• MONTANA CANCER CONTROL PROGRAMS

    MONTANA CANCER CONTROL PROGRAMS

  • The Montana Cancer Control Program offers Pap/HPV testing and mammograms to qualifying individuals at NO COST to the patient.

    Who can enroll?

    For Pap smear/HPV testing - Ages 21-65 with a cervix

    OR

    - Age 65 & older with a cervix at high risk for cervical cancer without Medicare part B

     For Mammogram - Women ages 40-74

    OR

    - Age 39 & younger - State MCCP prior-authorization required.

    What if I already have insurance?

    - Women are encouraged to enroll whether they DO or DO NOT have health insurance.

    - MCCP may pay for out-of-pocket costs that insurance does not cover, if your deductible is over $250.

    What are income requirements?

    All income is self-reportable (meaning we do not require income verification)

    MCCP 2026 Income Elegibility

    The following are the income guidelines dependent of number of people in a household: 

    1 person $39,900

    2 people $54,100

    3 people $68,300

    4 people $82,500

    5 people $96,700

    6 people $110,900

    7 people $125,100

    8 people $139,300


    Complete eligibility requirements can be reviewed at https://dphhs.mt.gov/publichealth/cancer/ or by calling (406) 874-8705. 

    Next step:

    Please fill out the form below to the best of your ability and an MCCP (Montana Cancer Control Program) coordinator will review it to determine your eligibility and will call you within 7 days.

    This questionnaire is HIPPA compliant, meaning your private information will be protected. 

  • Date of Birth*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Permission to leave confidential voicemail:
  • Do you have Medicare part B?*
  • Do you have Medicaid?*
  • Do you have health insurance?*
  • Are you Hispanic (Spanish, Hispanic or Latino)?*
  • Race: Check all races that apply.*
  • Are you currently having breast problems?
  • Date of last mammogram
     / /
    2 digit month, 2 digit day, 4 digit year
  • In there a family history of breast cancer?
  • Date of last Pap
     / /
    2 digit month, 2 digit day, 4 digit year
  • Have you had a hysterectomy?
  • Have you been referred to the Marketplace for health insurance or Expanded Medicaid Plans?

  • Informed Consent and Authorization to Disclose Health Care Information

    The Montana Cancer Control Programs (MCCP) receives funds from the Center for Disease Control and Prevention (CDC) to provide breast and cervical cancer screening services for age and income eligible women. Each time a woman is screened for breast cancer, she may receive a clinical breast exam and breast X-ray called a mammogram. For cervical cancer, she may receive a pelvic examination and a Pap test. If any of the initial tests for breast and cervical cancer are abnormal, further diagnostic testing may be required, which may include a diagnostic mammogram, ultrasound, and/or biopsy of the breast or cervical tissue. MCCP will provide patient navigation services that will help you complete all the diagnostic tests and find resources that may help for treatment (if necessary).  By enrolling in the MCCP you are accepting responsibility for keeping appointments and completing all the screening and diagnostic tests that are recommended by your medical provider.

    Services Not Covered The MCCP only provides services for breast and cervical cancer screening and limited diagnostic tests. The program does not cover services for other health conditions, some diagnostic services, or cancer treatment. If I need services that are not covered, the MCCP staff will refer me to agencies that may help provide treatment. I understand that I may be billed for services not covered by the MCCP.

    Insurance Information  I understand I have met the eligibility guidelines for the MCCP. I may have insurance coverage and still be eligible to participate. However, my insurance will be billed first for cancer screening services. If the services are not fully reimbursed by my insurance, the MCCP will pay the unpaid balance up to the maximum allowable Medicare reimbursement rate.  

    Confidentiality  Any information provided by me will remain confidential, which means that the information will be available only to me, my health care provider, and to the MCCP staff. The MCCP staff means those personnel and the Montana Department of Public Health and Human Services, administrative site and the tribal organizations and Indian Health Service Units who are specifically designated to work in the MCCP. Program reports will include information on groups of clients and will not identify any client by name or tribal affiliation.

    Authorization to Disclose Health Care Information I consent to and authorize the mutual exchange of screening and diagnostic records among the MCCP staff, my health care provider(s), and/or Pap smear, and the radiology facility where my mammogram is performed with respect to MCCP related services received by me up to six months after the date indicated below. This authorization expires thirty months after the date I signed below. I have read the information provided herein, discussed this and other information about the MCCP and agree to participate in the program. I have had an opportunity to ask questions about the MCCP and have received answers to any questions I had. All information, including financial and insurance benefits, I have provided to the MCCP is, to the best of my knowledge, true. I understand that my participation is voluntary and that I may drop out of the MCCP at any time.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
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