Your partner for cancer screening, support and information.

The Cancer Services Program (CSP) of the North Country works to decrease rates of cancer and cancer mortality among uninsured people living in Jefferson, Lewis, Oswego and St Lawrence County. Our mission is to provide breast, cervical and colorectal cancer screening, diagnostic and case management services for uninsured and underinsured people residing in the St Lawrence County, Jefferson, Lewis and Oswego Counties.


Oswego County Opportunities - (315) 592-0830 or visit OCO's website.

Health Initiative (315) 261-4760 Option 2

New York State Cancer Services Program Hotline 1-866-442-2262.

The CSP provides a variety of breast, cervical, and colorectal cancer screening tests. You may be eligible if:

  • You are uninsured or underinsured
  • You are a woman aged 40 years or older or a man aged 50 years or older
  • Live in one of the five counties served by the CSP of the St Lawrence County

NOTE: US citizenship is not required


For eligible women age 40 and older, the CSP offers the following free services:

  • Clinical breast exams
  • Mammograms
  • Pelvic exams
  • Pap tests and HPV tests

For men and women age 50 and older the CSP offers: 

  • Free take-home colon cancer screening tests (called FIT Kits)

NOTE: If any of these screenings require follow up diagnostic testing, the CSP will pay for those services as well.  Clients receiving diagnostic services will work with a CSP Case Manager to insure they are able to obtain the required follow up care.

Screening and diagnostic services are provided in local hospitals, clinics, health centers and doctors' offices throughout Jefferson, Lewis, Oswego and St. Lawrence Counties through service agreements with the Cancer Services Program of the North Country. 

When a client is diagnosed with cancer, CSP staff can assist him or her with applying for the Medicaid Cancer Treatment Program (MCTP), if eligible.  MCTP pays for treatment services for breast, cervical, colorectal or prostate cancer or pre-cancerous breast and cervical conditions.

To be eligible for MCTP you must be:

  • At least 18 yrs of age or older
  • Not covered under any creditable insurance
  • In need of treatment for colorectal, prostate, breast, or cervical cancer or pre-cancerous breast and cervical conditions
  • Resident of New York State
  • US citizen or alien with satisfactory immigration status.

CSP clients who are not eligible for MCTP will be assisted with applying for emergency Medicaid. 

Resources For Providers & Staff

This section is a compilation of resources and materials for providers partnering with the Cancer Services Program (CSP). As described on our other pages, CSP is a reimbursement program for uninsured and underinsured patients ages 40 - 64 in need of or wanting Breast and Cervical Cancer screenings and persons 50-64 for Colorectal screenings.

To ensure that patients are getting screenings, we also look to our partners to inform patients of the availability of our program and encourage them to get screened, after all…EARLY DETECTION SAVES LIVES!

The Direct Provider Payment System (DPP) has been implemented October 1, 2018, services provided to eligible clients by CSP participating providers will be reimbursed directly by the state and HRI. Regardless of funding source, Direct Provider Payment (DPP) will reimburse the global (professional and technical) payment directly to the one site code reported. If a non-service site employed provider is associated with the service rendered, the site paid will need to arrange payment to the provider supplying their professional services (i.e. radiology, pathology, and anesthesia). 

Webinar available here and slides are included in the attachments below.

NOTE: to help the New York State Department of Health manage distribution of this recording, viewers will be asked to provide their name, email, CSP affiliation (e.g.: CSP of....) and their organizational affiliation (i.e. XYZ Hospital, etc.)


Promoting Cancer Screening: Office Systems for Success from Public Health Live! on Vimeo.

If you are a provider interested in implementing or improving office systems for cancer screening success, please call the Cancer Services Program at (315) 261-4760 Option 2 today. We will work with you to explore what options are available and how we can assist you with this process.

Did you know that you can order a wide variety of cancer-related educational materials, free of charge, through our website? To see some of the available publications, posters and other media, visit You can download electronic versions of many materials there; you'll find a link to the publications order form at the top of the page.

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