Common use of Block Grant Provisions (Rev Clause in Contracts

Block Grant Provisions (Rev. 12/05) Maternal and Child Health Block Grant Provisions Preventive Health and Health Services Block Grant Provisions Block Grant Provisions are not applicable to this agreement H. HIPAA Business Associate Agreement and Attachment 1 (Rev. 5/13) The HIPAA Business Associate Agreement is applicable to this agreement The HIPAA Business Associate Agreement is not applicable to this agreement VII. ADDITION OF SUBSEQUENTLY AVAILABLE FUNDS If, during the term of this Agreement, additional funds become available to provide additional or expanded services or activities under the scope of this Agreement, the Department may advise Provider, in writing, of the availability and purpose of such funds. The Department also will inform Provider of any additional conditions or requirements of the additional funds. Provider hereby agrees to accept the funds for the stated purpose and agrees to use the additional funds as stated by the Department. Provider shall provide the Department with a written work statement detailing the manner in which Provider will use the additional funds in accordance with the stated requirements. Provider shall provide the Department with a detailed revised overall Agreement Budget showing the current budget, the budget for the additional funds and a revised total Budget. The Department may choose to provide Provider with a Budget format on which to submit the revised Budget information. The additional funds, and the new Budget, shall be subject to the terms and conditions of the initial Agreement, as well as to any additional conditions and requirements of the additional funds. Provider’s work statement, revised Budget and any new conditions or requirements of the additional funds shall be incorporated into and become a part of this document by reference. To be effective, documentation describing the additional funds and any additional conditions or requirements shall be signed by the Department and the Agency Comptroller. This paragraph, ‘Addition of Subsequently Available Funds” is not applicable to this agreement

Block Grant Provisions (Rev. 12/05) Maternal and Child Health Block Grant Provisions Preventive Health and Health Services Block Grant Provisions Block Grant Provisions are not applicable to this agreement H. HIPAA Business Associate Agreement and Attachment 1 (Rev. 5/13) The HIPAA Business Associate Agreement is applicable to this agreement The HIPAA Business Associate Agreement is not applicable to this agreement VII. ADDITION OF SUBSEQUENTLY AVAILABLE FUNDS If, during the term of this Agreement, additional funds become available to provide additional or expanded services or activities under the scope of this Agreement, the Department may advise Provider, in writing, of the availability and purpose of such funds. The Department also will inform Provider of any additional conditions or requirements of the additional funds. Provider hereby agrees to accept the funds for the stated purpose and agrees to use the additional funds as stated by the Department. Provider shall provide the Department with a written work statement detailing the manner in which Provider will use the additional funds in accordance with the stated requirements. Provider shall provide the Department with a detailed revised overall Agreement Budget showing the current budget, the budget for the additional funds and a revised total Budget. The Department may choose to provide Provider with a Budget format on which to submit the revised Budget information. The additional funds, and the new Budget, shall be subject to the terms and conditions of the initial Agreement, as well as to any additional conditions and requirements of the additional funds. Provider’s work statement, revised Budget and any new conditions or requirements of the additional funds shall be incorporated into and become a part of this document by reference. To be effective, documentation describing the additional funds and any additional conditions or requirements shall be signed by the Department and the Agency Comptroller. This paragraph, ‘Addition of Subsequently Available Funds” is not applicable to this agreementAgreement

Block Grant Provisions (Rev. 12/05) Maternal and Child Health Block Grant Provisions Preventive Health and Health Services Block Grant Provisions Block Grant Provisions are not applicable to this agreement Agreement H. HIPAA Business Associate Agreement and Attachment 1 (Rev. 5/13) The HIPAA Business Associate Agreement is applicable to this agreement Agreement The HIPAA Business Associate Agreement is not applicable to this agreement Agreement VII. ADDITION OF SUBSEQUENTLY AVAILABLE FUNDS If, during the term of this Agreement, additional funds become available to provide additional or expanded services or activities under the scope of this Agreement, the Department may advise the Provider, in writing, of the availability and purpose of such funds. The Department also will inform the Provider of any additional conditions or requirements of the additional funds. The Provider hereby agrees to accept the funds for the stated purpose and agrees to use the additional funds as stated by the Department. The Provider shall provide the Department with a written work statement detailing the manner in which the Provider will use the additional funds in accordance with the stated requirements. The Provider shall provide the Department with a detailed revised overall Agreement Budget showing the current budget, the budget for the additional funds and a revised total Budget. The Department may choose to provide the Provider with a Budget format on which to submit the revised Budget information. The additional funds, and the new Budget, shall be subject to the terms and conditions of the initial Agreement, as well as to any additional conditions and requirements of the additional funds. The Provider’s work statement, revised Budget and any new conditions or requirements of the additional funds shall be incorporated into and become a part of this document by reference. To be effective, documentation describing the additional funds and any additional conditions or requirements shall be signed by the Department and the Agency Comptroller. This paragraph, ‘Addition of Subsequently Available Funds” is not applicable to this agreement