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D. Determine participants' access to health care, medical care and other human services, and <br /> make appropriate referrals. PERFORMING AGENCY shall have a system in place to <br /> provide participants with appropriate health services or make appropriate referrals to <br /> health care providers under written agreements that ensure confidentiality of participants' <br /> personal information. <br /> <br />E. Issue prenumbered food instruments furnished by RECEIVING AGENCY to qualified <br /> participants who shall use such instruments to obtain specified food items from <br /> participating vendors; maintain complete accountability and security of all food <br /> instruments received from RECEIVING AGENCY; and be held financially responsible <br /> for all unaccounted for food instruments and/or for the redeemed value of those issued to <br /> ineligible participants. PERFORMING AGENCY shall be held financially liable for <br /> issuance of infant formula instruments that are not authorized or prescribed according to <br /> the State WIC Policy and Procedure Manual. <br /> <br />F. Review the immunization records of WIC Program applicants/participants and provide <br /> immunizations as needed in accordance with the WIC Policy and Procedures Manual or <br /> as otherwise approved in writing by RECEIVING AGENCY Program. <br /> <br />G. Offer services during extended hours of operation outside the traditional times of 8:00 <br /> a.m. to 5:00 p.m., Monday through Friday, according to the Annual Plan of Operations as <br /> approved by RECEIVING AGENCY and incorporated by reference. <br /> <br />H. Implement or expand PERFORMING AGENCY'S breastfeeding peer counseling <br /> program for training and salaries of peer counselors who assist pregnant and <br /> breastfeeding WIC participants in normal breastfeeding situations, when funding is <br /> available, if participation in this program is requested by PERFORMING AGENCY and <br /> approved in writing by RECEIVING AGENCY. <br /> <br />I. Implement lactation services for WIC clients who have breastfeeding problems that are <br /> beyond the expertise of their local WIC staff and/or peer counselors using International <br /> Board Certified_ Lactation Consultants or the most qualified equivalent. Lactation <br /> services may also include staff training and lactation equipment. RECEIVING <br /> AGENCY will provide written approval of PERFORMING AGENCY'S plan to use <br /> lactation funding. The plan shall include qualifications of any non-board certified <br /> lactation consultant PERFORMING AGENCY proposes to use. <br /> <br />J. Ensure adequate staff coverage and uninterrupted delivery of WlC services if any <br /> member of PERFORMING AGENCY'S staff is approved in writing by the RECEIVING <br /> AGENCY to participate in RECEIVING AGENCY'S dietetic internship program. This <br /> internship shall consist of no less than 900 hours of supervised learning experiences in a <br /> variety of nutrition-related facilities and shall prepare PERFORMING AGENCY'S <br /> selected staff member to better meet the needs of WIC participants. <br /> <br />K. RECEIVING AGENCY will provide three (3) types of breastpumps for eligible WIC <br /> participants by distributing breastpumps to PERFORMING AGENCY or by authorizing <br /> <br /> ATTACHMENT - Page 2 <br /> <br /> <br />