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<br />DSHS will reimburse Contractor for administrative costs incurred when detem1ining <br />eligibility, providing appropriate nutrition education and counseling, issuing food <br />instruments, making participant referrals, vendor evaluation, outreach, start-up costs and <br />general administrative support. <br /> <br />Administrative costs will be reimbursed based on actual costs, but not to exceed the <br />"maximum reimbursement" set out below, based upon the sum of the participants who <br />actually receive food instruments each month plus infants who do not receive any food <br />instruments whose breastfeeding mothers were participants to the extent that the total so <br />derived does not exceed Contractor's total assigned caseload within any given month. <br />Surplus funds (the amount by which maximum reimbursements exceed actual costs) can <br />be accumulated and carried forward within the contract Attachment term. Surplus <br />encumbered by September 30 shall be billed and vouchers received by DSHS no later <br />than sixty (60) calendar days following the term of the program attachment. <br /> <br />PARTICIPANTS SERVED PER MONTH MAXIMUM REIMBURSEMENT: <br /> <br />During the term of the contract Attachment, Contractor shall earn administrative funds at <br />the rate of $12.24 for each participant served as defined above. <br /> <br />Contractor shall provide immunizations under DSHS WIC Special Initiative. <br />Immunizations administered and funded by DSHS WIC Special Initiative to WIC <br />applicants/participants and their siblings will be reimbursed actual immunizations <br />expenses not to exceed $12455.92. <br /> <br />DSHS may pay for additional goods or services as specified in this Attachment if <br />provided by Contractor during the term of this Attachment (but not otherwise paid during <br />the term of this Attachment) if it is in the best interest of DSHS to do so, and funds are <br />available. <br /> <br />The Contractor will be notified if a change in funding occurs and will have thirty (30) <br />days to provide written notice to the DSHS if it intends to terminate this contract <br />Attachment. <br /> <br />Contractor agrees that: <br /> <br />(I) Contractor shall identify and document separately not less than 19% of total <br />administrative costs as expenditures directly related to nutrition education and <br />counseling. Nutrition education and counseling expenditures shall be supported <br />by documentation of participant attendance or non-attendance within the DSHS <br />WIC Program. <br /> <br />(2) DSHS will reimburse Contractor for administrative expenses at a rate not greater <br />than 5.26 times the amount of properly documented expenditures for nutrition <br />education and counseling, but not more than is earned based on actual <br /> <br />PROGRAM ATTACHMENT - Page 7 <br /> <br />... ,.--., '"''--T'''''''-''''' "_'.M. 1T <br />