CTR040876 A6 MARICOPA COUNTY WIC.DOCX.PDF

C-86-19-013-3-09
ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Phoenix, Arizona 85007
AMENDMENT
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
WIC and BFPC Services
1. Effective on upon signature by all parties and pursuant to the Terms and Conditions, Provision Six (6), Contract
Changes, Section 6.1, Amendments, Purchase Orders and Change Orders, it is mutually agreed that the
Intergovernmental Agreement referenced is amended as follows under this Amendment Six (6):
1.1. The Scope of work is revised and replaced;
1.2. The Price Sheet is revised and replaced; and
1.3. Exhibit A (CFR 200.332) has been revised and replaced.
All changes reflected in RED
All other provisions of this Agreement remain unchanged.
Maricopa County
Contractor Name: Authorized Signature
4041 N Central Ave, Suite 1400 Jack Sellers
Address: Print Name
Phoenix Arizona 85012 Chairman, Board of Supervisors
City State Zip Title
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined This Intergovernmental Agreement Amendment shall be effective
that this Intergovernmental Agreement is in proper form and is within the powers and the date indicated. The Public Agency is hereby cautioned not to
authority granted under the laws of Arizona commence any billable work or provide any material, service or
construction under this IGA until the IGA has been executed by an
authorized ADHS signatory.
State of Arizona
Signature Date
Signed this day of 2021.
Anne Longo
Print Name
Attorney for County Procurement Officer
Contract No.: CTR040876, which is an Agreement between public agencies, has been
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has
determined that it is in proper form and is within the powers and authority granted
under the laws of the State of Arizona.
Signature Date
Assistant Attorney General
Print Name
ATTEST:______________________________________________
Office of the Clerk of the Board Date
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
Scope of Work
1. Background
The Arizona Department of Health Services (ADHS) Bureau of Nutrition and Physical Activity (BNPA) administers
funds provided by the United States Department of Agriculture (USDA) for the operation of the Special
Supplemental Nutrition Program for Women, Infants and Children (WIC), Breastfeeding Peer Counseling Program
(BFPC), and the Women and Children's Farmers Market Nutrition Programs (FMNP) for the State of Arizona. The
USDA nutrition programs are discretionary, and each provides a specific service to women, infants, and children
who are low income and at nutrition risk. The overall goal of all the USDA Nutrition Programs is to improve the
health status of eligible participants through adoption of healthy behavioral lifestyle changes and to help prevent
the occurrence of health problems.
1.1. WIC Nutrition Services
The WIC Program accomplishes this goal by providing participant-centered services (PCS) including
nutrition and breastfeeding information and support, specific supplemental healthy foods through the
issuance of food benefits that can be used at ADHS-approved grocery stores and farmers’ markets, and
referrals to other health and human services as an adjunct to good health care during critical times of
growth and development. Service population eligibility for the WIC Program is based upon federal
regulations such as participant category (pregnant and breastfeeding woman, infant or child under five
years of age), a household income at or below 185% of federal poverty guidelines, residence within the
service area, and nutrition risks.
To be considered as a WIC Local Agency, the organization must be a local public or private non-profit
organization, County health department, or tribal entity under contract with ADHS to provide WIC services
according to the WIC Program federal regulations and state policies and procedures. The State awards a
WIC Contract based on the ability of the organization to provide WIC services, potential eligible population,
need, response to the Scope of Work, information technology capacity, and available funds. The State
determines and awards the WIC contract amount based on a funding formula using several factors such
as a base level for a program to function, the amount of caseload negotiated with each Local Agency, and
quality of performance.
1.1.1. Specific objectives for nutrition services (based on Healthy People 2020 goals) are:
1.1.1.1. To increase the incidence of breastfeeding to 82% of women initiating breastfeeding;
1.1.1.2. To increase the duration of breastfeeding to 61% of women breastfeeding for the first
six (6) months of their baby’s life;
1.1.1.3. To increase the duration of breastfeeding to 34% of women breastfeeding for the first
year of their baby’s life;
1.1.1.4. To increase the rate infants are exclusively breastfed to 44% at three (3) months and
24% at six months;
1.1.1.5. To reduce the proportion of adults who are considered obese to 31%;
1.1.1.6. To reduce the proportion of children ages two (2) - five (5) who are considered obese to
10%;
1.1.1.7. To increase the consumption and variety of fruits and vegetables by those two (2) and
older;
1.1.1.8. To increase the consumption of whole grains by those two (2) and older; and
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
1.1.1.9. To increase the proportion of children ages zero (0) – two (2) who view no television
or videos on an average day to 45%.
1.2. Breastfeeding Peer Counseling (BFPC)
In 2003, the USDA Food and Nutrition Service (FNS) entered into a cooperative agreement with Best
Start Social Marketing (Best Start) to gather information to obtain a clear understanding of the components
that are necessary to sustain effective peer counseling programs and how to structure these programs so
they are cost effective and manageable. They developed the program "Using Loving Support to Implement
Best Practices in Peer Counseling", which is a training and technical assistance project that will be used
as a model to aid WIC in designing, building, maintaining, and sustaining peer counseling programs that
will improve breastfeeding initiation and duration rates. Arizona will be using this program to guide and
develop the state peer counseling program.
1.2.1. The discretionary peer counseling services are considered an adjunct support to WIC
breastfeeding services to help achieve the WIC Nutrition Services objectives regarding
breastfeeding.
1.2.2. Peer counseling has been a significant factor in improving initiation and duration rates of
breastfeeding among women in a variety of settings, including disadvantaged and WIC
populations representing diverse cultural backgrounds and geographical locations. Peer
counselors are especially effective in communities where role models for breastfeeding behaviors,
knowledgeable health care providers, and cultural practices that include breastfeeding as the
norm, are scarce. Combining peer counseling with the ongoing WIC breastfeeding promotion and
support efforts has the potential to significantly impact breastfeeding rates among WIC
participants, and most significantly, increase the harder to achieve breastfeeding duration rates.
WIC Local Agencies are strongly encouraged to provide peer counseling services in addition to
the ongoing breastfeeding support to their WIC participants. Contractors must provide a
breastfeeding friendly environment and have policies to accommodate participants and staff who
are breastfeeding.
1.3. Farmer's Market Nutrition Program (FMNP)
The Women and Children Farmers' Market Nutrition Program (FMNP) is intended to increase consumption
of locally grown fresh fruits and vegetables by providing FMNP checks to a limited number of WIC women,
children, and infants as ADHS allows to purchase these items directly from growers at ADHS-approved
farmers' markets. FMNP is also intended to support local agriculture by expanding the awareness, use of,
and sales at farmers' markets.
2. Objective
At a minimum, to provide WIC services while allowing each Local Agency to provide, at their discretion,
Breastfeeding Peer Counseling Services and / or Farmers’ Market Nutrition Program Services.
3. Scope of Service
3.1. WIC Services
The WIC Program Contractor shall perform all the work required to administer and provide WIC services
to eligible participants according to the Arizona WIC Program Policies and Procedures Manual (WIC
PPM). These include, but are not limited to the following activities:
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
3.1.1. Perform WIC certification procedures such as categorical and income screening and health and
nutrition assessments,
3.1.2. Provide participant centered nutrition and breastfeeding support services to WIC participants,
3.1.3. Provide the mandatory and appropriate additional referrals reflecting the needs of the individual
WIC participants,
3.1.4. Issue WIC food benefits tailored to meet the needs of the participants,
3.1.5. Ensure the collection and recording of accurate information,
3.1.6. Provide professional training, mentoring and monitoring of WIC staff competencies necessary
for delivery of required services, and
3.1.7. Provide administrative functions for operation of the WIC Program; and Prepare and submit all
required plans/reports in accordance with this contract and the WIC PPM.
3.2. Breastfeeding Peer Counseling (BFPC)
WIC BFPC Contractors shall perform all the work required to administer and provide additional
breastfeeding support services to WIC mothers following the Loving Support best practice guidelines for
peer counseling services and according to the Contractor's proposal in order to increase the breastfeeding
rate and duration of breastfeeding.
3.3. Farmer's Market Nutrition Program (FMNP)
WIC FMNP Contractors shall perform all the work required to administer and provide WIC FMNP
services to eligible participants including but not limited to:
3.3.1. Identifying participants and offering program services,
3.3.2. Distributing information to participants,
3.3.3. Issuing of FMNP benefits,
3.3.4. Safeguarding FMNP benefits,
3.3.5. Documenting accurately all required information,
3.3.6. Providing administrative functions necessary for operation of the FMNP,
3.3.7. Preparing and submitting all required reports in accordance with this Contract, and
3.3.8. Adhering to all provisions of the Arizona Farmers' Market Nutrition Program Policies and
Procedures Manual.
4. Tasks
4.1. WIC Services Outreach and Referrals
4.1.1. Conduct outreach activities targeting high risk and underserved populations by developing written
and verbal presentations or utilizing available materials to inform potentially WIC eligible
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
individuals of the availability of the WIC Program and to explain the benefits of participation
according to the outreach plan proposal submitted and accepted with this Contract.
4.1.2. Establish community partnerships with, at a minimum, the mandatory referral agencies, local
hospitals, OB/GYN and pediatricians offices, and provide regular contacts according to the
outreach and plan proposal submitted and accepted with this Contract.
4.1.3. Establish community partnerships with community organizations such as food banks, community
organizations, human and social services, school districts, etc. according to the outreach and
referral plan proposal submitted and accepted with this Contract.
4.1.4. Establish a referral system with breastfeeding/lactation specialists, including but not limited to,
International Board Certified Lactation Consultants (IBCLC), Certified Lactation Counselors
(CLC), Certified Breastfeeding Counselors (CBC), and Certified Lactation Educators (CLE)
according to the outreach and referral plan proposal submitted and accepted with this Contract.
4.2. Additional BFPC Outreach Tasks:
4.2.1. Develop and document an internal referral link between WIC Program and WIC Peer Counseling
Program when applicable. Interaction between WIC Program and WIC Peer Counseling Program
shall occur at least monthly and may be in the form of site visits from Peer Counselors,
participation of Peer Counselors in WIC clinic meetings, and/or additional training for WIC clinic
staff and Peer Counselors.
4.3. Participant Records:
4.3.1. Follow and maintain documentation of participant centered certification and administrative
procedures as described in the WIC PPM, including but not limited to:
4.3.1.1. Eligibility and ineligibility determinations;
4.3.1.2. Nutrition assessments;
4.3.1.3. Nutrition and breastfeeding education and support;
4.3.1.4. Nutrition and breastfeeding counseling;
4.3.1.5. Encourage participants in setting behavioral goals;
4.3.1.6. Appropriate referrals;
4.3.1.7. Program abuse; and
4.3.1.8. Food benefit issuances.
4.3.2. Maintain inventory and accountability records, as set forth in the WIC PPM, of paper food
instrument stock, food instruments issued by the Contractor, eWIC cards, and eWIC cards issued
by the Contractor.
4.3.3. Assure participant confidentiality by obtaining written permission from affected program
participant(s) prior to the release of participant information to any agency. The Contractor shall
have a written agreement, completed in accordance with 7 CFR (Code of Federal Regulations)
246.26 (h) (3), and the Arizona WIC Policy and Procedure Manual, with any agency or program
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
that will share participant information. The above federal regulation details the implementation of
a written agreement and state plan to regulate use and disclosure of confidential applicant and
participant information.
4.3.4. Staff shall only access the WIC Computer Data System and client files for business related
reason(s).
4.3.5. Ensure paper files containing confidential participant information are stored in a secure location
in the clinic, archived when appropriate, and destroyed according to the retention schedule. All
files should be destroyed in an appropriate manner.
4.3.6. The Local Agency shall notify the State Agency immediately by telephone call and email upon the
discovery of a breach of a participant’s confidentiality.
4.3.7. The Local Agency shall immediately investigate such security incident, breach, or unauthorized
use or disclosure of participant information, including:
4.3.7.1. What data elements were involved and the extent of the data involved in the breach;
4.3.7.2. A description of the unauthorized person(s) known or reasonably believed to have
improperly used or disclosed the protected information;
4.3.7.3. A description of where the protected information is believed to have been improperly
transmitted, sent, or utilized;
4.3.7.4. A description of the probable causes of the improper use or disclosure; and
4.3.7.5. Whether Arizona Revised Statutes (A.R.S) § 18-545 or any other federal or state laws
requiring individual notifications of breaches are triggered.
4.3.8. The Local Agency shall provide a written report of the investigation to the Chief of the Bureau of
Nutrition and Physical Activity (BNPA)/WIC Director and Program Integrity Manager within ten
(10) working days of the discovery of the breach or unauthorized use or disclosure. The report
shall include the information specified above, as well as a full, detailed corrective action plan,
including information on measures that were taken to halt and/or contain the improper use or
disclosure.
4.3.9. The Local Agency shall notify individuals of the breach or unauthorized use or disclosure when
notification is required under state or federal law and shall pay any costs of such notifications, as
well as any costs associated with the breach. The BNPA Chief/WIC Director, Program Integrity
Manager, and Assistant Attorney General shall approve the time, manner and content of any such
notifications. The Local Agency will arrange and pay for any mitigation (e.g. LifeLock) for
participants at risk for identity theft because of breach of security of information.
4.4. Additional FMNP Participant Records Tasks:
4.4.1. Document nutrition education and distribution of FMNP benefits and submit reports to ADHS
according to the Arizona Farmers' Market Nutrition Program Policies and Procedures Manual.
4.5. Service Delivery and Program
The Contractor shall:
4.5.1. Determine eligibility of persons requesting WIC services by screening individuals in accordance
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
with procedures set forth in the WIC PPM; Eligible program participants shall include the following
categories whose household income does not exceed 185% of the current designated federal
poverty guidelines, who have a nutritional risk as defined in the WIC PPM, and reside in Arizona
as defined by the WIC PPM,
4.5.1.1. Pregnant women, breastfeeding women up to 12 months post-partum, and non-
breastfeeding women up to six (6) months following the end of a pregnancy;
4.5.1.2. Infants from birth to age one (1); and
4.5.1.3. Children from age one (1) year up to five (5) years of age.
4.5.2. Provide complete nutrition assessment and document results and follow-up in accordance with
Value Enhanced Nutrition Assessment (VENA) initiative as outlined in Chapter 2 and 7 of the
Arizona WIC Policy and Procedure Manual,
4.5.3. Provide participant-centered nutrition education to participants and appropriately utilize emotion-
based materials provided by the State,
4.5.4. Assist participants in setting goals for behavioral change and follow-up on goals set,
4.5.5. Promote breastfeeding to WIC participants and provide breastfeeding education and support, and
refer to and promote the Breastfeeding Peer Counseling Program, when appropriate,
4.5.6. Prescribe and tailor a food package appropriate to the participant's nutritional risk(s), category,
and cultural preferences and issue food benefits as set forth in the WIC PPM,
4.5.7. Provide program participants with information about available health and social services to which
the participant could be referred. The participant shall be provided with written information
regarding community services and referrals in accordance with the WIC PPM and Local Agency
referral procedures,
4.5.8. Coordinate WIC Services with other health and social services available within the service area,
including but not limited to immunizations, voter registration, and breastfeeding support, and
4.5.9. Provide information, check for understanding, and document training to participants on program
rules, regulations, WIC approved foods, use of eWIC cards, food benefit use and redemption,
and if applicable, FMNP benefits. The training shall be documented in the participant's record as
set forth in the WIC PPM and/or AzFMNP Manual.
4.5.10. Additional BFPC Service Delivery tasks:
4.5.10.1. Accept referrals generated from calls to the ADHS Pregnancy and Breastfeeding
Hotline into the Peer Counseling Program;
4.5.10.2. Provide peer counseling services, when appropriate. Services shall be made available
outside of usual clinic hours and outside of the WIC clinic, but may also be available
during usual clinic hours and in the WIC clinic; and
4.5.10.3. Provide supervision, mentoring, monitoring, and evaluation of peer counselors, when
appropriate.
Page 7 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.5.11. Additional FMNP Delivery tasks:
4.5.11.1. Identify eligible participants, offer FMNP benefits, and provide services to participants
in accordance with the Arizona Farmers' Market Nutrition Program Policies and
Procedures Manual;
4.5.11.2. Issue a unique series of ADHS-provided FMNP check numbers after participant has
been certified as an eligible WIC participant and has expressed a desire to participate
in the program, through the Arizona electronic participant record system;
4.5.11.3. Submit a written request to the ADHS FMNP Manager for authorization to utilize a Local
Agency WIC staff to train and certify local growers at no extra cost to ADHS. Grower
training shall be conducted only by ADHS authorized individuals. Each request to
conduct training will be granted on a case-by-case basis, and shall not be performed
without receipt of prior written approval from the ADHS FMNP Manager;
4.5.11.4. Distribute information to all participants regarding the authorized WIC vendors and the
location and hours of ADHS approved Arizona Farmers' Markets;
4.5.11.5. Distribute to participants a brief description of non-allowable and allowable items
(Participant Guide and other information provided by ADHS) and the time period for
redeeming FMNP benefits;
4.5.11.6. Notify ADHS within five (5) working days of receipt of any notification of change to the
date, time or location of an individual Farmers' Market; and
4.5.11.7. If funding for additional FMNP benefits becomes available and the contract budget (as
shown on the Contract Price Sheet) has been fully expended, the Contractor may
choose whether or not to distribute the additional checks with no increase in the
Contract budget.
4.6. Participant-Centered Nutrition Education
The Contractor shall:
4.6.1. Prepare and submit a two (2) year Nutrition Services and Training Plan for participants to include,
but not be limited to:
4.6.1.1. Adoption and Implementation of ADHS goals for nutrition services. In addition, Local
Agencies will identify their own goals for nutrition services in this plan; and
4.6.1.2. Adoption and implementation of the State objectives for staff training and client
interventions related to the goals for nutrition services. In addition, Local Agencies are
required to provide at least one additional objective for each goal.
4.6.2. Provide and document participant-centered nutrition education to all WIC adult participants, and
to parents or caretakers of participants according to the guidelines of the State Nutrition Services
Plans. A minimum of two (2) nutrition education contacts in each six (6) month certification period
shall be made and documented in the participant's record. Breastfeeding women, children, infants
and migrants from any eligibility category are certified for one (1) year and will receive one (1)
nutrition education contact for each three (3) month period. Pregnant women certified through six
(6) weeks postpartum will receive one (1) nutrition education contact for each three (3) month
period,
Page 8 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.6.3. Provide and document professional supervision, mentoring and monitoring of staff at the clinic
level on a regular basis, in accordance with Local Agency Self-Assessment requirements and as
often as necessary, to ensure competence,
4.6.4. Offer, as often as necessary, high- and medium-risk nutrition education/counseling by a
Registered Dietitian (RD) to all participants deemed high-risk upon assessment. As defined in the
WIC PPM Local Agencies may designate a Bachelor's degree nutritionist or Dietetic Technician
Registered to provide medium-risk counseling to participants under the supervision of the RD,
4.6.5. Expend for nutrition education activities an aggregate amount that is not less than the sum of one-
sixth (1/6) of the amount the Contractor receives for provision of WIC services each contract year.
If the one- sixth (1/6) amount is not expended for nutrition education activities, ADHS may request
the Contractor to return an amount equal to the difference between the one-sixth (1/6) requirement
and the actual amount expended IF ADHS must pay a penalty to the Federal Government. Costs
that can be applied to meet the one-sixth (1/6) requirement for nutrition education include:
4.6.5.1. Salary and other costs for time spent on nutrition education, whether with an
individual or group;
4.6.5.2. The cost of procuring and producing nutrition education materials;
4.6.5.3. The cost of training nutrition educators, including costs related to conducting training
sessions and purchasing and producing training materials;
4.6.5.4. The cost of conducting participant evaluations of nutrition education;
4.6.5.5. The salary and other costs incurred in developing the nutrition education plan; and
4.6.5.6. Other ADHS-approved costs.
4.6.6. Coordinate nutrition education activities and messages. Wherever possible, the Contractor shall
utilize USDA and/or AZ Health Zone materials and messages to ensure common nutrition
messages, and
4.6.7. The Local Agency will provide documentation that a minimum of four percent (4%) of their annual
WIC expenditures have been used to support breastfeeding promotion and education. If the four
percent (4%) is not expended for breastfeeding promotion and education activities, ADHS may
request the Contractor to return an equal to the difference between the four percent (4%) and the
actual amount expended IF ADHS must pay a penalty to the Federal Government.
4.7. Staffing
The Contractor shall:
4.7.1. Designate a WIC Program Director/Manager who is an RD, with previous WIC and/or community
health experience to manage and administer the WIC Program and may provide high-risk nutrition
counseling and/or formula authorization to WIC participants. If an RD is on staff to provide the
WIC RD services and with prior approval from ADHS, the Contractor shall designate a Director
with a minimum of an undergraduate degree from an accredited institution in nutrition (community
nutrition, public health nutrition, nutrition education, human nutrition or nutrition science) or a
related field such as home economics or biochemistry with an emphasis in nutritional science or
public health administration,
Page 9 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.7.2. Identify an RD to serve as the Local Agency Nutrition Coordinator as defined in the WIC PPM.
The Nutrition Coordinator will oversee all WIC nutrition services for the Local Agency. If a Local
Agency has barriers to this staffing standard, they must be submitted in writing to ADHS with their
plan for coordination of nutrition services within the Local Agency to be approved by ADHS,
4.7.3. Provide an appropriate number of RDs to perform high-risk and medium-risk counseling, formula
authorization, and as necessary, certification of participants. The Contractor shall provide the RD
services in a number proportional to the agency's high-risk caseload in accordance with the WIC
PPM, The Contractor may hire nutrition degree graduates or Registered Dietetic Technicians, to
do medium-risk counseling, formula authorization, and as necessary participant certification under
the direction of an RD. If a Local Agency has a barrier to having an RD on staff, the agency must
submit in writing to ADHS with their plan for providing high risk nutrition counseling to participants,
4.7.4. Provide staff to conduct outreach activities targeting high risk and underserved populations,
including but not limited to homeless and migrants, by developing written and verbal presentations
or utilizing available materials to inform the potentially eligible individuals of the availability of WIC
Program and explain the benefits of participation,
4.7.5. When applicable and necessary, provide an appropriate number of adequately trained
certification specialists to provide categorical and financial eligibility screening, pre-certification
and record required documentation, in accordance with the WIC PPM, as well as administrative
support services when necessary. Such individuals shall have the minimum of a high school
degree or equivalent and must complete the state training requirements and be certified by the
Contractor as competent according to the competencies for the position. Previous nutrition or
health related job experience is desirable. These individuals shall meet individual ADHS
competencies as set forth in the WIC PPM prior to providing each service such as certifying
applicants for participation and/or providing health assessments in the Arizona WIC Program Staff
should be observed and certified by the supervising authority to be competent in an activity before
being allowed to perform on their own without supervision,
4.7.6. Provide an appropriate number of adequately trained nutrition education specialists to provide
certification and nutrition education services to participants in accordance with the WIC PPM.
Such individuals will have the minimum of a high school diploma with nutrition experience,
education, and training that have been certified by local or state agencies to be competent for the
position. An Associate or Bachelor's degree is highly preferred. These individuals shall meet the
ADHS competencies for Nutrition Education Specialists as set forth in the WIC PPM prior to
certifying applicants for participation and/or providing nutrition education in the Arizona WIC
Program. Staff should be observed and certified by the supervising authority to be competent in
an activity before being allowed to perform on their own without supervision,
4.7.7. Identify an International Board Certified Lactation Consultant (IBCLC) to serve as the local agency
Breastfeeding Coordinator as defined in the WIC PPM. The Breastfeeding Coordinator will
oversee all WIC breastfeeding services for the local agency to ensure all participants have access
to breastfeeding promotion and support services. If a local agency has barriers to this staffing
standard, they must be submitted in writing to ADHS with their plan for coordination of
breastfeeding services within the local agency to be approved by ADHS,
4.7.8. All Local Agencies will identify a Training Coordinator as defined in the WIC PPM. The Training
Coordinator will oversee and facilitate both new employee and ongoing WIC training for the Local
Agency including certifying that staff has met competencies prior to providing services without
supervision. If a Local Agency has barriers to this staffing standard, they must submit in writing to
ADHS their plan for coordination of training services within the Local Agency to be approved by
ADHS,
Page 10 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.7.9. When applicable and necessary, provide WIC Clerks to perform administrative support within
WIC clinics at the option of the Contractor. Such individuals shall have the minimum of a high
school degree or equivalent. They must meet WIC Program competencies. Previous clerical or
work experience is desirable, and
4.7.10. Maintain a record of training provided, monitoring, and observation results of staff competencies
in each staff file and/or the state Learning Management System (LMS).
4.8. Additional BFPC Service Staffing
4.8.1. Employ a BFPC Program Manager to plan, direct and coordinate general operation of Peer
Counseling Program. Ideal candidate will be an International Board Certified Lactation Consultant
(IBCLC), have WIC experience, and be familiar with community resources.
4.8.2. Develop a support referral system for peer counselors with community Lactation Consultants,
including IBCLCs, if the BFPC Program Manager is not an IBCLC or is unable to fulfill consultation
duties for any reason.
4.8.3. Employ Breastfeeding Peer Counselors to provide services. Qualifications for peer counselors
shall be previous personal experience with breastfeeding, enthusiasm for helping others to
succeed at breastfeeding, and similarities with the WIC population the program serves (including
similar age, ethnic background, and language spoken). Exemptions to the peer counselor
qualifications must be approved by ADHS before hire. When possible, peer counselors should be
current or previous WIC participants
4.9. Staff Training
The Contractor shall:
4.9.1. Train new staff as outlined in the ADHS developed new employee training plan,
4.9.2. Register and ensure all WIC staff complete all ADHS required WIC on-line courses according to
the time requirements set forth by the State through ADHS Learning Management System (LMS)
at az.train.org, or state-assigned LMS System in accordance with the ADHS WIC PPM,
4.9.3. In addition to state requirements for competency trainings, Local Agencies must implement and
adopt the state training standards as reflected in the Nutrition Education Plan and the ADHS WIC
PPM. In addition, Local Agencies must participate in any mandatory training provided by ADHS
due to changes in policy, procedures, and / or federal regulations,
4.9.4. Provide training for all new staff members regarding Civil Rights, Americans with Disabilities Act
(ADA), and Voter Registration during their orientation and, annually, provide all staff with training
on Civil Rights, ADA, and Voter Registration issues by completing the ADHS LMS courses on
Civil Rights and Voter Registration or other courses or trainings that will be required by ADHS,
4.9.5. Provide one (1) representative for a maximum of six (6) mandatory, face-to-face, two (2) day
meetings or trainings sessions in Phoenix, as scheduled by ADHS on a yearly basis. These
meetings will be opportunities for the Local Agency to discuss issues with regards to WIC policies
and procedures, federal rules and regulations, and nutrition standards,
4.9.6. Provide one (1) representative for a maximum of twelve (12) GoToMeeting teleconference
meetings to receive information updates on WIC operations, policies and procedures, and other
relevant materials being held in lieu of face to face meetings, and
Page 11 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.9.7. Provide one (1) representative to attend a two (2) day trainer conference in Phoenix during each
fiscal year for skill and knowledge building.
4.10. Additional BFPC Staff Training:
4.10.1. Send the WIC Director or designee and the Breastfeeding Peer Counselor Program Manager to
a two (2) day training at the ADHS office in Phoenix during each Peer Counseling Program
contract term.
4.10.2. Provide training of Breastfeeding Peer Counselors using the Loving Support through Peer
Counseling Curriculum within one (1) month of employment.
4.10.3. Provide continual education and adequate resources to peer counselors. Continual education
shall include basic and continuing breastfeeding training, and may include opportunities to
shadow lactation consultants, opportunities to meet with other peer counselors, and related
training such as counseling skills, adult learning styles, and others.
4.10.4. Provide all WIC clinic staff the PowerPoint presentation "Peer Counseling: Making a Difference
for W IC Families" through the Loving Support curriculum at least once during each Peer
Counseling Program contract term.
4.11. Data Collection
The Contractor shall:
4.11.1. Utilize the hardware, software, and training provided by the Arizona WIC Program to operate the
Contractor's portion of the WIC Computer Data System,
4.11.2. Complete all data elements required on the WIC Computer Data System as outlined in the WIC
PPM,
4.11.3. WIC Computer Data System users are required to maintain integrity by keeping their username
and password secure. Users shall not share their login information with others, and
4.11.4. When applicable and necessary to fulfill WIC business functions, local WIC IT shall coordinate
with ADHS WIC IT to ensure immediate restoration of technical equipment (i.e. ADHS owned
equipment) to include but not limited to providing a temporary administrative account.
4.12. Administrative Services
The Contractor shall:
4.12.1. In addition to complying with the Guidance for Federal Grant Award Management (Blue Book),
State of Arizona Accounting Manual (SAAM) for Contractors of ADHS Funded programs, AND
Chapter 12 and 13 of the Policy and Procedure Manual (PPM):
4.12.1.1. Maintain a formal inventory listing or subsidiary record of all equipment owned by the
Contractor in an organized manner as a part of the official accounting system. Ensure
the non-capital and capital equipment listing includes the following: Tag or ID number,
Description, Purchase cost or fair market value on date of donation, Purchase or
donation date, Location, Disposal Date, Funding Source, Serial Number, Manufacturer,
Model Number, RAM size (if applicable), Specifications (if applicable), and
Receipt/Invoice (proof of purchase);
Page 12 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.12.1.2. Provide maintenance and upkeep for all equipment purchased with WIC funds.
Maintenance may be provided through the Contractor's own organization or the
Contractor may participate in State maintenance contracts where available;
4.12.1.3. Obtain written permission from ADHS prior to expending WIC funds to purchase
equipment with a value of five thousand dollars ($5,000) or more;
4.12.1.4. Obtain written permission from ADHS prior to expending WIC funds for the purchase
of any asset resource related item: hardware (e.g. computers, printers) or software,
regardless of cost as well as their transfer or disposal;
4.12.1.4.1. Once the asset resource related item is purchased ADHS must be provided
the information listed in 8.1. within ten (10) business days of the item being
received.
4.12.1.4.2. Transfer and disposals must follow the procedures outlined in the PPM.
4.12.1.4.3. Destroyed/Missing/Stolen asset resources must be reported upon
discovery no later than ten (10) business days from the time of incident.
4.12.1.5. Submit to ADHS for approval in writing any policy or procedure that deviates from those
set forth in the Arizona WIC PPM;
4.12.1.6. Update the Local Agency information on a timely basis on the WIC Clinic Search
administrative website including but not limited to names of CEO/Health Officer, WIC
Director, Clinic Supervisors, Nutrition Coordinator, Breastfeeding Coordinator, Training
Coordinator, FMNP Coordinator, IT lead(s), clinic names, addresses, phone numbers,
days and hours of operations, closure days, and other pertinent information for the
public to know;
4.12.1.7. Provide at least ten (10) weeks written notice when planning on opening, moving, or
suspending WIC services at any location;
4.12.1.8. Read, timely, all ADHS provided documents and provide requested response, if
applicable;
4.12.1.9. The Local Agency Director shall ensure the State Agency has their most recent contact
information in an effort to maintain current and accurate information in the Arizona
Health Alert Network (AzHAN) account;
4.12.1.10. Maintain records of WIC services in WIC Computer Data System, if applicable,
according to the WIC PPM, including but not limited to:
4.12.1.10.1. Signed consent for anemia screening and anthropometrics,
4.12.1.10.2. Signed Rights and Obligations for enrolled participant files (active and
inactive),
4.12.1.10.3. Eligible participant files (active and inactive),
4.12.1.10.4. Ineligible applicant signatures,
4.12.1.10.5. Monthly Participation Reports by Category and Ethnicity,
4.12.1.10.6. Outreach files,
Page 13 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
4.12.1.10.7. Medical documentation,
4.12.1.10.8. Staff files: Trainings attended, skill observations, and annual evaluations,
4.12.1.10.9. Documentation of dual participation actions,
4.12.1.10.10. Waiting lists (when applicable),
4.12.1.10.11. Reconciliation of eWIC cards,
4.12.1.10.12. Civil rights file to include documentation and resolution of all civil rights
complaints,
4.12.1.10.13. Documentation of annual civil rights and voter registration training of all
employees, and
4.12.1.10.14. Documentation of WIC Confidentiality and Conflict of Interest forms.
4.12.1.11. Correct and resolve inappropriate or missing participant information, improbable
assessment values, duplicate participation, and other quality assurance WIC Computer
Data System issues identified in the report provided to the Contractor by ADHS within
the timeframes specified in the WIC PPM;
4.12.1.12. Correct any regulatory deficiency or discrepancy noted during any of the three program
Management Evaluations, Audits, Local Agency Compliance Investigations or Program
Financial Reviews within sixty (60) calendar days of the date of the audit report unless
an extension date is granted by the auditing/reviewing agency and documented;
4.12.1.13. Prepare and submit individual electronic copies of the Contractor's Expenditure Reports
(CER) for each contracted program according to the instructions and requirements of
the WIC PPM;
4.12.1.14. Local agencies not meeting their monthly participation level shall prepare and submit
monthly status reports of caseload countermeasures taken;
4.12.1.15. Prepare and submit Final Closeout CER invoice for each contracted program reflecting
the cumulative expenditures for a contract year;
4.12.1.16. Prepare and submit WIC Local Agency Quarterly Cost Summary Reports that matches
the amount of each quarter’s expenditures including the Final Closeout CER invoice
respectively in accordance with the requirements in the WIC PPM;
4.12.1.17. Prepare and submit an annual evaluation on the annual Contractor's Outreach Plan
and a progress report on activities accomplished during the year;
4.12.1.18. Prepare and submit an annual evaluation on the two (2) Year Nutrition Services and
Training Plan and a progress report on activities accomplished during the year;
4.12.1.19. Prepare and submit an annual Amendment Application in accordance with the
individual program requirements that will include budget breakdown of line items and
budget justifications of any budget changes;
4.12.1.20. Prepare and submit a Local Agency Annual Summary of the Local Agency self-
Page 14 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
assessment(s). Local Agency self-assessments must be done annually in the year that
the Local Agency has a Management Evaluation, and semi-annually in the year that
they do not have a Management Evaluation; and
4.12.1.21. Prepare and submit all required plans, reports, and documents in accordance with the
requirements in the WIC PPM.
4.13. Additional Peer Counseling Administrative Services:
4.13.1. Prepare and submit a Quarterly Report for the Peer Counseling services in the format provided
by ADHS.
4.13.2. Present program logistics, highlights, and data at a Nutrition Programs meeting at a time and
location to be determined by ADHS.
4.14. Additional FMNP Administrative Services:
4.14.1. Assume liability for the distribution and reconciliation of all FMNP checks, and assume financial
liability for any checks that cannot be accounted for and reconciled.
5. Deliverables
If applicable, any work plan or other documentation submitted to and accepted by ADHS regarding participation
in WIC, BFPC or FMNP shall be incorporated into this Contract. Furthermore, any policy or procedure that deviates
from those set forth in the Arizona WIC Program and / or Arizona Farmers' Market Nutrition Program Policies and
Procedures Manuals requires approval from ADHS prior to implementation.
The Contractor shall submit to ADHS:
5.1. Updated copies of Local Agency Policies and Procedures that will include coordination and referral
procedures with internal and external programs and agencies, i.e. WIC and Peer Counseling;
5.2. Prepare and submit individual electronic CER copies invoice for each program, not later than thirty (30)
days following the end of each report month of the program year;
5.3. WIC Local Agency Quarterly Cost Summary matching the WIC Contractor's Quarterly CER not later
than thirty (30) days following the end of each quarter report of the program year;
5.4. Final CER invoice for each program not later than forty-five (45) days following the end of each Contract
year;
5.5. WIC Local Agency 4th Quarterly Final Cost Summary matching the WIC Contractor's Final CER, not later
than forty-five (45) days following the end of each Contract year;
5.6. Each Contracted Program's amendment application by the specified deadline for the following contract
year which contains the following information:
5.6.1. Request for Caseload to be served,
5.6.2. Request for budget and budget justification,
5.6.3. Updated Participant Nutrition Services and Training Plan for the following contract year and a
evaluation of the previous year's activities,
Page 15 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
5.6.4. Updated Outreach Plan of each contract year and a progress report of previous year’s activities;
and,
5.6.5. Any additional services and other documents specified.
5.7. All required responses to federal and state audits and reviews submitted in a timely manner; and
5.8. Additional Peer Counseling Deliverables:
5.8.1. Quarterly reports for the Peer Counseling Program to be submitted fifteen (15) days after each
quarter of the Contract year.
6. Performance Standards and Awards
6.1. Upon Contract finalization, ADHS shall notify the Contractor by certified mail of the assigned caseload,
and throughout the term of the Contract, of any changes to the assigned caseload. The Contractor shall
maintain an average monthly participation level in accordance with the following table:
Caseload Assignment % Maintained
<10,000 participants/month 97%
10,000 to <49,999 participants/month 98%
>50,000 participants/month 99%
6.2. If, after each quarter of the Federal Fiscal Year (October through September), the Contractor has not
attained the required participation level, ADHS will have the option of reducing the assigned caseload
and resources to the Contractor's current service level. ADHS may also then move the unused caseload
and corresponding resources to other WIC Local Agencies in order to fully utilize the resources.
6.3. Local Agencies shall be eligible for one (1) or more of the following awards:
6.3.1. Any local agency which meets 100% or more of its caseload assignment for three (3) consecutive
months during the previous twelve (12) month period (April 1 through March 31) may receive an
award of $10,000 added to that agency's following fiscal year WIC funding formula award if the
Contract is extended and additional expenditures can be identified,
6.3.2. Utilizing the “Nutrition Discussion Contact” report ran for the last six (6) months preceding time of
application (September through February), any Local Agency meeting 95% of its nutrition
education documentation requirement for each participation time period may receive an award of
$10,000 added to that agency's following fiscal year WIC funding formula award if the Contract is
extended and additional expenditures can be identified,
6.3.3. The agency with the highest percentage of IENs in the first quarter (Oct 1 through Dec 31) of each
fiscal year within their Assigned Caseload Cohort may be eligible to receive an award added to
the following fiscal year WIC funding formula award if the Contract is extended and additional
expenditures can be identified. Assigned Caseload Cohorts and award amounts will be
determined as follows:
Assigned Caseload Cohort Award Amount
Less than 2000 $5,000
2000 - 8000 $10,000
More than 8000 $15,000
Page 16 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
6.3.4. Pursuant to 7 CFR 246. 14, which allows the WIC program to fund nutrition services and
administrative expenses, the Performance Awards may be part of the annual funding formula and
awarded to the Contractor in the next contract year, and
6.3.5. USDA has the option to award breastfeeding performance awards to State Agencies who exceed
the national average. If funds are awarded to Arizona, each Local Agency programs will receive
a proration of the amount based upon the number of exclusively nursing women in their Local
Agency. It will be a set amount, and may only be used for purposes outlined in the current federal
guidelines.
7. State Provided Items
ADHS shall provide the following:
7.1. Paper copies of the Arizona WIC Program and the Arizona FMNP Policies and Procedures Manual,
upon request;
7.2. Hardware and software necessary for operation of the WIC Computer Database System;
7.3. Learning Management courses for software training and nutrition education courses for staff to complete
and/or pass;
7.4. FMNP Food Instrument stock and blank eWIC Cards;
7.5. Method for submitting expenditures. The ADHS WIC Program Manager or designee will accept and
approve the expenditures prior to payment;
7.6. Nutrition Education Materials for participants;
7.7. Quarterly Report template (electronic) for Peer Counseling Program;
7.8. Technical assistance and support;
7.9. Breastfeeding material lending and library for Peer Counselor use;
7.10. Assistance with International Board Certified Lactation Consultant (IBCLC) career track or advanced
lactation consultant education, when appropriate;
7.11. Loving Support through Peer Counseling curriculum, which includes the PowerPoint presentation "Peer
Counseling: Making a Difference for WIC Families," when appropriate;
7.12. FMNP Participant Guides;
7.13. Online, downloadable information regarding the location and hours of approved Arizona Farmers'
Markets;
7.14. Monitoring of WIC Authorized Vendors and Farmers' Markets for compliance with regulations, and
coordination with tribal and county officials when doing compliance buys for markets on a reservation;
7.15. Periodic redemption reports for issued benefits; and
7.16. Formats for required reports.
Page 17 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
8. Reference Documents
8.1. Arizona WIC Program Policies and Procedures Manual, refer to:
http://azdhs.gov/azwic/local_agencies_policyManual.htm
8.2. Arizona FMNP Manual, refer to:
http://azdhs.gov/documents/prevention/azwic/fmnp/fmnp-local-agency-
manual.pdf
8.3. Guidance for Federal Grant Award Management (Blue Book):
https://www.azdhs.gov/documents/prevention/womens-childrens-health/childrens-
health/homevisiting/guidance- for-federal-grant-award-management.pdf
8.4. State of Arizona Accounting Manual (SAAM): https://gao.az.gov/publications/SAAM/
8.5. Federal Regulations: Refer to:
https://www.ecfr.gov/cgi-bin/text-
idx?SID=a42889f84f99d56ec18d77c9b463c613&node=7:4.1.1.1.10&rgn=div5
8.6. 7 CFR 246.14: program costs.
8.7. 7 CFR 246.26 (h)(2): notice to applicants and participants about the use and disclosure of confidential
applicant and participant information.
8.8. 7 CFR 246.26 (h)(3): implementation of a written agreement and state plan to regulate use and
disclosure of confidential applicant and participant information.
9. Notices, Correspondence, Reports, CERs and Invoices
9.1. Notices, correspondence, reports and CERs/invoices from the contractor to ADHS shall be sent to:
Arizona Department of Health Services
Attention: WIC Program Manager
150 N. 18th Avenue, Suite 310
Phoenix, Arizona 85007
9.2. Notices, correspondence, reports (and payments if sent to same address) from ADHS to the contractor
shall be sent to:
Maricopa County Department of Public Health
Attention: Carrie Zavala
1400 N. Central Ave, Suite 700
Phoenix, Arizona 85012
Phone: (602) 506-9339
Email: carrie.zavala@maricopa.gov
Page 18 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
Cost Reimbursement Line Item Budget
WIC Services
Federal Award Date: October 1, 2020
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC Services Amount
Account Classification
Personnel $3,901,928.00
Employee Related Expenses $2,033,174.00
Professional & Outside Services $105,000.00
Travel Expense $10,550.00
Occupancy Expenses $397,086.00
Other Operating Expenses $88,531.00
Capital Expenditures $0.00
Indirect Cost $1,228,819.00
RD Supplement $1,038,016.00
Total $8,803,104.00
Breastfeeding Peer Counseling Services
Federal Award Date: October 1, 2020
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
Breastfeeding Peer Counseling Services Amount
Account Classification
Personnel $275,028.00
Employee Related Expenses $142,747.00
Professional & Outside Services $1.00
Travel Expense $2,500.00
Occupancy Expenses $1.00
Other Operating Expenses $9,016.00
Capital Expenditures $0.00
Indirect Costs $80,707.00
Total $510,000.00
Page 19 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
WIC Special Projects
Federal Award Date: October 1, 2020
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC Special Projects Amount
Account Classification
Personnel $179,234.00
Employee Related Expenses $106,728.00
Professional & Outside Services $1.00
Travel Expense $1.00
Occupancy Expenses $85,875.00
Other Operating Expenses $1.00
Capital Expenditures $0.00
Indirect Cost $76,788.00
RD Supplement $36,608.00
Total $485,236.00
Additional Terms and Conditions:
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten
percent (10%) of the total budget amount (not to include the RD budget amount) between funded line items except for
Registered Dietitian (RD) line. The RD budget line amount cannot be transferred. Transfers of funds are only allowed
between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.
The Registered Dietitian line item may only be used to fund additional Registered Dietitian position(s) to meet high risk
counseling requirements.
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order
that is signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar amount of funds
authorized. The Contractor shall only be authorized to perform services up to the amount on the Purchase Order. ADHS
shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further
obligation for payment shall exist on behalf of ADHS unless a.) the Purchase Order is modified with an official ADHS
Procurement Change Order, and/or b.) an additional Purchase Order is issued for purchase of services under this Contract.
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will
be at the discretion of ADHS.
Additional WIC Program:
Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase
order to increase the number of participants served and increase the total of this Contract.
The assigned caseload for FFY 2021 is: 48,000
Page 20 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
Additional Breastfeeding Peer Counseling Program:
Allowable costs for the Peer Counseling Program include compensation for peer counselors and designated peer counselor
managers/coordinators, and related costs such as training and training materials; telephone expenses for participant
contacts (including pager, cell phones and answering machines); travel for training and home and hospital visits; recruitment
of peer counseling staff; and the purchase of demonstration materials (e.g., breast pumps for demonstration purposes,
videos). Out of state travel must be pre-approved by ADHS. Items and materials for distribution to WIC participants (e.g.
breast pumps, breastfeeding aids) are not allowable costs.
Additional WIC Special Projects:
Monies are provided for WIC Special Projects that will include the following:
a. Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room housing up to 40
computers at 2737 W Southern Ave, Suite 10, Tempe, AZ 85282. The WIC computer lab training room will be for the
priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies. ADHS
Information Technology staff will be responsible for installation and maintenance of computer and networking hardware
and software. The training room computers will not be connected to the Maricopa internal network, but the training room
will share the same internet line as the adjacent WIC clinic.
b. Additional monies have been added to Personnel Services, Employee Related Expenses, Occupancy, and Indirect
Cost Line Items to support the Thunderbird Clinic’s supervisor and rent costs and have been adjusted to support the
clinic supervisors’ and rent costs due to moving from the Thunderbird clinic location to the MCDPH WIC Clinic at
Valleywise Comprehensive Health Center.
c. Additional monies have been added to the Registered Dietitian (RD) line item for Maricopa County WIC Program to
provide RD services to other local WIC agencies as agreed upon in the Scope of Work documents between Maricopa
and each local WIC program that services are provided.
d. Additional monies have been added to the Personnel Services, Employee Related Expenses, and Indirect Cost line
items to the Maricopa WIC Program Special Project Budget to provide State-wide secondary nutrition education for
families enrolled with local agencies utilizing the WIC Your Way virtual services approach by providing staff to support
this program at the state office full time. The staff provided will assist the ADHS team with outreach and retention
campaigns involving text messaging and/or virtual services, provide virtual secondary nutrition education and high-risk
services through this project, support local agencies with their training needs related to this service, and support local
agency services state-wide by facilitating group education classes and completing administrative work related to
providing these services. The staff will also work with the ADHS WIC Evaluator to evaluate measurable outcomes from
the service including data on nutrition related attitudes and behaviors, ease and satisfaction of technology use, and
increasing attendance at the nutrition education sessions, and then implement a process to improve the services.
Page 21 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
Exhibit A
Exhibit - 2 CFR 200.332
§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following
information at the time of the subaward and if any of these data elements change, include the changes in
subsequent subaward modification. When some of this information is not available, the pass-through entity must
provide the best information available to describe the Federal award and subaward.
Arizona Department of Health
Prime Awardee: Services
DUNS # 804745420
Federal Award Identification (Grant Number): 216AZ008W1003
Subrecipient name (which must match the name associated with its unique entity
identifier): Maricopa County Public Health
Subrecipient's unique entity identifier (DUNS #): 602062515
Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant
Number): 216AZ008W1003
Federal Award Date (see the definition of Federal award date in § 200.1 of this part)
of award to the recipient by the Federal agency: 10/01/2020
Subaward Period of Performance Start and End Date: 10/01/2020 - 9/30/2021
Subaward Budget Period Start and End Date: 10/01/2020 - 9/30/2021
Amount of Federal Funds Obligated by this action by the pass-through
entity to the subrecipient (this is normally the contract amount): $48,188.00
Total Amount of Federal Funds Obligated to the subrecipient by the
pass-through entity including the current financial obligation (how
much is available for contracts): $9,457,175.00
Total Amount of the Federal Award committed to the subrecipient by
the pass-through entity: $9,457,175.00
Arizona local implementation of the WIC
Federal award project description, as required to be responsive to the Special Supplemental Nutrition Program for
Federal Funding Accountability and Transparency Act (FFATA): Women, Infants, and Children
Page 22 of 23

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
AMENDMENT Phoenix, Arizona 85007
Procurement Officer:
Agreement No.: CTR040876 IGA Amendment No.: 6
Nirrel Waite
United States Department of Agriculture,
FNS Southwest Regional Office,
Food and Nutrition Service,
1100 Commerce Street Room 522,
Name of Federal awarding agency, pass-through entity, and contact Dallas, TX 75242-9980,
information for awarding official of the Pass-through entity: Telephone: (214)290-9810
Assistance Listings number and Title; the pass-through entity must
identify the dollar amount made available under each Federal award 10.557 WIC Special Supplemental Nutrition
and the Assistance Listings Number at time of disbursement: Program for Women, Infants, and Children
Identification of whether the award is R&D: Not R&D award
Indirect cost rate for the Federal award (including the de minimis rate
is charged) per § 200.414: 0.188
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