Page 2

X. MONITORING AND AUDITS 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. 8. Number of local agencies (for FFY2024) 3. Number of local agencies monitored last annual period 6. Number of clinics monitored last annual period 5. Number of local agencies to be monitored this current annual period 8. Number of clinics to be monitored this current annual period Specify the last annual period, from: 10/01/2023 to 9/30/2024. (month/day/year – month/day/year; must be applied consistently) Specify current annual period, from: 10/01/2024 to 9/30/2025 (month/day/year – month/day/year; must be applied consistently) b. Number of local agencies/clinics required to submit Corrective Action Plans (CAPs) to address deficiencies identified during monitoring last year: 0 c. The State agency uses a tracking device, such as a chart or spreadsheet, which summarizes the reviews of all local agencies. ☒Yes ☐No If the State agency uses a tracking device, it shows (check all that apply): ☒Date of most recent review for each local agency/clinic ☒Number of clinics reviewed in most recent review for each local agency/clinic ☒Listing of findings for most recent review of each local agency/clinic ☒Date of State agency notice of findings in most recent review for each local agency/clinic ☒Date of local agency/clinic corrective action plan in most recent review for each local agency and/or clinics ☒Outcome of corrective action plan ☒Whether the review was conducted virtually or onsite 2