Vote: adopted

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32. ACCEPT HEALTH RESOURCES & SERVICES ADMINISTRATION FUNDS FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PERFORMING A STATEWIDE COMPREHENSIVE NEEDS ASSESSMENT Approve an Intergovernmental Agreement between Arizona Department of Health Services (ADHS) (ADHS 14-059037) and Maricopa County through the Employee Benefits and Health (EBH) Ryan White Part A Program (RWPA), in the not-to-exceed amount of $84,000 The purpose of this Intergovernmental Agreement is to provide funding for data collection through a statewide needs assessment to identify barriers and gaps in HIV/AIDS care in Arizona. This Intergovernmental Agreement is effective from November 1, 2013 until October 31, 2018. The Ryan White Part A Program receives funds from HRSA, under Part A of the Ryan White Treatment Modernization Act of 2006, to provide care and treatment services for Maricopa and Pinal County people infected with or affected by HIV/AIDS. HRSA granted Ryan White Part B funds to the ADHS to fill the gaps in care not covered by other financial resources, identify barriers in care and to establish strategic planning to identify methodologies to address the barriers to care. ADHS in a continued unified effort between the state and county is requesting the RWPA Program assist them in this endeavor. The RWPA will utilize a RWPA contracted consultant to perform the following duties in response to the requirements of the IGA: 1) meet with key stakeholders to develop a survey instrument 2) conduct Consumer Surveys (n=735) 3) analyze client level data to show client utilization to determine the impact of the Affordable Care Act on the statewide RWPA population and 4) analyze the survey findings and present the results to the key stakeholders. The cost of this assessment is $112,000.00. ADHS will provide $84,000.00 of this cost and Maricopa County RWPA will provide $28,000.00 for this project. The funding amount of $84,000 is effective November 1, 2013 through August 1, 2014. This Agreement does not allow reimbursement for County indirect costs. The Maricopa County Department of Finance has calculated the Department of Employee Benefits and Health FY14 indirect cost rate at 16.1%. Therefore, the estimated unrecoverable indirect costs are $13,524. Acceptance of the funds without indirect reimbursement is appropriate because the funds will offset a portion of the direct cost for the statewide needs assessment, which the County is obligated to conduct by the terms of the existing Ryan White Part A grant. Without the funding provided under the Agreement, the full cost of the needs assessment would have to be supported by existing grant funds. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. This Agreement does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-39-14-020-3-00)

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27. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR STATEWIDE COMPREHENSIVE NEEDS ASSESSMENT Ap prove Amendment No. 2 to a n Intergovernmental Agreement between Arizona Department of Health Services (ADHS14-059037) and Maricopa County through the Department of Employee Benefits and Health in the not-to-exceed amount of $40,000. This amendment is funded by a grant from Health Resources and Services Administration, CFDA 93.917. The purpose of this amendment is to conduct a Statewide Comprehensive Needs Assessment. This amendment is effective from November 1, 2015 to October 31, 2018. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. This Agreement does not allow reimbursement for county indirect costs. The Maricopa County Department of Finance has calculated the Department of Employee Benefits and Health FY16 indirect cost rate at 20%. Therefore, the estimated unrecoverable indirect costs are $8,000. Acceptances of the funds without indirect reimbursement is appropriate because the funds will offset a portion of the direct cost for the statewide needs assessment, which the County is obligated to conduct by the terms of the existing Ryan White Part A Grant. Without the funding provided under the Agreement, the full cost of the needs assessment would have to be supported by existing grant funds. (C-39-14-020-3-01)

Attachments (1)

Vote: adopted

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35. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR STATEWIDE COMPREHENSIVE NEEDS ASSESSMENT Approve Amendment No. 3 to an Intergovernmental Agreement between Arizona Department of Health Services and Maricopa County through the Employee Benefits and Health Department in the not-to-exceed amount of $161,700. This amendment is funded by a grant from Health Resources and Services Administration, (HRSA), CFDA 93.940. The purpose of this amendment is to conduct a Statewide Comprehensive Needs Assessment. This amendment is effective from November 1, 2015 to October 31, 2016. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore, expenditure of the funds is not prohibited by the budget law. This budget adjustment does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. (C-39-14-020-3-02)

Attachments (2)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
Gallardo Enterprise Technology	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

22.AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR STATEWIDE COMPREHENSIVE NEEDS ASSESSMENTApprove Amendment No. 03 to a(n) Intergovernmental Agreement between Arizona Department of Health Services and Maricopa County through the Employee Benefits in the not-to-exceed amount of $177,600. This amendment is funded by a grant from Arizona Department of Health Services, ADHS14-059037-04. The purpose of this amendment is to increase funding to complete a needs assessment. This amendme

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22. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR STATEWIDE COMPREHENSIVE NEEDS ASSESSMENT Approve Amendment No. 03 to the Intergovernmental Agreement between Arizona Department of Health Services and Maricopa County through the Employee Benefits in the not-to-exceed amount of $177,600. This amendment is funded by a grant from Arizona Department of Health Services, ADHS14-059037-04. The purpose of this amendment is to increase funding to complete a needs assessment. This amendment is effective from November 1, 2016 to October 31, 2018. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. This Agreement does not allow reimbursement for county indirect costs. The Maricopa County Department of Finance has calculated the Department of Employee Benefits and Health FY16-17 indirect cost rate at 21.8%. Therefore, the estimated unrecoverable indirect costs are $38,716.80. Acceptance of the funds without indirect reimbursement is appropriate because the funds will offset a portion of the direct costs for the Statewide Needs Assessment, which the County is obligated to conduct by the terms of the existing Ryan White Part A Grant. Without the funding provided under this Agreement, the full costs of the Needs Assessment would have to be supported by existing grant funds. Grant revenues are not local revenues for the purpose of constitutional expenditure limitation, and therefore, expenditure of the funds in not prohibited by the budget laws. This budget adjustment does not alter the budget constraining the expenditure of local revenues duly adopted by the Board pursuant to A.R.S §42-17105. (C-39-14-020-3-03)

Attachments (3)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
Gallardo School Superintendent	yes
and Clint Hickman	yes
Denny Barney	abstain
Steve Chucri	yes

22.AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES 18-172575Approve Amendment No. #6 to a(n) Intergovernmental Agreement between Arizona Department of Health Services and Maricopa County through the Assistant County Manager - MaryEllen Sheppard. The purpose of this amendment is to allow Maricopa County, Arizona Department of Health Services and Maricopa Integrated Health Systems to share client level data to improve health outcomes for clients that receive services from both Maricopa

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22. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES 18-172575 Approve Amendment No. #6 to a(n) Intergovernmental Agreement between Arizona Department of Health Services and Maricopa County through the Assistant County Manager - MaryEllen Sheppard. The purpose of this amendment is to allow Maricopa County, Arizona Department of Health Services and Maricopa Integrated Health Systems to share client level data to improve health outcomes for clients that receive services from both Maricopa County and Arizona Department of Health Services. This amendment is non-financial and the term of the amendment shall begin on the date of the approval by the Maricopa County Board of Supervisors and shall remain in effect unless terminated, canceled, or extended as otherwise provided in the amendment. All other terms and conditions of the Intergovernmental Agreement remain in full force and effect. Amend ADHS 18-172575 Amendment #6 to allow Maricopa County and Arizona Department of Health Services to share client level data to improve health outcomes for clients that receive services from both Maricopa County and Arizona Department of Health Services. (C-39-14-020-3-06)

Attachments (1)