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LOCAL GOVERNMENT AGREEMENT, ATTACHMENT A(1.) <br />VIRGINIA DEPARTMENT OF HEALTH <br />COMMUNITY HEALTH SERVICES <br />BASIC PUBLIC HEALTH SERVICES TO BE ASSURED BY LOCAL HEALTH DEPARTMENTS <br />INCOME LEVEL A IS DEFINED BY THE BOARD OF HEALTH TO BE MEDICALLY INDIGENT (32A .11 <br />For Each Service Provided, Check Block for Highest Income Level Sewed <br />COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT Income <br />DFederall <br />Incomeselle el <br />PROCESS A only <br />Regulations <br />it not ALL) <br />Assure that ongoing collaborative community healttt <br />assessment and strategic health Improvement <br />planning processes are established. To Include public <br />health, health care systems and community partners. <br />As provided for in §32.1 - 122.03 <br />X <br />Code Link - 32.1.122.03; <br />State Health Plan Link Virolnia Pla,i for ter <br />2016 -2020 <br />COMMUNICABLE DISEASE SERVICES <br />Income <br />Defined by <br />Federal <br />All (specify <br />Income level <br />A only <br />Regulations <br />it not ALL) <br />Immunization of patients against certain diseases, <br />including Childhood Immunizations <br />As provided for In 32.1 -46 <br />X <br />Code Link - 32.1.46 <br />Sexually transmitted disease screening, diagnosis, <br />treatment, and surveillance <br />32.1 -57, Districts may provide counseling <br />X <br />Code Link- 32.1 -57 <br />Surveillance and investigation of disease <br />32.1 -35 and 32.1 -39 <br />X <br />Code Links- 32.1 -35 32.1 -39, 32. 1-43 <br />HIV /AIDS surveillance, investigation, and sero <br />prevalence survey <br />32.1 -36, 32.1 -36.1, 32.1 -39 <br />X <br />Code Links - 32.1 -35, 32.1 - 36.1,32A 39 <br />Tuberculosis control screening, <br />diagnosis, treatment, and surveillance <br />32.1 -49, 32.1 -50.1, and 32.1 -54 <br />X <br />Code Links-32.1-49,2? 1:5Q1, 32.1.501 <br />Defined by <br />FAMILY PLANNING SERVICES <br />Income <br />on <br />Federal <br />All <br />—Regulations <br />Clinic services including drugs and <br />X <br />Contraceptive supplies <br />Family Planning Population Research Act of 1970, <br />Tine x <br />Code Link -32 1 -77, 42 U.S.0 300 at seq., and <br />42 CFR Part 59 <br />Pregnancy testing and counseling <br />Family Planning Population Research Act of 1970, <br />X <br />Title X <br />Code Unk- 32.1 -77, 42 U.S.C. 300 et seq., and 42 CFR <br />Part 59l <br />LOCAL GOVERNMENT AGREEMENT, ATTACHMENT A(1.) <br />VIRGINIA DEPARTMENT OF HEALTH <br />COMMUNITY HEALTH SERVICES <br />Revised 07/2018 <br />