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HomeMy WebLinkAboutC02-009 State of Colorado Immunization Program renewal letterC;z- owv -zz C; 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, cOlo N� �0 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 J:\ HCPCommon \CONTRACTS\IMMUNIZATION\FY 02\Eagle Renewal Letter.doc 1 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; Page 1 of 2 J: \HCPCommon \CONTRACTS \IMMUNIZATION\FY 02\Eagle Scope of Work for 2002.doc ,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 Page 2 of 2 J: \HCPCommon \CONTRACTS \IMMUNIZATION \FY 02\Eagle Scope of Work for 2002.doc 0 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 ")