1997 S Health - Consolidated Contract between The State of NC as Represented by the State Health Director

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Page 5 Contract Addendum _ V. P11BI iC�,AND PROFFSSIONAL. EDIT.A('ION A. Public Education: The contractor will provide education to the targeted population as appropriate. B. Community Outreach: If awarded special outreach funds, 1. The contractor will submit a performance report in a standardized format to be supplied by the BCCCP no later than 15 days from the end of the first and third quarters of this fiscal year; 2. New outreach contractors will participate in one training session on community outreach to be conducted by the BCCCP` during the fiscal year. C. Professional Education: The contractor will participate in educational opportunities provided or recommended by the BCCCP as appropriate. VI. PAYMENT FOR SERVICES A. BCCCP funds may not be used to reimburse for treatment services. Payment to a subcontractor(s) is limited to those screening and follow-up services listed in Section II, pages 1-3 of this Contract Addendum. B. The payment to a subcontractor(s) for any service described in Section II may notes the prexafling M i ar llowable fee for the service. C. BCCCP funds may only be used for payment after all other third party payment sources (including Medicare, Medicaid, and private insurance) provide evidence of partial or non-payment for qualified services. BCCCP funds may be used to reimburse for a deductible and/or co-payment (except for Medicaid) required of the patient, provided that the total payment (including the deductible and copayment) to the subcontractor(s) does not exceed the prevailing Medicare- allowable fee. D. Women whose gross incomes are less than or equal to 100% of the federal poverty level will not be charged for any services covered through BCCCP. VII. CONTRACTRUDGMT ADJUSTMENTS A. Performance and Budget Based Ad' ctm n Increases or decreases in the baseline budget for fiscal year 1997-98 will be made according_to c�rPP ins performance indicators, with consideration given to county/district size, local service delivery methods, and average cost of services. Those performance indicators are: the total number of women screened in relation to target levels; the number and percent of women over 50 years of age who are screened; the percent of women screened who receive comprehensive services..In addition, total expenditures in relation to baseline budgets will be evaluated when determining contractor performance. Performance indicators pertaining to rescreening and follow-up activities will not be used to determine adjustments to the baseline budget for fiscal year 1997-98. They will be included in your notification of results for information purposes.