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Attachimeint B <br />For the perio,,d 101.1.17 — 9.3I,-1? <br />This statement should be short summary describing what the Subcontractor does and how the <br />Subcontractor will use these funds, The terms of the contract between TJIAAA and the <br />Subcontractor requires that these goals are met for the stated period. The uses of these funds <br />are not limited to but MUST include the following activities, <br />1) Conduct a, rninimum of two outreach activities, in each county. A minimuirn, of one <br />outreach activity must be planned in colll'a bo ration, with a community partner(s) that <br />serves individuals with mental illness, and a rninirnum of one Outreach activity Must be <br />held that focuses on people who are aging and/or have disabilities other than!, mentall <br />illness,. <br />2) All outreach activities must include Relay for Extra Help materials provided by the Senor <br />Health Insurance Information (SH11P) office, <br />3), Coordinate with local SHlIP sites and refer individual's who are likely eligible for LIS and <br />Msp. 1 <br />4) Submit Client Counseling Contact forms for individual counseling and Public & Media <br />Outreach forrns, fro outreach events monthly to the TJAAA office for entering in the <br />national SHIPtalk reporting system, <br />5) Develop new partnerships for planning and conducting Successful outreach events, <br />6) Encourage Medicare beneficiaries to participate in local disease prevention: and wellness <br />activities. <br />7) Monthly reporting forms for contracted activities and expenses incurred are to be <br />submitted to electronically by the 1 Ott i of each month for the month prior to Martha <br />Grove Hipskinn at marthagrove@tjcog.org. A final report of expenses incurred is due <br />on or before November 10, 20 1;: 8. <br />The following Scope of Work shoOd address the ways the Subcontractor wiiI accomplish the <br />gibove expectations and/or willinilgness to comply. <br />�Page '7 of 12 <br />