Program Specific Requirements. 3.9.4.1. The initial clinical assessment and establishment of a new patient relationship, including any determination of diagnosis and/or medical necessity, may be delivered through synchronous video interaction.
Program Specific Requirements. The Network Service Provider shall incorporate any additional program-specific funds appropriated by the Legislature or contracted for Behavioral Health Services. Any increases shall be documented through an amendment to this contract, resulting in a current fiscal year funding and corresponding service increase. Such increase in services must be supported by additional deliverables as outlined in the amendment. The Network Service Provider shall adhere to the Exhibits and Incorporated Documents for program specific funds as outlined in Appendix A of this contract. All Exhibits and Incorporated Documents can be found on the LSF Health Systems website: xxxxx://xxx.xxxxxx.xxx/lsf-health-systems/contract-documents/. Appendix B outlines all of the exemptions pertaining to this contract.
Program Specific Requirements. The outcome of this performance-based grant is safe, affordable, and stable housing for the clients of the HOPWA Program. LHJ shall provide the following inputs: • Staff who provide services described in this Statement of Work (SOW)
Program Specific Requirements. 1 . A year of high school algebra and geometry with a letter grade of “C” or better.
Program Specific Requirements. For MI Codes 77410893, 77410823 & 77420823 To be in compliance with grant requirements, contractor will:
Program Specific Requirements. Tasks in this statement of work may not be subcontracted without prior written approval from the Office of Immunization. Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Youth Cannabis & Commercial Tobacco Prevention Program - Effective July 1, 2022 Local Health Jurisdiction Name: Kitsap Public Health District Contract Number: CLH31014 SOW Type: Original Revision # (for this SOW) Funding Source Federal Subrecipient State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of Performance: July 1, 2022 through December 31, 2022 Statement of Work Purpose: The purpose of this statement of work is to provide funding for cannabis & commercial tobacco (including vaping products) prevention and control activities as a regional contractor for the Youth Cannabis and Commerical Tobacco Prevention Program through four sources of funding: SFY23 Dedicated Cannabis Account, SFY23 Tobacco Prevention, SFY23 Youth Tobacco Vapor Products, and FFY22 Tobacco-Vap Prevention Component 1. Note: Commercial tobacco includes any product that contains tobacco and/or nicotine, such as cigarettes, cigars, electronic cigarettes, hookah, pipes, smokeless tobacco, heated tobacco, and other oral nicotine products. Commercial tobacco does not include FDA-approved nicotine replacement therapies. ** PLEASE NOTE: Due dates and allocations are for purposes of reflecting the total annual allocation and reporting for FFY22 and SFY23. Revision Purpose: N/A DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Funding Period Start Date End Date Current Allocation Allocation Change Increase (+) Total Allocation SFY23 YOUTH TOBACCO VAPOR PRODUCTS 77410893 N/A 334.04.93 07/01/22 12/31/22 0 38,402 38,402 FFY22 TOBACCO-VAPE PREV COMP 1 77410212 93.387 333.93.38 04/29/22 12/31/22 0 24,482 24,482 SFY23 TOBACCO PREVENTION PROVISO 77410823 N/A 334.04.93 07/01/22 12/31/22 0 190,000 190,000 TOTALS 0 500,393 500,393 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1 DEVELOP NETWORK ANNUAL WORK PLAN Contractor will submit a work plan for 2022-2023 utilizing the template provided by YCCTPP that addresses the four goals of the program and includes: • Performance-based objectives that will be defined by the contractor and YCCTPP contract manager. • Activities that utilize program strategies (defined...
Program Specific Requirements. 1. The Contractor shall meet the minimum target numbers of 600 participants in any CIT course or related activity per year.
Program Specific Requirements. All work will be performed in accordance with the revised and approved project plans to be submitted to DOH. Restrictions on Funds (what funds can be used for which activities, not direct payments, etc) CDC Funding Regulations and Policies xxxxx://xxx.xxx.xxx/grants/documents/General-Terms-and-Conditions-Non-Research-Awards.pdf Monitoring Visits (frequency, type) The DOH program contact may conduct monitoring visits during the life of this project. The type, duration, and timing of visit will be determined and scheduled in cooperation with the subawardee. The DOH Fiscal Monitoring Unit may conduct fiscal monitoring site visits during the life of this project Special Billing Requirements Payment: Upon approval of deliverables and receipt of an invoice voucher, DOH will reimburse for actual allowable costs incurred. Billings for services on a monthly fraction of the budget will not be accepted or approved.
Program Specific Requirements. All work will be performed in accordance with the revised and approved project plans to be submitted to DOH. Restrictions on Funds (what funds can be used for which activities, not direct payments, etc) CDC Funding Regulations and Policies xxxxx://xxx.xxx.xxx/grants/documents/General-Terms-and-Conditions-Non-Research-Awards.pdf Monitoring Visits (frequency, type) The DOH program contact may conduct monitoring visits during the life of this project. The type, duration, and timing of visit will be determined and scheduled in cooperation with the subawardee. The DOH Fiscal Monitoring Unit may conduct fiscal monitoring site visits during the life of this project Special Billing Requirements:
Program Specific Requirements. Data Sharing The Office of Drinking Water will share water system information and files with the local health jurisdiction to support the work identified in this statement of work. To request water system data please contact the regional office with the name of the water system, water system ID#, specific information being requested and any timeline requirements. If allowable, please give administrative staff 3 to 5 business days to provide records. Program Manual, Handbook, Policy References: Field Guide (DOH Publication 331-486). Special References: Chapter 246-290 WAC is the set of rules that regulate Group A water systems. By this statement of work, ODW contracts with the LHJ to conduct sanitary surveys (and SPIs and provide technical assistance) for small community and non-community water systems with groundwater sources. ODW retains responsibility for conducting sanitary surveys (and SPIs and provide technical assistance) for small community and non-community water systems with surface water sources, large water systems, and systems with complex treatment. LHJ staff assigned to perform activities under tasks 1, 2, and 3 must be trained and approved by ODW prior to performing work. See special instructions under Task 4, below. Special Billing Requirements The LHJ shall submit quarterly invoices within 30 days following the end of the quarter in which work was completed, noting on the invoice the quarter and year being billed for. Payment cannot exceed a maximum accumulative fee of $32,750 $43,500 for Task 1, and $3,000 for Task 2, Task 3 and Task 4 combined during the contracting period, to be paid at the rates specified in the Payment Method/Amount section above. When invoicing for Task 1, submit the list of WS Name, ID #, Amount Billed, Survey Date and Letter Date for which you are requesting payment. When invoicing for Task 2-3, submit the list of WS Name, ID #, TA Date and description of TA work performed, and Amount Billed. When invoicing for Task 4, submit receipts and the signed pre-authorization form for non-employee travel to the ODW Program Contact below and a signed A19-1A Invoice Voucher to DOH Grants Management, billing to BARS Revenue Code 346.26.66 under Technical Assistance (TA). Special Instructions Task 1 Trained LHJ staff will evaluate the water system for physical and operational deficiencies and prepare a Final Sanitary Survey Report which has been accepted by ODW. Detailed guidance is provided in the Field Guide for Sanitary Surv...
