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Task "'May Support PHAB Payment <br />Number Task! ActivitylDescription StandardslMeasures Deliverables/Outcomes Due DatelTime Frame Information and/or <br />Amount <br />management, reconciliation, compliance with amount. <br />storage and handling, and reporting of all b) Inclusion in the online b) based on provider <br />vaccine incidents and returns). ordering system of doses used order schedules Funds available for <br />in the last month and this task*: <br />inventory on hand. <br />FFYl5 AFIX, <br />c) Report of Vaccine Storage c) within seven (7) days 74205250 <br />Incidents (DOH 348-154) of the incident <br />complete with reason and *See Restrictions on <br />corrective action as needed. Funds below <br />d) Report all cases (or suspected d) within seven (7) days <br />cases) of vaccine fraud or of the incident <br />abuse. <br />5 Provide communication, technical assistance, Summary ofLHJ Technical December 31 st Reimbursement for <br />consultation, and education to providers about Assistance Form (DOH 348-257) actual costs incurred, <br />vaccine quality assurance, accountability, not to exceed total <br />program participation and vaccine management. funding consideration <br />amount. <br />Funds available for <br />I <br />this task*: <br />I <br />FFY 15 VFC Ops <br />74203250 <br />FFY 317 Ops <br />74201250 <br />*See Restrictions on <br />Funds below <br />6 Conduct VFC site visits at two (2) private a) VFC Site Visit Selection a) January 15th Reimbursement for <br />provider site(s) within your jurisdiction. Site Planning tool (will be supplied actual costs incurred, <br />visits should address all requirements outlined in by DOH) not to exceed total <br />the Provider Agreement, the CDC Vaccines for funding consideration <br />Children (VFC) Operations Guide, and as b) Enter responses from the VFC b) At the time ofthe amount. <br />directed by the state administrators of the Provider Compliance Site VFC Compliance <br />Vaccines for Children program . All VFC site Visit questionnaire into the Site Visit or within Funds available for <br />visits must be conducted by September 30th. VFC Provider Education, ten (10) business this task*: <br />Assessment, and Reporting days of the site visit . <br />Conduct VFC Compliance Site Visit Follow-Up (VFC-PEAR) on-line system FFY15 AFIX, <br />to assure providers resolve all co~ective actions for each provider site visit. 74205250 <br />Exhibit A, Statements of Work Page 16 ofl9 Contract Number Cl7114