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<br /> - <br /> D. Make available appropriate health services to participants whose incomes do not exceed <br /> those specified in RECEIVING AGENCY'S Program policies, and inform applicants of <br /> available health services. PERFORMING AGENCY shall have a system in place to <br /> provide participants with the available health services or provide the services through <br /> referral(s) supported by written agreements with health care providers. <br /> E. Issue prenumbered food vouchers furnished by RECEIVING AGENCY to qualified <br /> participants, who will use such vouchers to obtain specified food items from participating <br /> vendors; maintain complete accountability and security of all food vouchers received from <br /> RECEIVING AGENCY; and be held fInancially responsible for all unaccounted for food <br /> vouchers and/or those issued to ineligible participants. PERFORMING AGENCY will <br /> also be held fInancially accountable for unauthorized infant formulas issued to participants. <br /> F. Review the immunization record of WIC Program applicants/participants and provide <br /> immunizations as needed, using staff funded under this Attachment in accordance with the <br /> WIC Policy and Procedures Manual provided by RECEIVING AGENCY to <br /> PERFORMING AGENCY or as otherwise approved in writing by RECEIVING <br /> AGENCY Program. <br /> G. Increase participation in WIC clinics in accordance with General Appropriations Act, 75th <br /> Legislature, Regular Session, 1997, Article TI, § 1 Other Provisions, Rider 47, and Health <br /> and Safety Code, § 32.021, VTCA, by offering services during extended hours of <br /> operation outside the traditional times of 8:00 a.m. to 5:00 p.m., Monday through Friday. <br /> H. Implement or expand PERFORMING AGENCY's breastfeeding peer counseling program <br /> for training and salaries of peer counselors who assist pregnant and breastfeeding WIC <br /> participants in normal breastfeeding situations if participation in this program is requested <br /> by PERFORMING AGENCY and approved in writing by RECEIVING AGENCY. <br /> 1. Use International Board Certified Lactation Consultants (IBCLC) or the most qualified <br /> equivalent to provide lactation consultation services to WIC clients who have breastfeeding <br /> problems that are beyond the expertise of their local WIC staff and/or peer counselors if <br /> participation in this option is requested by PERFORMING AGENCY and approved in <br /> writing by RECEIVING AGENCY. <br /> PERFORMING AGENCY shall comply with all applicable laws, regulations, standards, and <br /> guidelines established at federal, state and local levels as these rules now appear or may be <br /> amended during the period of this Attachment. Any amended guidelines will become effective <br /> within thirty (30) days of the receipt by PERFORMING AGENCY with PERFORMING <br /> AGENCY'S consent. These include: <br /> 1. Child Nutrition Act of 1966, 42 USC 1786; <br /> 2. Public Laws 99-500 and 99-591; <br /> ATTACHMENT - Page 2 <br />