Amend 10 Consolidated Contract - Laserfiche WebLink

Home Browse Search

AMENDMENT #10 Task *May Support PHAB Payment Task! Activity/Description Delivera bles/Outcomes Due Date/Time Frame Information and/or Number StandardslMeasures Amount 4b Administer requested DOH Diagnostic and Submit completed Health 30 days after forms are period. Treatment funds for infants and children per Services Authorization forms and completed. CSHCN Program Manual when funds are used. Central Treatment Fund requests See Program Specific directly to the CSHCN Program Requirements and as needed. Special Billing 4c Participate in the CSHCN Regional System and Submit Action Plan quarterly January 15 ,2015 Requirements. quarterly meetings as described in the CSHCN reports including number of April 15,2015 Program Manual. regional meetings attended to the July IS , 201S I DOH contract manager. October IS, 2015 January IS, 2016 April 15 , 2016 July 15 ,2016 October IS, 2016 January IS, 2017 April IS , 2017 July 15 ,2017 *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that mayapply can be found at: http ://www .phaboard.org/wp -conrent/'uploads/PH AB -Standards-and-Measures -Versjon-l .0.Qdf Program Specific Requirements/Narrative Special Requirements Federal Fundi ng Ac countability and Transparenc)' Act (Ji'FATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FF A T A or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS®) number. Information about the LHJ and this statement of work will be made available on USASpendine..gov by DOH as required by P.L. 109-2.82 . Program Manual, Handbook, Policy References Children with Special Health Care Needs Manual -hrt p;//www.doh .wa.govlPortal sil/DocumentslPubs/970-209-CSHCN-Manual.pdf Health Services Authorization (HSA) Form http://www .doh . wa.~ovJPonals/l/DocumentslPubs /91 0 -002-ApprovedHSA .docx Restrictions on Funds (what funds can be used for which activities, not dir ect payments, etc) 1. At least 30% of federal Title V funds must be used for preventive and primary care services for children and at least 30% must be used services for children with special health care needs . [Social Security Law, Sec. 505(a)(3)]. Exhibit A, Statements of Work Revised as of November IS, 2016 Page 6 of21 Contract Number C 1 71 14-10