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HomeMy WebLinkAboutC02-009 State of Colorado Immunization Program renewal letterC;z- owv -zz
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STATE OF COLORADO
Bill Owens, Governor
Jane E. Norton, Executive Director
Dedicated to protecting and improving the health andenvironment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80246 -1530
Phone (303) 692 -2000
TDD Line (303) 691 -7700
Located in Glendale, Colorado
httpV1www.cdphe.state.co.us
December 7, 2001
State Fiscal Year 2002 - 03,
Laboratory and Radiation Services Division
8100 Lowry Blvd.
Denver, Colorado 80230 -6928
(303) 692 -3090
Contract Renewal Letter
Immunization Program
Contract Renewal Letter Number 01,
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1876 {`
Colorado Department
of Public Health
and Environment
Contract Routing Number 02 -00783
Pursuant to paragraph C4 of the contract with contract routing number 01 -00973 and contract encumbrance number PO FAA
EM M0100973, hereinafter referred to as the "Original Contract" (a copy of which is attached hereto and by this reference
incorporated herein and made a part hereof) between the State of Colorado, Department of Public Health and
Environment and Earle County Public Health Nursing Service for the renewal term from January 1. 2002, through
December 31, 2002, the parties agree that the maximum amount payable by the State for the eligible services referenced in
paragraph Bl through B6 of the Original Contract is increased by SIX THOUSAND SEVEN HUNDRED FOUR
DOLLARS, ($6,704.00) for a new total financial obligation of the State of TWELVE THOUSAND SIX HUNDRED
NINE DOLLARS, ($12,609.00). The work plan, which is attached, hereto as "Attachment 1 ", and the budget, which is
attached hereto as "Attachment 2 ", are incorporated herein by this reference and made a part hereof. The first sentence in
paragraph C1 of the Original Contract is hereby modified accordingly. All other terms and.conditions of the Original
Contract are hereby reaffirmed. This amendment to the Original Contract is intended to be effective as of January 1, 2002.
However, in no event shall this amendment be deemed valid until it shall have been approved by the State Controller or such
assistant as he may designate.
Please sign, date, and return all 5 originals of this Contract Renewal Letter by December 26, 2001, to the attention of: Peggy
Becker, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado
80246 -1530, Mail Code: PSD- HCP -A4. One original of this Contract Renewal Letter will be returned to you when fully
approved.
Eaele County Public Health Nursing Service
(political subdivision of the state of Colorado
By:
Name:
Title:
FEIN:
84-6000762
FOR THE STATE CONTROLLER:
Arthur L. Barnhart
STATE OF COLORADO
APPROVALS:
By: O f3f�1
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Attachment 1
Work Plan for January 2002 through December 2002
Immunization Program
Contract Renewal Letter 01
Contract Renewal Letter Contract Routing Number 02 -00783
Original Contract Routing Number 01 -00973
The contractor shall comply with, and provide community educational offerings regarding, "Rules Of The
Colorado Board of Health Pertaining To The Infant Immunization Program and The Immunization of
Students Attending School ", 6 Code of Colorado Regulations 1009 -2.
2. The Contractor shall participate in client reminder /recall activities such as telephone calls, letters,
postcards, or a computerized registry. For each reporting period the Contractor shall describe the type of
reminder /recall used in their agency. The contractor shall also report the number of children who are
vaccinated as a result of their reminder /recall system. If the Contractor does not practice reminder /recall
they shall assess their capacity to do so and identify the barriers which prevent reminder /recall.
The Contractor shall expand client access to immunization services by engaging in any one (1) of the
following activities:
A. Provide expanded clinic hours at a minimum of one (1) of the Contractor's clinics to permit clients
to obtain necessary immunizations during at least one (1) evening or on one (1) weekend at least
once a month and/or;
B. Provide "express lane" and "drop in" service to approximately twenty percent (20 %) of its clients
at each of its clinics and/or;
C. Collaborate with one or more other agencies in their community to:
Provide immunization services at sites other then the Contractor's site and/or;
Ensure that immunization histories are assessed and that children are referred for
immunization services and/or;
Distribute educational materials about immunizations and locally available immunization
services.
4. The Contractor may collaborate with one or more community agencies to develop, direct or actively
participate in a community based approach to addressing local immunization issues. Participation in any of
these activities must be supported by relevant data and support immunization "best practices ".
5. The Contractor shall collaborate with the State's Supplemental Nutrition Program - Women, Infants, and
Children Q69Cj and/or the Colorado Department of Human Services Supplemental Food Program CSFP
to:
A. Make sure immunizations are available on -site, and/or;
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,s
B. Ensure that immunization histories are assessed and that children are referred for immunization
services, and/or;
C. Distribute educational materials about immunizations and locally available immunization services.
6. The Contractor shall submit two (2) narrative progress reports to the State. Each program narrative
progress report is due within fifteen (15) calendar days of the end of the period for which the program
narrative progress report is submitted. The program narrative progress reports shall document the
Contractor's progress towards completion of the activities listed above. The Contractor's June and
December billings shall not be reimbursed by the State until the requisite program narrative progress report
is submitted to the State by the Contractor. Program narrative progress reports are due by the following
dates:
Progress Period Due Date
January 1 -June 30, 2002 July 15, 2002
July 1- December 31, 2002 January 15, 2003
The Contractor shall submit its program narrative reports to:
Immunization Director
Colorado. Department of Public Health and Environment
Mail Code: PSD- RAM-A4
4300 Cherry Creek Drive South
Denver, Colorado 80246 -1530
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Attachment 2
APPLICANT: Eagle County Public Health Nursing Service
PROJECT: Immunization Program
FOR THE PERIOD: January 1, 2002 through December 31, 2002
Funded
by
CDPHE
1/12 payable monthly for January through December
$6,704
( June's payment contingent upon receipt of the narrative progress report
and December's payment contingent upon receipt of the narrative progress
report and the "Yearly Contract Reimbursement Statement ")