Res 2016-001/ (“WIC”) Program Contract with Texas Department of State Health Services

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ATTACHMENT A STATEMENT OF WORK Nutrition Education and Breastfeeding plan, individual counseling for high -risk participants, and facilitated discussion classes. W. Grantee shall resolve all possible dual participation records each month. During the term of this Statement of Work, DSHS reserves the right to withhold payment if Grantee fails to accurately resolve all possible dual participation records within three (3) months from the month of the automated alert within the Texas WIN system. Within thirty (30) days of receipt of an amended standard(s) or guideline(s) listed above, Grantee shall inform DSHS, in writing, if it shall not continue performance under this Statement of Work in compliance with the amended standard(s) or guideline(s). DSHS may terminate the Statement of Work immediately or within a reasonable period of time as determined by DSHS. All activities related to WIC, including timeframes, budget, and any revisions shall be approved by DSHS. III. PERFORMANCE MEASURES The following performance measures will be used to assess, in part, Grantee's effectiveness in providing the services described in this Statement of Work, without waiving the enforceability of any of the other terms of the contract. A. Grantee shall ensure: 1) An average of 95% of families each quarter who participate in DSHS WIC Program by receiving food benefits shall also receive nutrition education classes or individual counseling services to coincide with food instrument issuance; 2) An average of 20% of all pregnant women who enter DSHS WIC Program each quarter shall be certified as eligible during the period of the first trimester of their pregnancy; 3) An average of 80% of clients a quarter who are enrolled in the DSHS WIC Program, excluding dual participants, transfer locked and/or migrant clients, shall participate as food benefit recipients each month (breast- feeding infants are also included in the client count); and 4) 98% of participants who indicate during the enrollment process for the DSHS WIC Program that they have no source of health care shall be referred to at least one (1) source of health care at certification of eligibility. B. Grantee shall submit: 1. WIC Local Agency Performance Measure Report which describes Grantee's efforts towards meeting performance measures. The report shall be in an approved DSHS Contract No. 2016 - 048775 -001 Attachment A - Page 4