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RECEIVED NOV,fl 01979 <br /> STATE OF NORTH CAROLINA <br /> JAMrM D.HUNT,JR. DEPARTMENT OF HUMAN RESOURCES PUGH H.. <br /> oov=n"On ainccYOn <br /> Division of Health Services <br /> SARAH T.NO"ROW.M-0..M?H. <br /> 59CAr Any p O., }Box 2081 Raleigh 21602 <br /> November 6, 1979 <br /> MEMORANDUM <br /> TO local Health Directors <br /> FROM Jt' N. MacCormack, M. D. <br /> Head, Communicable Disease Control Branch <br /> SUBJECT letter of Understanding <br /> A Public Health Service influenza grant has awarded funds which may be re- <br /> imbursed to local health departments to offset expenses 'incurred by health <br /> department personnel in administering influenza vaccine to high H sP patients <br /> at locations outside the local health de artment, e.g. in homes of high risk <br /> patients,- rest homes, nursing homes, senior citizen clubs or group meetings, <br /> etc. Because there is always the possibility of an audit, you should maintain <br /> some type of record which details the activity performed how many flu shots <br /> were given, when, and in what location (a particular rest homes etc,) This offer <br /> is retroactive to September 21, 1979, the flu grant's effective date. <br /> Payment will be made directly to your health department upon ieceipt of a <br /> DHS Form 2500 (copy attached), signed by the county health officer. A separate <br /> reimbursement statement (copy attached) must be enclosed with each influenza <br /> Vaccine Monthly Report (DHS Form 2795). To simplify bookkeeping, we would litre <br /> to combine each monthly total of flu shots given and return one payment to you in <br /> January, 1980. Payment will not be made for shots given by physicians to their <br /> patients or for shots given in nursing or rest homes, unless the flu vaccine is <br /> administered by health department personnel. <br /> Based upon the estimated 1971 population of people 654 years of age in your, <br /> county, we have set aside a maximum of ' W for reimbursement at the rate of <br /> $2.59 per inoculation given (federally supplied influenza vaccine only) beginning <br /> September 21, 1979, and ending December 31, 1979; shots must be administered by <br /> local health department personnel. This is a one time offer --- we have no idea <br /> whether funds or flu vaccine will be available next year. <br /> If flu vaccine has not been requested by your department, and you wish tondo <br /> so now, please notify us. <br /> JNMJdw <br /> cc. Immunization Program Representatives <br /> Regional Health Directors <br /> Enclosures <br />