Amendment 12 - Laserfiche WebLink

Home Browse Search

I I Task Task! Activity /Description Number 3 Use and facilitate provider use of the Washington Immunization Information System to place and approve provider vaccine orders. Monitor provider orders for appropriateness (including: accuracy of shipping information, order frequency, timing, quantity and type) and approve vaccine order online after assuring the appropriateness of the order. I 4 Monitor and assure electronic or paper submission of vaccine accountability reports for compliance with Provider Agreement related to vaccine management (ordering, inventory management, reconciliation, compliance with storage and handling, and reporting of all vaccine incidents and returns). ----- Exhibit A, Statements of Work Revised as of May 15, 2017 *May Support PHAB StandardslMeasures Deliverables/Outcomes Electronic submission of provider vaccine orders via the Washington Immunization Information System a) Monthly Vaccine Accountability Report (DOH 348-006) b) Inclusion in the online ordering system of doses used in the last month and inventory on hand . c) Storage Incidents (DOH 348-1 S4) complete with reason and corrective action as needed . Page 5 of 10 ----.. --AMENDMENT #12 Payment Information Due DatelTime Frame and/or Amount Based on provider order Reimbursement for schedules actual costs incurred, not to exceed total funding consideration amount. I Funds available for this task*: January 2017- March 2017 FFY16 PPHF 317 Ops- 74110267 - April 2017 - December 2017 FFY17 VFC Ordering- 74110274 FFY17 VFC Ops - 74110273 FFY17 317 Ops- 74110271 *See Restrictions on Funds below a) By the 25th of each Reimbursement for month actual costs incurred, not to exceed total funding consideration b) Based on provider amount. order schedules Funds available for this task·: c) Within seven (7) days January 2017- of the incident March 2017 FFY16 PPHF 317 Ops- 74110267 Contract Number C17ll4-12