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04-B1 State Health Contract
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04-B1 State Health Contract
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Last modified
9/20/2007 5:18:12 PM
Creation date
9/20/2007 5:18:05 PM
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Template:
AGENDA
Item Number
04-B1
AGENDA - Type
RESOLUTION
Description
State Health Contract 2008-024494 for Local Public Health System
AGENDA - Date
9/24/2007
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<br />DSHS will inform Contractor in writing of any changes to applicable federal and state laws, rules, <br />regulations, standards and guidelines. Contractor shall comply with the amended law, rule, <br />regulation, standard or guideline except that Contractor shall inform DSHS Program in writing if it <br />shall not continue performance under this Program Attachment within thirty (30) days of receipt of <br />an amended standard( s) or guideline( s). DSHS may terminate the Program Attachment immediately <br />or within a reasonable period oftime as determined by DSHS. <br /> <br />SECTION II. PERFORMANCE MEASURES: <br /> <br />Contractor shall complete the PERFORMANCE MEASURES as stated in the Contractor's FY 08 <br />Local Public Health Service (LPHS) Service Delivery Plan, and as agreed upon by DSHS, hereby <br />attached as Exhibit A. <br /> <br />Contractor shall provide activities and services as submitted by Contractor in the following <br />county(ies)/area: Lamar <br /> <br />SECTION III. SOLICIT A TION DOCUMENT: N/ A <br /> <br />SECTION IV . RENEWALS: N/ A <br /> <br />SECTION V. PAYMENT METHOD: Cost Reimbursement <br /> <br />SECTION VI. BILLING INSTRUCTIONS: <br /> <br />Contractor shall request payment using the State of Texas Purchase Voucher (Form B-13) and <br />include acceptable supporting documentation ofthe required deliverables if indicated in the attached <br />Exhibit A. Vouchers can be faxed to Claims Processing Unit at 512-458-7442 or electronic e-mail <br />to: invoices@dshs.state.tx.us. <br /> <br />Invoices and supporting documentation shall be submitted to the following address: <br /> <br />Department of State Health Services <br />Fiscal Claims Processing Unit <br />P. 0. Box 149347, MC 1940 <br />Austin, Texas 78714-9347 <br /> <br />SECTION VII. BUDGET: <br /> <br />SOURCE OF FUNDS: State and CFDA # 93.991 <br /> <br />SECTION VIII. SPECIAL PROVISIONS: <br /> <br />Contractor shall complete an Annual Budget and Expenditures Report in a format specified <br />by DSHS and submit by December 15,2007. <br /> <br />PROGRAM A TT ACHMENT - Page 2 <br />
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