Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Pennsylvania Department of Human Services (DHS), Office of Medical Assistance Programs (OMAP) – Breast and Cervical Cancer Prevention and Treatment Program (BCCPT) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Pennsylvania Department of Human Services (DHS), Office of Medical Assistance Programs (OMAP) – Breast and Cervical Cancer Prevention and Treatment Program (BCCPT) fax number

(717) 265-8292

Office of Medical Assistance Programs (OMAP), Department of Human Services

Used for: Fax renewal submissions for the Breast and Cervical Cancer Prevention and Treatment Program; provider must fax renewal forms to 717-265-8292

Fax destination details

Department
Office of Medical Assistance Programs (OMAP), Department of Human Services
Purpose
Fax renewal submissions for the Breast and Cervical Cancer Prevention and Treatment Program; provider must fax renewal forms to 717-265-8292
Form
PA 600 BR (SG) — Breast and Cervical Cancer Prevention and Treatment Program Renewal Form
Address
PO Box 8050, Harrisburg, PA 17105

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Instructions for PA 600 BR (SG) Renewal Form are included with the PA 600 BR (SG) document

Official form instructions are published as a downloadable file on the organization's website.

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