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AMENDMENT #17*For Information Onlv:Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting aStandard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at:http://wlvw.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-l.0.pdfProgram Specifi c Requirements/NarrativeSpecial RequirementsFederal Funding Accountabilitv and Transnarencv Act (FFATA)This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DLJNS@) number.Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282.Program Manual, Handbook, Policy ReferencesChildren and Youth with Special Health Care Needs Manual -Chi ldrenandYouthW ithSpecialHealthCareNeedsHealth Services Authorization (HSA) Formhttp://www.doh.wa.gov/Portals/l/Documents/Pubs/910-002-ApprovedHSA.docxRestrictions on Funds (what funds can be used for which activities, not direct payments, etc.)1. At least 307o of federal Title V funds must be used for preventive and primary care services for children and at least 30olo must be used services for children withspecial health care needs. [Social Security Law, Sec.505(a)(3)].2. Funds may not be used for:Health Resources and Services Administration (HRSA).b. Cash payments to intended recipients of health services.c. The purchase or improvement of land, the purchase, construction, or permanent improvement of any building or other facility, or the purchase of major medicalequipment.d. Meeting other federal matching funds requirements.e. Providing funds for research or training to any entity other than a public or nonprofit private entity.f. payment for any services furnished by a provider or entity who has been excluded under Title XVIII (Medicare), Title XIX (Medicaid), or Title XX (social services blockgrant).[Social Security Law, Sec 504(b)].Exhibit A, Statements of WorkRevised as ofSeptember 75,2020PaymentInformation and/orAmountDue Date/Time FrameDeliverables/Outcomes*May Support PHABStandards/MeasuresTas k/Activity/Descriptionapproval to access Diagnostic and Treatmentfunds to meet the need.TaskNumberPage23 of42Contract Number CLH18249 -17