Welcome to the Missouri Show Me Healthy Women (SMHW) and Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) programs offered through the Missouri Department of Health and Senior Services (DHSS). The purpose of the SMHW and WISEWOMAN Provider Manuals is to help participating health professionals understand program requirements and provide services to program-eligible women.

This manual is intended to offer an integrated approach in providing SMHW and WISEWOMAN services. It is designed to provide important information needed to enroll clients into the SMHW and WISEWOMAN programs, explain health professional roles and responsibilities, define reimbursable services, and provide necessary reimbursement and billing information. It also includes a framework for clinical guidelines to adhere to program standards. The SMHW and WISEWOMAN staff are available to assist providers on a regular basis using e-mail, telephone, and on-site visits as needed. Help is available by calling toll-free at 866-726-9926 or 573-522-2845.

Show Me Healthy Women Vision and Mission

Vision Statement

Improve the quality of life in Missouri through the cure and elimination of breast and cervical cancers.

Mission Statement

Support quality screening, diagnostic and treatment services, in accordance with current medical standards of care, for breast and cervical cancers for all women in Missouri. This is achieved by education, community outreach, and resource development in partnership with public and private entities, communities, and citizens.

WISEWOMAN Vision and Mission

Vision Statement

A world where any woman can access preventive health services and gain the wisdom to improve her health.

Mission Statement

Provide low-income, underinsured or uninsured, 35–64-year-old women with the knowledge, skills and opportunities to improve their diet, physical activity and other life habits to prevent, delay or control cardiovascular and other chronic diseases.

History

National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

http://www.cdc.gov/cancer/nbccedp/

The United States Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990 (Public Law 101-354) to establish the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The Centers for Disease Control and Prevention (CDC) authorizes the NBCCEDP to provide grants to states, American Indian/Alaska Native tribes, and U.S. Territories to carry out cancer early detection activities.

WISEWOMAN

http://cdc.gov/wisewoman

Congress amended the NBCCEDP Public Law 101-354 in 1993 to create the WISEWOMAN Program. The WISEWOMAN Program addresses women’s risk for heart disease and stroke by providing cardiovascular disease health screenings and risk reduction lifestyle education for NBCCEDP clients.

NBCCEDP and WISEWOMAN Similarities

NBCCEDP shares an established infrastructure with WISEWOMAN to provide integrated services including:

• Recruiting and working with women eligible for services
• Delivering screening services through an established healthcare delivery system
• Collecting and reporting minimum data elements (MDEs) used to track, monitor and evaluate program efforts
• Providing professional development opportunities for staff, providers and partners
• Providing public education to raise awareness about the need for women to receive program services
• Assuring that quality care is provided to women participating in the program

At-A-Glance

Comparison of NBCCEDP and WISEWOMAN

Contractual Agreements

The SMHW program utilizes contracts with service providers to deliver program services. Contracts are available for SMHW-only services or for providers who choose to deliver both SMHW and WISEWOMAN services.

What We Do

• Establish annual contracts for screening providers
• Provide an easily accessible program manual that describes screening, follow-up, education, and reporting guidelines based on national CDC guidelines
• Require providers to utilize Clinical Laboratory Improvement Amendments of 1988 (CLIA) approved laboratories or ensure laboratory equipment is CLIA-waived
• Provide Regional Program Coordinators (RPCs) for each geographic region to assist providers with training, technical assistance, and tracking clients with abnormal values to ensure clients receive appropriate follow-up
• Provide training and technical assistance to provider staff
• Provide client recruitment targeting ethnically diverse program-eligible women
• Provide client educational materials and tools
• Provide required reporting forms and a data system for submitting service reports
• Reimburse providers for allowable services according to Medicare 01 region rates
• Monitor provider services to assure quality standards
• Maintain a central data system for tracking and reporting required data to CDC
• Assist service providers with client case management/follow-up and annual evaluation screening efforts
• Provide promotional items, literature, and other public educational materials when available

Show Me Healthy Women Advisory Board

The SMHW Advisory Board strengthens the program’s activities in the state of Missouri through professional and policy development, public and clinical education, private partnerships, and coalition building.

Advisory Board Responsibilities

• Advise SMHW management on SMHW issues
• Assist SMHW in enhancing the breast and cervical cancer control knowledge and skills of Missouri’s healthcare professionals
• Assist SMHW in identifying appropriate breast and cervical cancer control legislation
• Establish task forces, as necessary, to assist SMHW in developing cancer control policies, such as cervical and breast cancer screening protocols and policies, diagnostic guidelines, and funding applications
• Assist SMHW in identifying partners who will extend and enhance the work of SMHW

The SMHW Advisory Board is composed of representatives of organizations that are, or potentially can be, involved in SMHW activities and of individuals with special expertise in breast and cervical cancers. The board has approximately 30 members. Elected board members serve a two-year term. The Board meets quarterly and meetings are open to the public.