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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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1
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Public health administration
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Signed consent forms from each participant in the enhanced HCE program that acknowledges the program...
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Cost Reimbursement
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| Major Deliverable: Signed consent forms from each participant in the enhanced HCE program that acknowledges the program’s limited scope and duration of services. due date: The tenth (10th) calendar day of each month |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 1 |
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2
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Public health administration
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Report providing the aggregate number of participants enrolled into the enhanced HCE program, their ...
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Cost Reimbursement
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| Major Deliverable: Report providing the aggregate number of participants enrolled into the enhanced HCE program, their demographics (e.g., age, sex, race, ethnicity, AHCA region), and their health insurance carrier. due date: The tenth (10th) calendar day of each month. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 2 |
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3
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Public health administration
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Report documenting all home modifications and Enhanced HCE services rendered, their costs, and dates...
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Cost Reimbursement
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| Major Deliverable: Report documenting all home modifications and Enhanced HCE services rendered, their costs, and dates of service per person served and Provider Name. due date: The tenth (10th) calendar day of each month |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 3 |
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4
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Public health administration
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Consolidated Surplus/Deficit Report in accordance with the requirements listed in Attachment I, Sect...
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Cost Reimbursement
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| Major Deliverable: Consolidated Surplus/Deficit Report in accordance with the requirements listed in Attachment I, Section I, Sub-Section F, Item 13. due date: The twenty-fifth (25th) calendar day of each month. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 4 |
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5
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Public health administration
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701B assessment data that will be used by the Agency to quantify the impact of services on participa...
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Cost Reimbursement
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| Major Deliverable: 701B assessment data that will be used by the Agency to quantify the impact of services on participant and caregiver conditions due date: As requested by the Agency |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 5 |
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6
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Public health administration
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Program Highlights referencing a new success story, quote, testimonial, or human-interest vignette t...
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Cost Reimbursement
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| Major Deliverable: Program Highlights referencing a new success story, quote, testimonial, or human-interest vignette that occurred in preceding SFY/FFY. due date: September 25, 2023 |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 100% completion |
| Financial Consequences: not applicable |
| Source Documentation Page Reference: |
| Deliverable Number: 6 |
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