Colorado Colorectal Screening Program has successfully competed for funding
for a three year grant, which will allow us to substantially restore activities
of the Program. The first year of the grant will span 9 months, beginning
The Program will focus on restoring
endoscopic screening throughout the state, including some treatment and patient
navigation support. The Program will also continue to support comprehensive
cancer screening, including high sensitivity fecal occult blood testing
(FOBT/FIT) and will begin to improve partnerships with other chronic disease
The Program is currently operating in a 3 month grant extension spanning from July 1, 2012 - September 30, 2012.
Funding for fiscal year 2013 is pending approval by the Board of Health. If awarded, activities for fiscal year 2013 will begin October 1, 2012.
We have been given official word from the Board of Health regarding the funding status of the Colorado Colorectal Screening Program (CCSP) for fiscal year 2012 (July 1, 2011 – June 30, 2012). CCSP has been awarded $821,901, a 77.5% reduction from FY11. The General Assembly approved a resolution declaring CO to be in a state of fiscal emergency, which allows for funds to be pulled from the CCPD grantee pool (signed by the governor on 5/5/11), leaving the CCPD fund with only $2.1M to distribute among 11 programs. After reviewing proposals, the CCPD review committee supported funding 6 of the 11 programs, including CCSP, which the Board of Health approved on May 18th.
With this budget reduction, CCSP has been forced to change its scope of work from previous years. In the upcoming year, using guidance from the CCPD review committee, CCSP will maintain a rural endoscopic screening presence and will pursue other screening modalities to further stretch the screening budget. CCSP was asked to minimize treatment dollars, and since Nov of 2009 we have had to make many difficult decisions regarding treatment coverage due to budget reductions. It is with much regret that the program has had no choice but to discontinue this beneficial aspect of the program for FY12. Please see below for some bullet points related to FY12 and CCSP’s scope of work.
Coordinating center staff will be reduced starting July 1. Because of the many program changes and procedural modifications that need to occur, we ask that clinics place screening activities on hold until further notification, tentative start date is Sept 2011. Discussions of revised reimbursement rates and MOUs/contracts will begin soon.
Key Objectives for FY12:
1. Provide endoscopic screens to 450 medically underserved Coloradans and to screen a total of 2250 Coloradans, either by FIT/FOBT or endoscopic screening.
2. Design and implement a FIT/FOBT screening program component in 3 to 5 clinics.
3. Provide patient navigation to support clinic clients getting screened.
4. Provide monitoring for the medical provider care of adverse events, large polyp removals, and colorectal cancer diagnosed through the program.
5. Increase public and provider awareness of colorectal screening modalities provided by the program.
6. Continually evaluate both process and clinical outcomes for the program.
Objective Implementation will follow these general guidelines:
Rural area clinics will continue to screen via colonoscopy (as these areas joined the Program more recently)
Urban area clinics will be able to respond to an RFA to participate in a pilot program using FIT/FOBT tests, positive testees will have access to a colonoscopy (as these areas have been screening longer and need to reach high numbers of people
Exact ‘rural’ and ‘urban’ locations will be determined in the near future
All current eligibility guidelines (income at or below 250% FPL, uninsured, legal status, in need of screening) will remain the same for both endoscopic and FIT/FOBT services
$75/person screened reimbursement rate will be maintained for anyone navigating a person for a colonoscopy
Outreach will be focused on brochure usage and clinic mailings, radio/newspaper offerings will be looked at on a case by case basis
Treatment funds will no longer be available for program diagnosed CRC patients and limited coordination will be provided for patients diagnosed with CRC only. The extent of coverage for adverse events and large polyp removals will be dependent upon newly negotiated rates between the program and providers.
eCRC will still be used to collect data for all colonoscopy procedures; a newly created database will likely be used for tracking FIT/FOBT.
The review committee meets to discuss CCPD grantee funding for fiscal year 2012.
The state of CCPD funding for fiscal year 2012 is unclear. The Govenor, Joint Budget Committee, and Legislature are in the process of finalizing the long bill, which provides a clearer picture of the state's and CCPD's budget. It appears that CCPD funds will drop to a level of $2.1M, from its current level of $8.5M, but this proposed reduction is not yet set.
The program has submitted a competitive renewal grant application for funding in fiscal year 2012.
The program signed a contract for $2,759,942 for fiscal year 2011 (July 1, 2010 - June 30, 2011). While this is a substantially reduced funding level, the program continues to carry out its major functions of screening, patient navigation, and treatment across the state.