1997-144-RES WHEREAS, THE STATE OF TEXAS IS A FUNDING PARTNER WITH THE COUNTY OF LAMAR AND COP

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series. A copy of PERFORMING AGENCY's fee schedule must be submitted to RECEIVING AGENCY, Immunization Division, by January 1st of each year. All vaccines provided to PERFORMING AGENCY are purchased with public funds and must be accounted for the same as other public property. RECEIVING AGENCY may investigate vaccine loss, destruction, spoilage, or other waste and may then require PERFORMING AGENCY to replace or reimburse RECEIVING AGENCY for them. PERFORMING AGENCY agrees to record vaccine lot numbers on all vaccine storage records and in individual clinic immunization records to ensure a vaccine audit trail. PERFORMING AGENCY agrees to provide RECEIVING AGENCY with a copy of any local agency audit of immunization program funds and vaccines. PERFORMING AGENCY agrees to submit a report to RECEIVING AGENCY for the previous calendar year that details storage measures and methods used to control vaccine loss, including methods to monitor and record daily vaccine storage temperatures. The report must be submitted to RECEMNG AGENCY, Immunization Division, by January 1st of each year in a format provided by RECEMNG AGENCY. PERFORMING AGENCY agrees to assist in distributing state-supplied vaccines to "Texas Health Steps" providers, Medicaid providers, physicians, and other providers and organizations within PERFORMING AGENCY'S local area. PERFORMING AGENCY will provide the parent, managing conservator, or guardian of each patient with a form, developed by RECEIVING AGENCY in compliance with Health and Safety Code, g 161.007(a), VTCA. This form will allow the parent, managing conservator, or guardian to authorize participation in the Immunization Tracking System (ImmTrac). When this form is signed and returned, PERFORMING AGENCY will comply with the requirements of gI61.007(d) and provide an immunization history to RECEIVING AGENCY. PERFORMING AGENCY agrees to provide RECEMNG AGENCY weekly data transfers of all vaccines administered, detailed by client name, demographics, and dose information. The data will be submitted in a format provided by RECEIVING AGENCY, Immunization Division, for inclusion in the state's immunization registry (ImmTrac). PERFORMING AGENCY agrees to comply with all applicable laws, regulations, standards, and guidelines established at Federal, State and Local levels as these rules now appear or may be amended during the period of this Attachment. These include, but are not limited, to the following Texas Immunization laws, rules, and regulations: Texas Human Resources Code, ~ 42.043, ATTACHMENT - Page 4