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<br />. client intake - new and recertified clients (PHC-200) <br />. number of PHC 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 must report quality measures on the: <br /> <br />. Clinical Process = Outcome Measures report (pHC-301) <br />. Client Satisfaction Survey (pHC-302) <br /> <br />PERFORMING AGENCY will 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 will 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 />PERFORMING AGENCY agrees that, when each client is enrolled, the client will be assigned <br />to a specific primary care provider for preventive, episodic and chronic care to foster continuity <br />and efficiency of care. <br /> <br />PERFORMING AGENCY will provide an estimated .l.2QQ clients with services/units of service <br />in or benefiting the county(ies)/area defmed as: Lamar. <br /> <br />SECTION II. SPECIAL PROVISIONS <br /> <br />General Provisions, REPORTS AND INSPECTIONS Article, is revised to include the following: <br /> <br />PERFORMING AGENCY will submit a Program Services Report quarterly on a form that <br />has been furnished by RECEIVING AGENCY Program by the thirtieth (30th) of the <br />month following a quarter. A final Program Services Report will be submitted no later <br />than sixty (60) days after the end of the Attachment term. The RECEIVING AGENCY'S <br />Program requires comprehensive reports which allow the Program to assess the volume <br />and quality of services being provided. <br /> <br />ATTACHMENT - Page 2 <br />