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Restrictions on tr'unds (ie_1$a1t9yed expenses or activities, indirect costs, etc.):I ' At least 3 0% of federal ritle v funds must be used for preventive and primary care seryices for children and at least 3 0olo must be used services for children withspecial health care needs. [Social Security Law, Sec. StiStaXl jt. - - -'2. Funds maynotbe used for:a' Ii#ftr*".T[::'Jil"s."tlij#l1t*il1]"Jf#,ffl'JlT*"withspecialheahhcareneedsorhighriskpresnantwomenandinrants,andotherpatientservicesapprovedbyb. Cash payments to intended recipients ofhealth services.c' The purchase or improvement of land, the purchase, construction, or pennanent improvement of any building or other faciJity, or the purchase of majormedicalequipment.d. Meeting other federalmatchingfunds requirements.e' Providing funds for research ortraining to any entity other than a public or nonprofit private entity.f' Payment forany services fumished uy a-provider oientity who hai been exchdled unierTitle xvttl ltrl"ai.are), Title )trX (Medicaid), or Title )o( (social services blockgrant).[Social Security Law, Sec 504(b)].3 ' If any charges are imposed for the provision of health services using Title v (MCH Block Grant) funds, such charges will be p ursuant to a public schedule of charges; will notbe imposed with respect to services provided to low income motheis or children; and will be adjusted to reflect the-income, resources, and family size of t he individualprovided the services. [Social Security Law, Sec. 505 (l) (D)].Monitoring visib: Telephone cails with DoH contractmanagerasneeded.BillingRequiremenb: PaymentiscontingentuponDoHY"tptandapprovalofalldeliverablesandanacceptableAlg-lAinvoicevoucher. paymenttocompletelyexpendtheof the "TotalConsideration" will notbe accepted orapproved.special rnstructions: contact DoH contract managerbelow for approvalofexpenses not reflected in approved budget workbook.MCHBGfundsmaybeexpendedoncovlD-l9r€sponseactivitiesthatalignwithmatemalandchildhealthpriorities. Examplesmayinclude:o Providing support in educatingthe MCH population about covlD--l 9 through partnerships with otherlocal agencies, medical providers, and health care organizations.' working close ly with state and local emergency preparedness staff to assu.rihut th. n".ds of the MCH population are represen ted.o Funding infrastructure that supports the response to coMD-t 9. For example, Fublic HealthNurses who are routinely supported through the Title v program may be ableto be mobilized, using Title V funds or separate emergency funding to support a call center or deliver health services.r Partnering with parent networks and health care providers to provide accura te and retiable information to all families.o Engagrng community leaders, including faith-based leaders, io educate community members about strategies forpreventing illnessRestrictions listed above continue to apply.Exhibit A, Statement of WorkTemplate Created Septemb et202lPage 3 of3Contract Number CLH3 I 0 I 5