Vote: adopted

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30. GRANT AWARD FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTHCARE FOR THE HOMELESS PROGRAM Approve the Notice of Grant Award (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides funds in the amount of $1,323,711 for budget period November 1, 2008 through October 31, 2009. The amount of $1,323,711 includes estimated program income in the amount of $134,700. The Department of Public Health’s indirect rate for FY 2008-09 is 18%. This grant allows for indirect reimbursement at a rate of 15.397%. Total indirect expenses are estimated to be $ 196,122 of which $ 167,761 is recoverable and $28,361 is not recoverable. Sub-recipient expenses in the amount of $66,381 are not subject to indirect charges. Also, approve a revenue and expenditure appropriation adjustment to the Public Health (860) Grant Fund (532) Operating Budget (0000) associated with the aforementioned grant in an amount of ($428,641) for FY2008-09. The FY2008-09 adopted budget included an estimated amount for this grant of $1,752,352. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditures of these revenues are not prohibited by the budget law. The approval of this budget adjustment does not alter the budget constraining the expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The adopted budgeted amount for this grant for FY 2008-09 is $1,752,352. This grant award represents 50% of the federal recommended support in the amount of $2,378,023, subject to funding availability and satisfactory progress of the project. Funding for this contract is provided by a grant from HRSA, and will not affect the County general fund. (C-86-02-073-2-17)

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39. GRANT AWARD FROM U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTHCARE FOR THE HOMELESS PROGRAM Approve Amendment No. 20 to Notice of Grant Award (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This amendment provides additional funds in the amount of $1,189,011 bringing the total grant award amount to $2,512,722 for budget period November 1, 2008 through October 31, 2009. The Department of Public Health’s indirect rate for FY 2008-09 is 18%. This grant allows for indirect reimbursement at a rate of 15.397%. Total indirect expenses are estimated to be $ 168,374 of which $ 144,025 is recoverable and $24,349 is not recoverable. Sub-recipient expenses in the amount of $109,573 are not subject to indirect charges. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-18)

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28. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve the Amendment No 21 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides funds in the amount of $1,208,539. for budget period November 1, 2009 through October 31, 2010. The amount of $1,374,439 includes estimated program income in the amount of $165,900. The Department of Public Health’s indirect rate for FY 2009-10 is 19.5%. Sub-recipient expenses in the amount of $80,000 are not subject to indirect charges. Total indirect expenses are estimated to be $184,155.of which $179,224 is recoverable and $4,930 is not recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this contract is provided by a grant from HRSA, and will not affect the County general fund. This NGA provides 50% of the target FY2010 funding pending a revised NGA to be issued later in the budget period after final action is taken by congress. (C-86-02-073-2-19)

Vote: approved

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35. AMENDMENT TO PROVIDER PARTICIPATION AGREEMENT WITH MAGELLAN HEALTH SERVICES OF AZ INC FOR CLIENT SERVICES Approve Amendment No. 3 to Provider Participation Agreement between Magellan Health Services of Arizona, Inc. and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH) to provide funding for HCH client services. The PPA includes deletion and replacement of Exhibit B-1, Exhibit B-3 and additional administrative changes. This amendment is effective as of November 1, 2009 and increases the maximum amount HCH is allowed to bill for behavioral health services by an additional $145,819.64 bringing the total not-to-exceed amount to $175,000. The agreement period is from July 1, 2009 through June 30, 2010. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. The Department of Public Health’s full indirect rate for FY 2009-10 is 19.5%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. The indirect amount was included in the Healthcare for the Homeless Grant agenda (C-86-02-073-2-19) approved on December 2, 2009. MCDPH received a Notice to Extend Bridge Funding of the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. and Maricopa County through its Department of Public Health, Health Care for the Homeless Clinic to extend PPA through October 31, 2009. (C-86-08-024-1-04)

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21. AMENDMENT TO NOTICE OF GRANT AWARD WTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve the Amendment No 21 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides additional funds in the amount of $1,208,539, bringing the total not to exceed from $1,208,539 to $2,417,078 for budget period November 1, 2009 through October 31, 2010. The amount of $2,946,078 includes estimated additional program income in the amount of $363,100, bringing the program income total not-to-exceed from $165,900 to 529,000. This grant deviates from County policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 16.071% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2009-10 is 19.5%. Sub-recipient expenses in the amount $160,000 are not subject to indirect charges. Total indirect expenses are estimated to be $468,064, of which $385,752 is recoverable and $82,312 is not recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this contract is provided by a grant from HRSA, and will not affect the County general fund. (C-86-02-073-2-20)

Vote: approved

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43. AMENDMENT TO PROVIDER AGREEMENT WITH MAGELLAN HEALTH SERVICES OF ARIZONA, INC FOR CLIENT BEHAVIORAL HEALTH CARE Approve Amendment No. 4 to the Provider Participation Agreement between Magellan Health Services of Arizona, Inc. (MHSA) and Maricopa County through its Department of Public Health (MCDPH), Health Care for the Homeless Clinic (HCH). This amendment is effective as of July 1, 2010 through June 30, 2011 and increases the maximum amount HCH is allowed to bill for behavioral health services by $175,000. This Amendment also makes additional administrative changes to the Agreement. All other terms and provisions of the Agreement not modified as set forth herein shall remain in full force and effect. The Department of Public Health’s full indirect rate for FY 2010-11 is 17%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. The indirect amount was included in the Healthcare for the Homeless Grant agenda (C-86-02-073-2-20) approved on April 14, 2010. (C-86-08-024-1-05)

Vote: approved

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35. IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D.B.A. MARICOPA INTEGRATED HEALTH CARE SYSTEM FOR HEALTHCARE FOR THE HOMELESS ANCILLIARY SERVICES Approve Intergovernmental Agreement (IGA) between Maricopa County Special Health Care District, d.b.a. Maricopa Integrated Health System (MIHS) and Maricopa County through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide Ancillary Services for homeless clients. This IGA provides funding in an amount not-to-exceed $50,000 per year starting July 1, 2010 through June 30, 2011. This IGA has a five-year term effective July 1, 2010 through June 30, 2015. This IGA is a subcontract to the HCH grant (C-86-02-073-2-20), which is funded by HRSA, approved on April 14, 2010, and it will not affect the county general fund. (C-86-11-013-3-00)

Vote: approved

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31. AGREEMENT WITH CARE1ST HEALTH PLAN ARIZONA, INC FOR CLIENT HEALTH CARE Approve Provider Agreement between Care1st Healthplan Arizona, Inc. (CHA) and Maricopa County through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) for covered health care services to plan members. The effective date of the agreement will be September 1, 2010 and shall continue for a period of one year, August 31, 2011. Thereafter, this Agreement will be automatically renewed for successive one year terms, without the necessity of notice of action by either party however may be terminated as provided by options within the Agreement. The Department of Public Health’s full indirect rate for FY 2010-11 is 17%. This agreement is part of Healthcare for the Homeless grant agreement as program income which allows for indirect reimbursement. The indirect amount was included in the Healthcare for the Homeless Grant agenda (C-86-02-073-2-20) approved on April 14, 2010. This agreement allows HCH to bill CHA, an Arizona Health Care Cost Containment System health plan, for reimbursable client services provided at the HCH clinic. This allows HCH, a federally grant funded program, to generate additional revenue for the program. The estimated revenue amount is $90,000, but may change based on the number of clients actually served. There is no cap. (C-86-11-009-3-00)

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62. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 22 to Notice of Grant Award (NGA) (H80CS00044-10-00) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) Health Center Cluster and Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides a pro-rated award through February 28, 2011 in the amount of $805,693 for budget period November 1, 2010 through October 31, 2011. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however includes a maximum of 15% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2010-11 is 17%. Total indirect expenses are estimated to be $119,102 of which $105,090 is recoverable and $14,012 is not recoverable. Funding for this contract is provided by a grant from HRSA, and will not affect the County general fund. The Health Cluster program is currently operating under a Continuing Resolution since there is not a final FY2011 appropriation for the program. A revised NGA will be issued later in the budget period after final action is taken; this revised NGA will provide additional grant support for the budget period that is consistent with final appropriation for the HC program. The recommended future support is $2,417,078 plus program income for $331,800 bringing the total amount to $2,748,878. (C-86-02-073-2-21)

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52. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 23 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides a pro-rate award for the period March 01, 2011 to May 31, 2011 in the amount of $604,270.00 for budget period November 1, 2010 through October 31, 2011. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however includes a maximum of 15% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2010-2011 is 17%. Total indirect expenses are estimated to be $89,327 of which $78,818 is recoverable and $10,509 is not recoverable. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. The Health Cluster program is currently operating under a Continuing Resolution. The recommended future support through October 31, 2011 is $2,417,078. (C-86-02-073-2-22)

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40. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 24 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides funds in the amount of $19,893.00 for budget period November 1, 2010 through October 31, 2011. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however includes a maximum of 15% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2010-2011 is 17%. Total indirect expenses are estimated to be $2,941 of which $2,595 is recoverable and $346 is not recoverable. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. This amendment increased future support from $2,417,078 to $2,436,971. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-23)

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106. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 25 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides additional funds in the amount of $1,003,696, bringing the total not-to- exceed (NTE) amount from $1,429,856 to $2,433,552 for budget period November 01, 2010 through October 31, 2011. The amount for $2,818,504 includes estimated additional program income in the amount of $331,800. This grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however, includes a maximum of 15% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2010-2011 is 17%. Total indirect expenses are estimated to be $148,372 of which $130,917 is recoverable and $17,455 is not recoverable. Also approve additional estimated program income for $201,200 associated with this grant award, bringing the amount from $331,800 to $533,000.There is no cap to receive program income. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-24)

Vote: approved

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79. IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D.B.A. MARICOPA INTEGRATED HEALTH CARE SYSTEM FOR HEALTHCARE FOR THE HOMELESS ANCILLIARY AND SPECIALTY SERVICES Approve Intergovernmental Agreement (IGA) between Maricopa County Special Health Care District, d.b.a. Maricopa Integrated Health System (MIHS) and Maricopa County through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) program to provide Ancillary and Specialty Services for homeless clients. This IGA provides funding in an amount not-to-exceed $50,000 per year starting July 1, 2011 through June 30, 2012. This IGA is effective July 1, 2010 through June 30, 2015. This IGA is a subcontract to the HCH grant (C-86-02-073-2-20), which is funded by HRSA, approved on April 14, 2010 and will not affect the county general fund. (C-86-11-105-3-00)

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83. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 26 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides funds in the amount of $35,000.00 for budget period November 01, 2010 through October 31, 2011. The project period is November 1, 2001 through October 31, 2012. The grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, however, includes a maximum of 15% indirect cost reimbursement. The Department of Public Health’s indirect rate for FY 2010-2011 is 17%. Total indirect expenses are estimated to be $5,174 of which $4,565 is recoverable and $609 is not recoverable. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. This amendment increased future support from $2,436,971 to $2,536,437.00. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-25)

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53. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 27 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides federal funds in the amount of $1,056,848.00 and program income estimated at $331,800 for budget period November 01, 2011 through October 31, 2012. The project period is November 1, 2001 through October 31, 2012. The Department of Public Health’s indirect rate for FY 2011-2012 is 16.7%. Total indirect expenses are estimated to be $183,406 which is fully recoverable. Pass thru amount to sub-recipient included in this award is $107,000. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-26)

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47. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 29 to Notice of Grant Award (NGA) (H80CS00044) from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award provides additional federal funds in the amount of $30,961, bringing the award amount from $2,536,437 to $2,567,398.00, for budget period November 01, 2011 through October 31, 2012. The project period is November 1, 2001 through October 31, 2012. The Department of Public Health’s indirect rate for FY 2011-2012 is 16.7%. Total indirect expenses are estimated to be $4,431 which is fully recoverable. Funding for this contract is provided by a grant from HRSA and will not affect the County general fund. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-02-073-2-28)

Vote: adopted

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58. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 30 to Notice of Grant Award (NGA) (H80CS00044), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes federal assistance in the amount of $2,536,437 plus a program income of $200,000 for a combined budget total of $2,736,437. The budget period is from November 01, 2012 through October 31, 2013. Also, the project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY 2012-2013 is 15.8%. Total indirect expenses are estimated to be $351,534 which is fully recoverable. Pass-thru amount to sub-recipient included in this award is $160,000. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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. (C-86-02-073-2-29)

Vote: approved

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82. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 31 to Notice of Grant Award (NGA) H80CS0044-12-02, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorized additional funding for federal assistance in the amount of $121,293, the Federal Share: $2,657,730 and the total approved budget of $2,857,730. This budget period is from November 1, 2012 through October 31, 2013. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY 2013-2014 is 15%. Total indirect expenses are estimated at $15,821 which is fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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. (C-86-02-073-2-30)

Attachments (1)

Vote: approved

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40. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 32 to Notice of Grant Award (NGA) H80CS00044-12-03, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorized additional funding for federal assistance in the amount of $30,167, the Federal Share: $2,687,897 and the total approved budget of $2,887,897. This budget period is from November 1, 2012 through October 31, 2013. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY 2013-2014 is 15%. Total indirect expenses are estimated at $3,935 and are fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 U.S. Department of Health and Human Services and will not affect the County’s general fund. (C-86-02-073-2-31)

Attachments (1)

Vote: approved

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39. AGREEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES Approve the Agreement between The Centers for Medicare and Medicaid Services and Maricopa County by and through its Department of Public Health (MCDPH) for the management and oversight of the Federally-facilitated Exchanges (FFEs). This Agreement is in pursuant to Notice of Grant Award (NGA) H80CS0044-12-02 approved on August 21, 2013 under file C-86-02-073-2-30, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This Agreement becomes effective on the date of the last signature and ends one year from the effective date. This Agreement will automatically renew for subsequent and consecutive one year periods upon the expiration of this Agreement. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-14-047-3-00)

Attachments (1)

Vote: approved

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61. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 33 to Notice of Grant Award (NGA) H80CS00044-13-00, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes funding for federal assistance in the amount of $1,505,134, the Federal Share with a total approved budget of $2,580,229.00. This budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY 2013-2014 is 15%. Total indirect expenses are estimated at $182,409.00. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 U.S. Department of Health and Human Services and will not affect the County’s general fund. By accepting these funds MCDPH can continue providing healthcare services for the homeless of Maricopa County. (C-86-02-073-2-32)

Attachments (1)

Vote: approved

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60. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 34 to Notice of Grant Award (NGA) H80CS00044-13-01, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes a one-time supplemental funding for federal assistance in the amount of $64,641, with a total approved budget of $2,644,870.00. This budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY 2013-2014 is 15%. Total indirect expenses are estimated at $8,431. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 U.S. Department of Health and Human Services and will not affect the County’s general fund. By accepting these funds MCDPH can continue providing healthcare services for the homeless of Maricopa County. (C-86-02-073-2-33)

Attachments (1)

Vote: approved

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78. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 35 to Notice of Grant Award (NGA) H80CS00044-13-02, Health Center Cluster from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health, Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes a funding for federal assistance in the amount of $1,075,095, with a total approved budget of $2,644,870.00. This budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. (Sub recipient amount included in this agenda is $53,333) The Department of Public Health’s indirect rate for FY14 is 15%. Total indirect expenses are estimated at $133,273. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 U.S. Department of Health and Human Services and will not affect the County’s general fund. By accepting these funds MCDPH can continue providing healthcare services for the homeless of Maricopa County. (C-86-02-073-2-34)

Attachments (1)

Vote: adopted

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76. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 36 to Notice of Grant Award (NGA) (H80CS00044-13-03), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes federal assistance in the amount of $2,644,870 plus a program income of $353,500 for a combined budget total of $2,998,370. The budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. FY13-14 Indirect rate applicable to grant budget period is 15%. Total indirect expenses are estimated to be $370,222 which is fully recoverable. Indirect expenses for the program income are estimated to be $46,109. Pass-thru amount to sub-recipient included in this award is $160,000. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-35)

Attachments (1)

Vote: adopted

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34. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 37 to Notice of Grant Award (NGA) (H80CS00044-13-04), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide additional grant funding for healthcare for homeless individuals program. This grant award authorizes additional federal assistance in the amount of $36,718 bringing the combined budget total from $2,998,370 to $3,035,088. The budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. FY13-14 Indirect rate applicable to grant budget period is 15%. Total indirect expenses are estimated to be $ 4,789 which is fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-36)

Attachments (1)

Vote: adopted

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51. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 38 to Notice of Grant Award (NGA) (H80CS00044-13-05), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide additional grant funding for healthcare for homeless individuals program. This grant award authorizes additional federal assistance in the amount of $220,872 bringing the combined budget total from $3,035,088 to $3,255,960. The budget period is from November 1, 2013 through October 31, 2014. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. FY13-14 Indirect rate applicable to grant budget period is 15%. Total indirect expenses are estimated to be $ 28,809 which is fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-37)

Attachments (1)

Vote: adopted

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64. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 39 to Notice of Grant Award (NGA) (H80CS00044-14-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide grant funding for healthcare for homeless individuals program. The authorized financial assistance is $2,756,427 for the budget period from November 1, 2014 through October 31, 2015. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. Total indirect expenses are estimated to be $334,731 which is fully recoverable. Pass thru not subject to indirect is $160,000. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-38)

Vote: adopted

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45. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 40 to Notice of Grant Award (NGA) (H80CS00044-14-01), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide additional grant funding for healthcare for homeless individuals program. The amount of financial assistance is $10,806, bringing authorized financial assistance is $2,767,233 for the budget period from November 1, 2014 through October 31, 2015. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. Total indirect expenses are estimated to be increased by $1,393 which is fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-39)

Attachments (1)

Vote: approved

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74. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 41 to Notice of Grant Award (NGA) (H80CS00044-14-02), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), to update grant funding budget lines for the Healthcare for the Homeless (HCH) program. HCH program is providing health care services for homeless individuals. The NGA budget is increased by $300,000.00 for the Non-Federal Share, bringing the total approved budget amount from $2,767,233.00 to $3,067,233.00, for the budget period from November 1, 2014 through October 31, 2015. The project period is from November 1, 2001 through October 31, 2017. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. Total indirect expenses are estimated to be increased by $38,676 which is fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-40)

Attachments (1)

Vote: approved

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56. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 42 to Notice of Grant Award (NGA) (H80CS00044-14-03), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) to provide increased funding to support an extended budget term. The extension will ensure HCH to have sufficient opportunity to prepare and submit their Service Area Competition and Budget Period Progress Report applications. The NGA budget period has been extended from October 31, 2015 to December 31, 2015. The revised budget period is November 1, 2014 through December 31, 2015. The NGA budget amount is increased by $459,405.00, bringing the total approved budget amount from $3,067,233.00 to $3,526,638.00 . The Department of Public Health’s indirect rate for FY15-16 is 15.8%. Total indirect expenses are estimated to be increased by $59,076 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. $26,429 is pass thru to Phoenix Children Hospital. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-41)

Attachments (1)

Vote: approved

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51. AMENDMENT TO NOTICE OF AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 43 to Notice of Award (NOA) (H80CS00044-14-04), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) to provide increased funding to authorize the carryover of an unobligated balance in the amount of $269,706.00 from the budget period November 1, 2013 to October 31, 2014 into the current budget period of November 1, 2014 to December 31, 2015, bringing the total approved budget amount from $3,526,638.00 to $3,796,344.00, The project period is November 1, 2001 through December 31, 2017. All prior terms and conditions remain in effect, unless specifically removed. The Department of Public Health’s indirect rate for FY15-16 is 15.8%. Total indirect expenses are estimated to be increased by $36,799 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-42)

Vote: approved

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52. AMENDMENT TO NOTICE OF AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 44 to Notice of Award (NOA) (H80CS00044-14-05), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) to provide increased funding to Health Center Program grantees whose budgets were recently extend to December 31, 2015 to ensure that prorated extension funding levels fully incorporate prior supplemental awards. The increased budget amount is $30,676.00 bringing the approved budget amount from $3,796,344.00 to $3,827,020.00, The project period is November 1, 2001 through December 31, 2017. All prior terms and conditions remain in effect, unless specifically removed. The Department of Public Health’s indirect rate for FY15-16 is 15.8%. Total indirect expenses are estimated to be increased by $4,185 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-43)

Vote: adopted

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53. AMENDMENT TO NOTICE OF AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 45 to Notice of Award (NOA) (H80CS00044-14-06), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) to provide increased funding for the purpose of the Fiscal Year (FY) 2015 Health Center Quality Improvement (QI) Fund one-time grant supplement in the amount of $7,119.00, bringing the federal award amount from $3,527,020 to $3,534,139 and increase the Non-Federal Share budget by $150,000 bringing the amount from $300,000 to $450,000, with the combined total budget of $3,984,139. The project period is November 1, 2001 through December 31, 2017. All prior terms and conditions remain in effect, unless specifically removed. The Department of Public Health’s indirect rate for FY15-16 is 15.8%. Total indirect expenses are estimated to be increased by $21,437 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-44)

Attachments (3)

Vote: adopted

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17. AMEND NOTICE OF AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 46 to Notice of Award (NOA) (H80CS00044-14-07), U.S. Department of Health and Human Services (USDHHS), Health Resources and Services Administration (HRSA), Health Center Cluster to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) to provide increased funding for the purpose of continued patient centered medical home in the amount of $116,332.00, bringing the federal award amount from $3,534,139.00 to $3,650,471.00 and increase the Non-Federal Share budget by $75,000.00 bringing the amount from $450,000.00 to $525,000.00, with the combined total budget of $4,175,471.00. The project period is November 1, 2001 through December 31, 2017. All prior terms and conditions remain in effect, unless specifically removed. The Department of Public Health’s indirect rate for FY15-16 is 15.8%. Total indirect expenses are estimated to be increased by $26,106.00, which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-45)

Attachments (1)

Vote: adopted

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42. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 47 to Notice of Grant Award (NGA) (H80CS00044-15-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This grant award authorizes federal assistance in the amount of $3,056,819.00 plus a program income of $400,000.00, for a combined budget total of $3,456,819.00. The budget period is from January 1, 2016 through December 31, 2016. The project period is from November 1, 2001 through December 31, 2017. MCDPH’s indirect rate for FY15-16 is 15.8%. The full indirect costs are estimated to be $395,248.00, all of which is fully recoverable. Indirect costs for the program income are estimated to be $54,577.00. $160,000.00 is pass-thru and not subject to indirect. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-46)

Attachments (1)

Vote: adopted

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41. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 48 to Notice of Grant Award (NGA) (H80CS00044-15-03), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. With this action, this federal grant award is increased by $63,653 for a not to exceed amount of $3,120,472.00. The combined total for the budget period 1/1/2016 through 12/31/2016 is $3,520,472.00 ($400,000 of which is estimated program income). The project period is from November 1, 2001 through December 31, 2017. MCDPH’s indirect rate for FY16-17 is 15.1%. The full indirect costs are estimated to be $8,351 all of which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-47)

Attachments (1)

Vote — approved

65.AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTERApprove Amendment No. 49 to Notice of Grant Award (NGA) (H80CS00044-16-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare

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65. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment No. 49 to Notice of Grant Award (NGA) (H80CS00044-16-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This federal grant award authorizes federal assistance in the amount of $3,056,819.00 plus estimated Program Income in the amount of $564,500.00, for a combined total of $3,621,319.00 for the budget period 1/1/2017 through 12/31/2017. The project period is from November 1, 2001 through December 31, 2017. MCDPH’s indirect rate for FY16-17 is 15.1%. The full indirect costs are estimated to be $380,034 all of which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. $160,000 is pass thru to Phoenix Children’s Hospital for medical mobile services. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-48)

Attachments (1)

Vote — approved

47.HEALTH CARE FOR THE HOMELESS GOVERNANCE AND COMPLIANCEApprove Health Care for the Homeless policies to comply with Conditions 2 through 5, 8 and 9 of the Notice of Award (NOA) dated January 1, 2017, and approve the Plan of Action to comply with Conditions 1 through 9 as stated in the NOA dated January 5, 2017. In addition, please approve this as the response to the NOA ‘Program Specific Conditions’ and for its submission to Health Resources Services Administration (HRSA). These policies and P

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47. HEALTH CARE FOR THE HOMELESS GOVERNANCE AND COMPLIANCE Approve Health Care for the Homeless policies to comply with Conditions 2 through 5, 8 and 9 of the Notice of Award (NOA) dated January 1, 2017, and approve the Plan of Action to comply with Conditions 1 through 9 as stated in the NOA dated January 5, 2017. In addition, please approve this as the response to the NOA ‘Program Specific Conditions’ and for its submission to Health Resources Services Administration (HRSA). These policies and Plan of Action are in response to HRSA’s Notice of Award and Contract H80CS00044-14-00, approved as agenda item C-86-02-073-2-38 on November 19, 2014. This action will not affect County funds. (C-86-02-073-2-49)

Attachments (1)

Vote — approved

50.AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATIONApprove Amendment No. 50 to Notice of Grant Award (NGA) (H80CS00044-16-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals.

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50. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION Approve Amendment No. 50 to Notice of Grant Award (NGA) (H80CS00044-16-00), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This federal grant award authorizes additional federal assistance in the amount of $9,694.00 for a total of $3,066,513.00 plus estimated Program Income in the amount of $564,500.00, for a combined total of $3,631,013.00 for the budget period January, 1, 2017 through December 31, 2017. The project period is from November 1, 2001 through December 31, 2017. Terms and Conditions of the Award are revised to include the terms and conditions of this supplemental funding. These additional funds are a one-time Quality Improvement supplement for the purpose of achieving new or maintaining existing patient centered medical home recognition. It supports health centers that displayed high levels of quality performance in CY 2016 Uniform Data Reporting. MCDPH’s indirect rate for FY17-18 is 16.6%. The full indirect costs are estimated to be $1,380 all of which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. $160,000 is pass thru to Phoenix Children’s Hospital for medical mobile services. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-51)

Attachments (1)

Vote — approved

51.HEALTH CARE FOR THE HOMELESS POLICY, PROCEDURE, AND PRACTICEApprove Health Care for the Homeless policies to comply with Conditions 3 and 4 of the Notice of Award (NOA), dated January 5, 2017, approve the policies as the response to the NOA ‘Program Specific Conditions’ and approve its submission to Health Resources Services Administration (HRSA).These policies are in response to HRSA’s Notice of Award and Contract H80CS00044-14-00, approved as agenda item C-86-02-073-2-38 on November 19, 201

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51. HEALTH CARE FOR THE HOMELESS POLICY, PROCEDURE, AND PRACTICE Approve Health Care for the Homeless policies to comply with Conditions 3 and 4 of the Notice of Award (NOA), dated January 5, 2017, approve the policies as the response to the NOA ‘Program Specific Conditions’ and approve its submission to Health Resources Services Administration (HRSA). These policies are in response to HRSA’s Notice of Award and Contract H80CS00044-14-00, approved as agenda item C-86-02-073-2-38 on November 19, 2014. This action will not affect County funds. (C-86-02-073-2-50)

Attachments (1)

Vote — approved

73.ADJUSTMENT TO HEALTHCARE FOR THE HOMELESS PROJECTED PROGRAM INCOMEApprove this action to amend Healthcare for the Homeless projected program income. This grant is funded by U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This action authorizes an increase of $623,772 to estimated P

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73. ADJUSTMENT TO HEALTHCARE FOR THE HOMELESS PROJECTED PROGRAM INCOME Approve this action to amend Healthcare for the Homeless projected program income. This grant is funded by U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This action authorizes an increase of $623,772 to estimated Program Income; from $564,500.00 to a total not-to-exceed amount of $1,188,272 for the budget period January 1, 2017 through December 31, 2017. See attached Fund Balance Report. The project period is from November 1, 2001 through December 31, 2017. MCDPH’s indirect rate for FY17-18 is 16.6%. The full indirect costs are estimated to be $88,805 all of which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-53)

Attachments (1)

Vote — approved

79.HEALTH CARE FOR THE HOMELESS POLICY, PROCEDURE, AND PRACTICEApprove an Amendment to Health Care for the Homeless policy approved 09/06/2017 as C-86-02-073-2-50. Requirement ‘I’ will comply with Conditions 3 and 4 of the Notice of Award (NOA), dated 1/5/2017. Approve the policy as the response to the NOA ‘Program Specific Conditions’ and approve its submission to Health Resources Services Administration (HRSA). I. An annual review of the entire sliding fee scale program will be conducted to en

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79. HEALTH CARE FOR THE HOMELESS POLICY, PROCEDURE, AND PRACTICE Approve an Amendment to Health Care for the Homeless policy approved 09/06/2017 as C-86-02-073-2-50. Requirement ‘I’ will comply with Conditions 3 and 4 of the Notice of Award (NOA), dated 1/5/2017. Approve the policy as the response to the NOA ‘Program Specific Conditions’ and approve its submission to Health Resources Services Administration (HRSA). I. An annual review of the entire sliding fee scale program will be conducted to ensure that no part presents a barrier to care. This policy is in response to HRSA’s Notice of Award and Contract H80CS00044-14-00, approved as agenda item C-86-02-073-2-38 on 11-19-2014. This action will not affect County funds. (C-86-02-073-2-52)

Attachments (1)

Vote — approved

44.AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTERApprove Amendment 51, Notice of Award (NOA) (3 H80CS00044-16-14), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homel

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44. AMENDMENT TO NOTICE OF GRANT AWARD WITH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR HEALTH CENTER CLUSTER Approve Amendment 51, Notice of Award (NOA) (3 H80CS00044-16-14), Health Center Cluster from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) to Maricopa County by and through its Department of Public Health (MCDPH), Healthcare for the Homeless (HCH) Program to provide healthcare for homeless individuals. This federal grant award authorizes additional federal assistance in the amount of $175,700.00 for a total of $3,242,213.00 plus estimated Program Income in the amount of $1,188,272.00, for a combined total of $4,430,485.00 for the budget period 1/1/2017 through 12/31/2017. The project period is from November 1, 2001 through December 31, 2017. This NOA provides FY17 Access Increases in Mental Health and Substance Abuse Services (AIMS) supplemental funding to expand access to mental health services, and substance abuse services focusing on the treatment, prevention, and awareness of opioid abuse. MCDPH’s indirect rate for FY17-18 is 16.6%. The full indirect costs are estimated to be $25,014 all of which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures 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 HRSA and will not affect the County’s general fund. (C-86-02-073-2-54)

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Vote — approved

66.TRANSITION OF SERVICES TO CIRCLE THE CITYAcknowledge and approve transition of Healthcare for the Homeless program services and grant purchased assets (including vehicles) at service location 220 S. 12th Avenue, Phoenix, AZ 85007, from Maricopa County Department of Public Health (MCDPH) to Circle the City. The transfer is effective January 1, 2018. Vehicles to be transferred:1. 51103 - 2001 Ford Taurus2. 911201 - 2012 Ford Trans Connect3. 911202 - 2012 Ford Trans Connect4. 92505 - 2005 Chevro

Item Text

66. TRANSITION OF SERVICES TO CIRCLE THE CITY Acknowledge and approve transition of Healthcare for the Homeless program services and grant purchased assets (including vehicles) at service location 220 S. 12th Avenue, Phoenix, AZ 85007, from Maricopa County Department of Public Health (MCDPH) to Circle the City. The transfer is effective January 1, 2018. Vehicles to be transferred: 1. 51103 - 2001 Ford Taurus 2. 911201 - 2012 Ford Trans Connect 3. 911202 - 2012 Ford Trans Connect 4. 92505 - 2005 Chevrolet Astro 5. 92506 - 2005 Chevrolet Astro 6. 311544 - 2015 Ford Transit 350 Approve the reduction to the public health fleet by these 6 vehicles; and, approve the transfer of these 6 vehicles to Circle the City. There is no financial impact as the vehicles are a grant purchased asset. (C-86-02-073-2-55)

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