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<br />I . <br /> <br />DOCUMENT NO. 7560022067-98 <br />ATTACHMENT NO. OIA <br /> <br />PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br /> <br />RECEIVING AGENCY PROGRAM: BUREAU OF CLINICAL AND NUTRITION <br />SERVICES <br /> <br />TERM: October 01, 1997 THRU: September 30, 1998 <br /> <br />It is mutually agreed by and between the contracting parties to amend the conditions of Document <br />No. 756002206798 -01 as written below. All other conditions not hereby amended are to remain <br />in full force and effect. <br /> <br />SECTION I. SCOPE OF WORK is amended to add the following: <br /> <br />G. Provide additional services to increase participation in WIC clinics in accordance with <br />General Appropriations Act, 75th Legislature, Regular Session, 1997, Article II, ~ 1 ~ <br />Provisions, Rider 47, and Health and Safety Code, ~ 32.021, VTCA. This will include <br />offering services during extended hours which are defined here as hours of operation <br />outside the traditional times of 8:00 a.m. to 5:00 p.m., Monday through Friday. . <br /> <br />H. Implement or expand PERFORMING AGENCY's breastfeeding peer counseling program <br />for training and salaries of peer counselors who assist pregnant and breastfeeding WIC <br />participants in nonnal breastfeeding situations if participation in this program is requested <br />by PERFORMING AGENCY and approved in writing by RECEIVING AGENCY. <br /> <br />I. Use International Board Certified Lactation Consultants (IBCLC) or the most qualified <br />equivalent to provide lactation consultation services to WIC clients who have breastfeeding <br />problems that are beyond the expertise of their local WIC staff and/or peer counselors if <br />participation in this option is requested by PERFORMING AGENCY and approved in <br />writing by RECEIVING AGENCY. <br /> <br />SECTION II. SPECIAL PROVISIONS are amended as follows: <br /> <br />General Provisions, TERMS & CONDITIONS OF PAYMENT Article, beginning with Section <br />heading "PARTICIPANTS SERVED PER MONTH MAXIMUM REIMBURSEMENT" to <br />paragraph which begins "General Provisions, PROGRAM INCOME;..." is replaced with the <br />attached Exhibit B. <br /> <br />ATTACHMENT - Page 1 <br />