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

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PERFORMING AGENCY agrees to implement the "Standards for Pediatric Immunization Practices," as recommended by the National Vaccine Advisory Committee, approved by the United States Public Health Service, and endorsed by the A.merican Academy of Pediatrics. PERFORMING AGENCY agrees to provide immunization services outside usual clinic hours (Sam to 5pm) or on week-ends at least once each month or as needed to insure barrier free access to immunization clinics. PERFORMING AGENCY residency requirements are not applicable under this Attachment. PERFORMING AGENCY cannot deny vaccinations to recipients because they do not reside within PERFORMING AGENCY's jurisdiction. PERFORMING AGENCY will provide an estimated 17.500 clients with services/units of service in or benefiting the county(ies)/area defined as: Lamar. SECTION II. SPECIAL PROVISIONS: General Provisions, REPORTS AND INSPECTIONS Article, is amended to include the following paragraph: PERFORMING AGENCY agrees to submit an Annual Expenditure Report to the appropriate Public Health Regional Director no later than sixty (60) days following the end of PERFORMING AGENCY'S fiscal year in a format prescribed by RECEMNG AGENCY. PERFORMING AGENCY agrees to maintain an accurate, up-to-date list of clinics and sites where public sector (free or low cost) immunization services are offered in PERFORMING AGENCY'S local area. PERFORMING AGENCY further agrees to update the clinic list monthly and provide the updates to local area AFDC offices and to RECEIVING AGENCY Program's Communication and Training Section to assist with client referral. 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 agrees that fees will be collected in accordance with 25 TAC ~1.91. and that no one may be denied immunization services because of inability to pay the fee. Fee schedules will not be based on vaccine type, formulation, or dose in series. PERFORMING AGENCY understands that travel funds are provided for use by persons assigned to the immunization project. All out -of-state travel and travel for persons not assigned to the immunization project (this Attachment) require prior approval by the RECEMNG AGENCY, Immunization Division Director. ATTACHMENT - Page 5