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<br />PERFORMING AGENCY shall report on: <br /> <br />· Screening, referral and PHC eligibility services (PHC-200) <br />· Client intake - new and recertified clients (PHC-200) <br />· Number ofPHC eligible clients receiving medical services (PHC-200) <br />· Clients served by quarter (PHC-200) <br />· Cost and type of services provided (PHC-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-301) <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) or other system. designated by <br />RECEIVING AGENCY 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 <br />for 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 1,015 clients who live or who receive <br />services in the following county(ies)larea: Delta, Fannin, Hopkins, Lamar, Red River, Titus. <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 15, April 15, July 15 and October 15. A final Program Services <br />Report shall be submitted on or before November 15. RECEIVING AGENCY Program <br />requires comprehensive reports which allow the Program to assess the volume and <br />quality of services being provided. <br /> <br />A TT ACHMENT - Page 2 <br />