To be eligible for the program, a person must:
The following services are covered under the BCCDT Program:
Women can obtain applications to enroll in
the Program from the Breast and Cervical Cancer Program Coordinator at
their local health department or from the Maryland Department of Health
and Mental Hygiene, Center for Cancer Surveillance and Control
(applications can be downloaded below). Applications can also be
completed at the offices of participating providers. Proof of Maryland
residency and income is required. Participants in the Program receive
an ID letter which should be presented every time they visit their
participating healthcare provider. All bills for services should be
sent by the provider to the Department of Health and Mental Hygiene.
Enrollement Application - English Enrollement Application - Spanish
Applications for the BCCDT Program must be renewed annually.
Physicians, pharmacies, home health
agencies, outpatient clinics, hospitals, and medical laboratories may
enroll as providers in the BCCDT Program by completing the Provider
Application and Agreement.
Applications can also be obtained by contacting the Breast and Cervical Cancer Diagnosis and Treatment Program: Maryland Department of Health and Mental Hygiene Prevention and Health Promotion Administration Center for Cancer Prevention and Control P.O. Box 13528 Baltimore, MD 21203 410-767-6787
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464