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53. IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL Approve retroactive cost reimbursement, Intergovernmental Agreement (IGA), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated health Systems (MIHS) (90-15-125-1) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide a system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. The initial budget (Attachment A) period is from February 1, 2015 through October 31, 2015 for the budget amount of $171,904. The term is from February 1, 2015 through October 31, 2019. Subject to the availability of funds and acceptable Contractor performance, the County shall have the right to extend this Agreement for additional one-year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. Also included in this IGA is a Business Associate Agreement (Attachment B). The retroactive is due to final negotiation of terms, no services have been provided prior to the final execution. This IGA is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-14-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). The grant project period is June 1, 2002 through March 31, 2019. (C-86-15-076-3-00)

Attachments (1)

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64. AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL Approve Amendment No. 1 to the Intergovernmental Agreement (IGA), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide the Healthy Start System of Care Coordination-Perinatal Program. This will allow for a continuation of the system of care coordination that embeds Healthy Start within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal, and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. The Amendment amount is changed from an aggregate, not-to-exceed amount, from $171,904 to $206,904, increased by $35,000 for the budget period November 1, 2015 through October 31, 2016. The year 2 budget is attached. The initial budget period was from February 1, 2015 through October 31, 2015 for the budget amount of $171,904. The term is from February 1, 2015 through October 31, 2019. MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00),Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). The grant project period is June 1, 2002 through March 31, 2019. (C-86-15-076-3-01)

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80. AMENDMENT TO IGA WITH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA COUNTY INTEGRATED HEALTH SYSTEMS FOR SYSTEM OF COORDINATION – PERINATAL Approve Amendment No. 2 to the Intergovernmental Agreement (IGA), System of Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide the Healthy Start System of Care Coordination- Perinatal Program. This will allow a continuation of the system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. The Amendment amount is changed from an aggregate, not-to-exceed amount from $206,904 to $375,234, increased by $168,330 for the budget period 11/01/2015 through 10/31/2016. The term of the Agreement is from February 1, 2015 through October 31, 2019. Subject to the availability of funds and acceptable Contractor performance, the County shall have the right to extend this Agreement for additional one-year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). The grant project period is June 1, 2002 through March 31, 2019. (C-86-15-076-3-02)

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48. IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF COORDINATION – PERINATAL Approve Amendment No. 3 to the Intergovernmental Agreement (IGA), System of Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide the Healthy Start System of Care Coordination-Perinatal Program. This will allow a continuation of the system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. a. The Amendment amount is changed from an aggregate, not-to-exceed amount from $375,234 to $575,957 increased by $200,723 for the budget period November 1, 2016 through October 31, 2017. The term of the Agreement is from February 1, 2015 through October 31, 2019. Subject to the availability of funds and acceptable Contractor performance, the County shall have the right to extend this Agreement for additional one-year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. b. This amendment records additional County Responsibilities under Section III. 4. MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). (C-86-15-076-3-03)

Attachments (1)

Vote — approved

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

53.AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL PROGRAMApprove Amendment No. 4 to the Intergovernmental Agreement (IGA), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide funding for the Healthy Start System of Care Coordination-Perinatal Program.

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53. AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL PROGRAM Approve Amendment No. 4 to the Intergovernmental Agreement (IGA), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide funding for the Healthy Start System of Care Coordination-Perinatal Program. This will allow a continuation of the system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. This amendment will include the following changes: A. Page 1, Item 3: Agreement amount is changed to an aggregate, not-to-exceed amount from $575,957 to $776,680 (increased by $200,723 for the budget period November 1, 2017 through October 31, 2018); B. Year 4 Budget is replaced with the revised year 4 budget (Exhibit A) and budget narrative (Exhibit B). The year budget is for a total of $200,723. C. Section II. Special Provisions, add the following: 12. ISRAEL BOYCOTT 13. UNIFORM ADMINISTRATIVE REQUIREMENTS D. Section IV, Compensation, 1. Compensation, D. replace the first sentence with: The Agreement amount is not-to-exceed $200,723 for Year four (4). MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). (C-86-15-076-3-04)

Attachments (1)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	yes
Denny Barney	abstain
Gallardo Contract Counsel	yes
Steve Chucri	yes

37.AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL PROGRAMApprove Amendment No. 5 to the Intergovernmental Agreement (IGA), (90-15-125-1), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start (HS), to amend the budget and budget narrative for the MIHS HS System of 

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37. AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF CARE COORDINATION – PERINATAL PROGRAM Approve Amendment No. 5 to the Intergovernmental Agreement (IGA), (90-15-125-1), System of Care Coordination – Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start (HS), to amend the budget and budget narrative for the MIHS HS System of Care Coordination-Perinatal Program. This program will allow a continuation of the system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. This amendment will adjust line items for personnel and related expenses. However, the current budget not to exceed amount will not change. Also, this amendment will include the following changes: A. Year 4 Budget is replaced with the revised year 4 budget (Attachment A) and; B. Year 4 Budget Narrative is replaced with revised Year 4 Budget Narrative (Attachment B). All other terms and conditions of the original IGA and its amendments shall remain in full force and effect. MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). Also, the MIHS Board of Directors has given directives to MIHS Contracts Management to present and obtain approvals for all IGA related contracts changes and amendments. (C-86-15-076-3-05)

Attachments (1)

Vote — approved

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

49.AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF COORDINATION – PERINATALApprove Amendment 6 to the IGA, System of Coordination– Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide funding for the Healthy Start System of Care Coordination-Perinatal Program. This will allow a continuation of the system of care

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49. AMENDMENT TO IGA WITH MARICOPA INTEGRATED HEALTH SYSTEM FOR SYSTEM OF COORDINATION – PERINATAL Approve Amendment 6 to the IGA, System of Coordination– Perinatal, between Maricopa County Special Healthcare District dba Maricopa County Integrated Health Systems (MIHS) and Maricopa County by and through its Department of Public Health (MCDPH), Healthy Start, to provide funding for the Healthy Start System of Care Coordination-Perinatal Program. This will allow a continuation of the system of care coordination that embeds Healthy Start services within the MIHS clinic-based team in order to increase access to quality perinatal, prenatal, inter-natal and pediatric health care for enrolled Healthy Start participants who receive their health care at the MIHS clinic locations within the Healthy Start service area. Also, this will be the final year of this IGA. The IGA is amended as follows: A. Page 1, Item 3: Agreement amount is changed to an aggregate, not-to-exceed amount from $776,680 to $860,970.76 (increased by $84,290.76 for the budget period November 1, 2018 through March 31, 2019); B. Year 5 Budget is replaced with the revised year 5 budget (Exhibit A) and budget narrative (Exhibit B). The five (5) month budget is for a total of $84,290.76; C. Section IV, Compensation, 1. Compensation, D. replace the first sentence with: The Agreement amount is not-to-exceed $84,290.76 for five (5) months of year five (5). MIHS is a sub-recipient of a Healthy Start grant, Notice of Award (NOA) No. (H49MC00174-15-00), Grant No. (H49MC00174), Healthy Start Initiative (HSI): Eliminating Disparities in Perinatal Health, from Department of Health and Human Services, (DHHS), Health Resources and Services Administration (HRSA). (C-86-15-076-3-06)

Attachments (1)