1996-112-RES WHEREAS, STATE OF TEXAS IS A FUNDING PARTNER WITH THE COUNTY OF LAMAR AND COP

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DOCUMENT NO. 7560022067-97 ATTACHMENT NO. 02 PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT RECEIVING AGENCY PROGRAM: PRIMARY HEALTH CARE PROGRAM/COPC TERM: September 01, 1996 11IRU: August 31, 1997 SECTION I. SCOPE OF WORK PERFORMING AGENCY will deliver comprehensive health care services to eligible low-income individuals as authorized under the Health and Safety Code, Chapter 31, "Texas Primary Health Care Services Act". Services delivered under this Attachment will be in compliance with PERFORMING AGENCY'S application as approved by RECEIVING AGENCY Program, the 1995 edition, with revisions as they occur, of RECEIVING AGENCY'S Primary Health Care (PHC) Handbook, the Request for Proposal (RFP), and the Primary Health Care Program Rules, 25 TAC, Chapter 39. The above referenced documents are adopted by reference as part of this Attachment. PERFORMING AGENCY agrees to comply with the Health and Safety Code, Chapter 31, "Texas Primary Health Care Services Act". PERFORMING AGENCY will submit a Program Services Report quarterly on a form that has been furnished by RECEIVING AGENCY Program by the thirtieth (30th) of the month following a quarter. A fInal Program Services Report will be submitted no later than sixty (60) days after the end of the Attachment term. The RECEMNG AGENCY's Program requires comprehensive reports which allow the Program to assess the volume and quality of services being provided. The PERFORMING AGENCY must report on: . screening, referral and PHC eligibility services (pHC-200) . client intake - new and recertifIed clients (PHC-200) . number of PHC eligible clients receiving medical services (pHC-200) . clients served by quarter (pHC-200) . cost and type of services provided (pHC-200) . client demographic data (PHC-300) (annual) The PERFORMING AGENCY must report quality measures on the: A TT ACHMENT - Page 1