Community Care of North Carolina, an innovative and cost-effective Medicaid disease management program in which local networks of primary care providers coordinate prevention, treatment, referral, and other services for Medicaid enrollees, has continued to expand toward statewide implementation. Enrollment has grown to 640,000 individuals. Planners and administrators are exploring ways to build on the disease management program to include congestive heart failure. They are also in the early stages of a provider incentive/pay for performance initiative. See Improving Access to Primary Care: Community Care of North Carolina.