CTR040486 STD CONTROL A3 (04).PDF

C-86-19-027-3-04
ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
STD Control Services
Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows:
1. Pursuant to the Terms and Conditions, Provision Six (6) Contract Changes, Item 6.1., Amendments, the Contract is
amended as follows:
1.1. The Scope of Work is revised and replaced with the Scope of Work of this amendment Three (3).
1.2. The Price Sheet is revised and replaced by the Price Sheet of this amendment Three (3).
1.3. Exhibit A has been added of this amendment Three (3).
(CONTINUED ON NEXT PAGE)
ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED.
CONTRACTOR SIGNATURE
Maricopa County
By and through its Department of Public Health
Contractor Name Contractor Authorized Signature
4041 North Central , Suite 1400
Address Printed Name
Phoenix ARIZONA 85012 Chairman, Board of Supervisors
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has the date indicated. The Public Agency is hereby cautioned not to
determined that this Intergovernmental Agreement is in proper form and is commence any billable work or provide any material, service or
within the powers and authority granted under the laws of the State of Arizona. construction under this IGA until the IGA has been executed by an
authorized ADHS signatory.
State of Arizona
Signed this ______ day of _______________________ 20_____
Signature Date
Anne Longo, Attorney for Maricopa County
Printed Name Procurement Officer
Contract No. CTR040486, which is an Agreement between public agencies,
has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant
Attorney General, 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.
ATTEST:_______________________________________
Signature Date
Assistant Attorney General Office of the Clerk of the Board, Maricopa County
Printed Name:
Page 1 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
1. Background
1.1. 2017 Arizona statistics demonstrate an ongoing Sexually Transmitted Disease (STD) syndemic: the State
of Arizona reported 39,635 cases of chlamydia (CT), 12,514 cases of gonorrhea (GC), and 2,424 cases
of syphilis. Furthermore, in September 2018, ADHS declared the first statewide outbreak of syphilis in
women and babies. Of the reported cases, Maricopa County accounted for 25,351 CT cases, 8,914 GC
cases, and 1,758 syphilis cases.
1.2. To address this syndemic, Maricopa County Department of Public Health (MCDPH) and Arizona
Department of Public Health Services (ADHS) shall build upon the current infrastructure that provides
surveillance, epidemiology, disease investigation, prevention, policy and communication to expand and
identify new interventions that include: screening and treatment, partner services, outreach, community
collaborations, linkage to care, and health promotions that address the target populations and
geographical areas of high prevalence in Maricopa County. The changing health care landscape and
information technology advances present opportunities and challenges to improve STD prevention
programs. The public health landscape is shifting from direct individual patient care and individual-level
interventions to population health.
2. Objective
In accordance with the cooperative agreement with the Center for Disease Control and Prevention (CDC)
Strengthening Sexually Transmitted Disease Prevention and Control for Health Departments (STD PCHD) Grant
number CDC-RFA-PS19-1901 (https://www.cdc.gov/std/funding/pchd/default.htm) and the CDC Epidemiology
and Laboratory Capacity for Infectious Diseases (ELC) grant number CK14-140105PPHF18, section J2 –
Enhanced Gonococcal Isolate Surveillance Project (eGISP) (https://www.cdc.gov/ncezid/dpei/epidemiology-
laboratory-capacity.html), the objective of this IGA is to assure the prevention and control of STDs by supporting
and improving the capacity of MCDPH to:
2.1. Prevent and control the incidence of CT, GC, and syphilis;
2.2. Eliminate congenital syphilis;
2.3. Reduce primary and secondary syphilis;
2.4. Prevent antibiotic resistant gonorrhea;
2.5. Effectively respond to STD-related outbreaks;
2.6. Prevent STD-related reproductive health problems;
2.7. Reduce STD-related health disparities;
2.8. Improve surveillance capacity;
2.9. Provide appropriate treatment and linkage to care for persons infected with STDs and their partners;
2.10. Promote CDC-recommended screening, diagnosis and treatment;
2.11. Disseminate local data to the healthcare community and general public;
2.12. Monitor and develop STD-related policy;
2.13. Develop and strengthen partnerships to support STD prevention and control;
2.14. Support HIV prevention goals; and
2.15. Analyze and use data for increased program insight and development.
Page 2 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
3. Scope of Service
The MCDPH shall:
3.1. In addition to the reporting, prevention and control measures stated in the Arizona Revised Statutes, Title
9, Chapter 6, Articles 1 through 11, the MCDPH will build upon the current infrastructure that provides
surveillance, epidemiology, disease investigation, prevention, policy and communication to expand and
identify new interventions that include: screening and treatment, partner services, outreach, community
collaborations, linkage to care, and health promotions that address the target populations and
geographical areas of high prevalence in Maricopa County.
3.2. Collaborate with ADHS STDCP Epidemiologists and other community stakeholders to identify and
conduct community outreach and activities to educate and screen high risk populations.
3.3. Conduct patient care and partner services in accordance with the current CDC STD Treatment Guidelines
and STD Program Operations Guide which can be found at https://www.cdc.gov/std/tg2015/default.htm,
and updates as published in the Morbidity and Mortality Weekly Report (MMWR), available at
www.cdc.gov/std.
3.4. Conduct GISP activities in accordance with the current CDC GISP Protocol which can be found at
https://www.cdc.gov/std/gisp/GISP-Protocol-May-2016.pdf. Updates to GISP are posted here,
https://www.cdc.gov/std/gisp/default.htm.
4. Tasks
The MCDPH shall:
4.1. Within thirty (30) days of contract execution and in collaboration with the ADHS STDCP develop a five-
year Work Plan for 2019-2023 to meet the required activities as noted in the abovementioned FOA and in
accordance with the CDC-approved Work Plan for Arizona. It is highly recommended that MCDPH use
the ADHS provided templates. In this work plan, MCDPH shall describe strategies related to the following
areas;
4.1.1. Surveillance,
4.1.1.1. Increase the percent of STD records with complete data for key epidemiological fields;
4.1.1.2. Increase the percent of STD records dispositioned within thirty (30) days.
4.1.2. Disease Investigation and Intervention,
4.1.2.1. Increase the percent of early syphilis cases that have at least one partner treated in thirty
(30) days of initial test;
4.1.2.2. Increase the percent of syphilis cases that are screened for HIV/AIDS within thirty (30)
days of initial syphilis test;
4.1.2.3. Reduce the percent of syphilis records dispositioned as unable to locate;
4.1.2.4. Increase the percent of syphilis cases that are interviewed within thirty (30) days; and
4.1.2.5. Increase the percent of female syphilis cases with known pregnancy status
4.1.3. Promote CDC-recommended screening, diagnosis, and treatment
Page 3 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
4.1.3.1. Increase the proportion of target populations (youth, MSM, and women of childbearing
age) who receive at least annual STD screening;
4.1.3.2. Reduce the percent of gonorrhea cases that receive non-CDC recommended treatment.
4.1.4. Promote STD prevention and policy,
4.1.4.1. Improve health department policies for STD prevention by using data to inform policy
change and development.
4.1.5. Analyze and use data for program improvement,
4.1.5.1. Improve surveillance efficiency through automation to increase the frequency of layered
analysis by core epidemiological variables; and
4.1.5.2. Utilize surveillance data to inform resource allocation.
4.2. From 2019 through 2023, submit a six (6) month and annual progress report. These reports should build
upon the five-year work plan. It is recommended that MCDPH use the ADHS provided templates;
MCDPH shall:
4.2.1. Review timeliness of case disposition canned report in PRISM at least twice annually and include
this metric in the semiannual report to ADHS STDCP,
4.2.2. If MCDPH has fewer than 70% of syphilis cases dispositioned in thirty (30) days, then they shall
include strategies to improve this metric in semi-annual/annual work plan,
4.2.3. Include activities and metrics for promoting quality STD care in the STD Specialty Clinics on their
semi-annual/annual work plans,
4.2.4. Submit lists of STD Specialty Clinics in their semi-annual/annual work plan,
4.2.5. Include provider education metrics in their semi-annual/annual work plan (e.g. number/type of
providers educated, scope of education, number of training events, etc.),
4.2.6. Include activities to improve STD screening in men who have sex with men in their semi-
annual/annual work plans and metrics to monitor progress in this area,
4.2.7. Include percent positivity for all screening conducted using RFA-PS19-1901 funds,
4.2.8. Include strategies for improving data security in their work plan if gaps are identified in the data
security and confidentiality checklist, and
4.2.9. If MCDPH is not on track to spend down funds by July 31st, they should also include a spend-
down plan in their semi-annual report.
4.3. Utilize the comprehensive database, PRISM, for state-mandated STD reporting and complete the
following activities to assure accurate data entry, and quality surveillance activities;
4.3.1. Ensure that staff using PRISM access adhere to the current PRISM Policies and Procedures, and
4.3.2. Ensure that staff using PRISM attends at least two (2) quarterly PRISM meetings and receive the
slides and attachments from any missed meetings.
Page 4 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
4.4. Adhere to the most current version of the ADHS reactor grid for case prioritization. Syphilis cases are the
highest priority for case investigation and partner services. MCDPH may request to opt out of certain
activities related to gonorrhea/chlamydia investigations in their work plans, if such activities are limiting
capacity to provide timely and appropriate disease intervention services to syphilis cases. Request shall
be noted and justified in the workplan and approved by the ADHS STD Control Program Manager;
4.5. MCDPH shall: conduct prompt case management activities including field investigations, internet-based
partner notification, patient interviews and case closure for patients diagnosed with early, primary, and
secondary syphilis per CDC program standards and the ADHS checklist;
4.5.1. MCDPH shall initiate case investigation within one (1) business day of notification for syphilis
cases that meet one or more of the following criteria,
4.5.1.1. Pregnant female;
4.5.1.2. Possible congenital case; and
4.5.1.3. Female under the age of forty-five (45).
4.5.2. MCDPH shall initiate case investigation within three (3) business days of notification for syphilis
cases that meet one or more of the following criteria;
4.5.2.1. Titer>= 1:8; and
4.5.2.2. Contact to a primary, secondary, or early case (denoted as T4 in PRISM).
4.5.3. MCDPH shall prioritize pregnant syphilis case investigations by following-up with partner(s),
prenatal care providers, birthing centers, and neonatal care providers as needed to ensure
adequate maternal treatment and education to prevent reinfection,
4.5.4. MCDPH shall complete thorough investigation of all congenital syphilis cases, and note any
possible missed opportunities for prevention in PRISM. This information is also required for
babies that are determined to not be a congenital syphilis case,
4.5.5. MCDPH shall prioritize syphilis cases occurring in women of childbearing age for partner services
to verify staging and treatment, obtain pregnancy status, elicit partners, and collect other relevant
risk factors and submit case information within thirty (30) days of notification,
4.5.6. MCDPH shall prioritize cases of syphilis in persons with a titer >= 1:8 for partner services to verify
staging and treatment, elicit partners, and collect other relevant risk factors and case information
within thirty (30) days of notification,
4.5.7. MCDPH shall prioritize case investigation of contacts (cases marked as T4 in PRISM) of
pregnant, primary, secondary, and/or suspect early, syphilis cases for testing, treatment (or epi-
treatment if initially negative), staging (if positive), partner elicitation, risk factors, etc within thirty
(30) days of notification of original patient. This applies to contacts identified by other jurisdictions,
4.5.8. MCDPH shall ensure appropriate treatment and follow-up with partners of primary, secondary,
and suspected early cases of syphilis within thirty (30) days of notification of original patient,
4.5.9. For syphilis cases that occur on tribal lands, MCDPH shall work directly with the tribe, where
possible, to coordinate case investigation and follow-up activities, and
4.5.10. MCDPH shall provide education to any provider failing to appropriately screen for congenital
syphilis.
Page 5 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
4.6. Provide timely and accurate entry of all state mandated information on laboratory and Communicable
Disease Reports and Laboratory Reports for Treponema pallidum (syphilis), Neisseria gonorrhea,
Chlamydia trachomatis, and Haemophilus ducrey (chancroid);
4.6.1. Complete required training for data entry staff, epidemiologists, disease investigators, reporters
and their supervisors. At minimum, STD disease investigators, epidemiologists, and public health
nurses working with STD data should complete the modules available on
learnpartnerservices.org within thirty (30) days of hire and should attend at least two (2) quarterly
PRISM trainings a year and receive the materials for any quarterly trainings they miss,
4.6.2. Follow up with reporting physicians to obtain missing data, particularly for fields that require:
birthdate, gender, pregnancy status, HIV status, treatment given, staging (if syphilis), patient
address, provider information and specimen source, and
4.6.3. Enter all Maricopa County Communicable Disease Reports (CDRs) and Laboratory Reports into
PRISM in a timely and accurate manger. This includes reports for cases that occur on tribal lands
if the Tribe does not have access to PRISM. Tribes with PRISM access are expected to enter
their own CDRs,
4.6.3.1. MCDPH may request assistance with CDR entry for tribal cases from ADHS. Assistance
must be approved by the ADHS STDCP Manager.
4.7. Reduce the threat of antibiotic resistance by providing CDC Treatment Guidelines to physicians that are
flagged as consistently failing to treat gonorrhea according to these guidelines;
4.8. Annually review data security by using the CDC Data Security and Confidentiality Guidelines available
here: https://www.cdc.gov/nchhstp/programintegration/docs/pcsidatasecurityguidelines.pdf, to identify
program gaps (if any). If gaps are identified, the contractor shall include strategies for improving security
and confidentiality on the semi-annual and annual progress reports;
4.9. Conduct priority investigations and partner service delivery on HIV co-infected individuals and insuring
these clients are enrolled in care services;
4.10. Ensure that persons rectally positive for gonorrhea are screened for HIV and syphilis;
4.11. Contractor shall use ADHS reports and canned PRISM reports to inform resource allocation and other
program planning efforts;
4.12. Ensure 340B Drug Pricing Program integrity and maintain accurate records documenting compliance with
all 340B Program requirements;
4.13. Administer the Gonococcal Isolate Surveillance Project, which shall include the following activities;
4.13.1. Collect urethral N. gonorrhea isolates from the first twenty-five (25) men with symptomatic
gonococcal urethritis seen in the STD clinic each month,
4.13.2. Inoculate specimens for culture onto selective media at the STD clinic,
4.13.3. Maintain adequate specimen handling quality control to maximize isolate viability and minimize
contamination,
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
4.13.4. Assign isolates an identifying number, freeze the isolates and ship them monthly to the assigned
GISP regional Antimicrobial-Resistance Laboratory Network reference laboratory for antibiotic
susceptibility testing,
4.13.5. Maintain and store duplicates of submitted isolates in the local public health laboratory,
4.13.6. Review antibiotic susceptibility test results received from the ARLN laboratory, describe the
epidemiology of resistant N. gonorrhea in submitting jurisdictions, and use results to help inform
patient management and local public health response, and
4.13.7. Collect line-listed, coded specified demographic and clinical data elements associated with each
isolate and electronically submit to CDC following standardized protocols.
4.14. A senior CDI shall ensure that females of childbearing age must have a documented confirmatory and
non-confirmatory syphilis test result before they can be administratively closed as not infected. If one of
the required tests is missing, CDI staff shall request medical records and/or arrange for follow-up testing
prior to administratively closing a record;
4.15. A senior CDI shall ensure that any female of childbearing age with unknown pregnancy status or who are
known to be pregnant AND have a reactive RPR and a negative confirmatory test will receive follow-up to
ensure that a repeat test is performed two to four (2-4) weeks after the initial specimen collection before
they can be closed as not infected. Disease investigation staff shall prioritize follow up with patients that
have titers equal or greater than 1:8;
4.16. A senior CDI shall ensure that any female syphilis case of childbearing age that is dispositioned as
‘unable to locate’ or has not been interviewed within fourteen (14) days of specimen collection shall be
passed to a more senior communicable disease investigator with specialized training in case finding
before final closure. ADHS will closely audit females of childbearing age dispositioned as ‘unable to
locate’ to ensure proper and timely follow-up;
4.17. A senior CDI shall ensure that any person with a syphilis titer equal to or greater than 1.8 that is
dispositioned as ‘unable to locate’ or has not been interviewed within fourteen (14) days of specimen
collection shall be passed to a more senior communicable disease investigator with specialized training in
case finding before final closure. ADHS will closely audit cases with a titer equal to or greater than 1.8 to
ensure proper and timely follow-up;
4.18. A senior CDI shall ensure that any person coinfected with HIV and syphilis should be prioritized as an
early case of syphilis unless titer history rules out reinfection. Prior to dispositioning as late latent syphilis
or syphilis of unknown duration, coinfected cases should be passed to a more senior disease investigator
with specialized training in case finding for a detailed medical chart review to ensure there is not a
fourfold increase in titer to establish this as a new case. Additionally coinfected cases shall be prioritized
for interview and should be passed to HIV investigators for linkage to care. If already in care, investigators
shall determine why the case did not receive CDC recommended quarterly syphilis screening before
closing the investigation; and
4.19. The County shall host a local congenital syphilis morbidity and mortality case review board to help identify
causes of CS and develop interventions to address causes.
5. Requirements
MCDPH shall:
5.1. Have internet access to the ADHS Portal where PRISM resides and training webinars are held;
5.2. Abide by all HIPAA guidelines and CDC’s Data Security and Confidentiality Guidelines;
Page 7 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
5.3. Abide by all PRISM Data Use agreements;
5.4. Consult ADHS STDCP before pursuing publication of PRISM data;
5.5. Submit all reports described in this contract in a timely manner; and
5.6. Ensure that new staff conducting STD case investigations complete the training modules available on
learnpartnerservices.org within thirty (30) days of hire. Proof of training completion shall be required for
staff who are at least partially funded by RFA-PS-19-1901 and submitted along with the monthly CER for
new staff.
6. Funding Restrictions
6.1. Funds may only be used for reasonable program purposes (personnel, travel, supplies, and services);
6.2. Funds cannot be used for;
6.2.1. Research,
6.2.2. Furniture,
6.2.3. HIV Pre-exposure Prophylaxis (PrEP) medications or family planning medications,
6.2.4. Clinical services (unless otherwise noted, see 6.4),
6.2.5. Publicity or propaganda for the preparation, distribution, or use of any material designed to
support or defeat the enactment of legislation before any legislative body, and
6.2.6. The salary or expenses of any grant or contract recipient, or agent acting for such recipient,
related to any activity designed to influence the enactment of legislation, appropriations,
regulation, administrative action, or executive Order proposed or pending before any legislative
body.
6.3. STD-related HIV prevention activities can be conducted under this IGA, however they should not exceed
ten percent (10%) of program effort and allocation;
6.4. Up to ten percent (10%) of total award can be used to safety-net STD clinical preventive services
provided the contractor can document ability to provide safety-net SD services as per CDC guidance;
6.5. Personnel funds shall only be used for staff conducting STD investigation, partner services, STD data
entry, STD analysis, or contributing to any of the other deliverables outlined in this contract;
6.6. Personnel funds cannot be claimed for jurisdictions that lack the capacity to conduct syphilis case
investigations and syphilis partner services activities. MCDPH shall prioritize personnel funds to ensure
adequate capacity for conducting syphilis disease investigation before allocating personnel funds for
other STD prevention related activities;
6.7. Up to $500 under Travel can be used to reimburse staff performing site visits. Travel receipts and
documents shall be submitted with monthly CERs and the contractor shall be reimbursed according to the
rates outlined in the State of Arizona Accounting Manual (SAAM);
6.8. Up to $2,000 under Other Operating Expenses can be used to purchase gift cards to facilitate access to
syphilis treatment and screening for pregnant persons and their partners provided the purchasing,
storage, and distribution of gas cards aligns with SAAM; and
Page 8 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
6.8.1. MCDPH shall purchase up to 200 gift cards per year in the amount of ten dollars ($10),
6.8.2. MCDPH shall designate a primary “Gift Card Steward” who shall be responsible for overseeingthe
tracking, control, and distribution of gift cards,
6.8.3. MCDPH shall designate two back-up “Gift Card Stewards” who have access to the cards and can
ensure tracking, control, and distribution of the cards, should the primary Gift Card Steward be
out of office,
6.8.4. Only the primary and back-up Gift Card Stewards shall have access to the safe used to store the
gift cards,
6.8.5. Additions and reductions to inventory shall be done only if two (2) people are present. Two (2)
people need to be present anytime the cards are handled. These two (2) people will have to sign
off on the tracking log for each card activity,
6.8.6. The tracking log used by MCDPH must be approved by the ADHS STD Control Program to
ensure appropriate capture of data needed for validation of gift card storage and distribution,
6.8.7. The tracking log shall be submitted with each monthly Cost Expenditure Report to validate
expenses. Any Protected Health Information should be redacted from the monthly submission.
The PRISM ID should be included in the line listed data to facilitate monitoring of program impact,
6.8.8. Gift card purchases shall be made by a person/unit separate from the STD unit. Whoever
purchases the cards cannot be involved in card distribution, and
6.8.9. MCDPH shall allow the ADHS STD Control Program to audit the gift card inventory at least
quarterly. During the audit, the program shall count the cards maintained by the county and verify
the count aligns with the data in the tracking log.
6.9. Up to $1,850 under Other Operating can be used to register for STD related conferences. This funding
will allow for two (2) staff members to attend the virtual STD Prevention Conference and for two (2) staff
members to attend the virtual NCSD Engage Conference.
7. Reference Documents
7.1. Internet Guidelines for Online STD Prevention and Communication – available at
http://www.cdc.gov/std/program/;
7.2. Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea, and Chlamydia
Infection – available at http://www.cdc.gov/std/program/;
7.3. CDC’s Data Security and Confidentiality Guidelines:
http://www.cdc.gov/nchhstp/programintegration/docs/PCSIDataSecurityGuidelines.pdf;
7.4. CDC 5 year work plan template: https://www.cdc.gov/std/funding/docs/std-pchd-work-plan-template-5-
year-plan.xlsm;
7.5. CDC 1 year work plan template: https://www.cdc.gov/std/funding/docs/std-pchd-work-plan-template-year-
1-plan.xlsm;
7.6. CDC Treatment Guidelines: https://www.cdc.gov/std/tg2015/default.htm;
7.7. Learn Partner Services for Disease Investigator Training: https://learnpartnerservices.org/; and
Page 9 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
7.8. Current GISP Protocol: https://www.cdc.gov/std/gisp/GISP-Protocol-May-2016.pdf.
8. State Provided Items
8.1. ADHS shall provide an annual security and confidentiality training during at least one PRISM quarterly
webinar;
8.2. ADHS shall provide MCDPH with local data reports to inform program planning;
8.2.1. MCDPH may request additional data from ADHS to inform program planning. It is recommended
that the contractor allow for a minimum of two (2) weeks for the development of customized
reports.
8.3. ADHS will maintain and manage the data system, PRISM. This includes acting as the liaison between the
developer and the county;
8.3.1. ADHS will perform bi-monthly edit checks and quality assurance review,
8.3.2. ADHS will maintain PRISM through regular system updates as provided by the developer and
required by CDC,
8.3.3. ADHS will provide technical support for the use of PRISM,
8.3.4. ADHS will monitor the helpdesk requests in PRISM daily,
8.3.5. ADHS will monitor the PRISM helpdesk email (prism.helpdesk@azdhs.gov) daily for all other
requests, and
8.3.6. ADHS will provide quarterly PRISM trainings and release materials to all invitees.
8.4. ADHS will provide epidemiology and technical support with respect to syphilis case investigation;
8.5. ADHS will coordinate Provider trainings by working with the State Medical Director and California
Prevention Training Center, as is required by the CDC grant;
8.6. ADHS will provide funding to support an additional data entry clerk. If funding is reduced to only support
one data entry clerk, ADHS will resume responsibility of entering Laboratory Reports; and
8.7. ADHS shall provide specialized training in case finding to senior communicable disease staff conducting
a deeper review of high priority cases dispositioned as unable to locate and high priority cases staged as
755.
9. Reporting Requirements/Deliverables and Schedule
The MCDPH Shall:
9.1. Within thirty (30) days of IGA execution, MCDPH shall submit a five-year work plan for 2019-2023 to meet
the required activities as noted in the abovementioned FOA and in accordance with the CDC-approved
Work Plan for Arizona;
9.2. Submit a six (6) month progress report by July 31st, each year of the grant cycle (2019-2023) to
summarize progress toward the five-year work plan;
Page 10 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
9.3. Submit an annual data security and confidentiality checklist by January 31st, each year of the grant cycle
(2019-2023). If gaps in data security and confidentiality are identified on the checklist then additional
strategies to address these gaps should be identified on the annual progress report;
9.4. Submit an annual progress report by January 31st, each year of the grant cycle ( 2019-2023) to
summarize progress toward the five-year work plan;
9.5. Submit an annual itemized budget by January 31st, each year of the grant cycle (2019-2023);
9.6. MCDPH’s Expenditure Report that includes a summary of all positions, filled or vacant, with the
breakdown of associated costs incurred with each position should be submitted monthly and shall not
exceed the total budget; and
9.6.1. Staff that are at least partially funded by this IGA are required to complete the modules available
at learnpartnerservies.org within thirty (30) days of hire and proof of completion should be
submitted along with the CER for any new staff.
9.7. Reports Schedule.
Report Time Period Due to ADHS
5 year work plan January 1, 2019 - December Thirty (30) Days upon execution of
31, 2023 contract. This is a one-time report.
Six month progress January 1 - June 30 This report shall be submitted annually on
report July 31st. The first six (6) month progress
report will be due July 31, 2019.
Data Security and January 1 - December 31 This checklist should be submitted
Confidentiality annually by January 31st along with the
Checklist Annual Progress Report. If gaps in data
security and confidentiality are identified
then strategies for improving data security
should be noted on the Annual Progress
Report.
Annual progress report January 1 - December 31 This report shall be submitted annually on
January 31st to summarize the work of
the previous year. The first annual
progress report will be due Jan. 31, 2020.
Annual itemized budget January 1 - December 31 The budget shall be submitted annually
on Jan. 31st. The first budget shall be
due Jan. 31, 2019.
Monthly CER’s and Monthly Thirty (30) days after the end of the
Finance Reports month.
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
10. Notices, Correspondence, and Reports
10.1. Notices, correspondence, reports and invoices/CERs from the contractor to ADHS shall
be sent to:
Arizona Department of Health Services
Attention:STDC Program Manager
150 N. 18th Avenue, Suite 110
Phoenix, Arizona 85007
10.2. Invoices shall be emailed to: invoices@azdhs.gov
10.3. Notices, correspondence, and reports (and payments if sent to same address) from ADHS to the
contractor shall be sent to:
Contractor: Maricopa County Department of Public Health
Attention: Stephanie Kreis
Address: 1645 E. Roosevelt St
Address:
City, State, ZIP: Phoenix, AZ 85006
Phone: 602-506-6364
Fax: 602-506-0005
Email: stephanie.kreis@maricopa.gov
Page 12 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
REVISED PRICE SHEET
ACCOUNT CLASSIFICATION AMOUNT
Personnel Services $484,340
Professional & Outside Services $0.00
Travel Expense $500.00
Occupancy Expense $0.00
Other Operating Expenses $3,850
Capital $0.00
Indirect (19.2%) --------- 18.8% km $93,637
Total $582,327
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
EXHIBIT A - 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.
Prime Awardee: Arizona Department of Health Services
DUNS # 804745420
Federal Award Identification (Grant Number): 1 NH25PS005157-01-00
Subrecipient name (which must match the name
associated with its unique entity identifier):
Maricopa County Department of Health Services
Subrecipient's unique entity identifier (DUNS #): 117201765
Federal Award Identification Number (FAIN, sometimes it’s the same
as the Grant Number): NH25PS005157
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;
3/16/2020
Subaward Period of Performance Start and End
Date; 1/1/2021 - 12/31/2021
Subaward Budget Period Start and End Date: 1/1/2021 - 12/31/2021
Amount of Federal Funds Obligated by this action by the pass-through
entity to the subrecipient (this is normally the contract amount):
$582,327.00
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):
$582,327.00
Total Amount of the Federal Award committed to the subrecipient by
the pass-through entity $582,327.00
Federal award project description, as required to be responsive
to the Federal Funding Accountability and Transparency Act (FFATA)
Strengthening SexuallyTransmitted
Disease Prevention and Control in Arizona
Page 14 of 15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
AMENDMENT 150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Amendment No.: 3 Procurement Officer:
Contract No.: CTR040486
APP Amendment No.: 3 Felicia Marquez
Name of Federal awarding agency, pass-through entity, and contact
information for awarding official of the Pass-through entity
Centers for Disease Control and Prevention
Assistance Listings number and Title; the pass- through entity
must identify the dollar amount made available under each
Federal award and the Assistance Listings Number at time of
disbursement:
93.977 - Preventive Health Services Sexually
Transmitted Disases Control Grants
Identification of whether the award is R&D No
Indirect cost rate for the Federal award (including if
the de minimis rate is charged) per § 200.414 ------- 19.20% FY21 18.8% km
Page 15 of 15