Comprehensive Cancer Control Program

The Comprehensive Cancer Control Program uses a collaborative approach through which the program, its partners pool resources to promote cancer prevention, improve cancer detection, reduce the burden of cancer and build community capacity.

The goal is to:

  • Increase breast and cervical screenings
  • Colorectal screenings
  • Increase HPV vaccination rates
  • Reduce the use of tobacco abuse

Cherokee Nation Breast and Cervical Cancer Early Detection Program

The purpose of the program is to provide screening and diagnostic services for breast and cervical cancer. The program provides case management services to American Indian women for breast and cervical screening who are uninsured, underinsured, and have a family income at or below 250% federal poverty level.

Breast cancer is the most commonly diagnosed cancer among women in the Cherokee Nation.

 

 

 

 

 

 

 

 

 

 

To improve access to screening, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990 (PL-101-354), which guided the Centers for Disease Control & Prevention (CDC) in creating the National Breast & Cervical Cancer Early Detection Program (NBCCEDP).

Currently, the NBCCEDP funds all 50 states, The District of Columbia, 5 U.S. Territories and 12 American Indian / Alaska Native tribes including the Cherokee Nation, (see fig. 1.), to provide screening services for breast and cervical cancer.

The program helps low-income, uninsured, and underinsured women gain access to breast and cervical cancer screening and diagnostic services, which include—

• Clinical breast exams
• Mammograms
• Pap tests
• Pelvic exams
• Diagnostic testing if results are abnormal referrals to treatment

History

In 2000, Congress passed the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (Public Law 106-354). This Act gives states the option to provide medical assistance through Medicaid to eligible women who were screened for and found to have breast or cervical cancer, including precancerous conditions, through the National Breast and Cervical Cancer Early Detection Program.

In 2002, title XIX of the Social Security Act was amended and President Bush signed the Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001 (Public Law No. 107-121). This amended bill clarified that Indian women with breast or cervical cancer who are eligible for health services provided under a medical care program of the Indian Health Service (IHS) or of a tribal organization are included in the optional Medicaid eligibility category of breast or cervical cancer patients added by the Breast and Cervical Cancer Prevention and Treatment Act of 2000.

From this the ‘Oklahoma CARES Program’ was implemented January 1, 2005. The overarching objective of the program is that any low income, uninsured woman under age 65, who is identified through the National Breast & Cervical Cancer Early Detection Program (NBCCEDP) and is in need of treatment for breast or cervical cancer (including pre- cancerous conditions and early stage cancer) will be able to receive Medicaid benefits to have her diagnostic and/or treatment procedures paid for.

was designed and implemented cooperatively by five Oklahoma agencies through an interagency agreement. The Cherokee Nation, Kaw Nation, OK State Department of Health, OK Health Care Authority (Medicaid Agency) and the OK Department of Human Services. All five agencies have continued to work collaboratively, since the program’s inception, meeting quarterly, addressing issues and recommending changes as needed.

It was quite an accomplishment for tribes and state agencies to be able to collaborate successfully on such a large project and has proven to be an additional source of reimbursement
for our Cherokee Nation clinics allowing our CNBCCED program to direct more of our program dollars to screening services.

Since beginning in 1996, the Cherokee Nation Breast & Cervical Cancer Early Detection Program has been able to serve over 24,300 women, reimburse for almost 34,451 Pap tests and more than 36,831 Mammograms. Breast cancer is the most commonly diagnosed cancer among women in the Cherokee Nation.

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Upcoming Events

Jul
28
Sat
all-day Big Red Splash and Dash 2018 @ Three Forks Harbor
Big Red Splash and Dash 2018 @ Three Forks Harbor
Jul 28 all-day
Big Red Splash and Dash Three Forks Harbor – Muskogee, Ok Proceeds benefiting: Hilldale Education Foundation Saturday – July 28, 2018 Swim – Starts at 7:00 a.m. 5K – Starts at 7:00 a.m. 1K Fun