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STATE OF NORTH CAROLINA <br />JAM~ I. HUNT. JR. DEPARTMENT OF HUMAN RESOURCES <br /> Division of Health Eervtcel <br /> <br /> TO : Local Health Directors <br /> FROM : J.~N.~MacCormack, M. D. <br /> Head, Communicable Disease Control Branch <br /> <br /> SUBJECT : Letter of Understanding <br /> <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 admidistering influenza vaccine to hi~n risk patients <br /> at locations outside the local health department., e.g. in homes of high risk <br /> pJtients, 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 home, etc.) This offer <br /> is retroactive to September 21, 1979, the flu grant's effective, date. <br /> <br /> Payment will be made directly to your health department upon ~eceipt 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 like <br /> to ~ombine 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 t~ their <br /> patients or for shots given in nursing or rest homes, unless the flu vaccine is <br /> administered by health department personnel. <br /> <br /> Based upon the estimated 1977 population o~ people 65+ years of age in your <br /> county, we have set aside a ma%imum of.$~J~Jfor reimbursement at the rate of <br /> $2.59 per inoculation given (federally supp-~d 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 /> <br /> If flu'vaccine has not been requested by your department, and you wish to do <br /> so now, please notify us. <br /> <br /> JNM/dw <br /> cc: Immunization Program Representatives <br /> Regional Health Diredtors <br /> <br /> Enclosures <br /> <br /> <br />