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Task Task/ Activity/Description *May Support PHAB I Due Date/Time Payment Number Standards/Measures Deliverables/Outcomes Frame Information and/or Amount c) Report all cases (or suspected FFYl7 AFIX cases) of vaccine fraud or c) Within seven (7) 74310272 abuse. days of the incident *See Restrictions on F11I1ds below 5 Provide communication, technical assistance, Summary ofLHJ Technical June 30, 2018 Reimbursement for consultation, and education to providers about Assistance Fonn (DOH 348-257) actual costs incurred, vaccine quality assurance, accountability, program not to exceed total participation and vaccine management. funding consideration amount. Funds available for this task*: FFYl 7 VFC Ops 74310271 FFY17 317 Ops 74310270 *See Restrictions on Funds below 6 Conduct a total of one (1) VFC Compliance Site a) Enter responses from the VFC a) At the time of the Reimbursement for Visits at the assigned provider site(s) within your Compliance Site Visit VFC Compliance actual costs incurred, jurisdiction. DOH will assign provider site(s) via Reviewer Guide into the VFC Site Visit or not to exceed total the VFC Site Visit Selection Tool. Provider Education, within five (5) funding consideration Assessment, and Reporting business days of amount. Site visits should address all requirements outlined (PEAR) online system for the site visit. in the Provider Agreement, the CDC Vaccines for each Compliance Site Visit. Funds available for Children Operations Guide, and messages from the Follow all corrective action this task*: Childhood Vaccine Program. and follow-up guidance provided by PEAR and the Conduct VFC Compliance Site Visit Follow-Up to Childhood Vaccine Program FFY17 AFIX assure providers resolve all follow-up actions for each incorrect response. 74310272 identified during the initial visit. Follow-up actions may include another physical site visit or b) Attach copy of signed b) Witlrin five ( 5) *See Restrictions on I verification by email, fax, or mail that follow-up Acknowledgement of Receipt days of the site Funds below actions were completed. Documentation for each form to the Site Visit in visit VFC Site Visit follow-up action must be uploaded PEAR. into PEAR and/or properly notated in the Reviewer Notes section of PEAR. c) Attach a copy of any documents and/or emails c) Within five (5) Exhibit A, Statements of Work Page 18 of28 Contract Number CLH18249