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N.C.Department of Environment,Health,and Natural Resources Page 7 of i 1 <br /> Division of General Services FY 97-98 <br /> CONTRACT ADDENDUM <br /> DMCH/WHS/Maternal Health 98 51010 068 <br /> Office,Section,or Branch Contract Number <br /> Orange 'Maternal Health <br /> Contractor Activity <br /> SECTION D: QUALITY ASSURANCE DELIVERABLES (continued) <br /> 1. The health department has written policies in place for facilitating early entry into prenatal care which <br /> include the following: <br /> (a) Follow-up of positive pregnancy tests within two weeks to assure patient has access to <br /> health care provider. <br /> (b) Referral to WIC upon making contact with a pregnant woman. <br /> (c) Referral for Medicaid eligibility determination and maternity care coordination upon <br /> making contact with a pregnant woman. <br /> (d) For health departments that provide prenatal services, in the presence of a three week or <br /> greater waiting list, triage of those women who request prenatal services from the health <br /> department for purposes of determining their scheduling priority for their first visit. <br /> 2. The health department will offer Maternity Care Coordination services to Medicaid eligible patients. The <br /> health department has a written policy in place for providing MCC services to medicaid eligible patients. <br /> 3. At least 50 % of pregnant women enrolled in WIC will receive MCC. The percentage for this item <br /> must be the same as for the corresponding WIC Program Quality Assurance Deliverable. <br /> 4. Prenatal high risk nursing home visits will-be made upon the request of the prenatal care provider to those <br /> women experiencing difficulty with their pregnancy. <br /> 5. The health department will provide or make referrals for nutrition consultation, education on infant <br /> feeding, childbirth education and parenting classes to be provided to low income families. These referrals <br /> must be documented in the MCC chart or other client record. - - <br /> 6. The Lead Nurse Coordinator for the Maternal Health Clinic and Public Health Nurses who-are the <br /> highest level of medical provider for subsequent prenatal visits, will have completed the Matemal <br /> Health Nursing Training Program or a maternal health nursing course approved by the Maternal <br /> Health Branch. <br /> SECTION D: OUALITY ASSURANCE DELIVERABLES continued <br /> Reviewed by <br />