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<br />CONTRACT NO. 2006-020428- <br />PROGRAM ATTACHMENT NO. 001 <br />PURCHASE ORDER NO. 0000319405 <br /> <br />CONTRACTOR: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br /> <br />DSHS PROGRAM: CHS - FEE FOR SERVICE <br /> <br />TERM: 09/01/2006 THRU: 08/31/2007 <br /> <br />SECTION I. STATEMENT OF WORK <br /> <br />Contractor shall provide or assure the provision of prenatal, preventive, and primary child <br />health, dysplasia, and dental services (for children and adolescents) for Title V eligible <br />clients. Contractor shall provide services approved in the Contractor's application or shall <br />have an established referral relationship with a qualified provider of each approved <br />service, which it does not provide. <br /> <br />Contractor shall comply with all applicable federal and state laws, rules, regulations, <br />standards and guidelines in effect on the beginning date of this contract Attachment <br />unless amended. <br /> <br />The following documents are incorporated by reference and made a part of this contract <br />Attachment. These include: <br /> <br />· DSHS FY07 Title V Fee-For-Service Maternal & Child Health Services Renewal <br />Application and any revisions; <br />· Contractor's FY07 Title V Fee-For-Service Maternal & Child Health Services <br />Renewal Application and any revisions; <br />· DSHS FY06 Title V Fee-For-Service Maternal & Child Health Services Renewal <br />Application and any revisions; <br />· Contractor's FY06 Title V Fee-For-Service Maternal & Child Health Services <br />Renewal Application and any revisions; <br />· DSHS Associateship for Family Health (AFH) FY05 Competitive Request For <br />Proposal (RFP); <br />· Contractor's AFH FY05 Competitive RFP, Component II, Attachment A, Title V <br />Fee-For-Service Maternal & Child Health Services Renewal Application and any <br />reVISIOns; <br />· Title V Policies and Procedures Manual for Title V Maternal and Child Health, <br />revised for FY06 or latest revision; <br />· DSHS Department of State Health Services Standards for Public Health Clinic <br />Services, revised August 2004, or latest revision; <br />· DSHS Core Tool On-Site Evaluation Report, revised for 2006, and Core Tool <br />Monitoring Instructions, FY2006; or latest revision; and <br /> <br />ATTACHMENT-Page 1 <br />