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Task *May Support PHAB Due Date/Time Payment Number Task! ActivitylDescription StandardslMeasures Deliverables/Outcomes Frame Information and/or Amount All assigned VFC Compliance Site Visits submitted by the provider to days of receiving including follow-up actions must be completed resolve follow-up actions to the document(s) by May 15,2018 for the January -June the site visit in PEAR. and/or email. contract period. 7 NOTE: During tb.is period of perl'onna.llee, !!2 Enter the following data in the Within five (5) days Reimbursement for new AFIX visits ·shall be conducted . This task Exchange tab of the AFIX Online of visit. actual costs incurred, will focus on follOW-Up oLt...FlX visirs thaI Were Tool for follow-up visits: not to exceed total conducted during the previous contract .year . • Clinic progress on funding consideration implementing quality amount. Conduct AFIX follow-up visits with all provider improvement strategies. sites that received an AFIX visit between April 1, • Follow-up coverage Funds available for 2017 and December 31, 2017. Follow-up visits assessment results (from this task*: can be conducted in-person, by telephone, or by CoCASA reports). webinar. All AFIX follow-up visits must be FFY17 AFIX completed six (6) months after the feedback visit. 74310272 Continue following up with provider sites until *See Restrictions on they fully implement their selected quality Funds below improvement activities. 8 a) In coordination with hospitals , health care a) Enter information for each a) by the last day of Reimbursement for providers, and health plans (if applicable), conduct case identified into the each month actual costs incurred, activities to prevent perinatal hepatitis B infection Perinatal Hepatitis B module not to exceed total in accordance with the Perinatal Hepatitis B of the W A Immunization funding consideration Prevention Program Guidelines, including the Information System amount. following: 1) identification ofHBsAg-positive pregnant Funds available for women, and pregnant women with unknown b) Annual Perinatal Hepatitis B b) June 15,2018 this task*: HBsAg status Outreach Summary 2) reporting ofHBsAg-positive women and their (DOH 348-268) FFY17 317 Ops infants 74310270 3) Case management for infants born to HBsAg- positive women to ensure administration ofHBIG *See Restrictions on and hepatitis B vaccine within 12 hours of birth, I Funds below 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 of the hepatitis B birth dose to all newborns within 12 hours of birth, in accordance with ACIP recommendations . Exhibit A, Statements of Work Page 19 of28 Contract Number CLHl8249