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<br />PERFORMING AGENCY shall complete all case investigation forms and provide co~plete <br />epidemiologic data on all reported cases of invasive Haemophilus influenzae disease in children <br />less than 5 years of age, and all reported cases of measles, mumps, rubella, congenital rubella <br />syndrome, pertussis, diphtheria, and paralytic poliomyelitis to RECEIVING AGENCY <br />Immunization Division within 30 days of the initial case report. PERFORMING AGENCY shall <br />provide copies of investigation forms to RECEIVING AGENCY Immunization Division. <br /> <br />PERFORMING AGENCY shall adhere to the Vaccine-Preventable Disease Surveillance <br />Guidelines provided by RECEIVING AGENCY Immunization Division and shall implement the <br />most current outbreak control procedures and measures as recommended in those guidelines. <br /> <br />PERFORMING AGENCY shall implement an immunization reminder and recall system to notify <br />parents or guardians of children when immunizations are due. The notifications may be <br />automated or manual and may include mailed or telephone contacts. Extra efforts shall be made <br />to notify parents or guardians of children at high-risk of failure to complete the vaccines on <br />schedule (e.g., children who start their vaccines late). <br /> <br />PERFORMING AGENCY shall provide immunization services outside usual clinic hours (which <br />are 8:00 a.m. to 5:00 p.m., Monday through Friday) at least once each month or as needed to <br />insure barrier-free access to immunization clinics. PERFORMING AGENCY residency <br />requirements are not applicable under this contract Attachment. PERFORMING AGENCY shall <br />not deny vaccinations to recipients because they do not reside within PERFORMING AGENCY'S <br />jurisdiction. <br /> <br />PERFORMING AGENCY will maintain an accurate, up-to-date list of clinics and sites where <br />public sector (free or low cost) immunization services are offered in PERFORMING AGENCY'S <br />local area. PERFORMING AGENCY will update the clinic list monthly and provide the updates ., <br />to local area Temporary Aid to Needy Families (TANF) offices and to the Immunization <br />Communication and Training Program of RECEIVING AGENCY. <br /> <br />No fee may be charged for vaccines provided by RECEIVING AGENCY Immunization Division. <br />All vaccines obtained from RECEIVING AGENCY Immunization Division shall be used solely <br />for purposes of this contract Attachment and shall not be sold to agencies or individuals. <br /> <br />PERFORMING AGENCY shall not collect vaccine administration fees from Medicaid recipients. <br />Vaccine administration fees collected from non-Medicaid patients shall be kept within guidelines <br />, established by RECEIVING AGENCY. No one may be denied immunization services in public <br />clinics because of inability to pay the administration fee. Fee schedules shall not be based on <br />vaccine type, formulation, or dose in series. A copy of PERFORMING AGENCY'S fee schedule <br />shall be submitted to RECEMNG AGENCY Immunization Division by the first day of the fifth <br />month of this contract Attachment term. <br /> <br />ATTACHMENT - Page 3 <br /> <br />", <br />