BCC Provider Forms & Resources
BCC Program New Provider Application Documents
BCC Program Current Provider Forms and Documents
Eligibility, Screening, and Referral Forms:
- FY26 Eligibility and Consent Form (English)
- FY26 Eligibility and Consent Form (Spanish)
- FY26 Screening and Referral Form
Clinical Protocol:
Patient Navigation Resources:
- FY26 Clinic Based Patient Navigation Form
- FY26 Clinic Based Patient Navigation Form (PDF Fillable Version)
- George Washington Cancer Center Oncology Patient Navigator Training: The Fundamentals
Case Management:
For Case Management needs please contact the BCC Program Case Manager:
Blanca Vargas
5300 Homestead Rd NE, Suite 100
Albuquerque, NM 87110
505-250-6493 - cell
505-533-6078 - fax
Billing and Administration:
Clinical Prior Authorization and Reimbursement Policies:
- Procedures Requiring Prior Authorization
- MRI Reimbursement Policy
- Diagnostic Excisional Procedures
- Cervical Cancer Post Treatment Surveillance
- Endometrial Biopsy
Screening Recommendations, Diagnostic Guidelines
- U.S. Preventive Services Task Force Breast Cancer: Screening Recommendation
- U.S. Preventive Services Task Force Cervical Cancer: Screening Recommendation
- ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors
- NCCN Clinical Practice Guidelines in Oncology (NCCN GuidelinesĀ®) for Breast Cancer Screening and Diagnosis