AMD RE 3RD PARTY REIMB WITH THE TAPI .PDF

CONTRACT NO: C-86-14-062-3-04 AMENDMENT NO: 4
AMENDMENT TO CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400, Phoenix, Arizona 85012
and
The Arizona Partnership for Immunization (TAPI)
I. The above named contract is hereby amended as specified below:
A. Per Section 26. Right to Extend Contract, we are hereby exercising this option
and extending the contract term beginning January 1, 2017 through December
31, 2018 with the option to extend for a total of five (5) years (ending December
31, 2018).
II. All other terms and conditions of the original contract shall remain in full force and
effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF The Arizona
MARICOPA COUNTY Partnership for Immunization (TAPI)
By: By:
Denny Barney
Chairman, Board of Supervisors
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
1

Office of Procurement Services
GOODS AND SERVICES
SOLE SOURCE FORM
This form is to be used when an agency believes an acquisition is a sole source and the acquisition dollar amount Is above
$5,000. The Chief Procurement Officer can approve purchases up to $100,000, Board of Supervisors approval is required If
the acquisition Is over $100,000. This form must be submitted for approval to: Office of Procurement Services 1 320 W.
Lincoln I Phoenix, AZ 85003. Fax number: 602,258.1573. The signed form must be retained in the purchasing file.
• DEPARTMENT NAME DEPARTMENT RX#
Disease Control-Community Wellness and Health Promotion
Department Contact Contact Phone Number
Machrina Leach +1(602) 506-6662
PROPOSED CONTRACT VENDOR
NEED IDENTIFIED Date: Nov 17,2017
Company: The Arizona Partnership for Immunizations
REQUESTED DELIVERY Nov 28, 2017
Address: 700 East Jefferson St, Date:
City, State: Phoenix, AZ QUOTED PRICE: Revenue contract, $1.2 million
Zip/Postal Code: 85034 estimated.
Phone: 602-288-7568 /602-288-7572 Accounting String:
Fax: 602-218-3901 265-D860-8612-CHIM-6380
Contact Name; Patty Gast
Material / Service Information
Is this a Technology Procurement? C) Yes (7!) No
Continue to provide Public Health Immunization Clinics with the ability to provide
Needs Statement immunizations to commercially insured clients. Allows Maricopa County to receive
Describe in detail the material or service to be procured and reimbursement for vaccine costs and administration for clients with current health
bow only it meets your needs . insurance as well as receive reimburse mentfor the administration fee for clients with
the Arizona Health Care Cost Containment System (AHCCCS).
. .
The Arizona Partnership for Immunizations (TAPI) is a state wide non-profit coalition
Features/Requirements: that has over 400 private and public partners. They work closely with the Arizona
Identify the major features/capabilities that are required. What Department of Health Services (ADHS) which houses the Arizona State Immunization
unique design/performance feature(s) make this material or Registry (ASIIS) which is the depot for all immunizations administered in Arizona, They
vendor the only one that can meet your requirements? Provide have a longstanding partnership with commercial and AHCCCS health plans that cover
a brief explanation as to why only these features or this vendor the majority of lives in Arizona. They also have contracts in place with these health
can meet your requirements, identify the manufacturer/model plans, commercial and public. TAPI currently provides billing services forthe majority
or your existing equipment, service or system If applicable. of Health Departments in Arizona.
TAPI Is the only non-profit of its kind in the State of Arizona. Billing for local county
health departments is very unique compared to other for-profit or non-profit health
Competing Brands/Vendors Investigated: care institutions. TAP I's large number of long term partnerships with ADHS,
Did you consider other materials or vendors with similar commercial and public health plans/insurers and county health departments makes
capabilities? Indicate specific competitor's brands/models or them very successful in billing for reimbursements. TA Pi has created the contracts and
vendors that were Investigated and describe why they do not process that have made receiving reimbursements for immunizations successful and
meet your requirements. You need to state that -to the best of has allowed Maricopa County to meet its statutory mandates to administer vaccines.
your knowledge - these are the only companies making this
material, equipment or providing this service. List sales
representatives and their phone numbers so the Procurement
Officer can contact them to verify that other materials,
equipment or services do not meet your requirements.

THIS PROCURMENT IS A SOLE SOURCE BECAUSE (attach additional page if needed):
TAM has been successfully billing and receiving reimbursement for Maricopa County for 7 years. They have established policies and procedures that
ensure timely reimbursement for local health departments, They are nationally reCognized by the Centers for Disease Control for their billing program,
They are a non-profit organization that has worked with almost 400 partners in the immunization community for over 20 years. They only receive a
percentage of total reimbursements for immunization services and only take a percentage of the vaccine cost that is above what we pay, We are able to
receive 100% of our cost for privately purchased vaccines that are reimbursed. There is no other non-profit organization that has the extensive
partnerships in Arizona or the contracts In place to assure reimbursements for Immunization services. Continuing to utilize TAN for the billing of
Immunization services would ensure continued revenue be received and Marlcopatounty would be able to maintain providing Immunizations to clients
with health Insurance.
SEARCH
MC1 -349-A states: Any request by a Using Agency that a Procurement be restricted to one potential Contractor shall be accompanied by
an explanation as to why no other would be suitable or acceptable to meet the need, The Using Agency requesting sole source
Procurement shall provide written evidence to support a sole source determination. A requirement for a particular proprietary item does
not alone justify a sole source Procurement if there is more than one potential Respondent for that item,
A search was conducted consisting of: (check all that apply) RESULTS
• Market research 0 Public notice given, list Ell no alternatives were Identified
n Other vendors contacted E Other 1-7 no alternatives were deemed acceptable
1---I because (explain below):
Describe the search from above in detail:
Searched the Internet for other not-for profit billing agencies in agencies.
•
• .
PRICE
The estimated cost of this Procurement is: C. $100k 6i) > $100k
MC1-348 States: The Board of Supervisors may Award a contract for a Commodity or Service without competition by the
Board of Supervisors based on written documentation submitted by the Using Agency that there is only one source for the
required Commodity or Service. Sole source Procurement shall be avoided, except when no reasonable alternative source
exists.
Price has been fairly and reasonably established by: 0 Comparison to public sector contract pricing
r--1 Comparison to previous comparable purchases El Discount off published catalog pricing
Li from a different vendor Ej Market survey
0 Independent estimate 0 Other, explain:
Describe methodology and results (attach any written supporting data, e.g., survey or market analysis):
As TAPI is the sole source of this service as needed by MCDPH, there were no providers with whore to compare costs

CONFLICT OF INTEREST STATEMENT
The submitting department agrees that there Is no real or potential conflict of interest in recommending this material or
service as a sole source procurement.
NOTE: If a real or potential conflict exists, contact the Procurement Officer listed on your Requisition.
CERTIFICATIONS
I certify;
1) I recognize that the Maricopa County Procurement Code requires the use of competitive solicitations unless
exempted by law. I have reviewed the information and materials relevant to this procurement of goods and services,
and am requesting approval of an exception to the competitive process for the reasons described;
2) the price to be paid to the proposed sole source vendor Is fair, reasonable, and provides the best value to Maricopa
County; and
3) this request for an exception to the competitive solicitation process Is not the result of inadequate advance planning
or for purposes of securing the services of a preferred vendor,
Agency Head or Appointing Authority Signature (Require
-
Max Porter
c-- ---- /6( 2P //7-
Printed Name SI. a ur I ate
Office of Procurement Services
The CPO can approve procurements up to $100,000. This request is over $100,000 and must be submitted as an
agenda item to the Board of Supervisors for consideration,
0 Recommended to SOS for approval,
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