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t <br /> 2 <br /> r STATE <br /> +rt, <br /> yti <br /> North Carolina Department of Human Resources <br /> Division of Medical Assistance <br /> P. O. Box 29529 • 1985 Umstead Drive • Raleigh, N.C. 27626-0529 • Courier Service 56-20-06 <br /> James B.Hunt Jr.,Governor Paul R. Perruzzi <br /> H.David Bruton,M.D.,Secretary Acting Director <br /> HEALTH CHECK OUTREACH PROJECT <br /> EVIPLEMENTATION AGREEMENT <br /> This agreement between the North Carolina Department of Human Resources, <br /> Division of Medical Assistance(DMA),and the 0C313ge COTt9 Health t <br /> (agency) is to establish and maintain a Health Check Outreach Project in <br /> OraW County. <br /> The Division of Medical Assistance agrees to: <br /> 1. Reimburse$2,922 per month for each approved coordinator position. <br /> Reimbursement for Health Check Coordinator position(s) is initiated at the <br /> end of the first month of employment,and provided at the end of each <br /> month thereafter for each filled position; <br /> 2. Provide ongoing Health Check Program guidance and consultation; <br /> 3. Provide Health Check Introductory Training for Health Check <br /> Coordinator(s)and Supervisor(s);and <br /> 4. Implement and maintain the Automated Information and Notification <br /> System(AINS)in the county subsequent to required training. <br /> The Orate Canty Health DeyertgMt (agency)agrees to: <br /> 1. Assure that each Health Check Coordinator and Supervisor will attend the <br /> Health Check Introductory Training within the time frames agreed upon <br /> with DMA; <br /> 2. Implement and operate the Health Check Project in accordance with Health <br /> Check Program policies and procedures. <br /> Pg. 1 of 2 <br />