Single Source Procurement: Integrated Breast, Cervical and Colorectal Cancer Screening Program (CSP)

Pursuant to New York State Finance Law § 163.10(b), The New York State Department of Health is presenting the following summary of relevant circumstances, and material and substantial reasons why a competitive procurement was not feasible.

The Department of Health Bureau of Cancer Prevention and Control (BCPC), received notification from Newark-Wayne Community Hospital requesting their Integrated Breast, Cervical and Colorectal Cancer Screening Program (CSP) contracts be terminated effective 9/30/16. Newark- Wayne Community Hospital was the sole applicant to provide critical cancer screening services in Wayne County in response to RFA released in February, 2013.

This amendment to the Clifton Springs Hospital and Clinic contracts adds Wayne County to their current catchment area (Ontario, Seneca and Yates) and adds funding to cover the additional costs effective 10/1/16. This amendment also advances the Newark-Wayne Community Hospital contracts with a revised term of 4/1/16-9/30/16 to reflect the requested termination date.

The Integrated Breast, Cervical and Colorectal Cancer Screening Program (CSP) promotes comprehensive, guideline-concordant breast, cervical and colorectal cancer screening services among age-appropriate populations and provides comprehensive screening and diagnostic services to eligible uninsured and underinsured men and women.

The CSP screening contractors enter into written agreements with health care providers and clinical laboratories to offer eligible clients cancer screening and diagnostic services and reimburse those health care providers and clinical laboratories for provision of those services to eligible clients. The contractors also assist eligible individuals diagnosed with breast, cervical, colorectal or prostate cancer to obtain prompt, comprehensive treatment through the New York State Medicaid Cancer Treatment Program (MCTP).

The Department provides guidance to CSP screening contractors and providers for eligibility and reimbursement for appropriate cancer screening and diagnostic services in the CSP Operations Manual. The CSP screening contractors provide the CSP Operations Manual and the established reimbursement fee schedule referred to as the Maximum Allowable Reimbursement Schedule (MARS) to participating health care providers and clinical laboratories annually and as revisions are made. CSP screening contractors also work with the Department to implement internal control systems and strategies to ensure that health care providers and clinical laboratories participating in the screening program are appropriately credentialed, that clients meet eligibility requirements, and that reimbursement is made only for eligible services.

Contractor scope of work includes activities in the following areas:

  1. Program Management and Leadership: coordinate and administer the program to ensure that all required activities are implemented and that contractual obligations are met in a timely manner.
  2. Partnering, Coordination and Collaboration: build and maintain collaborative relationships with health, human service, education and other community organizations to provide and promote utilization of cancer screening services at the population level and among the eligible populations throughout the proposed service region.
  3. Public Education, Targeted Outreach, and In-reach: engage partners to implement evidence-based or evidence-informed strategies to promote the program, build public demand for cancer screening services, and identify eligible clients in priority populations, throughout the service region.
  4. Provision of Health Services: Screening, Diagnostic, and Case Management Activities - develop a network of medical care providers throughout the service region to provide eligible men and women with comprehensive, guideline-concordant breast, cervical and colorectal cancer screening and diagnostic services, and, when necessary, ensure access to treatment services.
  5. Data Management: oversee the collection of all data required by the NYSDOH.
  6. Fiscal Management.
Procurement / Program Name Integrated Breast, Cervical and Colorectal Cancer Screening Program (CSP)
Contractor Name(s) Newark Wayne Community Hospital, Clifton Springs Hospital & Clinic
Contract Period 7/1/2013-3/31/2018 & 10/1/2016-9/30/2018
Contract Number(s) C028825/C028826, C028807/C028808