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Page 3 <br /> Contract Addendum <br /> 4. Rescreening <br /> The contractor will assure that a system is in place for contacting women screened previously <br /> through the BCCCP for the purpose of scheduling repeat screening for the appropriate age and risk <br /> intervals. <br /> C. Cervical Screening and Follow-Up: <br /> 1. Protocols <br /> Protocols for cervical screening and follow-up will be in accordance with Pap_. <br /> Smear Screening: A Guide for Health Dcpartmen s (DEHNR, January, 1994). <br /> 2. Screening <br /> All women aged 18 years and older will receive a Pap smear and bimanual pelvic examination <br /> every year. After three consecutive satisfactory normal Pap smears, the following schedule will <br /> be used: <br /> High risk - continue to screen every year (See Pa Smear Screening: A Guide for Health <br /> Dellartments, page 1-8 for definition of high risk); <br /> Low risk - screen every 2-3 years if all Pap smear results continue to be normal. <br /> 3. Follow-Up <br /> Women having an abnormal cervical screening result will be referred for additional evaluation. <br /> BCCCP funds may be used for the following diagnostic services: <br /> a. Repeat Pap smear; <br /> b. Colposcopy; <br /> c. Colposcopy-directed biopsy and pathology; and <br /> d. Office visits for repeat Pap smear and Colposcopy. <br /> The contractor will assure that a referral system for the diagnosis and treatment of all abnormal <br /> findings is in place. The contractor will designate a person who will be responsible for <br /> implementing a protocol which ensures, to the best of its ability, that all patients receive follow-up <br /> services or medical treatment when required. For all abnormal Pap smear and biopsy results the <br /> following information will be documented and reported to the BCCCP within 60 days of the initial <br /> screening date: <br /> a. Follow-up appointment information (date and follow-up location); <br /> b. Patient contact information (number and date of attempts made to follow-up); and <br /> c. Referral information (date and referral source). <br /> 4. Rescreening <br /> The contractor will assure that a system is in place for contacting women screened previously <br /> through the BCCCP for the purpose of scheduling repeat screening for the appropriate age and <br /> risk intervals. <br />