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71. IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES (ADHS) FOR WELL WOMEN HEALTHCHECK PROGRAM Approve the Intergovernmental Agreement (IGA) between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health (DPH) for the Well Women Healthcheck Program to provide services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. This grant award provides funding in the amount not-to-exceed $825,000.00 for budget period beginning July 1, 2012 through June 30, 2013. The Department of Public Health FY 2012-2013 indirect rate is 15.8%. Grant indirect costs are capped at a rate $18,000, therefore $20,116 is unallowable. Pass thru amount not subject to indirect is $565,759. 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-86-13-026-G-00)

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72. AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA) WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMEN HEALTHCHECK PROGRAM Approve Amendment No. 1 to the Intergovernmental Agreement (IGA) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH) for the Well Women Healthcheck Program to provide services to uninsured or underinsured women for breast and cervical cancer screening and diagnostic services. Pursuant to Page 2, Special Terms and Conditions, Provision 4, Contract Administration and Operation 4.2, Contract Renewal, the Contract is hereby extended from June 30, 2013 through December 31, 2013. All other terms and conditions remain in full force and affect. The Arizona Well Women Healthcheck Program (WWHP) provides a comprehensive breast and cervical cancer early detection screening program targeting uninsured or underinsured women, age 50 or older, who currently have difficulty accessing these services. WWHP also includes a culturally appropriate outreach component and research component. Maricopa County has been the fiscal agent for this program since 1996. (C-86-13-026-G-01)

Vote: adopted

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65. PURCHASE ORDER TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMAN HEALTHCHECK PROGRAM Approve Purchase Order (PO) No. (ADHS13-029502:4) for Intergovernmental Agreement (IGA) Contract No. (ADHS13-029502) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH), to provide funding for the Well Woman Healthcheck Program. The program provides breast and cervical cancer screening and diagnostic services for uninsured or underinsured women. The PO not-to-exceed amount is $259,250 for the budget period, July 1, 2013 through December 31, 2013. The contract is set to expire December 31, 2013. No expenditures shall be made after December 31, 2013, unless the contract is extended. The period of performance is July 1, 2013 through June 30, 2014. If the contract is extended the standing PO will be valid through June 30, 2014. All other terms and conditions remain in full force and affect. MCDPH’s Indirect Rate for FY2013-14 is 15%. The indirect costs are estimated at $11,130, which are fully recoverable. Payments to sub-recipients in the amount of $173,920 are not subject to the indirect rate per OMB Circular A-87. The County should accept this PO, even though the full indirect includes sub-recipient cost, which is not subject to the indirect rate because the Department of Public Health has provided breast and cervical services to the public since January 2003 and serves over 3,000 cases annually. 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-86-13-026-G-02)

Attachments (1)

Vote: adopted

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48. PURCHASE ORDER TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WELL WOMEN HEALTHCHECK PROGRAM Approve Purchase Order (PO) No. (ADHS13-029502:4) for Intergovernmental Agreement (IGA) Contract No. (ADHS13-029502) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH), to provide additional funding for the Well Women Health Check Program. The program provides breast and cervical cancer screening and diagnostic services for uninsured or underinsured women. The additional funding will pay for final sub-recipient cost expended within the budget period. The fund amount is $54,250, bringing the not-to-exceed budget amount from $259,250 to $313,500 for the budget period, July 1, 2013 through December 31, 2013. The contract is set to expire December 31, 2013 and will not be renewed. All other terms and conditions remain in full force and affect. MCDPH’s Indirect Rate for FY2013-14 is 15%. The allowed indirect costs are estimated at $7,076, which are fully recoverable, however payments to sub-recipients in the amount of $173,920 are not subject to the indirect rate per OMB Circular A-87, thereby the indirect cost is $0. The County should accept this PO even though the full indirect includes sub-recipient cost which is not subject to the indirect rate because the Department of Public Health has provided breast and cervical services to the public since January 2003 and serves over 3,000 cases annually. 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-86-13-026-G-03)