedule as agreed
by both parties.
E. A Hospital/Outpatient Surgery Facility agrees to provide outpatient diagnostic services as listed in the fee schedule and agreed to by both parties.
F. A Radiologist agrees to provide services for cancer indicated above that may include interpretation.
G. A Pathologist or Laboratory/Pathology Facility agrees to provide related diagnostic lab services as listed in the fee schedule as agreed to by both parties.
H. An Anesthesiologist agrees to provide anesthesiology services to outpatient surgery patients as listed in the fee schedule as agreed to by both parties.
I. A Certified Registered Nurse Anesthetist (CRNA) agrees to provide anesthesia services to outpatient surgery patients under the direction of a physician licensed to practice medicine. The nurse anesthetist is qualified in accordance with Section §73-15-20(2) of the Code of Mississippi 1972 and must be licensed by the Mississippi Board of Nursing.
2. PATIENT NAVIGATION
The ENROLLING PROVIDER of the patient, whether it is the primary provider or a secondary/auxiliary provider, agrees to provide timely and appropriate patient navigation, which may include referral to MSBCCP for financial assistance in covering medical costs, education, and consultation and support to resolve patient barriers and/or arrange diagnostic services and treatment assistance as appropriate.
3. STANDARDS OF CARE
All services pursuant to this agreement shall be performed to the satisfaction of the MS-BCCP, and in accordance with all applicable federal, state, and local laws, ordinances, rules, and regulations, as well as MS-BCCP program policies, protocols, and guidance. Contractor will maintain documentation of all MS-BCCP-related screening and diagnostic activities in the patient’s medical record and will make records available for review, audit, or inspection to authorized agents of MS-BCCP and/or the Mississippi State Department of Health as needed or required.
4. REFERRAL OF PATIENTS
Patients must be enrolled by a contracted, participating MS-BCCP provider and must be further referred to and served by other MS-BCCP contracted, participating providers for screening and diagnostic services as appropriate. Reimbursement of services is allowable only when enrolled patients are provided breast and cervical cancer screening and diagnostic services by contracted, participating MS-BCCP providers. Services provided by non-contracted providers will not be reimbursed and patients may be billed for services rendered by non-contracted providers.
5. THIRD-PARTY PROVIDERS
Providers (i.e., surgeons, laboratories, radiologists, etc.) who are affiliated with or provide services at the site of the contracted provider but independently submit claims using a different tax ID number than the contracted provider MUST ALSO be contracted with MS-BCCP to be eligible for reimbursement.
6. LABORATORIES
A Primary Provider/Surgeon/Hospital/Outpatient Surgical Facility agrees to obtain results of laboratory services, to include pathology, from a Clinical Laboratory Improvement Act(CLIA) certified laboratory.
7. CANCER DIAGNOSIS
If a breast and/or cervical cancer is found, the Primary Provider and Surgeon agree to provide the MS-BCCP with start of treatment information within 14 days of the initiation of cancer treatment. The provider agrees to share necessary information related to the diagnosis and treatment of the breast or and/or cervical cancer with the MS-BCCP for CDC data surveillance and program performance indicator purposes.
8. SUBMISSION OF INVOICES, PROGRAM FORMS AND REPORTS
Contractor agrees to submit an invoice or demand for payment and substantiating documentation for the reimbursable medical procedure(s) performed or service(s)provided within forty-five (45) days of the date(s) of service with the exception of services provided in the month of June. Claims, invoices, or other demands for payments for dates of service in the month of June (with supporting documentation) must be received by close of business on the second Friday of July. This shortened timeframe is necessary to assure all payments are finalized and liquidated before closeout financial reporting is due to the federal funding agency. Invoices or demands for payment received after the second Friday of July for work and labor performed are subject to denial, will not be paid, and are forfeited.
With the exception of laboratories, Contractor will complete all necessary forms applicable to services provided and required by the MS-BCCP to include Screening/Intake Forms, Consent Forms, Mammogram Voucher, Breast /Cervical Follow-Up Referral Forms and will provide copies of progress or medical notes relevant to MS-BCCP related services. Contractor will provide the primary (or enrolling) provider and the MS-BCCP with the results of all screenings, tests, pathological procedures, surgical procedures, and recommendations for follow-up. All necessary documentation must be on file with MS-BCCP before a claim is processed for payment.
Any claim, invoice, or demand for payment must contain the pertinent minimum information to include patient’s name, date of birth, social security number, CPT code(s), date(s) of service, amount(s) charged for each procedure, provider name, billing address, and Provider’s Federal Tax ID number. Alternatively, a spreadsheet or statement may be submitted for batched claims. Handwritten claims forms or handwritten spreadsheets will not be accepted and will not be processed for reimbursement.
Contractor agrees to follow the MS-BCCP’s prescribed method for submitting claims, program forms, and reports, which includes secure fax and U.S. Postal mail, and other alternative methods as approved by MS-BCCP.
Mailing Address: MS State Department of Health
Attention: MS-BCCP
570 Woodrow Wilson
Jackson, MS 39216
Fax: (601)576-8030
9. PAYOR OF LAST RESORT
MS-BCCP will serve as the payor of last resort for uninsured and underinsured program-eligible participants enrolled in the program prior to or at time of provision of services. For underinsured patients, contractor agrees to provide documentation identifying the patient’s financial responsibility (i.e., co-insurance, copay, and/or deductible) and/or a list of covered benefits, services, or procedures under the patient’s insurance at the time of referral to MS-BCCP for enrollment. Contractor agrees to bill private insurance or the Mississippi Division of Medicaid applicable program for all services. Should private insurance or Medicaid claims be denied, the Contractor reserves the right to resubmit those claims to the MSBCCP program. The contractor must include a copy of the denial with the resubmitted claims.
10. RATE OF REIMBURSEMENT
Contractor may bill MS-BCCP at their usual, customary, and reasonable (UCR) rate for services, but agrees to accept a rate of reimbursement for approved procedures from Attachment E on the date of service not to exceed the Centers for Medicare and Medicaid Services (CMS) published Medicare Part B Participating Health Care Provider rate or fee for the date of service. The fee reimbursed to the provider is to be based on the applicable CMS Medicare rate or fee schedule effective on the date of service for Mississippi providers. Rates and fee schedules are updated by CMS periodically and are located at:
The list of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Allowable Procedures and the corresponding Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System --(HCPCS) codes for the use in the NBCCEDP under these general conditions and provided by CDC under the CDC-RFA-DP22-2202 (NBCCEDP) grant is available in Attachment E.
Contractor agrees not to bill women and participant individuals participating in the MSBCCP for any difference between provider fees for MS-BCCP covered services and the amount reimbursed by the MS-BCCP.
Contractor shall have the right to bill individuals for services related to breast cancer and cervical cancer screenings which are not covered under this agreement but must notify the women and participant individuals of their financial responsibility prior to delivering the service. Contractor agrees to clearly explain to the patient which services are and are not covered by MS-BCCP and to obtain separate patient consent to provide non-covered services.
11. PAYMENT REQUESTS
Payment requests will be processed by the MS-BCCP program staff upon receipt of all claims and supporting documentation, including enrollment forms, consent forms, and reports or results of procedures. The request to issue payments will be processed through the MSDH Office of Finance and Accounts with final release of funds granted from the State of Mississippi Department of Finance and Administration.
12. RECORD OF PAYMENTS
Contractor may request directly from the MS-BCCP a record of payments processed for reconciliation purposes. Requests must be in writing and submitted to the MS-BCCP general correspondence email address: bccpcontracts@msdh.ms.gov
13. CHANGES TO PROVIDER INFORMATION
Contractor agrees to promptly notify the MS-BCCP in writing of any changes to Provider’s corporate name, tax identification number, address, status of license to provide services, within thirty (30) days of such changes. Failure to notify MS-BCCP may result in denial of payment for requested services provided after any effective changes. A contract modification to update information may be necessary.
14. CORRESPONDENCE
Contractor agrees to submit all general correspondence concerning this contract, updates to contractor information, requests for record of payments, requests for technical assistance, provider questions, and other MS-BCCP related matters to:
Email: bccpcontracts@msdh.ms.gov
We need to have an open RFA for providers interested in joining the MS-BCCP Provider Network, as well as get ahead of renewing 140 or so FFSCNs that expire 6/30/2026. These are staying pretty much the same as the ones in QPulse. An example of one is QPulse FFSCN-20. There are about 120-140 that will be awarded with new providers needing to be able to submit an application on a rolling basis. The fee schedule is attached.
Applications will receive higher scores if the information presented is accurate, complete, well-presented, and free of spelling, grammatical, and mathematical mistakes. Additionally, all acronyms must be spelled out at their first mention, indicating their abbreviation in parenthesis.
Please provide the full legal name of the Applicant Organization that should be listed on an agreement or contract. Be sure to include any other "doing business as" names, or any previous names the organization used.
NOTE: Name must match the UEI Number
Please enter the full EUI Number of the Applicant Organization here.
Please upload a copy or printout of your registration from SAM.gov.
What is the full physical/mailing address of the Application Organization?
Please be sure to include the full street name and address (including floor or room number if applicable), City, State, and Zip Code.
Please provide the full name of the Applicant's Point of Contact for this Application.
Please provide the full title of the Applicant's Point of Contact for this Application.
Please provide the full telephone number (including area code) of the Applicant's Point of Contact for this Application.
Please provide the full email address of the Applicant's Point of Contact for this Application.
Party submitting this application certifies that Applicant Organization is an eligible entity as defined by this RFA.
Party submitting this application certifies that Applicant Organization is not presently debarred or suspended.
Upload a copy of your current W9 here.
Applicant must provide a summary of any agreements executed within the last five (5) years with federal awarding agencies or pass-through entities (either as grant agreements, cooperative agreements, subawards, or contracts) that:
The provider must identify which among the following services it intends to offer enrolled MS-BCCP patients under this contract.
All providers listed below are considered secondary or auxiliary screening and/or diagnostic providers. Secondary or auxiliary screening providers may enroll patients on a case-by-case basis
provided all program criteria for patient eligibility, enrollment documentation, and patient navigation can be met.
B. An OB/GYN agrees to provide the necessary consultation and appropriate diagnostic tests or procedures as listed in the fee schedule and agreed to by both parties. The referring primary
provider will have the responsibility of determining patient eligibility for services based on program protocol and manual.
C. A Surgeon agrees to provide the · necessary consultation and appropriate Diagnostic test or procedures to determine a diagnosis of cancer. The referring primary provider will have the
responsibility of determining patient eligibility for services based on program protocol and manual.
D. A Mammography Facility agrees to provide breast cancer services to include screening and diagnostic mammograms and other related diagnostic procedures listed in the fee schedule as agreed
by both parties.
E. A Hospital/Outpatient Surgery Facility agrees to provide outpatient diagnostic services as listed in the fee schedule and agreed to by both parties.
F. A Radiologist agrees to provide services for cancer indicated above that may include interpretation.
G. A Pathologist or Laboratory/Pathology Facility agrees to provide related diagnostic lab services as listed in the fee schedule as agreed to by both parties.
H. An Anesthesiologist agrees to provide anesthesiology services to outpatient surgery patients as listed in the fee schedule as agreed to by both parties.
I. A Certified Registered Nurse Anesthetist (CRNA) agrees to provide anesthesia services to outpatient surgery patients under the direction of a physician licensed to practice medicine. The nurse anesthetist is qualified in accordance with Section §73-15-20(2) of the Code of Mississippi 1972 and must be licensed by the Mississippi Board of Nursing.
The Applicant must identify from the outline above which services it will offer and provide to MS-BCCP participants that it expects to submit claims and be reimbursed for.
List all other current agreements/contracts with MSDH, including the dollar amount associated with the agreement/contract and the beginning and ending dates. If no other funds are received, please mark N/A.
Please provide each entry in the following format:
MSDH Program or Agreement/Contract Name #1
Please list the name of each member of your organization’s Board of Directors or other governing body (i.e., trustee, alderman, partner, owner).
Are any members of the governing body or project staff also MSDH employees, MSDH Board Members, or spouses, parents, or children of MSDH employees?
You have indicated that one or more members of your governing body or project staff are also MSDH employees, MSDH Board Members, or spouses, parents, or children of MSDH employees.
Please provide the following for all such individuals:
Does the MSDH Board Member, Employee, or Relative receive more than $2,500.00 per year in income from the business?
Does the MSDH Board Member, Employee, or Relative own ten (10%) percent or more of the fair market value in the business, either directly or indirectly through another business?
Does the MSDH Board Member, Employee, or Relative have ownership interest in the business, in which the fair market value exceeds $5,000.00?
Is the MSDH Board Member, Employee, or Relative a director, officer, or employee of the business?
I hereby certify that the information set forth above is true and complete to the best of my knowledge and that no MSDH employee, spouse, parent, or child of an MSDH employee, serves as a member of the governing body, project staff, or has an ownership or pecuniary interest in the agreement/contract or organization. I agree to notify MSDH within thirty (30) days if any of these conditions change during the agreement/contract.
The applicant certifies that they or any of its principals _____ presently debarred, suspended, proposed for debarment, or declared ineligible for award of federal or state contracts.
Select the answer which best fills in the blank for the applicant.
The applicant certifies that they or any of its principals _____ presently indicted for, or otherwise criminally or civilly charged by a government entity.
Select the answer which best fills in the blank for the applicant.
The applicant certifies that they or any of its principals _____ within the last five (5) years, been the subject of a federal or state criminal proceeding resulting in a conviction or other acknowledgment of fault, been the subject of a federal or state civil or administrative proceeding resulting in a finding of fault with a monetary fine, penalty, reimbursement, restitution, and/or damages greater than $5,000 or other acknowledgment of fault; convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) contract or subcontract; violation of Federal or State antitrust statues relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements or receiving stolen property.
Select the answer which best fills in the blank for the applicant.
The applicant certifies that they or any of its principals _____ within the last three (3) years preceding this offer, had one or more contracts terminated for default by any federal agency.
Select the answer which best fills in the blank for the applicant.
The applicant certifies that they or any of its principals _____ within the last twenty-four (24) months, been convicted of a felony criminal violation under federal or state law.
Select the answer which best fills in the blank for the applicant.
Does the applicant have a financial management system that provides records that can identify the source and award-supported activities and provides control and accountability of project funds, property, and other assets?
Does the applicant receive an annual audit in accordance with Uniform Guidance §200.514 (formerly A-133)?
What is the most recent fiscal year for which this audit was completed?
Were there any audit findings in the most recent report?
If "Yes", please be sure to provide an explanation in the applicable upcoming question. Failure to provide an explanation may cause your submittal to be deemed non-responsive.
Please upload a copy of your most recent Uniform Guidance §200.514 (formerly A-133) Audit Report.
Please provide any additional information around your Audit Status that you feel is necessary here. This includes an explanation regarding any audit findings in your most recent audit.
If you have nothing to add here, please state that you have no additional information to provide.
You have stated that the applicant does not receive an annual audit in accordance with Uniform Guidance §200.514 (formerly A-133).
Please select the option which best fits the reason why.
If you selected "Other" in the previous question regarding why you do not receive an annual audit in accordance with Uniform Guidance §200.514 (formerly A-133) please specify here.
If your answer to the previous question was not "Other", please respond here with "N/A".
Should the language for Competition/Joint Efforts be used in this RFA?
Is there a Statement of Need required with submittals for this RFA?
What is the estimated dollar amount budgeted for this request?
Be sure that the following three financial info pieces add up to 100% or this will not be approved.
Please specify the internal order information. Be sure to include the % of each internal order. If there are multiple internal orders, please separate each with a comma and be sure they add up to 100% or your posting will not be approved.
EXAMPLE 1
30000035771 100%
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13010101000000DV 100%
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1301010707 100%
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
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