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Task Task! ActivitylDescription Number 8 a) In coordination with hospitals , health care providers , and health plans (if applicable), conduct activities to prevent perinatal hepatitis B infection in accordance with the Perinatal Hepatitis B Prevention Program Guidelines, including the following: 1) Identification ofHBsAg-positive pregnant women, and pregnant women with unknown HBsAg status 2) Reporting of HBsAg-positive women and their infants 3) Case management for infants born to HBsAg-positive women to ensure administration of hepatitis B immune globulin (HBIG) and hepatitis B vaccine within twelve (12) hours of birth , the completion of the 3-dose hepatitis B vaccine series , and post-vaccination serologic testing . b) Provide technical assistance to birthing hospitals to encourage administration ofthe hepatitis B birth dose to all newborns within twelve (12) hours of birth, in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations. c). Report all perinatal hepatitis B investigations, including HBsAg-positive infants, in the Perinatal Hepatitis B Module of the Washington State Immunization Infonnation Sy stem. 9 Attend in-person Enhanced A FlX training in April 2017. NOTE: This funding is only provided to offset salary costs for one (1) staff attending this required training. All travel. accommodations. and per-diem costs will be paid for separately by the Department of Health. Exhibit A, Statements of Work Revised as of March 15 , 2017 AMENDMENT #11 *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information StandardslMeasures and/or Amount a) Enter infonnation for a) By the last day of each Reimbursem ent for each case identified into month actual costs incurred, the Perinatal Hepatitis B not to exceed total module of the W A funding consideration Immunization amount. Infonnation System Funds available for this b) Annual Perinatal Hepatitis b) December 15th task*: B Outreach Summary (DOH 348 268) January 2017 - March 2017 FFYI6 PPHF 317 Ops- 74110267 April 2017- December 2017 FFY I 7 3 1 7 Ops - 74110271 *See Restrictions on I Funds below a) Submit evaluation form at Within three (3) business Reimbursement for the conclusion of in -person days after training actual costs incurred, training not to exceed total funding consideration amount Funding available for this task: FFYl5 PPHF llSAFIX I MI-74110257 Page 13 of 17 Contract Number C 17114-11