Okaloosa County BOCC — October 15, 2013 — Health Dept Annual Contract — reading text

TITLE: CHD Director DATE: §:2018 ATTACHMENT | OKALOOSA COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because of federal or state law, regulation or rule. Ifa county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Sexually Transmitted Disease Program Dental Health Special Supplemental Nutrition Program for Women, Infants and Children (including the WIC Breastfeeding Peer Counseling Program) Healthy Start/ Improved Pregnancy Outcome Family Planning Immunization Environmental Health HIV/AIDS Program Requirement Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384. Monthly reporting on DH Form 1008*. Additional reporting requirements, under development, will be required. The additional reporting requirements will be communicated upon finalization. Service documentation and monthly financial reports as specified in DHM 150-24* and all federal, state and county requirements detailed in program manuals and published procedures. Requirements as specified in the 2007 Healthy Start Standards and Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. Periodic financial and programmatic reports as specified by the program office. Periodic reports as specified by the department pertaining to immunization levels in kindergarten and/or seventh grade pursuant to instructions contained in the Immunization Guidelines-Florida Schools, Childcare Facilities and Family Daycare Homes (DH Form 150-615) and Rule 64D-3.046, F.A.C. In addition, periodic reports as specified by the department pertaining to the surveillance/investigation of reportable vaccine-preventable diseases, adverse events, vaccine accountability, and assessment of immunization levels as documented in Florida. SHOTS and supported by CHD Guidebook policies and technical assistance guidance. Requirements as specified in Environmental Health Programs Manual 150-4* and DHP 50-21* Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030 and 64D-3.031. Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Q. 10. 11. ATTACHMENT | (Continued) School Health Services Tuberculosis General Communicable Disease Control Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and F.S. 384. Socio-demographic and risk data on persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. Requirements as specified in the Florida School Health Administrative Guidelines (May 2012). Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S. 392. Carry out surveillance for reportable communicable and other acute diseases, detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and quality assurance functions, as specified in F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide to Surveillance and Investigations. *or the subsequent replacement if adopted during the contract period. “SUBA Ueey a{IGow pue ‘sjosfojd asa} YM pejeloosse jusudinba Jo sin}!uiny Meu pue sjosfoid uONeAOUa JO UCHONAJsUOS MAU se sjoalOld |eyded Jeloeds L26'879 60€'SZ7 Z99'OLL vLOZ ‘OE Jequiaydes 0} €10Z ‘| Jaqo}90 puny Aouabuju0g Jo} panjesay aouejeg “yp 0 - - vLOt ‘OE Jaquiajdas 0} €L0Z ‘| 48q0190 sea) yoesUuoy JO} asn ysaloly jeyideg jeioads ‘¢ (e9S‘6LL) (6666) (69S'61) PLOZ ‘OE Jequua}deg 0} €1.0Z ‘| eqo}90 IBS, JORIJUND JO] UMOPMEIC “7% 80r'6ZS GLEE €60'LSL €L/0C/60 souejeg Bulpuy puny jsnt GHO ‘Lb {E}O] souejeg pun-} eouejeg puns JSNL GHD JO SJeYS ysN] GHD JO BBYS Ayunod peyewysy SJEIS peyeulysy SAONV1VE GONNA LSNYL LNSIWLYVd3ad HLIWSH ALNNOD 40 ASN GANNV1d ‘I LYVd LNSWLYVddd HLIVSH ALNNOD VSOOTVHO Hl LNSWHOVLLV 1, GENERAL REVENUE - STATE 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015040 015050 AIDS PREVENTION ALG/CESSPOOL IDENTIFICATION AND ELIMINATION ALG/CONTR TO CHDS-AIDS PATIENT CARE NETWORK ALG/IPO HEALTHY START/IPO COMMUNITY SMILES - MIAMI-DADE COUNTY SPECIFIC DENTAL PROJECTS - ESCAMBIA DUVAL TEEN PREGANCY PREVENTION - DUVAL FL CLPPP SCREENING & CASE MANAGEMENT HEALTHY START GENERAL REVENUE CHD HEALTHY START MED-WAIVER - CLIENT SERVICES LA LIGA-LEAGUE AGAINST CANCER - MIAMI-DADE METRO ORLANDO URBAN LEAGUE - ORANGE MINORITY OUTREACH-PENALVER CLINIC - MIAMI-DADE PREPAREDNESS GRANT MATCH SCHOOL HEALTH GENERAL REVENUE STATEWIDE DENTISTRY NETWORK - ESCAMBIA STD GENERAL REVENUE TREASURE COAST MIDWIFERY - MARTIN AIDS SURVEILLANCE ALG/CONTR TO CHDS-AIDS PATIENT CARE ALG/CONTR TO CHDS-SOVEREIGN IMMUNITY ALG/PRIMARY CARE COMMUNITY TB PROGRAM DENTAL SPECIAL INITIATIVES FAMILY PLANNING GENERAL REVENUE FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL HEALTHY START MED WAIVER - SOBRA JESSIE TRICE CANCER CTR/HEALTH CHOICE - MIAMI-DADE MANATEE COUNTY RURAL HEALTH SERVICES MIGRANT LABOR CAMP SANITATION NON-CATEGORICAL GENERAL REVENUE GENERAL REVENUE TOTAL 2. NON GENERAL REVENUE - STATE 015010 015010 015010 015010 015010 015010 015010 015010 015010 015020 015020 015020 015060 Version: SUPERACT INDIRECT COST REIMBURSEMENTS PREPAREDNESS GRANT MATCH SCHOOL HEALTH TOBACCO TF TOBACCO COMMUNITY INTERVENTION ALG/CONTR. TO CHDS-SAFE DRINKING WATER PRG MEDICAID INCENTIVE FOR ELECTRONIC HEALTH RECORDS PUBLIC SWIMMING POOL PROGRAM TOBACCO ADMINISTRATION & MANAGEMENT TRANSFER FROM ANOTHER STATE AGENCY TRANSFER FROM ANOTHER STATE AGENCY TRANSFER FROM ANOTHER STATE AGENCY NON-CATEGORICAL TOBACCO REBASING 20,920 occ occ oclUlcrCCcOCUCUcmUCCCcUOCUCWCCcOCUCcUOCUcUODCc Ol OLD 100,000 0 0 38,563 6,541 53,579 0 0 0 0 ) | 1,075, 17 1,294,774 4,500 82,948 0 177,240 146,830 0 48,843 ooosxa 16,507 ooocrcqociccocolcolcUcrCmlCUCcUOCULcOlhUh Oo 20,920 oo ooo oececlUlcrWDCcUOCUCcUrUUCUCOCCcUCOCUCOCUCcUOCUCcOCUCcCOCUcCOlULC OD 100,000 0 0 38,563 6,54] 53,579 0 0 0 0 0 l 1,075,17 1,294,774 4,500 82,948 0 177,240 146,830 0 48,843 s OO Oo 3 2 oo coc cc cc col.lUcFrNlUmcUDCcOUlULUCOULUO 20,920 occ cocoocUuNDCcUOCCOC COC oCcCOolUmURUCUOCUcUOUOCUcUOCLUL SO 100,000 0 0 38,563 6,541 53,579 0 0 0 0 0 1 1,075,17 1,294,774 4,500 82,948 0 177,240 146,830 0 48,843 0 0 0 0 0 16,507 Page 1 of 7 NON GENERAL REVENUE TOTAL 476,868 3. FEDERAL FUNDS - State 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 007000 Version: ABSTINENCE EDUCATION GRANT PROGRAM 0 AIDS PREVENTION 0 BIOTERRORISM HOSPITAL PREPAREDNESS 27,262 COASTAL BEACH MONITORING PROGRAM 13,233 DENTAL SERVICES 0 EPIDEMIOLOGY & LABORATORY CAPACITY FOR INFECTIOUS 0 EXPANDED TESTING INITIATIVE (ETD) 0 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE MAN 0 HEPATITIS B VACCINATION PILOT PROJECT 0 IMMUNIZATION AFIX 0 IMMUNIZATION FIELD STAFF EXPENSE 0 MCH BGTF-HEALTHY START COALITIONS 0 MINORITY AIDS INITIATIVE 0 MINORITY INVOLVEMENT IN HIV/AIDS PROGRAM 0 PH HEALTH INFRASTRUCTURE COMP 7,695 PUBLIC HEALTH PREPAREDNESS BASE 127,735 RYAN WHITE 0 RYAN WHITE-AIDS DRUG ASSIST PROG-ADMIN 16,477 STATE OFFICE OF RURAL HEALTH 0 STD FEDERAL GRANT - CSPS 0 SYPHILIS ELIMINATION 0 TOBACCO FAITH BASED PROJECT 0 UNINTENDED/UNWANTED PREG-TEEN PREGNANCY PREV 30,987 WIC BREASTFEEDING PEER COUNSELING 43,311 ADULT VIRAL HEPATITIS PREVENTION & SURVEILLANCE 0 AIDS SURVEILLANCE 0 CHRONIC DISEASE PREVENTION & HEALTH PROMOTION 8,000 COLORECTAL CANCER SCREENING 0 ENHANCE COMPREHENSIVE PREVENTION PLANNING AND IMPL 0 EPIDEMIOLOGY & LABORATORY CAPACITY HAI 0 FGTF/AIDS MORBIDITY 0 FGTF/FAMILY PLANNING-TITLE X 92,633 HIV HOUSING FOR PEOPLE LIVING WITH AIDS 0 IMMUNIZATION FEDERAL GRANT ACTIVITY SUPPORT 28,675 MCH BGTF-GADSDEN SCHOOL CLINIC 0 MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM 0 MINORITY AIDS INITIATIVE TCE COLLABORATIVE 0 PHP - CITIES READINESS INITIATIVE 0 PUBLIC HEALTH INFRASTRUCTURE 0 RAPE PREVENTION & EDUCATION 0 RYAN WHITE - EMERGING COMMUNITIES 0 RYAN WHITE-CONSORTIA 0 STATEWIDE ASTHMA PROGRAM 0 STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP) 0 TEENAGE PREGNANCY PREVENTION REPLICATION 85,146 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 1 gaooocooc fo ccoclcUcUOCcUCOCCUOCUCUCCUOCUCCCcUOCOCCUCOCUOCCNDNCUDCUOCCUOCUCUD COC COCCUKUcCUCUCCOCONOUCUCDWCUOCCCOCOUOUCUCUCUNCCURUOCUCUCCUDOCUCUCDCU OCC OlUCOCCOCCOCOCC CO Co 476,868 27,262 13,233 ooo occ co 9O CO Oo 7,695 127,735 0 16,477 0 92,633 28,675 ooo ccocUcUNDCcUOCCUTDOCUCNO CO 85,146 ooooceo coc coccrcrmcmUcUTCUOCUCUOOUCUNUCOUCNUCUNUCcCOCUCcCrOUCC}WOCrUCUKHUcUrOCUDOCUCUC COCO Oo oO KOC OC OC COCCUUrCCCOCCOCUOCCUOCCUOCCOCCOC COCO CO 8 476,868 27,262 13,233 ooo co clcUc€rr oC OlUcOClUC SO 7,695 127,735 0 16,477 0 0 0 0 30,987 43,311 92,633 28,675 ooo c coc TF GD TCO co 8 85,146 Page 2 of 7 3. FEDERAL FUNDS - State 007000 WIC ADMINISTRATION 015009 MEDIPASS WAIVER-HLTHY STRT CLIENT SER VICES 015009 MEDIPASS WAIVER-SOBRA 007055 ARRA FEDERAL GRANT - SCHEDULE C 015075 SUMMER FEEDING PROGRAM INSPECTIONS 015075 SCHOOL HEALTH 015075 SCHOOL HEALTH 015075 SCHOOL HEALTH FEDERAL FUNDS TOTAL 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 001020 001020 001020 001020 001020 001020 001020 001020 001020 001020 001020 001092 001092 001092 001092 001092 001092 001092 001092 001170 001170 001170 010304 001206 001093 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL §. OTHER CASH CONTRIBUTIONS - STATE 010304 090001 031005 PUBLIC WATER ANNUAL OPER PERMIT NON-SDWA SYSTEM PERMIT SWIMMING POOLS BODY PIERCING MOBILE HOME AND PARKS BIOHAZARD WASTE PERMIT TANNING FACILITIES MIGRANT HOUSING PERMIT FOOD HYGIENE PERMIT PRIVATE WATER CONSTR PERMIT PUBLIC WATER CONSTR PERMIT SAFE DRINKING WATER OSDS PERMIT FEE AEROBIC OPERATING PERMIT NON SDWA LAB SAMPLE ENVIRONMENTAL HEALTH FEES 1 & M ZONED OPERATING PERMIT SEPTIC TANK SITE EVALUATION OSDS VARIANCE FEE OSDS REPAIR PERMIT LAB FEE CHEMICAL ANALYSIS NONPOTABLE WATER ANALYSIS WATER ANALYSIS-POTABLE MQA INSPECTION FEE CENTRAL OFFICE SURCHARGE CHD ON-LINE BILLING PEE STATIONARY POLLUTANT STORAGE TANKS DRAW DOWN FROM PUBLIC HEALTH UNIT CHDTF CASH TRANSFER OTHER CASH CONTRIBUTIONS TOTAL 6. MEDICAID - STATE/COUNTY 001056 Version: MEDICAID PHARMACY 1 871,597 1,353,751 736 138,884 0 0 2,015 fan) coco coco. 9fcP Cc CO oO 28,723 0 292,926 -69,832 -69,832 cooooecoc oo oo co eo coco occ oOclUlcUOCCcOCUCCCUOCUUCUOUCUCOUULU OULU a oo co 1,353,751 76,185 13,352 4,892 28,139 0 0 736 138,884 0 0 2,015 oo co co f9F 7 O&O 28,723 0 292,926 -69,832 0 -69,832 Oo ooTorcrccco °c 9° co ocooeocacooeocoaeoon cao eoceaoaaoaeeoeeoe ee SF eS 871,597 1,353,751 76,185 13,352 4,892 28,139 0 0 736 138,884 0 0 2,015 oo oo 0 fC Oo & 28,723 0 292,926 -69,832 -69,832 0 Page 3 of 7 6. MEDICAID - STATE/COUNTY 001076 MEDICAID TB 001078 MEDICAID ADMINISTRATION OF VACCINE 001079 MEDICAID CASE MANAGEMENT 001081 MEDICAID CHILD HEALTH CHECK UP 001082 MEDICAID DENTAL 001083 MEDICAID FAMILY PLANNING 001087 MEDICAID STD 001089 MEDICAID AIDS 001147 MEDICAID HMO