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DocuSign Envelope ID:A6134E61D-095E-4A51-9823-BOEE0861F374 <br /> Contract Number 00041435, Amendment Number 4/ Page 5 of 20 <br /> Measure Output Reporting Monthly <br /> Type Frequency <br /> Measure 80% of requisitions submitted were correctly submitted <br /> Budget Year 2 Trend Maintain <br /> Baseline 0 <br /> Value <br /> Target Value 80% of submissions <br /> Data Source fiscal data monitoring <br /> Collection reimbursement submission <br /> Process and <br /> Calculation <br /> Collection monthly <br /> Frequency <br /> Budget Year 1 Trend Maintain <br /> Baseline 0 <br /> Value <br /> Target Value 80% of submissions <br /> Data Source fiscal data monitoring <br /> Collection reimbursement submission <br /> Process and <br /> Calculation <br /> Collection monthly <br /> Frequency <br /> Measure Outcome Reporting Annual <br /> Type Frequency <br /> Measure Program Compliance-On-site or virtual desk monitoring by the ESG office yields <br /> 10% or less findings/concerns in cumulative records reviewed. <br /> Budget Year 2 Trend Increase <br /> Performance Measures (Rev. 4//12) <br />