641—74.7 (135) Agency performance. Contract agencies are required to provide services in accordance with these rules.
	 74.7(1) Performance standards. The department shall establish performance standards that contract agencies shall meet in the provision of public health services in addition to meeting all federal requirements. The performance standards for community-based agencies are published in the document “Iowa Department of Public Health Family Planning Manual.” Copies of the performance standards are available from the Chief, Bureau of Family Health, Department of Public Health, Lucas State Office Building, Des Moines, Iowa 50319-0075. Contract agencies that do not meet the performance standards shall not be eligible for continued funding as a family planning agency unless the contract agency has secured an exception.
	 74.7(2) Contract agency review. The state agency shall review contract agency operations through use of reports and documents submitted, state-generated data reports, chart audits, on-site and clinic visits for evaluation and technical assistance.
	 74.7(3) Exception. An agency that does not meet a performance standard or fails to meet action plans as approved by the department may be granted an exception for up to one year in order to improve performance. Such an exception must be requested in writing. If granted, the approval for the exception will include the conditions necessary for the successful completion of the standard, a time frame, and additional reporting requirements. The procedures for applying for and approving an exception are outlined in the “Iowa Department of Public Health Family Planning Manual.”