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<br /> g§S <br /> PERFORMING AGENCY's proportional share of the statewide combined total of <br /> pregnant and breastfeeding participants as reported to the RECEIVING <br /> AGENCY. <br /> (8) Any PERFORMING AGENCY whose monthly participation falls below 500, <br /> RECEIVING AGENCY has the option to compute the sliding scale al}owable at <br /> a 500 participant level with the stipulation that the 20% nutrition <br /> education expenditure requirement is met. RECEIVING AGENCY reserves the <br /> right to exclude and/or recover any expenditures that have been claimed <br /> and/or paid that are not authorized by the regulations and/or directives <br /> pertaining to the program. <br /> (9) RECEIVING AGENCY also reserves the right to withhold a proportionate <br /> amount of earned administrative funds when evidence exists that nutritjon <br /> education and/or breastfeeding promotion is not being provided by <br /> PERFORMING AGENCY, or PERFORMING AGENCY is not complying with the <br /> provisions of USDA and/or RECEIVING AGENCY directives. <br /> (10) RECEIVING AGENCY reserves the right to grant exceptions to the above <br /> funding formula(s) to serve the best interest of the Texas WIC Program. <br /> PERFORMING AGENCY agrees to break out separately on the face of the claim for <br /> reimbursement (State of Texas Purchase Voucher, TDH Form B-13) the cost <br /> . <br /> associated with nutrition education, breastfeeding, and other administrative <br /> costs. <br /> General Provisions, ADVANCE PAYMENTS Article, is not ~pplicable to this <br /> Attachment. <br /> General Provisions, PROGRAM INCOME, paragraph one, is not applicable to this <br /> Attachment. <br /> General Provisions, FINANCIAL REPORTS Article, is amended to include: <br /> A final report, Financial Status Report~ Federal Form 269 (TDH Form <br /> GC-3), will be submitted no later than June 30th. <br /> General Provisions, REPORTS AND INSPECTIONS Article, paragraph one is hereby <br /> modified to include the following wording: <br /> For any/all months wherein the PERFORMING AGENCY utilizes the WIC ODBS/Unisys <br /> Automated System, PERFORMING AGENCY will submit performance data which <br /> includes: <br /> Report of Program Operations, AC 80-1 (monthly); <br /> Report of Card Sequence Used, AC 80-3; and <br /> Cards Voided, AC 80-4 (monthly); <br /> Lost/Stolen report, AC 78-10, will be submitted as necessary. <br /> Immunization Encounter Form and Immunization Dose Forms (weekly). <br /> For any/all months wherein the PERFORMING AGENCY utilizes the WIC Information <br /> Network (WIN) Automated System, the only reports required will be the <br /> -5- <br />