Common use of SUB-RECIPIENT RESPONSIBILITIES Clause in Contracts

SUB-RECIPIENT RESPONSIBILITIES. A. Sub-Recipient shall bill for direct services on a sliding fee scale based on 0% pay for all families at or below 133% of the Federal Poverty Level. B. Sub-Recipient shall expend all funds received to provide public health services to maternal, child and/or infant populations. C. Sub-Recipient shall select NPM and/or SPM identified during the 2020 MCH Summit and Needs Assessment process and set annual local goals and objectives that are appropriate for current work practices. D. Sub-Recipient shall use MCH Block Grant funding to select at least one or more NPM or SPM related to improving the health and well-being of women and/or infants as appropriate for current work practices: NPM 1 – Well woman visit: Percentage of women ages 18 through 44, with a preventive medical visit in the past year; NPM 4 – Breastfeeding: i. Percent of infants who are ever breastfed; and ii. Percent of infants breastfeed exclusively through 6 months; and/or SPM 1 – Increase the proportion of pregnant/postpartum women who are screened for depression. i. LHD can receive Maternal Mental Health screening training on the Edinburgh Postnatal Depression screening tool from the Maternal and Mental Health Program. Once trained, LHD can use screening tool to increase the number of pregnant/postpartum women who are screened for depression. E. Sub-Recipient shall use MCH Block Grant funding to select NPM 6 and may select NPM 13.B or other SPM’s related to improving the health and well-being of children and/or youth (including infants, children and adolescents) as appropriate for current work practices: NPM 6 Developmental Screening: Percent of children ages through 35 months who received a developmental screening using a parent-completed screening tool (ASQ) in the past year. LHD may select one of three levels: i. Level 1 - Introduction to ASQ (a) Help promote ASQ training within their community and promote use of ASQ screening with Local partner organizations; and (b) At least one staff member trained in using the ASQ3 (Ages and Stages overall development screen) and ASQ SE-2 (Ages and Stages Social Emotional screen.). Use the online ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data behind LHD's, apply the screens with children and further the important data collection to support the importance of NPM6; ii. Level 2 - Trained and ready to use ASQ (Level 1 done by default if in Level 2) (a) Use Family Access to have parents enter the ASQ screening responses directly into the Brookes system for at least 20% of all screenings. (ECU Program Manager will report on this quarterly.); and (b) Assign a person from staff to attend the ECU Advisory Council Subcommittee of your choice. Encourage the voice of the Local Health Department to be included in the statewide work; and/or (c) Pilot or Use the Maternal Mental Health Tool Kit iii. Level 3 - Advanced ASQ Use (Levels 1 & 2 done by default if in Level 3); the LHD can work on any one or all of the following: (a) Establish and implement a schedule for screenings to be done at the same intervals as the AAP, 9, 18 or 24 and 36 months; (b) Partner with WIC to access that population to screen children receiving WIC; and/or (c) Partner or refer to Integrated Services Program, use for additional referrals and care coordination for those children who would qualify for Special needs services. Meet with Early Childhood Program staff regarding NPM 6 at least 4 times per year (may include early childhood trainings offered by Department, Nursing Director meetings and/or individual LHD meetings.) NPM 13.B Oral Health: Percent of children ages 1 through 17 who had a preventive dental visit in the past year. F. Sub-Recipient agrees to participate in at least one workforce development opportunity as appropriate for current work practices. Sub-Recipient may use the MCH Workforce Development resources included in this contract. G. Sub-recipient shall report all contract activities in the REDCap reporting system provided by the Dept. as required by Section VI. H. During FFY 2024, changes to specific objectives and activities shall be determined between Department and Sub-Recipient and included as contract amendments, as necessary.

SUB-RECIPIENT RESPONSIBILITIES. A. Sub-Recipient shall bill for direct services on a sliding fee scale based on 0% pay for all families at or below 133% of the Federal Poverty Level. B. Sub-Recipient shall expend all funds received to provide public health services to maternal, maternal and child and/or infant populations. C. Sub-Recipient shall select NPM and/or SPM identified during the 2020 MCH Summit and Needs Assessment process and set annual local goals and objectives that are appropriate for current work practices. D. Sub-Recipient shall use MCH Block Grant funding to select at least one or more NPM or SPM related to improving the health and well-being of women and/or infants as appropriate for current work practices: : 1. NPM 1 – Well woman visit: Percentage of women ages 18 through 44, with a preventive medical visit in the past year; ; 2. NPM 4 – Breastfeeding: i. Percent of infants who are ever breastfed; and ii. Percent of infants breastfeed exclusively through 6 months; and/or and/or 3. SPM 1 – Increase the proportion of pregnant/postpartum women who are screened for depression. i. LHD can Sub-Recipient may receive Maternal Mental Health screening training on the Edinburgh Postnatal Depression screening tool from the Maternal and Mental Health Program. Once trained, LHD can Sub-Recipient may use screening tool to increase the number of pregnant/postpartum women who are screened for depression. E. Sub-Recipient shall use MCH Block Grant funding to select NPM 6 and may select NPM 13.B or other SPM’s related to improving the health and well-being of children and/or youth (including infants, children and adolescents) as appropriate for current work practices: : 1. NPM 6 Developmental Screening: Percent of children ages through 35 months who received a developmental screening using a parent-completed screening tool (ASQ) in the past year. LHD may select one of three levels: i. Level 1 - Introduction to ASQ (a) Help promote ASQ training within their community and promote use of ASQ screening with Local partner organizations; and (b) At least one staff member trained in using the ASQ3 (Ages and Stages overall development screen) and ASQ SE-2 (Ages and Stages Social Emotional screen.). Use the online ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data behind LHD's, apply the screens with children and further the important data collection to support the importance of NPM6Attend ECU Advisory Council Meetings; ii. Level 2 - Trained and ready to use ASQ (Level 1 done by default if in Level 2) (a) Use Family Access Attend and get trained in using the ASQ-3 (overall development screen) and ASQ SE-2 (Social Emotional screen); (1) It will become even more important to have parents enter the ASQ screening responses directly into the Brookes system for at least 20% of all screenings. (ECU Program Manager will report on screen social emotional development as this quarterly.pandemic continues); and (b) Assign a person from staff to attend the ECU Advisory Council Subcommittee of your choice. Encourage the voice of the Local Health Department to be included in the statewide work; and/or (c) Pilot or Use the Maternal Mental Health Tool Kitonline ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data supporting LHD's, apply the screens with children, refer to appropriate services, and further the important data collection to support NPM 6; iii. Level 3 - Advanced ASQ Use (Levels 1 & 2 done by default if in Level 3); the LHD can work on any one or all of the following: (a) Establish and implement a schedule for screenings to be done at the same intervals as the AAP6, 912, 18 or 24 18, and 36 25 months, and 3, 4, and 5 years of age; (b) Partner with LHD WIC office to access that population to screen children receiving WIC; and/or (c) Partner or refer Determine if codes 96110 and 96127 can be utilized by your LHD to Integrated Services Program, use bill for additional referrals and care coordination for those children who would qualify for Special needs servicesdevelopmental screens. 2. Meet with Early Childhood Program Family Youth and Outreach (FYO) staff regarding NPM 6 at least 4 times per year (may include early childhood trainings offered by DepartmentFYO trainings, Nursing Director meetings and/or individual LHD meetings.) ) 3. NPM 13.B Oral Health: Percent of children ages 1 through 17 who had a preventive dental visit in the past year. F. Sub-Recipient agrees to participate in at least one workforce development opportunity as appropriate for current work practices. 1. Sub-Recipient may use the MCH Workforce Development resources included in this contract. G. Sub-recipient shall report all contract activities in the REDCap reporting system provided by the Dept. as required by Section VI. H. During FFY 20242021, changes to specific objectives and activities shall be determined between Department and Sub-Recipient and included as contract amendments, as necessary.

SUB-RECIPIENT RESPONSIBILITIES. A. Sub-Recipient shall bill for direct services on a sliding fee scale based on 0% pay for all families at or below 133% of the Federal Poverty Level. B. Sub-Recipient shall expend all funds received to provide public health services to maternal, child and/or infant populations. C. Sub-Recipient shall select NPM and/or SPM identified during the 2020 MCH Summit and Needs Assessment process and set annual local goals and objectives that are appropriate for current work practices. D. Sub-Recipient shall use MCH Block Grant funding to select at least one or more NPM or SPM related to improving the health and well-being of women and/or infants as appropriate for current work practices: NPM 1 – Well woman visit: Percentage of women ages 18 through 44, with a preventive medical visit in the past year; NPM 4 – Breastfeeding: i. Percent of infants who are ever breastfed; and ii. Percent of infants breastfeed exclusively through 6 months; and/or SPM 1 – Increase the proportion of pregnant/postpartum women who are screened for depression. i. LHD can receive Maternal Mental Health screening training on the Edinburgh Postnatal Depression screening tool from the Maternal and Mental Health Program. Once trained, LHD can use screening tool to increase the number of pregnant/postpartum women who are screened for depression. E. Sub-Recipient shall use MCH Block Grant funding to select NPM 6 and may select NPM 13.B or other SPM’s related to improving the health and well-being of children and/or youth (including infants, children and adolescents) as appropriate for current work practices: NPM 6 Developmental Screening: Percent of children ages through 35 months who received a developmental screening using a parent-completed screening tool (ASQ) in the past year. LHD may select one of three levels: i. Level 1 - Introduction to ASQ (a) Help promote ASQ training within their community and promote use of ASQ screening with Local partner organizations; and (b) At least one staff member trained in using the ASQ3 (Ages and Stages overall development screen) and ASQ SE-2 (Ages and Stages Social Emotional screen.). Use the online ▇▇▇▇ ▇▇▇▇▇▇▇ DHHS Brookes account to do screens to increase the data behind LHD's, apply the screens with children and further the important data collection to support the importance of NPM6; ii. Level 2 - Trained and ready to use ASQ (Level 1 done by default if in Level 2) (a) Use Family Access to have parents enter the ASQ screening responses directly into the Brookes system for at least 20% of all screenings. (ECU Program Manager will report on this quarterly.); and (b) Assign a person from staff to attend the ECU Advisory Council Subcommittee of your choice. Encourage the voice of the Local Health Department to be included in the statewide work; and/or (c) Pilot or Use the Maternal Mental Health Tool Kit iii. Level 3 - Advanced ASQ Use (Levels 1 & 2 done by default if in Level 3); the LHD can work on any one or all of the following: (a) Establish and implement a schedule for screenings to be done at the same intervals as the AAP, 9, 18 or 24 and 36 months; (b) Partner with WIC to access that population to screen children receiving WIC; and/or (c) Partner or refer to Integrated Services Program, use for additional referrals and care coordination for those children who would qualify for Special needs services. Meet with Early Childhood Program staff regarding NPM 6 at least 4 times per year (may include early childhood trainings offered by Department, Nursing Director meetings and/or individual LHD meetings.) NPM 13.B Oral Health: Percent of children ages 1 through 17 who had a preventive dental visit in the past year. F. Sub-Recipient agrees to participate in at least one workforce development opportunity as appropriate for current work practices. Sub-Recipient may use the MCH Workforce Development resources included in this contract. G. Sub-recipient shall report all contract activities in the REDCap reporting system provided by the Dept. as required by Section VI. H. During FFY 20242025, changes to specific objectives and activities shall be determined between Department and Sub-Recipient and included as contract amendments, as necessary.

SUB-RECIPIENT RESPONSIBILITIES. A. Sub-Recipient shall bill for direct services on a sliding fee scale based on 0% pay for all families at or below 133% of the Federal Poverty Level. B. Sub-Recipient shall expend all funds received to provide public health services to maternal, child and/or infant populations. C. Sub-Recipient shall select NPM and/or SPM identified during the 2020 MCH Summit and Needs Assessment process and set annual local goals and objectives that are appropriate for current work practices. D. Sub-Recipient shall use MCH Block Grant funding to select at least one or more NPM or SPM related to improving the health and well-being of women and/or infants as appropriate for current work practices: : 1. NPM 1 – Well woman visit: Percentage of women ages 18 through 44, with a preventive medical visit in the past year; ; 2. NPM 4 – Breastfeeding: i. Percent of infants who are ever breastfed; and ii. Percent of infants breastfeed exclusively through 6 months; and/or and/or 3. SPM 1 – Increase the proportion of pregnant/postpartum women who are screened for depression. i. LHD can receive Maternal Mental Health screening training on the Edinburgh Postnatal Depression screening tool from the Maternal and Mental Health Program. Once trained, LHD can use screening tool to increase the number of pregnant/postpartum women who are screened for depression. E. Sub-Recipient shall use MCH Block Grant funding to select NPM 6 and may select NPM 13.B or other SPM’s related to improving the health and well-being of children and/or youth (including infants, children and adolescents) as appropriate for current work practices: : 1. NPM 6 Developmental Screening: Percent of children ages through 35 months who received a developmental screening using a parent-completed screening tool (ASQ) in the past year. LHD may select one of three levels: i. Level 1 - Introduction to ASQ (a) Help promote ASQ training within their community and promote use of ASQ screening with Local partner organizations; and (b) At least one staff member trained in using the ASQ3 (Ages and Stages overall development screen) and ASQ SE-2 (Ages and Stages Social Emotional screen.). Use the online ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data behind LHD's, apply the screens with children and further the important data collection to support the importance of NPM6Attend ECU Advisory Council Meetings; ii. Level 2 - Trained and ready to use ASQ (Level 1 done by default if in Level 2)): (a) Use Family Access to have parents enter Attend and get trained in using the ASQ-3 (overall development screen) and ASQ screening responses directly into the Brookes system for at least 20% of all screenings. SE-2 (ECU Program Manager will report on this quarterly.Social Emotional screen); and; (b) Assign a person from staff to attend the ECU Advisory Council Subcommittee of your choice. Encourage the voice of the Local Health Department to be included in the statewide work; and/or (c) Pilot or Use the Maternal Mental Health Tool Kitonline ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data supporting LHD's, apply the screens with children, refer to appropriate services, and further the important data collection to support NPM 6; iii. Level 3 - Advanced ASQ Use (Levels 1 & 2 done by default if in Level 3); the LHD can work on any one or all of the following: (a) Establish and implement a schedule for screenings to be done at the same intervals as the AAP6, 912, 18 or 24 18, and 36 25 months, and 3, 4, and 5 years of age; (b) Partner with LHD WIC office to access that population to screen children receiving WIC; and/or (c) Partner or refer Determine if codes 96110 and 96127 can be utilized by your LHD to Integrated Services Program, use bill for additional referrals and care coordination for those children who would qualify for Special needs servicesdevelopmental screens. iv. Meet with Early Childhood Program staff regarding NPM 6 at least 4 times per year (may include early childhood trainings offered by Department, Nursing Director meetings and/or individual LHD meetings.) ) 2. NPM 13.B Oral Health: Percent of children ages 1 through 17 who had a preventive dental visit in the past year. F. Sub-Recipient agrees to participate in at least one workforce development opportunity as appropriate for current work practices. 1. Sub-Recipient may use the MCH Workforce Development resources included in this contract. G. Sub-recipient shall report all contract activities in the REDCap reporting system provided by the Dept. as required by Section VI. H. During FFY 20242023, changes to specific objectives and activities shall be determined between Department and Sub-Recipient and included as contract amendments, as necessary.

SUB-RECIPIENT RESPONSIBILITIES. A. Sub-Recipient shall bill for direct services on a sliding fee scale based on 0% pay for all families at or below 133% of the Federal Poverty Level. B. Sub-Recipient shall expend all funds received to provide public health services to maternal, maternal and child and/or infant populations. C. Sub-Recipient shall select NPM and/or SPM identified during the 2020 MCH Summit and Needs Assessment process and set annual local goals and objectives that are appropriate for current work practices. D. Sub-Recipient shall use MCH Block Grant funding to select at least one or more NPM or SPM related to improving the health and well-being of women and/or infants as appropriate for current work practices: : 1. NPM 1 – Well woman visit: Percentage of women ages 18 through 44, with a preventive medical visit in the past year; ; 2. NPM 4 – Breastfeeding: i. Percent of infants who are ever breastfed; and ii. Percent of infants breastfeed exclusively through 6 months; and/or and/or 3. SPM 1 – Increase the proportion of pregnant/postpartum women who are screened for depression. i. LHD can receive Maternal Mental Health screening training on the Edinburgh Postnatal Depression screening tool from the Maternal and Mental Health Program. Once trained, LHD can use screening tool to increase the number of pregnant/postpartum women who are screened for depression. E. Sub-Recipient shall use MCH Block Grant funding to select NPM 6 and may select NPM 13.B or other SPM’s related to improving the health and well-being of children and/or youth (including infants, children and adolescents) as appropriate for current work practices: : 1. NPM 6 Developmental Screening: Percent of children ages through 35 months who received a developmental screening using a parent-completed screening tool (ASQ) in the past year. LHD may select one of three levels: i. Level 1 - Introduction to ASQ (a) Help promote ASQ training within their community and promote use of ASQ screening with Local partner organizations; and (b) At least one staff member trained in using the ASQ3 (Ages and Stages overall development screen) and ASQ SE-2 (Ages and Stages Social Emotional screen.). Use the online ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data behind LHD's, apply the screens with children and further the important data collection to support the importance of NPM6Attend ECU Advisory Council Meetings; ii. Level 2 - Trained and ready to use ASQ (Level 1 done by default if in Level 2) (a) Use Family Access Attend and get trained in using the ASQ-3 (overall development screen) and ASQ SE-2 (Social Emotional screen); (1) It will become even more important to have parents enter the ASQ screening responses directly into the Brookes system for at least 20% of all screenings. (ECU Program Manager will report on screen social emotional development as this quarterly.pandemic continues); and (b) Assign a person from staff to attend the ECU Advisory Council Subcommittee of your choice. Encourage the voice of the Local Health Department to be included in the statewide work; and/or (c) Pilot or Use the Maternal Mental Health Tool Kitonline ▇▇▇▇ ▇▇▇▇▇▇▇ account to do screens to increase the data supporting LHD's, apply the screens with children, refer to appropriate services, and further the important data collection to support NPM 6; iii. Level 3 - Advanced ASQ Use (Levels 1 & 2 done by default if in Level 3); the LHD can work on any one or all of the following: (a) Establish and implement a schedule for screenings to be done at the same intervals as the AAP6, 912, 18 or 24 18, and 36 25 months, and 3, 4, and 5 years of age; (b) Partner with LHD WIC office to access that population to screen children receiving WIC; and/or (c) Partner or refer Determine if codes 96110 and 96127 can be utilized by your LHD to Integrated Services Program, use bill for additional referrals and care coordination for those children who would qualify for Special needs servicesdevelopmental screens. 2. Meet with Early Childhood Program Family Youth and Outreach (FYO) staff regarding NPM 6 at least 4 times per year (may include early childhood trainings offered by DepartmentFYO trainings, Nursing Director meetings and/or individual LHD meetings.) ) 3. NPM 13.B Oral Health: Percent of children ages 1 through 17 who had a preventive dental visit in the past year. F. Sub-Recipient agrees to participate in at least one workforce development opportunity as appropriate for current work practices. 1. Sub-Recipient may use the MCH Workforce Development resources included in this contract. G. Sub-recipient shall report all contract activities in the REDCap reporting system provided by the Dept. as required by Section VI. H. During FFY 20242021, changes to specific objectives and activities shall be determined between Department and Sub-Recipient and included as contract amendments, as necessary.