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DOCUMENT NO. 7560022067A-q005 <br />ATTACHIVIENT NO. 02 j <br />PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br />RECEIVING AGENCY PROGRAM: ASSOCIATE COMMIS$IONER FOR FAMILY <br />HEALTH ' <br />TERM: September 01, 2004 THRU: August 31, 2005 <br />SECTION I. SCOPE OF WORK: <br />PERFORMING AGENCY shall provide or assure the provisiorp of family planning services for <br />Title V eligible clients. PERFORMING AGENCY shall provide services approved in the <br />PERFORMiNG AGENCY'S application or shall have an establ$shed referral relationship with a <br />qualified provider of each approved service, which it does not provide. <br />PERFORMIlVG AGENCY shall comply with all applicable' federal and state laws, rules, <br />regulations, standards and guidelines in effect on the beginning idate of this contract Attachment <br />unless amended, including but not limited to: ' <br />• RECEIVING AGENCY Family Planning Standards and Rules, 25 TAC Chapter 56; <br />• Sterilization, 42 CFR Part 50, Subpart B; and ' <br />• Fees for Clinical Health Services, 25 TAC § 1.91 (Local Health Departments only). <br />The following documents are incorporated by reference andi' made a part of this contract <br />Attachment. These include: <br />• RECEIVING AGENCY Title V FY2005 Competitive Request For Proposal (RFP); <br />• PERFORNIING AGENCY'S FY2005 Component II, Attachment B application and any <br />revisions; ' <br />• Title V Policy and Procedures Manual, revised for FY20015; and <br />• RECENING AGENCY'S Texas Department of Health (TDH) Standards for Pubiic <br />Health Clinic Services, revised January 31, 2004. ' <br />Within thirty (30) days of receipt of an amended standard(s) dr guideline(s), PERFORMING <br />AGENCY shall inform RECEIVING AGENCY Program, in ~pvriting, if it shall not continue <br />performance under this Attachment in compliance with the amer)'ded standard(s) or guideline(s). <br />RECEIVING AGENCY may terminate the Attachment immediately or within a reasonable <br />period of time as determined by RECEIVING AGENCY. ' <br />RECEIVING AGENCY'S Public Health Regional Director qr designee, as coordinator of <br />regional services, will assist RECEIVING AGENCY staff in providing direction to <br />PERFORMING AGENCY. RECEIVING AGENCY personnel may, from time to time, provide <br />technical assistance and training to PERFORMING AGENCY. PERFORMING AGENCY sha11 <br />ATTACHMENT - Page 1 <br />