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Amendment 12
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08. August
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2017-08-01 10:00 AM - Commissioners' Agenda
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Amendment 12
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Last modified
6/13/2018 12:18:57 PM
Creation date
6/13/2018 12:17:54 PM
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Meeting
Date
8/1/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
r
Item
Request to Approve Amendment No. 12 to the 2015-2017 Consolidated Contract between the Department of Health and the Kittitas County Public Health Department
Order
18
Placement
Consent Agenda
Row ID
38579
Type
Contract
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Task TasklActivityillescription Number <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 />Documentation that all VFC Site Visit corrective <br />actions have been completed must be available to <br />DOH upon request. <br />All VFC compliance site visits and the <br />required site visit follow-ups conducted in the <br />January -March time period must be <br />completed by March 31st. <br />All VFC compliance site visits and the <br />required site visit follow-ups conducted in the <br />April -September time period must be <br />completed by September 30th. <br />7 NOTE: The period of performance for this <br />task is April 1, 2017 through December 31, <br />2017. Any AFIX visits conducted prior to <br />April 1, 2017 wiJl not be counted toward the <br />requirements ofthis task. <br />a) Conduct AFIX (Assessment, Feedback, <br />Incentive , and Exchange) visits with two (2) <br />provider sites in your jurisdiction between <br />April 1,2017 and December 31,2017. <br />Visits can be conducted in-person, by telephone , <br />or by webinar. All initial AFIX visits must be <br />completed by December 31,t. <br />Exhibit A, Statements of Work <br />Revised as of May 15, 2017 <br />*May Support PHAB <br />StandardslMeasures Deliverables/Outcomes <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 />c) Submit copy of signed <br />Acknowledgement of <br />Receipt <br />a) Enter the following data in <br />the AFIX Online Tool : <br />• General Site Visit <br />Information . <br />• Questionnaire responses . <br />• Coverage assessment <br />results (from CoCAS A reports <br />or SMART AFIX Tool). <br />Assessments must be <br />completed within seven (7) <br />days of feedback visit <br />• Feedback visit information. <br />Page 7 of 10 <br />AMENDMENT #12 <br />Payment Information Due DatelTime Frame and/or Amount <br />January 2017 - <br />March 2017 <br />FFY16 PPHF 317 Ops- <br />74110267 <br />April 2017 - <br />December 2017 <br />FFY17 AFIX- <br />74110275 <br />c) Within five (5) days of <br />the visit *See Restrictions on <br />Funds below I <br />NOTE: All VFC <br />compliance site visits and <br />the required site visit <br />follow-ups conducted in <br />the January -March <br />time period must be <br />completed by March 31st. <br />All VFC compliance site <br />visits and the required <br />site visit follow-ups I <br />conducted in the April- <br />September time period <br />must be completed by <br />September 30th. <br />a) Within five (5) days of Reimbursement for <br />visit. All AFIX visits actual costs incurred, <br />must be completed not to exceed total <br />by December 31, funding consideration <br />2017 amount. I <br />Funds available for this <br />task*: <br />April 2017 - <br />December 2017 <br />FFY17 AFIX- <br />74110275 <br />Contract Number C17114-12
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