Women's Health Branch: Publications, Brochures, and Manuals

1. Administrative

1.1 - Medical Records

• Template
  • Medical Record Release (05/18)
• Memos
  • Records Retention and Disposition Schedule for Local Health Departments (03/15)
  • Guidance for Electronic Documentation (12/14) (PDF, 3.2 MB)

2. Patient Services

2.1 - Interpreter Services

• Memos
  • Statewide Contract 961B for Interpreter Services through 03/19, may be renewed x 1 year
  • Advisory on Interpreter Services (01/99) (PDF, 1.3 MB)

2.2 - Legal

• Memos
  • Minor’s Consent for Human Papillomavirus Virus (HPV) Vaccine (04/07) (PDF, 639 KB)
  • Minor’s Consent for Immunization (06/94) (PDF, 979 KB)

2.3 - NC Medicaid

• Administrative Letter No. 01-14, Affordable Care Act (ACA) Overview of Medicaid Changes (02/14)  (PDF, 91 KB)
  • Pregnant Women
  • State Residency

2.4 - Perinatal Oral Health

• NC Oral Health Equity Publication (09/18) (PDF, 3.3 MB)
• Oral Health Care During Pregnancy: North Carolina Collaborative Practice Framework (05/18) (PDF, 2.2 MB)
• NC Association of Public Health Nurse Administrators (NCAPHNA) Letter (02/17) (PDF, 41 KB)

3. Clinical Services

3.1 - Immunizations

• Memo
  • Varicella Vaccine for Uninsured Women (08/15) (PDF, 506 KB)

3.2 - Laboratory

• Memos
  • Abnormal Test Results (07/18) (PDF, 2 MB)
  • Zika Virus Exposure (09/17) (PDF, 1.7 MB)

3.3 - Lead and Pregnancy

• Policy (07/18) (PDF, 184 KB)
• Referral Form (12/17) (PDF, 36 KB)
• Memos
  • Availability of Prenatal Lead Testing (02/17) (PDF, 557 KB)
  • Announcing Prenatal Lead Testing (07/16) (PDF, 60 KB)

3.4 - Pharmacy

• Memos
  • Licensed Practical Nurses Access to On-site Pharmacies and Signing Out Medications (10/18) (PDF, 268 KB)
  • Naloxone Dispensing vs. Distribution (08/18) (PDF, 118 KB)
  • Distribution of Over-The-Counter (OTC) Medications by Registered Nurses (09/17) (PDF, 921 KB)

3.5 - Sexually Transmitted Disease

• Algorithm - Evaluation of Pregnant or Unknown Pregnant Status Patients in NC LHD STD Clinics (10/15) (PDF, 301 KB)
• Memo
  • Chlamydia trachomatis/Neisseria gonorrhoeae (09/14) (PDF, 995 KB)

3.6 - Standing Orders

• Memo
  • Update to Standing Medical Orders (06/17) (PDF, 839 KB)

4. Community Services

5. Financial

5.1- Coding/Billing

• Memos
  • Choice of Staff to Conduct CPT Coding and Billing (08/18) (PDF, 1.2 MB)
  • Billing STD Injectable Medications and Non-Vaccine Injection Codes (10/17) (PDF, 556 KB)
  • Credit Card Processing and Late Fees (04/17) (PDF, 554 KB)
  • Maternal Health Billing, Recoupment, Billing Transfers (01/17) (PDF, 38 KB)
  • Final Fee Setting (08/16) (PDF, 95 KB)
  • Pregnancy Medical Home Local Health Department Billing (05/16) (PDF, 197 KB)
  • Management of Pregnant or Potentially Pregnant Patients (10/15) (PDF, 58 KB)
    • Algorithm located under Clinical Services 3.4
  • Process for ICD 10 Technical Assistance (10/15) (PDF, 1.2 MB)

6. Personnel

6.1 - Enhanced Role Registered Nurse

• Memos
  • Use of Unlicensed Assistive Personnel (UAP) in Family Planning Clinic and other services (11/18) (PDF, 771 KB)
  • Speculum Exams on Pregnant or Possibly Pregnant STD Patients (03/15) (PDF, 612 KB)

6.2 - Staff Competency

• Memo
  • Validation of Staff Competency (10/15) (PDF, 1.4 MB)

Care Management for High-Risk Pregnancies (CMHRP)

What is Care Management for High Risk Pregnancies?

Care Management for High Risk Pregnancies (CMHRP) is outcome-focused, with an emphasis on improving birth outcomes through reducing the rate of preterm and low birthweight births and monitors the pregnant Medicaid population and prenatal service delivery system using data.  CMHRP applies systems and information to improve care and assist members in becoming engaged in a collaborative process designed to manage medical, social and behavioral health conditions more effectively.

1. Division of Health Benefits (DHB)

• Division of Health Benefits Medicaid Transformation
• DHB Medicaid Care Management Transformation Presentation
• Program Guide for Care Management of High Risk Pregnancies and At-Risk Children in Managed Care

2. Collaborative Partners

• NC DHHS NC Medicaid  Division of Health Benefits
• WellCare
• Healthy Blue
• UnitedHealthCare
• AmeriHealth Caritas
• Division of Health Benefits Advanced Medical Home

3. Pregnancy Management Program (PMP)

• NC Medicaid Pregnancy Medical Home Clinical Coverage Policy, 12/31/2019
• DHB CMHRP Pregnancy Risk Screening Form - 01/07/20
• Risk Screening Form Tracking Tool August 2019 (XLS, 30 KB)

4. Population Identification

• CMHRP Community Referral Form Word (23 KB); PDF (176 KB)

5. Staffing

See Care Management for High Risk Pregnancies (CMHRP)

6. CMHRP Core Documents

7. CMHRP Pathways

8. CMHRP Supervisory Toolkit

9. Training Webinars

10. Data and Evaluation

• How the use the Current Pregnancies Patient List v.1 (PDF, 1 MB)
• Pregnancy Dashboard - Current (PDF, 688 KB) 03/31/20
• Use Cases Patient Engagement Dashboard: MIIS Priority (PDF, 479 KB)
• Current Caseload Dashboard - OB v.1 (PDF, 1 MB)

11. Contacts

• Women’s Health Branch Social Work Consultant Map (PDF, 178 KB) 10/01/20
• CMHRP Lead Referral January 2021 (PDF, 194 KB) 01/05/21
• CMHRP Secondary Referral January 2021 (PDF, 188 KB) 01/05/21

12. Resources and References

• Pregnancy Care Management Resources and References (PDF, 195 KB)
• 17P Fact Sheet (English); Spanish