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22. IGA WITH AZ DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Intergovernmental Agreement (IGA) Contract (DE101038001) between the Arizona Department of Economic Security (DES) and Maricopa County by and through its Department of Public Health to provide grant funding for the Refugee Screening Medical Assistance Program. This IGA provides for an itemized service budget in the amount of $148,039 for the term July 1, 2009 through June 30, 2010. This IGA also provides for Health Assessment services and states that payments rates shall remain the same as indicated under 7.0 Service Description, page two and three of the contract. The fee-based reimbursement is estimated to be $1,851,961, bringing the total budget amount for this term to $2,000,000. Maricopa County Department of Public Health’s FY 2009-10 indirect rate is currently 19.5%. This grant allows for full indirect; therefore, the estimated amount of $326,360 is 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 DES and does not affect the County’s general fund. Of this amount $1,400,000 was included in the FY 2009-10 recommended budget. (C-86-10-007-3-00)

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46. AMENDMENT TO IGA WITH AZ DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 1 to Intergovernmental Agreement (IGA) Contract (DE101038-001) between the Arizona Department of Economic Security (DES) and Maricopa County by and through its Department of Public Health to provide grant funding for the Refugee Screening Medical Assistance Program. This contract is extended for the period July 1, 2010 to June 30, 2011. This contract also provides for an itemized service budget in the amount of $167,342, bringing total cumulative reimbursement ceiling to $315,381. For the service of Health Assessment, the payments rates are not adjusted and shall remain the same as indicated under the base contract. The fee-based reimbursement is estimated to be $2,000,000 for the budget period July 1, 2010 to June 30, 2011, bringing the total budget amount for this period to $2,167,342. The cumulative total for the term, July 1, 2009 to June 30, 2011 is $4,167,342. Maricopa County Department of Public Health’s FY 2010-11 indirect rate is currently at 17%. This grant allows for full indirect; therefore, the estimated amount of $314,913 is 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 DES and does not affect the County’s general fund. Of this amount, $2,148,039 was included in the FY2010-11 recommended budget. (C-86-10-007-3-01)

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60. AMENDMENT TO IGA WITH AZ DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 2 to Intergovernmental Agreement (IGA) Contract (DE101038-001) between the AZ Department of Economic Security (DES) and Maricopa County by and through its Department of Public Health to provide grant funding for the Refugee Screening Medical Assistance Program. This contract is extended for the period July 1, 2011 to June 30, 2012. This contact also provides for an itemized service budget in the amount of $167,342, bringing total cumulative reimbursement ceiling to $482,723. For the service of Health Assessment, the payment rates are not adjusted and shall remain the same as indicated under the base contract. The fee-based reimbursement is estimated to be $2,000,000 for the budget period July 1, 2011 to June 30, 2012, bringing the total budget amount for this period to $2,167,342. The cumulative total for the term July 1, 2011 to June 30, 2012 is $4,334,684. All other terms and conditions of the original contract remain in full force and effect. Maricopa County Department of Public Health’s FY 2011-2012 indirect rate is currently at 16.7%. This grant allows for indirect, therefore, the estimated amount of $310,151 is 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 DES and do not affect the County’s general fund. (C-86-10-007-3-02)

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44. AMENDMENT TO IGA WITH AZ DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 4 to Intergovernmental Agreement (IGA) Contract (DE101038-001) between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide administrative change for the Refugee Screening Medical Assistance Program. The amendment will add Section 9.2.19 that upon request of the State Refuge Coordinator, the contractor shall provide within two (2) business days a list that includes the Alien Identification Number of clients who test positive for active tuberculosis, hepatitis B, HIV, elevated lead level or other diseases or conditions of public health significance as determined by Center of Disease Control and Prevention (CDC). Except as provided herein, all terms and conditions of the original contract as heretofore changed and/or amended remain unchanged and in full force and effect. (C-86-10-007-3-04)

Vote: adopted

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45. AMENDMENT TO IGA WITH AZ DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 5 to Intergovernmental Agreement (IGA) Contract (DE101038-001) between the AZ Department of Economic Security (DES) and Maricopa County by and through its Department of Public Health to provide grant funding for the Refugee Screening Medical Assistance Program. This contract is extended for the period July 1, 2013 to June 30, 2014. This contact also provides for an itemized service budget in the amount of $167,342, bringing total cumulative reimbursement ceiling to $817,407. For the service of Health Assessment, the payment rates are not adjusted and shall remain the same as indicated under the base contract. The fee-based reimbursement is estimated to be $1,250,000 for the budget period July 1, 2013 to June 30, 2014, bringing the total budget amount for this period to $1,417,342. The cumulative total for the term July 1, 2009 to June 30, 2014 is $9,169,368. All other terms and conditions of the original contract remain in full force and effect. Maricopa County Department of Public Health’s FY 2013-14 indirect rate is currently at 15%. This grant allows for indirect, therefore, the estimated amount of $184,873 is 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 ADHS and will not affect the County general fund. (C-86-10-007-3-05)

Vote: adopted

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50. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 6 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide grant funding for the Refugee Screening Medical Assistance Program. Pursuant to Section 3.0, Term of Agreement, Paragraph 3.2, Extension, the above referenced contract is extended for the period of July 1, 2014 through June 30, 2015. The Health Assessment service rate is not adjusted for the extension period and shall remain the same as the previous contract term. Pursuant to Section 4.0 Amendments or Modifications, the contract reimbursement ceiling for the “Coordination Refugee Preventive Health” service for the period of July 1, 2014 through June 30, 2015 is $167,342. The cumulative reimbursement ceiling is revised to $984,749. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY14 is 15%. This grant allows for indirect, therefore the estimated amount of $21,827 and 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-06)

Vote: adopted

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81. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 6 to Intergovernmental Agreement (IGA) Contract DE101038001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide grant funding for the Refugee Screening Medical Assistance Program. Pursuant to Section 3.0, Term of Agreement, Paragraph 3.2, Extension, the above referenced contract is extended for the period of July 1, 2014 through June 30, 2015. The Health Assessment service rate is not adjusted for the extension period and shall remain the same as the previous contract term. Pursuant to Section 4.0 Amendments or Modifications, the contract reimbursement ceiling for the “Coordination Refugee Preventive Health” service for the period of July 1, 2014 through June 30, 2015 is $167,342. The IGA cumulative reimbursement ceiling is revised to $984,749. Also, included is the fee-based reimbursement estimated at $1,250,000 for the budget period July 1, 2014 to June 30, 2015, bring the total budget amount for this period to $1,417,342. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2014-15 is 14.80%. This grant allows for indirect, therefore the estimated amount of 182,724 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-07)

Attachments (2)

Vote: adopted

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53. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 7 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide grant funding for the Refugee Screening Medical Assistance Program. Pursuant to Section 3.0, Term of Agreement, Paragraph 3.2, Extension, the above referenced contract is extended for the period of July 1, 2015 through June 30, 2016. The Health Assessment service rate is not adjusted for the extension period and shall remain the same as the previous contract term. Pursuant to Section 4.0 Amendments or Modifications, the contract reimbursement ceiling for the “Coordination Refugee Preventive Health” service for the period of July 1, 2015 through June 30, 2016 is $167,342. The IGA cumulative reimbursement ceiling is revised to $1,152,091. Also, included is the fee-based reimbursement estimated at $1,250,000 for the budget period July 1, 2015 to June 30, 2016, bring the total budget amount for this period to $1,417,342. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2015-16 is 15.80%. This grant allows for indirect, therefore the estimated amount of $193,385 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-08)

Attachments (2)

Vote: adopted

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52. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 8 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide increased grant funding in the Refugee Screening Medical Assistance Program. The increased amount of $335,262 is for the fee-based reimbursement facilitated through the use of medical screening vouchers bringing the estimated amount from $1,250,000 to $1,585,262, for the budget period July 1, 2015 to June 30, 2016. The total budget amount for this period is $1,752,604. In reference to Amendment No. 8 pursuant to Section 4.0, Amendment or Modifications, the contract reimbursement ceiling for the “Coordination-Refugee Preventive Health” service for the period of July 1, 2015 through June 30, 2016 is increased by $1,585,262 bringing the budget amount from $167,342 to $1,752,604. The IGA cumulative reimbursement ceiling is revised to $2,737,353. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2015-16 is 15.80%. This grant allows for indirect, therefore the increased estimated amount of $45,744 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-09)

Attachments (1)

Vote: adopted

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62. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve Amendment No. 9 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide grant funding for the Refugee Screening Medical Assistance Program. Pursuant to Section 3.0, Term of Agreement, Paragraph 3.2, Extension, the above referenced contract is extended for the period of July 1, 2016 through June 30, 2017. The Health Assessment service rate is not adjusted for the extension period and shall remain the same as the previous contract term. Pursuant to Section 4.0 Amendments or Modifications, the contract reimbursement ceiling for the “Coordination Refugee Preventive Health” service for the period of July 1, 2016 through June 30, 2017 is $210,812. The IGA cumulative reimbursement ceiling is revised to $2,948,165. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2016-17 is 15.10%. This grant allows for indirect; therefore the estimated amount of $27,656 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-11)

Attachments (1)

Vote: adopted

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49. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve retro-active Amendment No. 10 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide increased grant funding in the Refugee Screening Medical Assistance Program. The increased amount of $1,585,262 is for the fee-based reimbursement facilitated through the use of medical screening vouchers for the budget period July 1, 2016 to June 30, 2017. The total budget amount for this period is $1,796,074. The IGA cumulative reimbursement ceiling is revised to $4,744,239. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2016-17 is 15.1%. This grant allows for indirect; therefore the estimated amount of $207,971 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-12)

Attachments (1)

Vote — approved

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

61.AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAMApprove retro-active Amendment No. 11 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide increased grant funding in the Refugee Screening Medical Assistance Program. The increased amount of $449,018 is for the budget period of July 1,

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61. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF ECONOMIC SECURITY FOR REFUGEE SCREENING MEDICAL ASSISTANCE PROGRAM Approve retro-active Amendment No. 11 to Intergovernmental Agreement (IGA) Contract DE101038-001 between the Arizona Department of Economic Security (ADES) and Maricopa County by and through its Department of Public Health (MCDPH) to provide increased grant funding in the Refugee Screening Medical Assistance Program. The increased amount of $449,018 is for the budget period of July 1, 2016 through June 30, 2017 and the 3 month extension ending September 30, 2017. • $52,703 Administrative Costs • $396,315 Medical Screening Vouchers The total budget amount for this 15 month period is $2,245,092. The IGA cumulative reimbursement ceiling is revised to $4,982,445. All other terms and conditions remain in full force and effect. Maricopa County Department of Public Health’s indirect rate for FY2016-17 is 15.1%. This grant allows for indirect; therefore the estimated amount of $58,908 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 ADES and will not affect the County’s general fund. (C-86-10-007-3-13)

Attachments (1)