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41. RESCIND PREVIOUS ACTION AND APPROVE AMENDMENT TO IGA WITH SPECIAL HEALTH CARE DISTRICT FOR WELL WOMAN HEALTHCHECK SERVICES 1. Rescind the action on September 17, 2008 (C-86-08-044-2-04) regarding the approval of Amendment No. 3 to 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), to provide Well Woman Healthcheck services to uninsured or underinsured women. The previous action request included text in the amendment that was stated incorrectly. This action removes completely the previous action regarding amendment No. 3. 2. Approve Amendment No. 3 to the 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), to provide Well Woman Healthcheck services to uninsured or underinsured women. Amendment No. 3 increases the IGA by $25,000 for a not-to-exceed amount of $155,000 for the budget period July 1, 2007 through June 30, 2009. In addition, Amendment No. 3 authorizes that any increases in the amount of the IGA shall be accomplished through Purchase Orders issued by the County. All other terms and conditions of the original IGA shall remain in full force and effect. This agreement is a subcontract to IGA (HG761266) between Maricopa County through its Department of Public Health, and 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 a rate established by ADHS. Additional funding is provided by the Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation and does not increase the county general fund. This funding augments Well Woman Healthcheck services and provides additional funds for diagnostic and treatment services. (C-86-08-044-2-05)

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54. AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA INTEGRATED HEALTH SYSTEM FOR WELL WOMAN HEALTHCHECK SERVICES Approve Amendment No. 4 to the 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), to provide Well Woman Healthcheck services to uninsured or underinsured women. Amendment No. 4 extends the contract period from July 1, 2009 through June 30, 2010 for a not-to-exceed amount of $155,000. All other terms and conditions of the original IGA shall remain in full force and effect. This agreement is a subcontract to IGA (HG761266) between Maricopa County through its Department of Public Health, and 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 a rate established by ADHS. Additional funding is provided by the Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation and does not increase the county general fund. This funding augments Well Woman Healthcheck services and provides additional funds for diagnostic and treatment services. (C-86-08-044-2-06)

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27. AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA INTEGRATED HEALTH SYSTEM FOR WELL WOMAN HEALTHCHECK SERVICES Approve Amendment No. 5 to the 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), to provide Well Woman Healthcheck services to uninsured or underinsured women. Amendment No. 5 increases funding by $45,000 from a not-to-exceed amount of $155,000 to a new not-to-exceed amount of $200,000 for contract period July 1, 2009 through June 30, 2010. All other terms and conditions of the original IGA shall remain in full force and effect. This agreement is a subcontract to IGA (HG761266) between Maricopa County through its Department of Public Health, and 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 a rate established by ADHS. Additional funding is provided by the Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation and does not increase the county general fund. This funding augments Well Woman Healthcheck services and provides additional funds for diagnostic and treatment services. (C-86-08-044-2-07)

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