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LOCAL GOVERNMENT AGREEMENT, ATTACHMENT Ail <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 1S DEFINED BY THE BOARD OF HEALTH TO BE MEDICALLY INDIGENT 132,111► <br />For Each Service Provided, Check Block for Highest Income Level Served <br />Defined by <br />All (specify <br />COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT <br />Income <br />federal <br />income level <br />PROCESS <br />A only <br />Regulations <br />if not ALL) <br />Assure that ongoing collaborative community <br />health assessment and strategic health <br />improvement planning processes are established. <br />To include public health, health care systems and <br />community partners. As provided for in 432.1- <br />X <br />122.03 <br />Code Link -32.1.112,x3; <br />State Health Plan Link YyginiaPjan fgLVKp&fbkk y <br />229 <br />Defined by <br />All (specify <br />COMMUNICABLE DISEASE SERVICES <br />Income <br />Federal <br />income level <br />A only <br />Regulations <br />if not ALL) <br />Immunization of patients against certain diseases, <br />including Childhood Immunizations <br />X <br />As provided for in 32.1-46 <br />Code Link -32.1-46 <br />Sexually transmined disease screening, diagnosis, <br />treatment, and surveillance <br />X <br />32.1.57, Districts may provide counseling <br />Code Link -32.1:-2 <br />Surveillance and investigation of disease <br />X <br />32.1-35 and 32.1-39 <br />Code Links <br />HIV/AIDS surveillance, investigation, and sera <br />prevalence survey <br />K <br />32.1-36, 32.1.36.1.32.1-39 <br />Code Links -32.1-36.32.1-36.1-32.1-39 <br />Tuberculosis control screening, <br />diagnosis, treatment, and surveillance <br />X <br />32.1-49,32.1-50.1, and 32.1.54 <br />Code Links -32,1.4,4, 32,1:.;:4. 32 1-5.1 <br />Defined by <br />Income <br />Federal <br />All <br />FAMILY PLANNING SERVICES <br />A only <br />Regulations <br />Clinic services including drugs and <br />X <br />Contraceptive supplies <br />Family Planning Population Research Act of 1970, <br />Title X <br />Code Link -32.1-7 42 U.S.0 300 at seq., and <br />42 CFR Part 59 <br />Pregnancy testing and counseling <br />X <br />Family Planning Population Research Act of 1970, <br />Title X <br />Code Link -32.L-17, 42 U.S.C. 300 et seq., and 42 <br />CFR Part 591 <br />Revised 07/2018 <br />