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Contractor shall work to promote a health care workforce that is knowledgeable about <br />vaccines, vaccine safety, vaccine-preventable diseases, and delivery of immunization <br />services. <br />Contractor shall comply with written policies and procedures provided by DSHS in <br />managing vaccines supplied through the TVFC program, including guidelines for proper <br />storage and handling of vaccines and for safeguarding vaccine in the event of natural <br />disaster. <br />Contractor shall implement DSHS's new vaccine management system, the Pharmacy <br />Inventory Control System (PIGS), as the system becomes available throughout the state <br />in Fiscal Year 2008. Implementation will include using PIGS in Contractor clinics, <br />promoting the use of the system in non-health department TVFC provider offices, and <br />performing updates to the system on behalf of TVFC provider offices that submit <br />monthly doses administered and vaccine accounting reports in hardcopy. <br />Contractor shall maintain an accurate, up-to-date list of clinics and sites where public <br />sector (free or low cost) immunization services are offered in the jurisdiction served by <br />the Contractor. <br />Contractor shall not charge a fee for vaccines supplied through the TVFC program. All <br />TVFC-supplied vaccines shall be used solely for purposes of this Program Attachment <br />and shall not be sold. <br />In accordance with 25 TAC § 1.91, Contractor shall not collect vaccine administration <br />fees from Medicaid and Children's Health Insurance Program (CHIP) recipients. Vaccine <br />administration fees collected from non-Medicaid patients shall not exceed those <br />established in Section Two, Part Four of the TVFC Operations Manual. Fee schedules <br />shall not be based on vaccine type, formulation, or dose in series. <br />Contractor shall not deny vaccinations to recipients because they do not reside within <br />Contractor's jurisdiction or because of an inability to pay an administration fee. <br />All equipment and vaccine used by Contractor which are provided by DSHS shall be <br />accounted for as public property. The DSHS Program will investigate equipment or <br />vaccine loss, destruction, spoilage, or other waste and may require (at its discretion) <br />Contractor to replace or reimburse the DSHS Program. This provision does not waive <br />any other remedies legally available to DSHS regarding contract breaches. <br />Contractor shall provide to the DSHS Program periodic electronic data transfers of all <br />vaccines administered in a format that is compatible for inclusion in the statewide <br />immunization registry, ImmTrac, and in accordance with the schedule provided by <br />DSHS. <br />Contractor shall comply with all applicable federal and state regulations and statutes, <br />including but not limited to: <br />ATTACHMENT -Page 2 <br />