Foundational Public Health Services. Use this account for the funding designated for the local health jurisdictions to provide a set of core services that government is responsible for in all communities in the WA state. This set of core services provides the foundation to support the work of the broader public health system and community partners. At this time the funding from this account is for delivering ANY or all of the FPHS communicable disease services (listed above) and can also be used for the FPHS capabilities that support FPHS communicable disease services as defined in the most current version of FPHS Definitions – Version 1.3, November 2017 SAO’s BARS Manual – xxxx://xxx.xxx.xx.xxx/local/pages/BARSManual.aspx Deliverables are to be submitted via the DOH online reporting tool at: xxxxx://xxx.xxxxxxxxxxxx.xxx/r/FPHS_2018 Note: This online tool replaces previously provided Word document reporting templates. DOH Program Contact DOH Program Contact Xxxxx Xxxxx, Special Projects, Foundational Public Health Services Xxxxxx Xxxxx, Health Services Consultant Washington State Department of Health Health Systems Transformation and Innovation PO Box 47890, Olympia, WA 98504-7890 Washington State Department of Health Phone 000-000-0000 / Mobile 000-000-0000 PO Box 47890, Olympia, WA 00000-0000 Fax 000.000.0000 / xxxxx.xxxxx@xxx.xx.xxx Phone 000-000-0000 / xxxxxx.xxxxx@xxx.xx.xxx Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Office of Drinking Water Group A Program - Effective January 1, 2018 SOW Type: Revision Revision # (for this SOW) 1 Period of Performance: January 1, 2018 through December 31, 2020 Local Health Jurisdiction Name: Cowlitz County Health & Human Services Department Funding Source Federal Contractor State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Contract Number: CLH18242 Statement of Work Purpose: The purpose of this statement of work is to provide funding to the LHJ for conducting sanitary surveys and providing technical assistance to small community and non-community Group A water systems. Revision Purpose: The purpose of this revision is to change end date in Funding Period from 12/31/20 to 12/31/18 and change chart of accounts title and MI for SS and TA. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding Period (LHJ Use Only) Start Date End Date Current Consideration Change None Total Consideration Yr 20 ...

Foundational Public Health Services. Use this account for the funding designated for the local health jurisdictions to provide a set of core services that government is responsible for in all communities in the WA state. This set of core services provides the foundation to support the work of the broader public health system and community partners. At this time the funding from this account is for delivering ANY or all of the FPHS communicable disease services (listed above) and can also be used for the FPHS capabilities that support FPHS communicable disease services as defined in the most current version of FPHS Definitions. Public Health Budgeting, Accounting and Reporting System (BARS) Resources xxx.xxx.xx.xxx/xxxxxxxxxx Deliverables are to be submitted to Xxxxx Xxxxx at xxxxx.xxxxx@xxx.xx.xxx DOH Program Contact Xxxxx Xxxxx, Special Projects, Foundational Public Health Services Washington State Department of Health PO Box 47890, Olympia, WA 00000-0000 Mobile Phone 000-000-0000 / Fax 000.000.0000 / xxxxx.xxxxx@xxx.xx.xxx Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Infectious Disease Care & Prevention (IDCP) - Effective July 1, 2021 Local Health Jurisdiction Name: Kitsap Public Health District Contract Number: CLH18248 SOW Type: Revision Revision # (for this SOW) 1 Funding Source Federal <Select One> State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of Performance: July 1, 2021 through December 31, 2021 Statement of Work Purpose: The purpose of this statement of work is for the provision of a range of client-centered activities focused on improving health outcomes in support of the HIV care continuum as well as to provide comprehensive Syringe Service Program (SSP) to people who use drugs (PWUD).

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Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.
Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.
Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. Inpatient This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. Residential Treatment Facility This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. Intermediate Care Services This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.
Public Health Public Health activities and reporting to the extent permitted by Applicable Law.
Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.
Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. Preauthorization may be required for certain surgical services. Reconstructive Surgery for a Functional Deformity or Impairment This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia. Preauthorization may be required for these services.
Anesthesia Services This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.
Health & Safety (a) The Employer and the Union agree that they mutually desire to maintain standards of safety and health in the Home, in order to prevent injury and illness and abide by the Occupational Health and Safety Act as amended from time to time.
Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.
Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

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