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<br />· screening, referral and PHC eligibility services (PHC-200) <br />· client intake - new and recertified clients (PHC-200) <br />· number of PHC eligible clients receiving medicat services (PHC-200) <br />· clients served by quarter (PHC-200) <br />· cost and type of sefvices provided (PI-IC-200) <br />· client demographic data (PHC-300) (annual) <br /> <br />PERFORMING AGENCY shall report quality measures on the: <br /> <br />· Clinical Process = Outcome Measures report (PHC-30I) <br />· Client Satisfaction Survey (PHC-302) (annual) <br /> <br />PERFORMING AGENCY shall use the required eligibility system as described in the PHC <br />Handbook and use TESS (Texas Eligibility Screening System) as the initial step. <br /> <br />PERFORMING AGENCY shall make reasonable efforts to investigate and apply for all other <br />sources of third party funding available to or identified by the patient before submitting claims for <br />allowable costs to RECEIVING AGENCY Program. <br /> <br />When each client is enrolled, the client shall be assigned to a specific primary care provider for <br />preventive, episodic and chronic care to foster continuity and efficiency of care. <br /> <br />PERFORMING AGENCY shall provide services to.l..2QO clients who live or who receive services <br />in the following county(ies)/area: Lamar. <br /> <br />SECTION II. SPECIAL PROVISIONS <br /> <br />General Provisions, Reports Article, is revised to include the following: <br /> <br />PERFORMING AGENCY shall submit a Program Services Report on or before the <br />following dates: January I, April 1, July 1 and October 1. A final Program Services <br />Report shall be submitted on or before November 1. RECEIVING AGENCY Program <br />requires comprehensive reports which allow the Program to assess the volume and quality <br />of services being provided. <br /> <br />A IT ACHMENT - Page 2 <br />