Vote: approved

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19. AMENDMENT TO IGA WITH ADHS FOR WELL WOMAN HEALTH CHECK PROGRM Approve Amendment No. 2 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman Healthcheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. The budget term is July 1, 2008 to June 30, 2009. This IGA does not specify a total dollar amount but provides for services in two line items for sub recipients to be authorized by Purchase Order. Based on prior year estimates, total costs are estimated at an amount not to exceed $580,000. This IGA is amended as follows: Replace existing Price Sheet in Amendment One (1), Page Eleven (11) with corrected Price Sheet in Amendment Two (2), Page Two (2). This is to replace incorrect Price Sheet attached to Amendment One (1) in error. Revenue and expenditure appropriation adjustments for FY 2008-09 have already been approved by the Board under Amendment 1 on 4/23/08.All other terms and conditions of the original IGA shall remain in full force and in effect. Funding for this contract is provided by a federal grant administered by the Arizona Department of Health Services (ADHS), and does not increase the County general fund. Reimbursement to subcontractors is on a per enrollee basis at rate established by ADHS. (C-86-08-001-3-04)

Vote: adopted

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25. PURCHASE ORDER FOR ADDITIONAL FUNDING FOR WELL WOMAN HEALTHCHECK PROGRAM Approve the Purchase Order for additional funding for the Intergovernmental Agreement (IGA) (HG761266) between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health (MCDPH). Additional funding is being provided for the MCDPH Well Woman Healthcheck Program services to uninsured or underinsured women. Additional funding in the amount of $20,248 is being provided for budget period July 1, 2008 through June 30, 2009. The Purchase Order in the amount of $610,388 includes the budgeted amount of $590,140 for FY 2008-09. Also, approve revenue and expenditure appropriation adjustments to the Public Health Grant Fund (Department 860, Fund 532) associated with the aforementioned grant in an amount of $20,248 for FY 2008-09. The appropriations adjustment is necessary because these funds were not included in the FY 2008-09 budget. 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 Department of Public Health’s indirect rate for FY 2008-09 is 18%. The IGA allows for indirect costs at a rate of 10% of Personnel Services and Employee Related Expenses only. Full indirect costs are estimated at $3,644, all of which is unrecoverable. The total sum of these funds are subrecipient costs and not subject to indirect costs reimbursement. Funding for this contract is provided by a federal grant administered by the Arizona Department of Health Services (ADHS), and does not increase the County general fund. Reimbursement to subcontractors is on a per enrollee basis at rate established by ADHS. (C-86-08-001-3-05)

Vote: adopted

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25. PROCUREMENT CHANGE ORDER TO PURCHASE ORDER FOR ADDITIONAL FUNDING FOR THE IGA FOR WELL WOMAN HEALTHCHECK PROGRAM Approve the Procurement Change Order No.1 to Purchase Order (E9H26186) which provides additional funding for the Intergovernmental Agreement (IGA) (HG761266) between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health (MCDPH). Additional funding is being provided for the MCDPH Well Woman Healthcheck Program services to uninsured or underinsured women. The Purchase Order in the amount of $8,346 provides increased funding bringing the contract amount from $610,388 to $618,734 for budget period ending June 30. 2009 . Also approve revenue and expenditure appropriation adjustments to the Public Health (860) Grant Fund (532), Operating Budget (0000) associated with the aforementioned grant in an amount of $8,346 for FY 2008-09. The appropriations adjustment is necessary because these funds were not included in the FY 2008-09 budget. 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 Department of Public Health’s indirect rate for FY 2008-09 is 18%. The IGA allows for indirect costs at a rate of 10% of Personnel Services and Employee Related Expenses only. Full indirect costs are estimated at $1,502, all of which is unrecoverable. The total sum of these funds are subrecipient costs and not subject to indirect costs reimbursement. (C-86-08-001-3-06)

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58. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Amendment No. 3 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman Healthcheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Amendment No. 3 extends the contract period from July 1, 2009 through June 30, 2010 as well as replaces the current price sheet. This amendment limits funding to an amount not to exceed $482,388. Recovery of indirect costs are also decreased due to legislative budget reductions. In addition, this amendment makes administrative changes to the Scope of Work of Amendment No. 1. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health’s indirect rate for FY 2009-10 is 19.5%. Indirect cost recovery per the Amendment No. 3 Price Sheet, is capped at $16,111. Further, the IGA limits indirect costs recovery to only Personnel Services and Employee Related Expenses. Full indirect costs are estimated at $31,186, of which $16,111 is recoverable and $15,075 is unrecoverable. Of the total funding amount, $272,943 are subrecipient costs and not subject to indirect costs recovery. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. Reimbursement to subcontractors is on a per enrollee basis at rate established by ADHS. (C-86-08-001-3-07)

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25. AMENDMENT TO IGA WITH THE ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Amendment No. 4 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman HealthCheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Amendment No. 4 replaces existing Price Sheet, therefore all prior Price Sheets to this agreement are hereby replaced and superseded by Price Sheet, Page Two (2) of Amendment No. 4. Total funding amount has increased from not-to-exceed $482,388 to a new not-to-exceed amount of $895,565, a net increase in the amount of $413,177 for budget period July 1, 2009 through June 30, 2010. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health’s indirect rate for FY 2009-10 is 19.5%. This grant allows indirect cost on Personnel Services and Employee Related Expenses only at $16,917. Full indirect costs are estimated at $37,657, of which $16,917 is recoverable and $20,740 is unrecoverable. The $413,177 total sum of these funds are subrecipient costs and not subject to indirect cost reimbursement. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. Reimbursement to subcontractors is on a per enrollee basis at rate established by ADHS. (C-86-08-001-3-08)

Attachments (1)

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24. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM SERVICES Approve Amendment No. 5 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman HealthCheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Amendment No. 5 makes administrative changes to the Scope of Work with no change in funding amount for budget period July 1, 2009 through June 30, 2010. All other terms and conditions of the original IGA shall remain in full force and effect. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. Reimbursement to subcontractors is on a per enrollee basis at rate established by ADHS. (C-86-08-001-3-09)

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18. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Amendment No. 6 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman HealthCheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Amendment No. 6 extends the term of the IGA beginning July 1, 2010 through June 30, 2011, with no funding amount specified. This amendment also makes administrative changes to the Special Terms and Conditions. All other terms and conditions of the original IGA shall remain in full force and effect. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-10)

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48. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Amendment No.7 to the Intergovernmental Agreement (IGA) (HG761266) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to provide Well Woman HealthCheck Program services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Amendment No. 7 replaces existing Price Sheet, therefore all prior Price Sheets to this agreement are hereby replaced and superseded by Price Sheet, Page Two (2) of Amendment No. 7. Total funding amount is in the, not-to-exceed, amount of $825,000 for the budget period July 1, 2010 through June 30, 2011. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health FY 2010-11 indirect rate is 17%. Grant indirect costs are capped at $18,000. Full indirect costs are estimated at $36,615 of which $18,000 is recoverable and $18,615 is unrecoverable. Sub-recipient expenses are in the amount of $573,000 and are not subject to indirect. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-12)

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62. PURCHASE ORDER FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Purchase Order (E1H38162) from the Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, to decrease the funds from the Intergovernmental Agreement (IGA) HG761266. This Purchase order provides funds to the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. This Purchase Order decreases the funding from $825,000 to $550,000 for the budget period July 1, 2010 through June 30, 2011. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health FY 2010-11 indirect rate is 17%. Grant indirect costs are capped at $18,000. Full indirect costs are estimated at $36,615 of which $18,000 is recoverable and $18,615 is unrecoverable. Sub-recipient expenses are in the amount of $298,000 and are not subject to indirect. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-13)

Attachments (1)

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108. PROCUREMENT CHANGE ORDER FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Procurement Change Order (E1H38162) from the Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, to increase the funding by $21,000 from $550,000 to $571,000 for the budget period July 1, 2010 through June 30, 2011 for the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health indirect rate for FY 2010-11 is 17%. All of the monies are sub-recipient costs and are not subject to indirect charges. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-15)

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51. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Amendment No. 8 to the Intergovernmental Agreement (IGA) between the Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, to add additional language for the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. All other terms and conditions of the original IGA shall remain in full force and effect. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-16)

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44. PROCUREMENT CHANGE ORDER FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Procurement Change Order 2 to the Purchase Order (E1H381626) with the Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, to increase funding by $107,705.98 for a new not-to-exceed total of $678,705.98, for the Budget Period July 1, 2010 through June 30, 2011. This Change order funds the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health indirect rate for FY 2010-11 is 17%. All of the monies are sub-recipient costs and are not subject to indirect charges Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-17)

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23. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Purchase Order (E0031852) from the Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, which provides funding in the not-to-exceed amount of $670,029 for the budget period July 1, 2011 through June 30, 2012 for the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health indirect rate for FY 2011-12 is 16.7%. Grant indirect costs are capped at $18,000. Of the total grant award, $418,029 are pass thru to subrecipients and not subject to indirect cost reimbursement. Therefore, the full indirect costs are estimated at $36,062 of which $18,000 is recoverable and $18,062 in not recoverable. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-18)

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81. PURCHASE ORDER TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Purchase Order (HG761266:2) from the Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, to increase funding by $132,365, for the new not-to-exceed amount of $802,394 for the budget period July 1, 2011 through June 30, 2012 for the Well Woman HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. All other terms and conditions of the original IGA shall remain in full force and effect. The Department of Public Health indirect rate for FY 2011-12 is 16.7%. Grant indirect costs are capped at $18,000. Of the total grant award, $550,394 are pass thru to subrecipients and not subject to indirect cost reimbursement. Therefore, the full indirect costs are estimated at $36,062 of which $18,000 is recoverable and $18,062 in not recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County's general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS. (C-86-08-001-3-19)