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3.7 Enhanced Care Manaktement Fee -The fee paid by the Department to the Contractor per enrollee per <br />month, which shall be payment in full for the Enhanced Care Management Services provided by the <br />Contractor. The Contractor shall submit to the State annual budget reports and shall be held accountable <br />for appropriate administration of the care management fee. <br />3.8 Enrollee - A recipient who chooses or is assigned to a participating provider in the Network. <br />3.9 Health Choice -North Carolina Health Choice is a free or reduced price comprehensive health care <br />program for children. <br />3.10 Medicaid Identification (MID1 Card -The Medical Assistance Eligibility Certitication card issued by <br />the Division to Recipients. This card will specify the enrollee's choice of a primary care provider in <br />Carolina ACCESS. Medicaid's managed care program that links enrollees with a personal doctor referred <br />to as a Primary Care Provider or PCP. <br />3.11 Medical Assistance -Name given to the Medicaid program in North Carolina, administered by the <br />Division of Medical Assistance, to provide payment for covered services to eligible recipients in the <br />State of North Carolina. established pursuant to Title XIX of the Social Security Act, 42 USC Subsection <br />1396. et. seq. <br />3.12 Medical Home - Name used to describe the location where enrollees can receive continuous, <br />comprehensive and coordinated health and illness care supervised by a PCP. <br />3.13 Network Pharmacist -Leadership role for the direction and management of pharmacy projects; <br />administrative and managerial in nature. <br />3.14 North Carolina Community Care Networks lnc. (NCCCN Inc) - anon-profit corporation comprised <br />of representatives of CCNC Networks which provides the CCNC Program standardized data collections, <br />management and reporting services and serves as a collaborative forum for the development of quality. <br />access. and efficiency enhancement initiatives. <br />3.15 Particinatin>; Provider -Person or organization entering into a written agreement with the Network to <br />deliver covered services to enrollees or a participating member of the Network, including community <br />partners such as: health departments. local hospitals, Departments of Social Service (DSS), and Local <br />Management Entities (LME). <br />3.16 Preventive Services -Services rendered to prevent or delay the onset of disease. Examples of <br />preventive services include: (1) for adults: adult health screening. pap smears. vaccines for the <br />prevention of pneumonia, diphtheria-tetanus, and influenza, mammograms,: and (2) for children under <br />21 years: Health Check (EPSDT) screening and age-appropriate immunizations, urinalysis, lead <br />screening, and hematocrit. The CCNC Program aims to implement targeted disease management <br />activities, including preventive health maintenance. <br />3.17 Primary Care Provider (PCP) -The participating physician. family nurse practitioner, physician <br />assistant, nurse midwife, or group practice/center selected by or assigned to the enrollee to provide and <br />9 <br />