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AMENDMENT #14 <br />Program Specific Reguir:ements/Narrative <br />Special References (RCWs, WACs, etc) <br />• Immunizations -hltp:/lwww.doh."vagovt YouandYourFamilvfImmunization <br />• Notifiable Conditions -bttp :l/www.doh.wa.govl ForPublicHealthandl-lealdlc-areProviciersrNotifiahleCondition:; <br />• Sexually Transmitted Diseases (STD) -http://www.doh.wa .gov/YouandYourFamilyllLlnessaodDisease/Sexual1 yTransm itteclDisease <br />• HUfllan Immunodeficiency Virus (HIV) -hup:fl www.dob..wa.govlYouandYourFamily/lJ.b;J.essaudDiseaselI-nYAIDS <br />• Tuberculosis (TB) -bnp:llwww .doh,wa.govl'touandYourFamilvJlUnessandDisea."ef[uberculosis <br />Definitions <br />• FPHS Definitions. Version 1..2 (March 2016) <br />~e! Billing ReqllireltHffll!j <br />Bi!!tng5 .re" :liisfimdiFlg HillS! be indmied-ifHhe Cel1stJiilfflWd C(mmu!! A ! 91RW)~111tJ DOH Gnm!54.Dice. PIDuJing 'i d/.5f!=;/)"ited besed fin ri!iflllmr::emcm at eXf!£,R~ <br />This ;5 fi,iffero,i( IRon [Jiese fflmls LHJs rec€fi .'c 11'811/ Ihe "C6Iiiflj' -"-uhlic rJe(~!l1i Assi1i1tfff~mk;.fp.H1i the SEe:e. <br />Special Instructions <br />There are two different BARS Revenue Codes for "state flexible funds" to be tracked separately and reported separately on your annual BARS report. These two BARS Revenue <br />Codes and definitions from the State Auditor's Office (SAO's) are listed below along with a link to the BARS Manual. 336.04.25 is the new BARS Revenue Code to use for the <br />Foundational Public Health Services (FPHS) funds included in this statement of work. <br />336.04.24 -County Public Health Assistance <br />Use this account for the state distribution authorized by the 2013 2ESSB 5034, section 710. The local health jurisdictions are required to provide reports regarding expenditures <br />to the legislature from this revenue source. <br />336.04.25 -Foundational Public Health Services <br />Use this account for the funding designated for the local health jurisdictions to provide a set of core services that government is responsible for in all communities in the W A <br />state. This set of core services provides the foundation to support the work of the broader public health system and community partners. At this time the funding from this <br />account is for delivering ANY or all of the FPHS communicable disease services (listed above) and can also be used for the FPHS capabilities that support FPHS communicable <br />disease services as defined in the most current version ofFPHS Definitions -Version 1.2 (March 2016) <br />SAO's BARS Manual-http ://www.sao.wa.gov/local/pages/BARSManuaLaspx <br />DOH Program Contact <br />Marie Flake, Special Projects, Foundational Public Health Services <br />Washington State Department of Health <br />PO Box 47890, Olympia, WA 98504-7890 <br />Phone 360-236-4063 I Mobile 360-951-7566 <br />Fax 360.236.4024 I marie.flake@doh.wa.gov <br />Exhibit A, Statements of Work <br />Revised as of September 15, 2017 <br />Page 5 of 10 Contract Number C17114-14