attachment-1-rfp-2027-dph-06-perin-scope.pdf

New Hampshire Department of Health and Human Services Perinatal Mental Health Support

Appendix A – Scope of Services

RFP-2027-DPH-06-PERIN Contractor Initials __________

v. 1.0 Page 1 of 16 Date __________

The final Scope of Services is subject to modification based on the proposal submitted by the selected Vendor

Scope of Services

1. Statement of Work

1.1. The Contractor must design and implement an evidence-based statewide approach to improve access to perinatal mental health services by integrating best practices, innovative delivery models, and stakeholder collaboration to ensure timely and competent care for perinatal individuals defined as;

1.1.1. Women who are pregnant or within 12 months of giving birth;

1.1.2. Biological, adoptive, or foster parents within 12 months of assuming custodial care of a child; or

1.1.3. Women who have lost a pregnancy or relinquished an infant for adoption within the previous 12 months.

1.2. The approach must include:

1.2.1. Creating and maintaining an online Perinatal Resource Hub that serves as a centralized access point for individuals, families and providers that includes a resource directory, secure referral submission functionality, and educational materials.

1.2.2. Developing a plan for a statewide Perinatal Peer Support Certification Program that aligns with national standards and addresses gaps in peer support services.

1.2.3. Providing accurate perinatal mental health resources and ensuring referrals to appropriate services.

1.2.4. Increasing maternal mental health screening during well-child visits through provider education, technical assistance, and standardized protocols.

1.2.5. Expanding access to perinatal mental health care by leveraging teleconsultation services, ensuring services are available statewide.

1.3. Online Perinatal Resource Hub

1.3.1. The Contractor must develop and implement a centralized, HIPAA-compliant online Perinatal Resource Hub (PRH), accessible through a dedicated website, to serve as a statewide access point for perinatal women, families, and health care providers. The online Perinatal Resource Hub must facilitate timely referrals and provide comprehensive resources to ensure access to the appropriate care.

The Perinatal Resource Hub must include:

v. 1.0 Page 2 of 16 Date __________

1.3.1.1. A comprehensive resource directory of perinatal programs, peer support services, mental health providers and services, community-based services and agencies, and other resources as identified by the Department and stakeholders.

1.3.1.2. A navigation feature to assist individuals in connecting to needed resources, including but not limited to:

1.3.1.2.1. Mental health support, counseling, and therapy.

1.3.1.2.2. Peer and community-based programs and

support groups.

1.3.1.2.3. Obstetric, pediatric and primary care providers.

1.3.1.3. A referral submission section that enables individuals and providers to submit a secure online form detailing relevant information and specific needs. The Contractor must ensure a resource navigator contacts the individual within forty-eight (48) business hours of submission, subject to change with Department approval.

1.3.2. The Contractor must maintain and regularly update the online Perinatal Resource Hub to ensure accuracy and availability of resources.

1.3.3. The Contractor must ensure the online Perinatal Resource Hub is designed in consultation with the Department and other stakeholders as agreed upon by the Department and must be accessible to both perinatal women and health care providers.

1.3.4. The Contractor must ensure that the online Perinatal Resource Hub is fully accessible and compatible across all major browsers (including Chrome, Firefox, Safari, Edge) and can be accessed on mobile devices (iOS and Android) through a responsive web design. The online Perinatal Resource Hub must also include:

1.3.4.1. Implemented responsive design principles on varying

screen sizes and orientations.

1.3.4.2. All necessary features must adhere to WCAG 2.1 AA

standards for accessibility, ensuring usability for individuals with disabilities.

1.3.5. The Contactor must promote the online Perinatal Resource Hub and collaborate with community organizations that serve pregnant and postpartum women, which include but are not limited to:

1.3.5.1. Women Infants and Children (WIC) Program.

1.3.5.2. Doulas.

v. 1.0 Page 3 of 16 Date __________

1.3.5.3. Family Resource Center Comprehensive Family Support

Services (CFSS) Providers.

1.3.5.4. Housing Agencies.

1.3.5.5. Substance Use Disorder (SUD) organizations/providers.

1.3.5.6. Mental Health Providers.

1.3.5.7. Mobile Crisis Teams.

1.3.5.8. Early Childhood Wraparound Providers.

1.3.5.9. Healthy Families America Home Visiting Providers.

1.4. Navigation and Support Services

1.4.1. The Contractor must provide comprehensive navigation and support services to perinatal women and their families, as well as the healthcare and community providers who support them. The Contractor must ensure timely access to appropriate resources and interventions, with a strong emphasis on responsiveness, clinical oversight, and coordination with statewide systems.

1.4.2. The Contractor must provide timely support and navigation services, ensuring that referrals to appropriate resources are completed within forty-eight (48) business hours of initial contact. For the purpose of this requirement, “initial contact” is defined as the first documented outreach by a perinatal individual, their family member, or a healthcare/community provider seeking navigation or support services. This may occur through any communication channel, including phones calls, secure email and online referral form. To meet this standard, the Contractor must:

1.4.2.1. Maintain multiple access points for initial contact, including a dedicated phone line, monitoring email inbox, and secure web-based intake form.

1.4.2.2. Implement procedures to time stamp all contacts and track referrals completions.

1.4.2.3. Ensure urgent or psychiatric emergencies identified during contact trigger immediate triage and warm handoff to the NH Rapid Response Access Point crisis services.

1.4.2.4. Provide one trained Perinatal Professional who is available Monday through Friday during business hours (9 AM to 5 PM) for non-emergency navigation purposes. This individual must assist with navigation to local and statewide resources and, in the event of a psychiatric emergency, will refer individuals to NH Rapid Response Access Point crisis

v. 1.0 Page 4 of 16 Date __________ services. A designated phone number must be provided for individuals to call during these hours for non-emergency purposes.

1.4.2.5. Ensure the Perinatal Professional staff providing navigation services holds one or more of the following certifications or licenses and be supervised by a clinical mental health practitioner:

1.4.2.5.1. Licensed Social Worker.

1.4.2.5.2. Perinatal Mental Health Certification.

1.4.2.5.3. Registered Nurse.

1.4.2.5.4. Certified Recovery Social Worker.

1.4.2.5.5. Licensed Mental Health Counselor.

1.4.2.5.6. Psychiatrist.

1.4.2.5.7. Psychiatric Nurse Practitioner.

1.4.2.6. Ensure navigation and referrals to support services include, but are not limited to:

1.4.2.6.1. Perinatal support groups and/or other support

resources designate to address emotional, social, and practical needs of perinatal women and their families.

1.4.2.6.2. Specialized perinatal mental health clinicians

for assessment, therapy, and consultation, for appointments and continued care.

1.5. Perinatal Peer Support Certification Plan

1.5.1. The Contractor must develop a comprehensive statewide Perinatal Peer Support Certification plan for the Department to review and approve, which will serve as a blueprint for future implementation and must align with national standards, and state priorities.

1.5.2. The Contractor must create a detailed, actionable plan that addresses governance, training, certification requirements, reimbursement pathways, and monitoring strategies to ensure sustainability. The plan must include but not be limited to:

1.5.2.1. Conducting a statewide needs assessment that engages perinatal women, families, peer supporters, clinicians, community organizations, payers, and other stakeholders.

v. 1.0 Page 5 of 16 Date __________

1.5.2.2. Identifying service gaps, barriers, and opportunities across geographies and populations (e.g. rural, low-income, historically underserved).

1.5.2.3. Reviewing existing perinatal peer support models and applicable national standards/guidelines.

1.5.2.4. Summarizing findings and recommendations to inform

certification design and strategies.

1.5.3. The Contractor must ensure the plan establishes structure and requirements of a statewide certification program including:

1.5.3.1. Eligibility Requirements.

1.5.3.2. Training curriculum and training delivery modalities, including instructional methods and evaluation of training effectiveness.

1.5.3.3. Supervised practice hours for initial certification, and continued education hours.

1.5.3.4. Assessment and examination for evaluation methods.

1.5.4. The Contractor must define in the plan the responsible certifying body and governance structure, including:

1.5.4.1. Application review procedures, timelines, and criteria for reviewing applications, including verification of eligibility and supervised practice of hours.

1.5.4.2. Exam administration.

1.5.4.3. Credential levels, terms lengths, renewals requirements, and recognition processes.

1.5.4.4. Design and maintenance of a searchable directory or

registry of certified perinatal peer support specialists.

1.5.5. The Contractor must outline in the plan a comprehensive strategy to assist perinatal peer support services to qualify for insurance reimbursement through public and private payers.

1.5.6. The Contractor must submit the full plan to the Department for approval according to the timelines specified in Section 1.10.

Implementation of any plan component will only occur upon written authorization from the Department.

1.6. Training and Technical Assistance for Maternal Mental Health Screening

v. 1.0 Page 6 of 16 Date __________

1.6.1. The Contractor must provide training and technical assistance for postpartum mental health screenings at well-child visits to primary care providers as outlined in NH RSA 126-A:101-a, Maternal Mental Health Screening. The Contractor must provide technical assistance to primary care providers on best practices including but not limited to:

1.6.1.1. Developing a concise one-page document to share with healthcare providers outlining best practices and step-by-step guidance for accurately billing for screening services, creating standardized protocols, and referral algorithms for positive screens.

1.6.1.2. Ensuring all training and technical assistance incorporating evidence-based strategies that promote equitable access to maternal mental health care and address disparities among perinatal populations.

1.6.1.3. Providing training to health care providers on billing codes to utilize for these screenings within the well-child visit.

1.6.1.4. Developing and implementing a process to evaluate the effectiveness of all training and technical assistance activities provided under this Agreement. The process must include:

1.6.1.4.1. Administering surveys to participants

immediately following each training session to assess:

1.6.1.4.1.1. Knowledge gained and

confidence in applying the material.

1.6.1.4.1.2. Satisfaction with training content, delivery, and relevance.

1.6.1.4.1.3. Suggestions for improvement.

1.6.1.4.2. Administering surveys to providers who receive

technical assistance to evaluate:

1.6.1.4.2.1. Usefulness and applicability of the

guidance provided.

1.6.1.4.2.2. Impact on ability to implement

maternal mental health screenings and related practices.

1.6.1.5. Aggregating and analyzing data survey results to identify trends, gaps, and opportunities for improvement.

v. 1.0 Page 7 of 16 Date __________

1.6.1.6. Submitting summarized findings to the Department on a quarterly basis as part of the reporting requirements outlined in Section 1.9.

1.7. Perinatal Psychiatric Teleconsultation Line

1.7.1. The Contractor must develop, implement, and maintain a perinatal psychiatric teleconsultation line for healthcare providers serving perinatal women to easily connect with a qualified perinatal psychiatric practitioner. The perinatal psychiatric teleconsultation line must include the following components:

1.7.1.1. A clear mechanism for providers to request

teleconsultations via both live answering service and secure web portal.

1.7.1.2. Scheduling of teleconsultations promptly after the request is received.

1.7.1.3. Flexible scheduling options, which includes:

1.7.1.3.1. A live answering service, operational Monday

through Friday, 9 AM to 5 PM, to manage and schedule the request.

1.7.1.3.2. A secure online platform that allows providers to

submit requests and schedule appointments directly.

1.7.1.3.3. Confirmation of scheduled appointments

communicated to the requesting provider through secure channels.

1.7.2. The Contractor must provide requested teleconsultations within forty-eight (48) business hours of a request through an established and operated live answering service and an associated secure web portal, both capable of allowing healthcare providers to request and schedule teleconsultations directly.

1.7.3. If recording is necessary for clinical or operational purposes, the Contractor must ensure it only occurs with documented patient consent obtained prior to the session.

1.7.4. The Contractor must ensure the teleconsultation platforms used include built-in security features for video conferencing, messaging, and data storage to ensure confidentiality and integrity of patient information.

1.7.5. The Contractor must ensure teleconsultation services are provided by a licensed psychiatrist or psychiatric nurse practitioner, and are available to the following types of healthcare providers:

v. 1.0 Page 8 of 16 Date __________

1.7.5.1. Obstetrician/Gynecologists.

1.7.5.2. Nurse Midwives.

1.7.5.3. Family Physicians.

1.7.6. To support the objectives of the psychiatric provider teleconsultation line, the Contractor must:

1.7.6.1. Develop and formalize protocols for evidence-based best practices in teleconsultations delivery that meet provider and patient needs.

1.7.6.2. Promote availability of teleconsultation services to healthcare providers statewide.

1.7.6.3. Provide training on protocols and access to teleconsultation services for participating healthcare providers.

1.7.6.4. Arrange logistics and provide technical support for

teleconsultation sessions.

1.7.6.5. Establish and maintain mechanisms to collect and

aggregate utilization data from providers who received teleconsultations.

1.7.6.6. Conduct monthly reviews of teleconsultation data to identify improvement opportunities and update consult protocols as needed.

1.8. Administrative Requirements

1.8.1. The Contractor must ensure services are available statewide.

1.8.2. The Contractor must develop a sustainability plan to ensure services continue beyond the Completion Date of this Agreement and submit a plan to the Department no later than June 1, 2028.

1.8.3. The Contractor must ensure all personnel providing services possess the appropriate specialized training, and all health professionals hold the appropriate and current New Hampshire licenses whether employed, contracted, or subcontracted by the Contractor.

1.8.4. The Contractor must participate in meetings with the Department on a monthly basis, or as otherwise requested by the Department.

1.8.5. The Contractor may be required to participate in on-site or virtual reviews conducted by the Department on a semi-annual basis, or as otherwise requested by the Department.

1.8.6. The Contractor may be required to facilitate reviews of files conducted by the Department on an annual basis, or as otherwise requested by the Department, that may include, but are not limited to:

v. 1.0 Page 9 of 16 Date __________

1.8.6.1. Subcontracts

1.8.6.2. Training Documentation.

1.8.7. The Contractor must comply with all requirements included in Appendix H – DoIT Requirements Workbook.

1.8.8. The Contractor must develop and implement a Work Plan that addresses all contract services, to be submitted to the Department no later than 30 days after contract approval.

1.9. Reporting

1.9.1. The Contractor must collect, analyze, and submit key utilization data from online submissions and teleconsultation services provided to the Department on a quarterly basis. All data must be de-identified and aggregated to prevent constructive identification of any individual. The utilization data must include, at a minimum:

1.9.1.1. Total number of pregnant and postpartum women, as well as support person, who contacted the online Perinatal Resource Hub, and reason for contact.

1.9.1.2. Total number and types of providers who contacted the online Perinatal Resource Hub, and their reasons for contact.

1.9.1.3. Number and types of training and technical assistance activities delivered to primary care organizations focused on conducting maternal mental health screenings during well-child visits.

1.9.1.4. Survey results from providers that received training and/or technical assistance, assessing the impact on their ability to conduct maternal mental health screenings within well-child visits.

1.9.1.5. Number of teleconsultations provided by the Perinatal Psychiatric Access Point, including reasons for each request.

1.9.1.6. Number and types of healthcare providers who received teleconsultation services.

1.9.1.7. Survey results from providers that received teleconsultation, evaluating the impact on their ability to serve perinatal patients with mental health conditions.

1.9.2. The Contractor may be required to provide other key data and metrics to the Department in a format specified by the Department.

1.10. The Contractor must complete the following deliverables in accordance with

v. 1.0 Page 10 of 16 Date __________ the timelines specified below. All deliverables must meet the requirements outlined in this Agreement and are subject to review and approval by the Department prior to acceptance. Dates are subject to change with Department approval.

Deliverable Description Due Date / Timeline

Work Plan Submit detailed Work Plan addressing all activities in Sections 1.1–1.7.6.6.

July 31, 2026 (30 days after contract effective date)

Online Perinatal Resource Hub (Online Resource Directory)

Design, launch, and maintain HIPAA-compliant online platform that is fully responsive and optimized for use on both desktop and mobile operating systems (iOS and Android) (see Section 1.3).

Start Date: July 1, End Date: June 30, Peer Support Certification Program Plan

Develop plan for statewide perinatal peer support certification program (see Section 1.5).

Start Date: July 1, Due Date: October 1, Maternal Mental Health Screening Promotion

Develop and implement strategy to promote maternal mental health screening during well-child visits (see Section 1.6).

Start Date: July 1, End Date: June 30, Perinatal Psychiatric Teleconsultation Access Line

Establish and operate perinatal psychiatric teleconsultation line linking providers to psychiatric practitioners (see Section 1.7).

Start Date: July 1, End Date: June 30, Sustainability Plan Submit plan detailing funding sources, governance, and transition strategy beyond contract term (see Section 1.8.2.).

Start Date: July 1, Due Date: June 1,

1.11. Background Checks

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1.11.1. Prior to permitting any individual to provide services under this Agreement, the Contractor must ensure that said individual has undergone:

1.11.1.1. A criminal background check, at the Contractor’s

expense, and has no convictions for crimes that represent evidence of behavior that could endanger individuals served under this Agreement;

1.11.1.2. A name search of the Department’s Bureau of Adult and Aging Services (BAAS) State Registry, pursuant to RSA 161-F:49, with results indicating no evidence of behavior that could endanger individuals served under this Agreement; and

1.12. Confidential Data

1.12.1. The Contractor must meet all information security and privacy requirements as set by the Department and in accordance with the Department’s Information Security Requirements Exhibit as referenced below.

1.12.2. The Contractor must ensure any individuals involved in delivering services through this Agreement contract sign an attestation agreeing to access, view, store, and discuss Confidential Data in accordance with federal and state laws and regulations and the Department’s Information Security Requirements Exhibit. The Contractor must ensure said individuals have a justifiable business need to access confidential data. The Contractor must provide attestations upon Department request.

1.13. Privacy Impact Assessment

1.13.1. Upon request, the Contractor must allow and assist the Department in conducting a Privacy Impact Assessment (PIA) of its system(s)/application(s)/web portal(s)/website(s) or Department system(s)/application(s)/web portal(s)/website(s) hosted by the Contractor, if Personally Identifiable Information (PII) is collected, used, accessed, shared, or stored. To conduct the PIA the Contractor must provide the Department access to applicable systems and documentation sufficient to allow the Department to assess, at minimum, the following:

1.13.1.1. How PII is gathered and stored;

1.13.1.2. Who will have access to PII;

1.13.1.3. How PII will be used in the system;

1.13.1.4. How individual consent will be achieved and revoked;

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1.13.1.5. Privacy practices.

1.13.2. The Department may conduct follow-up PIAs in the event there are either significant process changes or new technologies impacting the collection, processing or storage of PII.

1.14. Contract End-of-Life Transition Services

1.14.1. General Requirements

1.14.1.1. If applicable, upon early termination or expiration of the Agreement the parties agree to cooperate in good faith to effectuate a secure transition of the services (“Transition Services”) from the Contractor to the Department and, if applicable, the new Contractor (“Recipient”) engaged by the Department to assume the services. Ninety (90) days prior to the end-of the contract or unless otherwise specified by the Department, the Contractor must begin working with the Department and if applicable, the Recipient to develop a Data Transition Plan (DTP). The Department shall provide the DTP template to the Contractor.

1.14.1.2. The Contractor must assist the Recipient, in connection with the transition from the performance of Services by the Contractor and its End Users to the performance of such Services. This may include assistance with the secure transfer of records (electronic and hard copy),transition of historical data (electronic and hard copy), the transition of any such Service from the hardware, software, network and telecommunications equipment and internet-related information technology infrastructure (“Internal IT Systems”) of Contractor to the Internal IT Systems of the Recipient and cooperation with and assistance to any third-party consultants engaged by Recipient in connection with the Transition Services.

1.14.1.3. If a system, database, hardware, software, and/or

software licenses (Tools) was purchased or created to manage, track, and/or store Department Data in relationship to this contract said Tools will be inventoried and returned to the Department, along with the inventory document, once transition of Department data is complete.

1.14.1.4. The internal planning of the Transition Services by the

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Contractor and its End Users shall be provided to the Department and if applicable the Recipient in a timely manner. Any such Transition Services shall be deemed to be Services for purposes of this Agreement.

1.14.1.5. In the event the data Transition extend beyond the end of the Agreement, the Contractor agrees that the Information Security Requirements, and if applicable, the Department’s Business Associate Agreement terms and conditions remain in effect until the Data Transition is accepted as complete by the Department.

1.14.1.6. In the event the Contractor has comingled Department Data and the destruction or Transition of said data is not feasible, the Department and Contractor will jointly evaluate regulatory and professional standards for retention requirements prior to destruction, refer to the terms and conditions of the Department’s DHHS Information Security Requirements Exhibit.

1.14.2. Completion of Transition Services

1.14.2.1. Each service or transition phase shall be deemed

completed (and the transition process finalized) at the end of fifteen (15) business days after the product, resulting from the Service, is delivered to the Department and/or the Recipient in accordance with the mutually agreed upon Transition plan, unless within said fifteen

(15) business day term the Contractor notifies the Department of an issue requiring additional time to complete said product.

1.14.2.2. Once all parties agree the data has been migrated the Contractor will have thirty (30) days to destroy the data per the terms and conditions of the Department’s Information Security Requirements Exhibit.

1.14.3. Disagreement over Transition Services Results

1.14.3.1. In the event the Department is not satisfied with the results of the Transition Service, the Department shall notify the Contractor, in writing, stating the reason for the lack of satisfaction within fifteen (15) business days of the final product or at any time during the data Transition process. The Parties shall discuss the actions to be taken to resolve the disagreement or issue. If an agreement is not reached, at any time the Department shall be entitled to initiate actions in accordance with the Agreement.

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1.15. Website and Social Media

1.15.1. The Contractor must work with the Department’s Communications Bureau to ensure that any social media or website designed, created, or managed on behalf of the Department meets all Department and NH Department of Information Technology (DoIT) website and social media requirements and policies.

1.15.2. The Contractor agrees Protected Health Information (PHI), Personally Identifiable Information (PII), or other Confidential Information solicited either by social media or the website that is maintained, stored or captured must not be further disclosed unless expressly provided in the Contract. The solicitation or disclosure of PHI, PII, or other Confidential Information is subject to the terms of the Department’s Information Security Requirements Exhibit, the Business Associate Agreement signed by the parties, and all applicable Department and federal law, rules, and agreements.

Unless specifically required by the Agreement and unless clear notice is provided to users of the website or social media, the Contractor agrees that site visitation must not be tracked, disclosed or used for website or social media analytics or marketing.

1.15.3. State of New Hampshire’s Website Copyright

1.15.3.1. All right, title and interest in the State WWW site, including copyright to all data and information, shall remain with the State of New Hampshire. The State of New Hampshire shall also retain all right, title and interest in any user interfaces and computer instructions embedded within the WWW pages. All WWW pages and any other data or information shall, where applicable, display the State of New Hampshire’s copyright.

2. Exhibits Incorporated

2.1. The Contractor must comply with all Exhibit D Federal Requirements, which are attached hereto and incorporated by reference herein.

2.2. The Contractor must manage all confidential data related to this Agreement in accordance with the terms of Exhibit E, DHHS Information Security Requirements.

2.3. The Contractor must use and disclose Protected Health Information in compliance with the Standards for Privacy of Individually Identifiable Health Information (Privacy Rule) (45 CFR Parts 160 and 164) under the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and in accordance with the attached Exhibit F, Business Associate Agreement, which has been executed by the parties.

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3. Additional Terms

3.1. Impacts Resulting from Court Orders or Legislative Changes

3.1.1. The Contractor agrees that, to the extent future state or federal legislation or court orders may have an impact on the Services described herein, the State has the right to modify Service priorities and expenditure requirements under this Agreement so as to achieve compliance therewith.

3.2. Federal Civil Rights Laws Compliance: Culturally and Linguistically Appropriate Programs and Services

3.2.1. The Contractor must submit:

3.2.1.1. A detailed description of the language assistance

services, within ten (10) days of the Effective Date of the Agreement, to be provided to ensure meaningful access to programs and/or services to individuals with limited English proficiency; individuals who are deaf or have hearing loss; individuals who are blind or have low vision; and individuals who have speech challenges.

3.2.1.2. A written attestation, within forty-five (45) days of the Effective Date of the Agreement and annually thereafter, that all personnel involved the provision of services to individuals under this Agreement have completed, within the last twelve (12) months, the Contractor Required Training Video on Civil Rights-related Provisions in DHHS Procurement Processes, which is accessible on the Department’s website (https://www.dhhs.nh.gov/doing-business-dhhs/civil-right-compliance-dhhs-vendors); and

3.2.1.3. The Department’s Federal Civil Rights Compliance

Checklist within ten (10) days of the Effective Date of the Agreement. The Federal Civil Rights Compliance Checklist must have been completed within the last twelve (12) months and is accessible on the Department’s website (https://www.dhhs.nh.gov/doing-business-dhhs/civil-right-compliance-dhhs-vendors).

3.3. Credits and Copyright Ownership

3.3.1. All documents, notices, press releases, research reports and other materials prepared during or resulting from the performance of the services of the Agreement must include the following statement, “The preparation of this (report, document etc.) was financed under an Contract with the State of New Hampshire, Department of Health and

v. 1.0 Page 16 of 16 Date __________

Human Services, with funds provided in part by the State of New Hampshire and/or such other funding sources as were available or required, e.g., the United States Department of Health and Human Services.”

3.3.2. All materials produced or purchased under the Agreement must have prior approval from the Department before printing, production, distribution or use.

3.3.3. The Department must retain copyright ownership for any and all original materials produced, including, but not limited to reports, protocols, guidelines, brochures, posters, and resource directories.

3.3.4. The Contractor must not reproduce any materials produced under the Agreement without prior written approval from the Department.

4. Records

4.1. The Contractor must keep records that include, but are not limited to:

4.1.1. Books, records, documents and other electronic or physical data evidencing and reflecting all costs and other expenses incurred by the Contractor in the performance of the Contract, and all income received or collected by the Contractor.

4.1.2. All records must be maintained in accordance with accounting procedures and practices, which sufficiently and properly reflect all such costs and expenses, and which are acceptable to the Department, and to include, without limitation, all ledgers, books, records, and original evidence of costs such as purchase requisitions and orders, vouchers, requisitions for materials, inventories, valuations of in-kind contributions, labor time cards, payrolls, and other records requested or required by the Department.

4.1.3. Medical records on each patient/recipient of services.

4.2. During the term of this Agreement and the period for retention hereunder, the Department, the United States Department of Health and Human Services, and any of their designated representatives must have access to all reports and records maintained pursuant to the Agreement for purposes of audit, examination, excerpts and transcripts.

4.3. If, upon further review, the Department must disallow any expenses claimed by the Contractor as costs hereunder, the Department retains the right, at its discretion, to deduct the amount of such expenses as are disallowed or to recover such sums from the Contractor.