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WMHP Mission: Ensure Nebraska women and men have access to cancer
screening and prevention resources.
WMHP Vision: Nebraska Women and Men Living Healthy and Cancer Free Lives
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WMHP QUICK READS
Provider Updates, Highlights, & Prevention Insights
Issue 4: July 2025
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Women's & Men's Health Programs
Every Woman Matters (EWM) is a federally funded program that pays for office visits associated with Pap tests, pelvic exams, clinical breast exams and lab fees for women aged 21-64. Age-appropriate mammography is covered as well as diagnostic tests. EWM provides screening and diagnostic tests, public education, and quality assurance activities.
The program also provides preventive services related to cardiovascular disease and diabetes for eligible women. Women aged 35-64 receive screening services for cardiovascular risk factors and diabetes. The program also provides lifestyle interventions that are tailored to each women's heart disease and stroke risk factors, screening results and her readiness to make lifestyle behavior changes.
Nebraska women and men who are 45-74, who meet eligibility guidelines, can enroll in the Nebraska Colon Cancer Screening Program (NCP) to receive an at-home testing kit and/or colonoscopy. All screenings are based upon family and personal history. Want a quick one pager about the program?
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Starting July 1, 2025 there is a NEW WMHP Fee Schedule for 2025-2026 available for providers to utilize when billing WMHP. They are effective July 1, 2025 through June 30, 2026.
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Starting July 1, 2025 there are NEW Income Eligibility Guidelines available for enrollment into the Every Woman Matters and Nebraska Colon Cancer Screening Programs. They are effective July 1, 2025 through June 30, 2026.
NEW CPT Code to Lighten the Load
We decided to repost this article so that all providers are aware of this opportunity.
Enrolling in our screening programs can often feel like navigating a dense forest of paperwork. The process, while necessary, can be time-consuming and a barrier for individuals eager to participate. Recognizing this burden, we want to announce a new CPT code to reimburse your clinic for valuable staff time in assisting women to enroll in the Every Woman Matters (EWM) Program.
Who is eligible for reimbursement?
Any Clinic that:
- Has received training to do presumptive eligibility enrollments,
- Assists a woman in completion of a presumptive eligibility enrollment form
- Provides a well woman visit and completes a screening card,
- Assists women in scheduling additional preventive services (mammogram) as appropriate.
What is the CPT code and reimbursement amount?
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Report Preparation - age under 35
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99080
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$10.00
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17
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Report Preparation - age 35-64
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99080
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$16.00
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The clinic does not need to bill for these codes. Upon receipt of a completed Presumptive Enrollment form and completed screening card, the program will enter a quick claim for the appropriate CPT code based on client’s age.
Early preventive screening affords women to have good outcomes. We appreciate and value your clinic staff. We want to make sure you are compensated for your time doing work that matters.
Additional CPT codes you might be interested in:
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Administration of standardized essential services needs assessment 5-15 minutes, not more often than every 6 months
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G0136
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$10.00
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16
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Based on assessment, with appropriate referral
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G0136
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$17.00
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Service must be documented on the Screening Card.
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Does Your Clinic Need Training?
If you are interested in finding out more about program training for your clinic (to review processes, procedures, and policies), please contact us !
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Need Technical Assistance?
Contact your Clinic Technical Assistance Representative if you have any questions. Clinics A-M: Lynn Jones, BSN, RN || lynn.jones@nebraska.gov || 402-471-0561
Clinics N-Z: Tina Goodwin, BSN, RN || tina.goodwin@nebraska.gov || 531-530-7264
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NEW: Screening Colonoscopy Post Positive Non-Invasive Stool Test
The Nebraska Colon Cancer Screening Program now has a Screening Colonoscopy Post Positive Non-Invasive Stool Test Enrollment available.
The enrollment can be filled out if:
- Client is 45-74 years of age
- Client is a citizen or legal resident of Nebraska
- Client meets program income guidelines
- Client does not have health insurance that would pay for preventive health services
- Client had a positive home based stool test such as FOBT, FIT or Cologuard
Stool based test results from the lab is required to be submitted with the enrollment form.
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July is HPV Awareness Month
Over 37,800 people get HPV-related cancer in the U.S. annually. Did you know that HPV is common - the HPV vaccine stops cancer before it starts. The vaccine blocks 90% of the six types of cancers that are linked to HPV. The cancers are: Anal, Cervical, Penile, Throat, Vaginal, and Vulvar. The good news is that the vaccine can help prevent these cancers. It's safe, effective and should be considered for all adults up to age 45.
The vaccine is an important step in protecting your patients long-term health. Be sure to talk to your patients when they receive their EWM preventive health screenings. Help them protect their future!
For more information visit: www.necancer.org/HPV
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The GW Cancer Center's Online Academy is your one-stop shop for training on survivorship topics. Each online course is free and self-paced, and some offer continuing education credits. Selections include:
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Women’s and Men’s Health Programs (WMHP) just released a new website page centered around healthy behavior support resources and educational resources for women and men. The page is titled Healthy Behavior Support Services Resources and Education. We hope that the site will be a clearinghouse of resources that people can go to and trust the content that is available. If you think we need to add additional resources, click here to let us know. |
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American Breast Cancer Foundation
The American Breast Cancer Foundation has many great resources available. One key resource is the "You and Breast Cancer" site where they feature animated patient's guide to Breast Cancer and Metastatic Disease." Learning modules available include: Understanding Breast Cancer, Screening and Diagnosis, Treatment, Understanding Metastatic Breast Cancer and Living Well with Metastatic Breast Cancer. The site also features expert videos, slide shows, surveys, patient stories and links to other important resources. Be sure to check it out and pass along the information to your patients.
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GW Cancer Center Training & TAP
The George Washington University (GW) Cancer Center Training & Technical Assistance Program (TAP) is funded through the Centers for Disease Control and Prevention (CDC) to design and implement training and technical assistance to cancer control programs and partners. Their site features a variety of cancer awareness toolkits. Each kit contains evidence-based research to help form effective intervention strategies, as well as ready-to-use social media messages and graphics. Toolkit topics include: HPV Awareness, Gynecological Cancer Awareness, Cervical Cancer, Adolescent and Young Adults Cancer, National Minority Health Month, Colorectal Cancer, Lung Cancer, Liver Cancer, Breast Cancer, Melanoma and Skin Cancer, Prostate Cancer, and Palliative Care.
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American Cancer Society
The American Cancer Society (ACS) is a comprehensive and trusted cancer information source for you as a provider. ACS offers evidence-based, understandable, and actionable resources to help health care teams educate and empower their patients and caregivers. An overview of resources and tools available to providers can be found here.
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