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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Health Check Program - Policies and Procedures Manual for Health Check Coordinators

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Table of Contents

Section Content
A History and Organization
B Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program
C Annual Plan, Budgetary Guidance and Reimbursement for Health Check Coordination Services
D Health Check Equipment, Furnishings and Supply Needs
E Requirements for Health Check Coordinator Positions
F Automated Information and Notification System
G Documentation of Health Check Coordinator Activities
H Submission of Required Documents
I County Options Change Request Form
J Health Check Record Files
K Technical Visits, Comprehensive Site Visits, Evaluations
L Home Visits
M Standardized Letters

 

Appendix Content
1 Health Check Program Overview
2 Health Coordination Check Contact Directory
3 Managed Care Consultants
4 DMA/CCNC Health Check Coordination Service AGreement
5 Suggested Local Orientation Guide for New Health Check Coordinators
6 Health Check Coordiantion Annual Plan
7 Automated Information and Notification System Overview
8 County Options Change Request - Instructions; COCR Form
9 Health Check Outreach Project Budget
10 Abbreviations
11 Technical Site Visit Form
12 Standardized Letter Templates - English; Spanish; Hmong
13 Dental Lawsuit Settlement Agreement
14 Emergency Room Letter Templates - English; Spanish
15 HIPAA Protected Health Information Memo to Health Check Coordinators and Local Care Manager