IGA AMENDMENT WIC SERVICES (03).PDF

C-86-19-013-3-03
ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Phoenix, Arizona 85007
Amendment
Procurement Officer
Contract No.: IGA Amendment No: 2
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
WIC AND BFPC SERVICES
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
1. Pursuant to Terms and Conditions, Page Seven (7), Provision Six (6), Contract Changes; the Intergovernmental Agreement is
amended to revise the following:
1.1 The Scope of Work is revised and replaced by the Scope of Work of this Amendment Two (2).
1.2 The Price Sheet is revised and replaced by the Price Sheet of this Amendment Two (2).
1.3 The Title above has changed from WIC, BFPC, FMNP and ONED SERIVCES to WIC and BFPC SERVICES of this
Amendment Two (2).
All other provisions of this agreement remain unchanged.
Contractor Name: MARICOPA COUNTY, By and Through its Authorized Signature
DEPARTMENT of PUBLIC HEALTH
Bill Gates
Address: 4041 N. CENTRAL AVENUE, SUITE 1400 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
that this Intergovernmental Agreement is in proper form and is within the powers and effective the date indicated. The Public Agency is hereby
authority granted under the laws of Arizona cautioned not to 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 20___.
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 if the Clerk of the Board Date 1

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
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) and Breastfeeding Peer Counseling Program (BFPC) 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 one
hundred and eighty-five percent (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, potentially 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 eighty-two percent (82%) of women initiating
breastfeeding;
1.1.1.2 To increase the duration of breastfeeding to sixty-one percent (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 thirty-four percent (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 forty-four percent (44%) at three (3)
months and twenty-four percent (24%) at six (6) months;
1.1.1.5 To reduce the proportion of adults who are considered obese to thirty-one (31%);
1.1.1.6 To reduce the proportion of children ages two to five (2-5) who are considered obese to ten
(10%);
1.1.1.7 To increase the consumption and variety of fruits and vegetables by those two (2) and older;
2

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
1.1.1.8 To increase the consumption of whole grains by those two (2) and older; and
1.1.1.9 To increase the proportion of children ages birth to two (0-2) who view no television or videos on
an average day to forty-five percent (45%).
1.2 Breastfeeding Peer Counseling (BFPC)
1.2.1 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.
1.2.2 The discretionary peer counseling services are considered an adjunct support to WIC breastfeeding
services to help achieve the WIC Nutrition Services objectives regarding breastfeeding.
1.2.3 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.
2. OBJECTIVE
At a minimum, to provide WIC services while allowing each County Health Department Local Agency (Contractor) to
provide, at their discretion, Breastfeeding Peer Counseling Services.
3. SCOPE OF WORK
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:
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

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
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;
3.1.7 Provide administrative functions for operation of the WIC Program; and
3.1.8 Prepare and submit all required plans/reports in accordance with this Agreement 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 original Contractor's proposal in order to increase the breastfeeding rate and
duration of breastfeeding.
4. TASKS AND REQUIREMENTS
4.1. WIC Services Outreach, Retention, 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 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 Agreement.
4.1.2 Conduct retention activities to maintain and increase the participation of current WIC enrollees.
4.1.3 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 Agreement.
4.1.4 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 Agreement.
4.1.5 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 Agreement.
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

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
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 for eWIC cards.
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 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 Contractor 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 Contractor 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 Contractor 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
5

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
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 Contractor 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 using non WIC funds. The BNPA Chief/WIC Director, Program Integrity
Manager, and Assistant Attorney General shall approve the time, manner and content of any such
notifications. The Contractor 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. Service Delivery and Program Rules
The Contractor shall:
4.4.1 Determine eligibility of persons requesting WIC services by screening individuals in accordance 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;
4.4.1.1 Pregnant women, breastfeeding women up to twelve (12) months post-partum, and non-
breastfeeding women up to six (6) months following the end of a pregnancy,
4.4.1.2 Infants from birth to age one (1), and
4.4.1.3 Children from age one (1) year up to five (5) years of age.
4.4.2 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.
4.4.3 Provide participant-centered nutrition education to participants and appropriately utilize materials
provided by the State;
4.4.4 Assist participants in setting goals for behavioral change and follow-up on goals set;
4.4.5 Promote breastfeeding to WIC participants and provide breastfeeding education and support, and refer to
and promote the Breastfeeding Peer Counseling Program, when appropriate;
4.4.6 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;
4.4.7 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 Contractor referral procedures;
4.4.8 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;
4.4.9 Provide information, check for understanding, and document training to participants on program rules,
regulations, WIC approved foods, use of eWIC cards, and food benefit use and redemption. The training
shall be documented in the participant's record as set forth in the WIC PPM;
4.4.10 Consider the impact of scheduling practices, hours of operation, and clinic closures on caseload and WIC
applicants’ access to services.
6

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.4.11 Additional BFPC Service Delivery tasks:
4.4.11.1 Accept referrals generated from calls to the ADHS Pregnancy and Breastfeeding Hotline into
the Peer Counseling Program;
4.4.11.2 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
4.4.11.3 Provide supervision, mentoring, monitoring, and evaluation of peer counselors, when
appropriate.
4.5. Participant-Centered Nutrition Education
The Contractor shall:
4.5.1 Prepare and submit a two (2) year Nutrition Services and Training Plan for participants to include, but not
be limited to:
4.5.1.1 Adoption and Implementation of ADHS goals for nutrition services. In addition, Local Agencies
will identify their own goals for nutrition services in this plan.
4.5.1.2 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 (1) additional objective for each goal.
4.5.2 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.
4.5.3 Provide and document professional supervision, mentoring and monitoring of staff at the clinic level on a
regular basis, in accordance with Contractor Self-Assessment requirements and as often as necessary, to
ensure competence.
4.5.4 Offer, as often as necessary, high- and medium-risk nutrition education/counseling by an 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.
4.5.5 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:
4.5.5.1 Salary and other costs for time spent on nutrition education, whether with an individual or group;
4.5.5.2 The cost of procuring and producing nutrition education materials;
7

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.5.5.3 The cost of training nutrition educators, including costs related to conducting training sessions
and purchasing and producing training materials;
4.5.5.4 The cost of conducting participant evaluations of nutrition education;
4.5.5.5 The salary and other costs incurred in developing the nutrition education plan; and
4.5.5.6 Other ADHS-approved costs.
4.5.6 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.
4.5.7 The Contractors 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 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.
4.6. Staffing
The Contractor shall:
4.6.1 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. With
prior approval from ADHS, number of years working in a WIC Program Director/Manager capacity may
substitute for some years of education.
4.6.2 All Contractors will identify an RD to serve as the Contractor Nutrition Coordinator as defined in the WIC
PPM. The Nutrition Coordinator will oversee all WIC nutrition services for the Contractor. If a Contractor
has barriers to this staffing standard, they must be submitted in writing to ADHS with their plan for
coordination of nutrition services within the Contractor to be approved by ADHS.
4.6.3 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 Contractor 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.
4.6.4 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
8

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
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.
4.6.5 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.
4.6.6 All Contractors will identify an International Board Certified Lactation Consultant (IBCLC) to serve as the
Contractor Breastfeeding Coordinator as defined in the WIC PPM. The Breastfeeding Coordinator will
oversee all WIC breastfeeding services for the Contractor to ensure all participants have access to
breastfeeding promotion and support services. If a Contractor has barriers to this staffing standard, they
must be submitted in writing to ADHS with their plan for coordination of breastfeeding services within the
Contractor to be approved by ADHS.
4.6.7 All Contractors 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 Contractor including
certifying that staff has met competencies prior to providing services without supervision. If a Contractor
has barriers to this staffing standard, they must submit in writing to ADHS their plan for coordination of
training services within the Contractor to be approved by ADHS.
4.6.8 All Contractors will identify an Outreach Coordinator who will oversee and facilitate activities and efforts
to retain current WIC enrollees and outreach to potentially eligible population not currently enrolled in
WIC, and participate in outreach-related workgroups. If a Contractor has barriers to this staffing
standard, they must submit in writing to ADHS their plan for coordination of outreach activities within the
Contractor to be approved by ADHS.
4.6.9 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
4.6.10 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.
4.6.11 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)
4.7. Additional BFPC Service Staffing
4.7.1 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.
4.7.2 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.
9

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.7.3 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
4.8. Staff Training
The Contractor shall:
4.8.1 Train new staff as outlined in the ADHS developed new employee training plan.
4.8.2 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.
4.8.3 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.
4.8.4 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.
4.8.5 Provide one (1) representative for a maximum of six (6) mandatory, face-to-face, two (2) day meetings or
trainings session in Phoenix, as scheduled by ADHS on a yearly basis. These meetings will be
opportunities for the Contractor to discuss issues with regards to WIC policies and procedures, federal
rules and regulations, and nutrition standards.
4.8.6 Provide one (1) representative for a maximum of twelve (12) GoToMeeting WIC Director 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. This may include urgent meetings to discuss
current events (e.g. government shutdown) and plan on managing the continuity of operations plan
(COOP).
4.8.7 Provide one (1) representative to attend a two (2) day trainer conference in Phoenix during each fiscal
year for skill and knowledge building.
4.9. Additional BFPC Staff Training:
4.9.1 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
4.9.2 Provide training of Breastfeeding Peer Counselors using the Loving Support through Peer Counseling
curriculum within one (1) month of employment
4.9.3 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
10

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.9.4 Provide all WIC clinic staff the PowerPoint presentation "Peer Counseling: Making a Difference for WIC
Families" through the Loving Support curriculum at least once during each Peer Counseling Program
contract term
4.10. Data Collection
The Contractor shall:
4.10.1 Utilize the hardware, software, and training provided by the Arizona WIC Program to operate the
Contractor's portion of the WIC Computer Data System.
4.10.2 Complete all data elements required on the WIC Computer Data System as outlined in the WIC PPM.
4.10.3 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.
4.10.4 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.
4.11. Administrative Services
The Contractor shall:
4.11.1 In addition to complying with the Guidance for Federal Grant Award Management (Blue Book) and State
of Arizona Accounting Manual (SAAM) for Contractors of ADHS Funded programs, AND Chapter 12 and
13 of the Policy and Procedure Manual (PPM):
4.11.1.1 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).
4.11.1.2 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.
4.11.1.3 Obtain written permission from ADHS prior to expending WIC funds to purchase equipment
with a value of $5,000 or more.
4.11.1.4 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; Contractors shall not directly dispose of any asset.
4.11.1.4.1.1 Once the asset resource related item is purchased ADHS must be provided the
information listed in 8.1.1 within ten (10) business days of the item being received
4.11.1.4.1.2 Transfer and disposals must follow the procedures outlined in the PPM.
4.11.1.4.1.3 Destroyed/Missing/Stolen asset resources must be reported upon discovery no
later than ten (10) business days from the time of incident to the assigned ADHS
WIC Nutrition Consultant.
11

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.11.1.5 Submit to ADHS for approval in writing any policy or procedure that deviates from those set
forth in the Arizona WIC PPM.
4.11.1.6 Update the Contractor 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, IT lead(s),
clinic names, addresses, phone numbers, days and hours of operations, closure days, and
other pertinent information for the public to know.
4.11.1.7 Provide at least ten (10) weeks written notice when planning on opening, moving, or
suspending WIC services at any location.
4.11.1.8 Read, timely, all ADHS provided documents and provide requested response, if applicable.
4.11.1.9 The Contractor 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.
4.11.1.10 Maintain records of WIC services in WIC Computer Data System and electronic files of other
WIC-related operations and trainings, if applicable, according to the WIC PPM, including but
not limited to:
4.11.1.10.1 Signed consent for hemoglobin screening and anthropometrics;
4.11.1.10.2 Signed Rights and Obligations for enrolled participant files (active and inactive);
4.11.1.10.3 Eligible participant files (active and inactive);
4.11.1.10.4 Ineligible applicant signatures;
4.11.1.10.5 Monthly Participation Reports by Category and Ethnicity;
4.11.1.10.6 Outreach files;
4.11.1.10.7 Medical documentation;
4.11.1.10.8 Staff files: Trainings attended, skill observations, and Contractor Self
Assessments;
4.11.1.10.9 Documentation of dual participation actions;
4.11.1.10.10 Waiting lists (when applicable);
4.11.1.10.11 Reconciliation of eWIC cards;
4.11.1.10.12 Civil rights file to include documentation and resolution of all civil rights
complaints;
4.11.1.10.13 Documentation of annual civil rights and voter registration training of all
employees; and
4.11.1.10.14 Documentation of WIC Confidentiality and Conflict of Interest forms.
12

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
4.11.1.11 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.
4.11.1.12 Correct any regulatory deficiency or discrepancy noted during any of the three program
Management Evaluations, Audits, Contractor 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.
4.11.1.13 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.
4.11.1.14 Retain all evidentiary documentation (i.e. meal receipts) and submit to ADHS upon request for
all expenses charged towards the WIC grant.
4.11.1.15 Prepare and submit Final Closeout CER invoice for each contracted program reflecting the
cumulative expenditures for a contract year.
4.11.1.16 Prepare and submit WIC Contractor Quarterly Cost Summary Reports that matches the
amount of each quarter’s expenditures respectively in accordance with the requirements in the
WIC PPM.
4.11.1.17 Prepare and submit an annual evaluation on the annual Contractor's Outreach Plan and a
progress report on activities accomplished during the year.
4.11.1.18 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.
4.11.1.19 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.
4.11.1.20 Prepare and submit a Contractor Annual Summary of the Contractor self-assessment(s).
Contractor self-assessments must be done annually in the year that the Contractor has a
Management Evaluation, and semi-annually in the year that they do not have a Management
Evaluation.
4.11.1.21 Prepare and submit all required plans, reports, and documents in accordance with the
requirements in the WIC PPM.
In the event the Arizona WIC Program funding is depleted (e.g. government shutdown) the Contractor may request
permission to continue operating their program utilizing local funds. The Contractor will contact the Arizona WIC
Director to discuss the feasibility of sustaining clinic operations and participant food redemption at authorized vendor
locations. The Contractor may transfer funds to ADHS to ensure continued operation.
4.12. Additional Peer Counseling Administrative Services
4.12.1 Prepare and submit a Quarterly Report for the Peer Counseling services in the format provided by
ADHS.
4.12.2 Present program logistics, highlights, and data at a Nutrition Programs meeting at a time and location to
be determined by ADHS.
13

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
5. REFERENCE DOCUMENTS
5.1 Arizona WIC Program Policies and Procedures Manual: Refer to
http://azdhs.gov/azwic/local_agencies_policyManual.htm
5.2 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
5.3 State of Arizona Accounting Manual (SAAM): https://gao.az.gov/publications/SAAM/
5.4 Federal Regulations: Refer to https://www.ecfr.gov/cgi-bin/text
idx?SID=a42889f84f99d56ec18d77c9b463c613&node=7:4.1.1.1.10&rgn=div5
5.5 7 CFR 246.14: program costs
5.6 7 CFR 246.26 (h)(2): notice to applicants and participants about the use and disclosure of confidential applicant
and participant information
5.7 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
6. STATE PROVIDED ITEMS
ADHS shall provide the following:
6.1 Paper copies of the Arizona WIC Program Policies and Procedures Manual, upon request.
6.2 Hardware and software necessary for operation of the WIC Computer Database System.
6.3 Learning Management courses for software training and nutrition education courses for staff to complete and/or
pass.
6.4 Blank eWIC Cards.
6.5 Method for submitting expenditures. The ADHS WIC Program Manager or designee will accept and approve the
expenditures prior to payment.
6.6 Nutrition Education Materials for participants.
6.7 Quarterly Report template (electronic) for Peer Counseling Program.
6.8 Technical assistance and support.
6.9 Breastfeeding material lending and library for Peer Counselor use.
6.10 Assistance with International Board Certified Lactation Consultant (IBCLC) career track or advanced lactation
consultant education, when appropriate.
6.11 Loving Support through Peer Counseling curriculum, which includes the PowerPoint presentation "Peer
Counseling: Making a Difference for WIC Families," when appropriate.
14

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
6.12 Monitoring of WIC Authorized Vendors for compliance with regulations and coordination with tribal and county
officials when doing compliance buys for markets on a reservation.
6.13 Periodic redemption reports for issued benefits.
6.14 Formats for required reports.
7. DELIVERABLES
If applicable, any work plan or other documentation submitted to and accepted by ADHS regarding participation in
WIC or BFPC shall be incorporated into this Agreement. Furthermore, any policy or procedure that deviates from
those set forth in the Arizona WIC Program Policies and Procedures Manuals requires approval from ADHS prior to
implementation.
The Contractor shall submit to ADHS:
7.1 Updated copies of Contractor Policies and Procedures that will include coordination and referral procedures with
internal and external programs and agencies, i.e. WIC and Peer Counseling;
7.2 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;
7.3 WIC Contractor Quarterly Cost Summary matching the WIC Contractor's CER expenses not later than thirty (30)
days following the end of each quarter report of the program year
7.4 Final CER invoice for each program not later than forty-five (45) days following the end of each Contract year;
7.5 WIC Contractor 4th Quarterly Final Cost Summary matching the WIC Contractor's CER expenses, not later than
forty-five (45) days following the end of each Contract year;
7.6 Each Contracted Program's amendment application by the specified deadline for the following contract year
which contains the following information:
7.6.1 Request for Caseload to be served;
7.6.2 Request for budget and budget justification;
7.6.3 Updated Participant Nutrition Services and Training Plan for the following contract year and a evaluation
of the previous year's activities;
7.6.4 Updated Outreach Plan of each Agreement year and a progress report of previous year’s activities; and
7.6.5 Any additional services and other documents specified.
7.7 All required responses to federal and state audits and reviews submitted in a timely manner
7.8 Additional Peer Counseling Deliverables
7.8.1 Quarterly reports for the Peer Counseling Program to be submitted fifteen (15) days after each quarter of
the Agreement year.
15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
8. PERFORMANCE STANDARDS AND AWARDS
8.1 Upon Agreement finalization, ADHS shall notify the Contractor by certified mail of the assigned caseload, and
throughout the term of the Agreement, 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%
8.2 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.
8.3 Local Agencies shall be eligible for one (1) or more of the following awards:
8.3.1 Any Contractor which meets one-hundred percent (100%) or more of its caseload assignment for three
(3) consecutive months during the previous twelve (12) month period (April 1st through March 31st) may
receive an award of $10,000 added to that agency's following fiscal year WIC funding formula award if
the Agreement is extended and additional expenditures can be identified;
8.3.2 Utilizing the “Nutrition Discussion Contact” report ran for the last six (6) months preceding time of
application (September through February), any Contractor meeting ninety-five percent (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 Agreement is
extended and additional expenditures can be identified;
8.3.3 The agency with the highest percentage of IENs in the first quarter (Oct 1st through Dec 31st) 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
8.3.4 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
8.3.5 USDA has the option to award breastfeeding performance awards to State Agencies who exceed the
national average. If funds are awarded to Arizona, each Contractor program 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.
16

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
9. NOTICES, CORRESPONDENCE AND REPORTS
9.1 Notices, correspondence, reports and invoices from the Contractor to ADHS shall be sent to:
Arizona Department of Health Services
150 N. 18th Avenue, Suite 310
Phoenix, Arizona 85007
Attention: WIC Program Manager
9.2 Notice, correspondence and reports from ADHS to the Contractor shall be sent to:
(Contractor to complete)
Contractor:
Attention:
Address:
Address:
City, State, ZIP:
Phone:
Fax:
Email:
17

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
PRICE SHEET
WIC AND BFPC SERVICES
October 1, 2019 to September 30, 2020
Agency Name: Maricopa County Health Department
Agency DUNS Number: 804745420
Federal Award Identification Number (FAIN): 197AZAZ7W1003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC Services
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $3,909,166.00
Employee Related Expenses $1,971,093.00
Professional & Outside Services $155,500.00
Travel Expense $10,550.00
Occupancy Expenses $451,870.00
Other Operating Expenses $116,694.00
Capital Expenditures $1.00
Indirect Cost $1,270,056.00
RD Supplement $1,038,016.00
Total $8,922,946.00
Federal Award Identification Number (FAIN): 197AZAZ1W5003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
Breastfeeding Peer Counseling Services
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $249,679.00
Employee Related Expenses $131,143.00
Professional & Outside Services $1.00
Travel Expense $1,500.00
Occupancy Expenses $19,500.00
Other Operating Expenses $5,056.00
Capital Expenditures $0.00
Indirect Costs $78,121.00
Total $485,000.00
18

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
Federal Award Identification Number (FAIN): 197AZAZ1W5003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC SPECIAL PROJECTS
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $0.00
Employee Related Expenses $19,090.00
Professional & Outside Services $0.00
Travel Expense $0.00
Occupancy Expenses $13,348.00
Other Operating Expenses $0.00
Capital Expenditures $0.00
Registered Dietitian $36,608.00
Indirect Costs $13,257.00
Total $82,303.00
Federal Award Identification Number (FAIN): 187AZAZ7W1003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
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 between funded line items except for Registered Dietitian Expenses.
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 Agreement shall be made only upon ADHS issuance of a Purchase
Order that is signed by an authorized agent. The Purchase Order will indicate the Agreement 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.
19

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 2 Procurement Officer
Whitni Markotic/Felicia
CTR040876 Arizona Procurement Portal Amendment No.: 2 Marquez
The assigned caseload for FFY 2020 is: 48,000
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.
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. Cover the occupancy, security, cleaning, utilities, and copier lease costs for the Thunderbird WIC clinic to
keep it open for one year to allow time for the Maricopa County WIC Program find alternative affordable
places for WIC participants in that area to obtain services. In addition, the site supervisor salary and ERE
will also be covered for a period of one year.
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.
20