11-D DSHS Doc No. 2007-020900 for regional & local medical services

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M. Offer services during extended hours of operation outside the traditional times of 8:00 a.m. to 5:00 p.m., Monday through Friday, according to the Contractor's Annual Plan of Operations as approved by DSHS and incorporated by reference. N. Implement or expand Contractor's Breastfeeding Peer Counseling program to provide training and salary of peer counselors who assist pregnant and breastfeeding WIC participants in normal breastfeeding situations. This funding item is contingent upon availability and whether participation is requested by Contractor and approved in writing by DSHS. O. Implement Lactation services for WIC participants who have breastfeeding problems that are beyond the expertise of Contractor's local WIC staff and/or peer counselors using International Board Certified Lactation Consultants or the most qualified equivalent. Lactation services may also include Contractor's Local WIC Agency staff training and the provision of lactation equipment. DSHS will provide written approval of Contractor's plan to use lactation funding. Contractor's plan must include qualifications of any non-board Certified Lactation consultant, which is included in the proposal. P. Ensure adequate staff coverage and uninterrupted delivery of WIC services if any member of Contractor's staff is approved in writing by DSHS to participate in DSHS Dietetic Internship program. This internship will consist of no less than 900 hours of supervised learning experiences in a variety of nutrition-related facilities and will prepare Contractor's selected staff member to better meet the needs ofWIC participants. Q. DSHS will provide manual breast pumps, single user electric breast pumps, and multi- user electric breast pumps and collection kits to Contractor. Contractor will stock manual pumps, single-user and multi-user electric breast pumps and collection kits and distribute the appropriate pump and/or kit to eligible WIC participants. R. Implement or expand Contractor's use of a Registered Dietitian (RD) to provide an array of technical services. Obtain the services of a RD who is registered with the Commission on Dietetic Registration to provide services for Contractor such as: assistance with quality assurance, staff training, assistance with the Annual Nutrition Education and Breastfeeding plan, individual counseling for high-risk participants, and facilitated discussion classes. Contractor shall comply with all applicable federal and state laws, rules, regulations, standards, and guidelines in effect on the beginning date of this Attachment unless amended, including, but not limited to: 1. Uniform Federal Assistance Regulations, 7 CFR Parts 15, 15a, ISb, 246, 248, 3016, 3017 and 3018; 2. WIC Program Rules, 25 Texas Administrative Code, 99 31.11-31.37; and 3. Child Nutrition Act of 1966, as amended, 42 USC 1786. A TT ACHMENT - Page 3 r'o