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Page 3 <br /> Contract Addendum <br /> PROTOCOLS : The local contractor will follow the medical <br /> protocols provided by the State. Pap Smear Screening: A Guide for <br /> Health Departments will be used for cervical cancer screening and <br /> follow-up guidelines will be developed by the Program by <br /> December 15, 1992 . <br /> PUBLIC AND PROFESSIONAL EDUCATION: The local contractor will <br /> participate in educational opportunities provided by the North <br /> Carolina Comprehensive Breast and Cervical Cancer Control Program <br /> and other continuing education as appropriate. <br /> SURVEILLANCE: Minimum data elements (MDE's) are required by <br /> the Centers for Disease Control in order to amass the statistics to <br /> provide to the Congress for the research component of this program. <br /> The contractor will submit the MDE' s to the state on a quarterly <br /> basis according to the schedule provided. <br /> FUNDING: There is a 3 : 1 Federal : non-Federal matching <br /> requirement; therefore, the local contractor will provide the non- <br /> Federal match on the funding received from the State under this <br /> contract. If a sliding fee scale is used, it will be the same as <br /> the Family Planning fee scale. No woman at or below 100% of the <br /> • federal poverty level may be charged for services provided by this <br /> program. The sliding fee scale must be posted in order for the <br /> clients being served to view it. The BCCCP is the payor or last <br /> resort after Medicare, Medicaid, Title X, and private insurance. <br /> REFERRAL: ' The contractor will assure that a referral system <br /> for the diagnosis and treatment of all abnozuial findings is <br /> developed and a written protocol is available. The contractor will <br /> designate a person who will be responsible for implementing a <br /> follow-up protocol which ensures, to the best of their ability, <br /> that no patient who receives program reimbursement services or <br /> requires follow-up or medical treatment is lost to follow-up. For <br /> all abnozlual results the following information will be documented: <br /> 1) follow-up appointment information (date and follow-up <br /> location) - <br /> 2) patient contact information (number and date of attempts <br /> made to follow-up) <br /> 3) referral information (date and referral source) . <br /> This contract addendum will cover the period from July_ 1, 1993 <br /> to June 30 , 1994. <br /> 4,410", _5/7179_3 <br /> Local Health Director Date <br /> Orange County Health Department <br /> Health Department <br />