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State Plan Checklist - MONITORING AND AUDITS 8/14/2026 Page 2

A. Monitoring

1. Local Agency/Clinic Monitoring Activity (to be updated each year). Skip this section if the State agency has no local agency(ies)

a. Local agencies/clinics monitored: (If State agency has one local agency, specify the date it was last monitored.

Number of local agencies 9 Number of local agencies monitored last annual period 7 Number of clinics monitored last annual period 12 Number of local agencies to be monitored this current annual period 9 Number of clinics to be monitored this current annual period 11