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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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B.1.a.1)
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Individual health screening and assessment services
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Work with the local County Health Department, School district and the county SHAC to develop the bie...
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Fixed Price - Lump Sum
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| Major Deliverable: Work with the local County Health Department, School district and the county SHAC to develop the biennial School Health Services Plan in accordance with Florida Administrative Code Rule 64F-6.022 |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Work with the local County Health Department, School district and the SHAC to develop the School Health Services Plan as specified. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 13 |
| Deliverable Number: B.1.a.1) |
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B.1.a.10)b)
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Individual health screening and assessment services
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Develop and implement policies and procedures that include measures which prevent the spread of COVI...
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Fixed Fee / Unit Rate
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| Major Deliverable: Develop and implement policies and procedures that include measures which prevent the spread of COVID-19 in schools as follows: Provide enclosed isolation room(s) or area(s) in all schools, isolation room monitors (staff), and Department approved disinfection. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 15 |
| Deliverable Number: B.1.a.10)b) |
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B.1.a.10)b)
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Individual health screening and assessment services
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Ensure that students with possible COVID-19 symptoms or that have tested positive for COVID-19 can w...
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Fixed Price - Lump Sum
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| Major Deliverable: Ensure that students with possible COVID-19 symptoms or that have tested positive for COVID-19 can wait in supervised isolation room(s)/area(s) until they are picked-up by a parent or guardian. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 15 |
| Deliverable Number: B.1.a.10)b) |
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B.1.a.10)c)
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Individual health screening and assessment services
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Maintain social distancing (as allowed by size of clinic), disinfection, hygiene, and use of PPE at ...
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Fixed Price - Lump Sum
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| Major Deliverable: Maintain social distancing (as allowed by size of clinic), disinfection, hygiene, and use of PPE at all times in school clinics, except when medication is being administered orally or nasally. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.10)c) |
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B.1.a.10)d)
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Individual health screening and assessment services
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Develop policy and procedures to screen district school staff and students with temperature checks a...
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Fixed Price - Lump Sum
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| Major Deliverable: Develop policy and procedures to screen district school staff and students with temperature checks and questionnaires to prevent spread of COVID-19 in district schools. Use these procedures to screen district school staff and students per school district policy. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 16 |
| Deliverable Number: B.1.a.10)d) |
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B.1.a.10)e)
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Individual health screening and assessment services
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Maintain a COVID-19 tracking log.
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Fixed Fee / Unit Rate
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| Major Deliverable: Maintain a COVID-19 tracking log. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.10)e) |
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B.1.a.10)f)
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Individual health screening and assessment services
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Maintain running inventory of PPE, hand sanitizer and disinfectants, and ensure supplies are ordered...
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Fixed Price - Lump Sum
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| Major Deliverable: Maintain running inventory of PPE, hand sanitizer and disinfectants, and ensure supplies are ordered in time to avoid shortages. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 16 |
| Deliverable Number: B.1.a.10)f) |
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B.1.a.10)g)
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Individual health screening and assessment services
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Educate and provide information to school staff, students, and parents and guardians regarding COVID...
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Fixed Price - Lump Sum
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| Major Deliverable: Educate and provide information to school staff, students, and parents and guardians regarding COVID-19 prevention (donning and offing of masks, handwashing and social distancing), hygiene etiquette (not touching face or other students), symptoms of COVID-19, actions to take when COVID-19 symptoms appear, and the quarantine periods recommended by the Department. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 16 |
| Deliverable Number: B.1.a.10)g) |
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B.1.a.10)h)
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Individual health screening and assessment services
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Perform contact tracing in coordination with the County Health Department.
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Fixed Price - Lump Sum
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| Major Deliverable: Perform contact tracing in coordination with the County Health Department. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.10)h) |
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B.1.a.10)i)
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Individual health screening and assessment services
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Perform consultations by phone, text, or email with parents or guardians regarding their child’s pos...
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Fixed Price - Lump Sum
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| Major Deliverable: Perform consultations by phone, text, or email with parents or guardians regarding their child’s possible exposure to COVID-19, possible COVID-19 symptoms, and the need to pick-up their child and consult with a health care provider for evaluation and possible COVID-19 testing. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Policies and procedures that include measures that prevent the spread of COVID-19 in schools must be implemented |
| Financial Consequences: 2% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.10)i) |
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B.1.a.2)
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Individual health screening and assessment services
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Provide information (written or electronic) to the student's parents or guardians about the school h...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide information (written or electronic) to the student's parents or guardians about the school health and healthcare services to be offered by the Provider to students in school, the option to withhold consent or decline specific services. Ensure written parent/guardian consent is obtained for health services as defined by the Provider and in accordance with the School Health Plan. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Parents or guardians must be provided written or electronic information about offered school health and healthcare services. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 13 |
| Deliverable Number: B.1.a.2) |
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B.1.a.3)
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Individual health screening and assessment services
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Send student emergency information cards or forms, in writing or electronically, to parents and guar...
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Fixed Price - Lump Sum
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| Major Deliverable: Send student emergency information cards or forms, in writing or electronically, to parents and guardians throughout the contract term. Collect 45 percent of the completed student emergency information cards or forms by September 30 of each contract year and 95 percent of the completed student emergency information cards or forms by December 31 of each contract year. Ensure that emergency information cards or forms are updated by parents or guardians for each student annually and list the contact person, family physician, allergies, significant health history, and permission for emergency care for the student. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Collect student emergency information cards. |
| Financial Consequences: 3% reduction in quarterly invoice, respectively |
| Source Documentation Page Reference: 13-14 |
| Deliverable Number: B.1.a.3) |
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B.1.a.4)
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Individual health screening and assessment services
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Review student health records for a minimum of five percent of students by September 30, a minimum o...
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Fixed Price - Lump Sum
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| Major Deliverable: Review student health records for a minimum of five percent of students by September 30, a minimum of 45 percent of students by December 31, and a minimum of 90 percent of students by March 31, of each contract year to ensure students have all of their required forms. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Student health records must be reviewed |
| Financial Consequences: 1% reduction in final quarter invoice amount |
| Source Documentation Page Reference: 15 |
| Deliverable Number: B.1.a.4) |
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B.1.a.5)a)
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Individual health screening and assessment services
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Provide Basic School Health Services at all schools listed in Attachment III in accordance with the ...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide Basic School Health Services at all schools listed in Attachment III in accordance with the current School Health Services Plan; section 381.0056, Florida Statutes; Florida Administrative Code Rules 64F-6.001 through 6.006; and the Department’s School Health Administrative Resource Manual available at, http://www.floridahealth.gov/programs-and-services/childrens-health/school-health/reports-information.html, as revised. At a minimum, provide the following Basic School Health Services, unless the student has a parent or guardian opt- out form or other written exemption, is not able to be screened due to profound disability, or is currently in treatment for the condition: Perform Vision Screenings for a minimum of 45 percent of non-exempted students in kindergarten, first, third, and sixth grade by December 31 and a minimum of 95 percent by March 31 of each contract year. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Provide vision screenings for mandatory grade levels at all Basic School Health Service Schools |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 13 |
| Deliverable Number: B.1.a.5)a) |
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B.1.a.5)b)
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Individual health screening and assessment services
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Perform Hearing Screenings for a minimum of 45 percent of non-exempted students in kindergarten, fir...
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Fixed Price - Lump Sum
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| Major Deliverable: Perform Hearing Screenings for a minimum of 45 percent of non-exempted students in kindergarten, first, and sixth grade by December 31 and a minimum of 95 percent by March 31 of each contract year. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Provide hearing screenings for mandatory grade levels at all Basic School Health Service schools |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)b) |
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B.1.a.5)c)
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Individual health screening and assessment services
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Perform Scoliosis Screenings for a minimum of 45 percent of non-exempted students in sixth grade by ...
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Fixed Price - Lump Sum
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| Major Deliverable: Perform Scoliosis Screenings for a minimum of 45 percent of non-exempted students in sixth grade by March 31 and a minimum of 95 percent by June 30 of each contract year. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Provide scoliosis screenings for mandatory grade levels at all Basic School Health Service schools |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)c) |
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B.1.a.5)d)
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Individual health screening and assessment services
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Perform Growth and Development Screenings for a minimum of 45 percent of non-exempted students in fi...
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Fixed Price - Lump Sum
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| Major Deliverable: Perform Growth and Development Screenings for a minimum of 45 percent of non-exempted students in first, third, and sixth grade by March 31 and a minimum of 95 percent by June 30 of each contract year. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Provide growth and development screenings for mandatory grade levels at all Basic School Health Service schools |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 13 |
| Deliverable Number: B.1.a.5)d) |
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B.1.a.5)e)
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Individual health screening and assessment services
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Refer all students with abnormal screening results to the appropriate health care providers for furt...
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Fixed Price - Lump Sum
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| Major Deliverable: Refer all students with abnormal screening results to the appropriate health care providers for further evaluation and treatment within 45 days of receiving the screening results. Document all referrals made in the student cumulative health record. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: All students with abnormal screening results must be referred to appropriate health care providers for further evaluation and or treatment |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)e) |
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B.1.a.5)f)
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Individual health screening and assessment services
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Confirm that all students referred to state contracted vision service providers have a signed parent...
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Fixed Price - Lump Sum
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| Major Deliverable: Confirm that all students referred to state contracted vision service providers have a signed parent or guardian consent form that includes permission for a Comprehensive Eye Exam, which may involve refraction and dilation. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: All students referred to State contracted vision service providers must have a signed parental or guardian consent form. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)f) |
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B.1.a.5)g)
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Individual health screening and assessment services
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Provide at least one follow-up with the parents or guardians of students referred within 45 days of ...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide at least one follow-up with the parents or guardians of students referred within 45 days of referring the student for further evaluation or treatment to ensure the students received the necessary care. Document the attempt(s) to follow-up with the parents or guardians and, if applicable, document any incidence(s) of a parent or guardian being non-responsive to the referral, refusing to follow-up, or a student withdrawing from school in the cumulative health record. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: At least one follow-up must be provided with the parents or guardians of students referred. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)g) |
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B.1.a.5)h)
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Individual health screening and assessment services
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Provide students who are pregnant with information on assistance, counseling, education, prenatal ca...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide students who are pregnant with information on assistance, counseling, education, prenatal care, and the Healthy Start Program as needed. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Additional Basic Health Services are provided as specified in School Health Services Plan. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.5)h) |
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B.1.a.5)i)
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Individual health screening and assessment services
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Provide additional Basic School Health Services as specified in the current School Health Services P...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide additional Basic School Health Services as specified in the current School Health Services Plan. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Additional Basic Health Services are provided as specified in School Health Services Plan. |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 14 |
| Deliverable Number: B.1.a.5)i) |
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B.1.a.6)
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Individual health screening and assessment services
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Provide health services for Full-Service Schools, identified in Attachment _IV_, in accordance with ...
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Fixed Price - Lump Sum
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| Major Deliverable: Provide health services for Full-Service Schools, identified in Attachment _IV_, in accordance with section 402.3026, Florida Statutes and as specified in the current School Health Services Plan. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Health services for Full-Service Schools must be provided as specified |
| Financial Consequences: 1% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 14 |
| Deliverable Number: B.1.a.6) |
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B.1.a.7)a)
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Individual health screening and assessment services
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Maintain the following documentation and information, either in written or electronic format, in acc...
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Fixed Price - Lump Sum
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| Major Deliverable: Maintain the following documentation and information, either in written or electronic format, in accordance with section 1002.22, Florida Statutes, Florida Administrative Code Rule 64F-6.005, the Family Educational Rights and Privacy Act, and HIPAA: Cumulative health record for each student, which contains: Florida Certification of Immunization (Form DH 680) or Part A, Part B, or DH 681 exemptions; School Entry Health Exam form (DH3040-CHP-07/2013) or other form as specified in section 1003.22, Florida Statutes and Florida Administrative Code Rule 6A-6.024; and documentation of screenings, results, referrals, follow-up attempts, and outcomes as specified in Task 5). |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Maintain documentation and information for health services provided. |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 17 |
| Deliverable Number: B.1.a.7)a) |
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B.1.a.7)a)
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Individual health screening and assessment services
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IHPs and Emergency Care Plans for each student as applicable.
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Fixed Price - Lump Sum
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| Major Deliverable: IHPs and Emergency Care Plans for each student as applicable. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Maintain documentation and information for health services provided. |
| Financial Consequences: 3% reduction in that quarter's invoice amount |
| Source Documentation Page Reference: 5 |
| Deliverable Number: B.1.a.7)a) |
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