Community Care of North Carolina (CCNC) (formerly known as Access II and III) is building community health networks organized and operated by community physicians, hospitals, health departments, and departments of social services. Community Care of Wake and Johnston Counties (CCWJC) is one of the 14 Community Care of North Carolina networks across the state. CCWJC focuses on population management for medically high cost and high risk Medicaid patients. Disease Specific Initiatives promote adherence to best practice guidelines for chronic diseases. Pharmacy Initiatives promote cost effective prescribing of medicines, patient adherence to medicines, and patient safety. Access to Primary Care Initiatives promote access to primary care and seek to limit non-emergent use of Emergency Departments. Case Management Services provide direct case management services to high risk, high cost patients and support to primary care practices.