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Task Task! Activity/Description Number <br />5 Provide communication, technical assistance, <br />consultation, and education to providers about <br />vaccine quality assurance , accountability , <br />program participation and vaccine management. <br />6 Conduct a total oftwo (2) VFC compliance site <br />visits at enrolled provider site(s) within your <br />jurisdiction per the following schedule : <br />January 1,2017 -September 30,2017: two (2) <br />Site visits should address all requirements <br />outlined in the Provider Agreement, the CDC <br />Vaccines for Children (VFC) Operations Guide, <br />and as directed by the state administrators of the <br />VFC program. <br />Conduct VFC Compliance Site Visit Follow-Up <br />to assure providers resolve all corrective actions <br />identified during the initial VFC compliance site <br />visit. Follow-up may include another physical <br />site visit or verification by email , phone, fax , or <br />mail that corrective actions were completed. <br />Exhibit A, Statements of Work <br />Revised as of March 15 , 2 017 <br />*May Support PHAB Deliverables/Outcomes StandardsIMeasures <br />Summary of LHJ Technical <br />Assistance Form <br />(DOH 348-257) <br />I <br />a) VFC Site Visit Selection <br />Planning tool (will be <br />supplied by DOH) <br />b) Enter responses from the <br />VFC Provider <br />Compliance Site Visit <br />questionnaire into the <br />VFC Provider Education, <br />Assessment, and <br />Reporting (VFC-PEAR) <br />on-line system for each <br />provider site visit. Follow <br />all corrective action and <br />follow -up guidance <br />provided by VFC-PEAR <br />for each incorrect <br />response. <br />Page 11 of 17 <br />AMENDMENT # 11 <br />Payment Information Due DatelTime Frame and/or Amount <br />December 31 st Reimbursement for <br />actual costs incurred, <br />not to exceed total <br />funding consideration <br />amount. <br />Funds available for this <br />task*: <br />January 2017- <br />March 2017 <br />FFY16 PPHF 317 Ops- <br />741lO267 <br />I <br />April 2017 - <br />December 2017 <br />FFY17 VFC Ops- <br />74110273 <br />FFY 1 7 3 17 Ops - <br />74110271 <br />*See Restrictions on <br />Funds below <br />a) January 15th Reimbursement for <br />actual costs incurred, <br />not to exceed total <br />funding consideration <br />b) At the time of the VFC amount. <br />Compliance Site Visit <br />or within five (5) Funds available for this <br />business days of the task*: <br />site visit. <br />January 2017 - <br />March 2017 <br />FFY16 PPHF 317 Ops- <br />74110267 <br />April 2017 - <br />December 2017 <br />FFY17 AFIX- <br />741lO275 <br />Contract Number C17114-11