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C-86-02-073-2-54 1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 09/12/2017 3. SUPERSEDES AWARD NOTICE dated: 08/29/2017 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 3 H80CS000441614 H80CS00044 NO.: NOTICE OF AWARD H66CS00459 AUTHORIZATION (Legislation/Regulation) Public Health Service Act, Title III, Section 330 6. PROJECT PERIOD: Public Health Service Act, Section 330, 42 U.S.C. 254b FROM: 11/01/2001 THROUGH: 12/31/2017 Affordable Care Act, Section 10503 Public Health Service Act, Section 330, 42 U.S.C. 254, as amended. 7. BUDGET PERIOD: Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b, FROM: 01/01/2017 THROUGH: 12/31/2017 as amended Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended 8. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER 9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL MARICOPA COUNTY PUBLIC HLTH SERVS DEPT INVESTIGATOR) 220 S 12th Ave Corinne Velasquez Phoenix, AZ 850073101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT DUNS NUMBER: Division Line: Clinical Services/Dept of Public Health 145454000 1645 E Roosevelt St BHCMIS # 090750 Phoenix, AZ 850063638 11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE: [ ] Grant Funds Only a. Authorized Financial Assistance This Period $3,242,213.00 [X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget Periods a . Salaries and Wages : $1,680,977.00 i. Additional Authority $0.00 b . Fringe Benefits : $674,681.00 ii. Offset $0.00 c . Total Personnel Costs : $2,355,658.00 c. Unawarded Balance of Current Year's Funds $0.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $3,066,513.00 e . Equipment : $0.00 Period f . Supplies : $95,121.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $175,700.00 ACTION g . Travel : $25,000.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project) i . Other : $262,163.00 YEAR TOTAL COSTS j . Consortium/Contractual Costs : $614,680.00 Not applicable k . Trainee Related Expenses : $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash) l . Trainee Stipends : $0.00 a. Amount of Direct Assistance $0.00 m Trainee Tuition and Fees : $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00 . c. Less Cumulative Prior Awards(s) This Budget Period $0.00 n . Trainee Travel : $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00 o . TOTAL DIRECT COSTS : $3,352,622.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $454,091.00 q . TOTAL APPROVED BUDGET : $3,806,713.00 i. Less NonFederal Share: $564,500.00 ii. Federal Share: $3,242,213.00 15. PROGRAM INCOME SUBJECT TO 45 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES: A=Addition B=Deduction C=Cost Sharing or Matching D=Other [D ] Estimated Program Income: $564,500.00 16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING: a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system. REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No) Electronically signed by Elvera Messina , Grants Management Officer on : 09/12/2017 17. OBJ. CLASS: 41.51 18. CRSEIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $3,085,219.00 SUB SUB ACCOUNT FYCAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE CODE 17 398879G 93.527 15H80CS00044 $175,700.00 $0.00 HCH HealthCareCenters_15 Page 1 A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays. NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/12/2017 10:28:00 AM Award Number: 3 H80CS00044-16-14 HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10digit grant number from box 4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating email addresses and submitting certain deliverables electronically. Visit https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online and/or from the HRSA Call Center at 877Go4HRSA/8774644772. Terms and Conditions Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed on your Payment Management System account or denial of future funding. Grant Specific Term(s) 1. This Notice of Award provides Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS) supplemental funding to expand access to mental health services, and substance abuse services focusing on the treatment, prevention, and awareness of opioid abuse, at existing health centers. You are expected to expand direct hire staff and/or contractor(s) who will support mental health service expansion, and substance abuse service expansion focusing on the treatment, prevention, and awareness of opioid abuse, within 120 days of award. Expanded mental health services, and substance abuse services focusing on the treatment, prevention, and awareness of opioid abuse, are expected to be initiated or expanded within 120 days of award. Eligible AIMS services are: Mental Health, Health Care for the Homeless (HCH) Required Substance Abuse, Substance Abuse, Case Management, and/or Health Education (related to mental health and substance abuse services). 2. You are expected to serve the number of new and existing patients projected on your Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS) Patient Impact Form by December 31, 2018. Your organization’s achievement of the patient projections will be documented through the 2018 Uniform Data System (UDS) report and the annual Budget Period Progress Report (BPR). HRSA will increase the patient target for your service area by the projected number of unduplicated new patients listed on your AIMS Patient Impact Form. Patient target resources are available at https://bphc.hrsa.gov/programopportunities/fundingopportunities/sac/index.html. 3. Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS) funding may expand existing services in your approved scope of project as well as support new services that are not currently in your approved scope of project. If you must make changes to Form 5A to add a proposed service to scope or to move one or more services currently provided only in Form 5A Column III to Column I and/or Column II, you must complete a Scope Adjustment or Change in Scope request. See the resources available at https://bphc.hrsa.gov/programrequirements/scope.html. Scope Adjustment or Change in Scope approval must be obtained prior to the implementation of new services, which must occur within 120 days of award. 4. You may rebudget Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS) funding without prior approval, as long as the proposed use of AIMS funding aligns with the intent of the AIMS supplemental funding opportunity and complies with requirements in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards available at http://www.ecfr.gov/cgibin/textidx?node=pt45.1.75. 5. This award provides supplemental funding for Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS). As such, a portion of these funds are being provided for use in your organization’s upcoming FY 2018 budget period. To use this funding in the upcoming budget period, the appropriate amount must be shown as unobligated (UOB) on line 10.h of the Annual Federal Financial Report (FFR), SF 425. In addition, a Prior Approval Request to carry over these funds must be submitted through HRSA Electronic Handbooks (EHB) in conjunction with the FFR submission. Contact the Grants Management Specialist listed on this Notice of Award with questions regarding submission of the FFR and/or Prior Approval Requests to carry over UOB funds. 6. You may not use Fiscal Year 2017 Access Increases in Mental Health and Substance Abuse Services (AIMS) funding for: purchase or upgrade of an electronic health record (EHR) that is not certified by the Office of the National Coordinator for Health Information Technology (ONC); fixed equipment costs; construction or minor alterations and renovations; costs associated with the installation of equipment purchased with onetime AIMS funding; or facility, land, or vehicle purchases. AIMS funding must supplement, not supplant, existing resources. 7. Pursuant to existing law, and consistent with Executive Order 13535 (75 FR 15599), health centers are prohibited from using Federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered). 8. Your Access Increases in Mental Health and Substance Abuse Services (AIMS) award includes ongoing funding and onetime funding as requested in your AIMS application, or in your revised AIMS budget request, if applicable. An additional $10,200 in ongoing funding and Page 2 NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/12/2017 10:28:00 AM Award Number: 3 H80CS00044-16-14 $15,500 in onetime funding has been provided in this award. You must use these additional funds to enhance the expansion of mental health services, and substance abuse services focusing on the treatment, prevention, and awareness of opioid abuse, as proposed in your AIMS application. You are required to request prior approval from HRSA if some or all of the additional onetime funding will be used to purchase unit(s) of equipment exceeding $5,000. All prior terms and conditions remain in effect unless specifically removed. Contacts NoA Email Address(es): Name Role Email Jane E Cochrane Business Official janecochrane@mail.maricopa.gov Corinne Velasquez Program Director corinnevelasquez@mail.maricopa.gov Note: NoA emailed to these address(es) Program Contact: For assistance on programmatic issues, please contact Yolanda Joyner at: MailStop Code: 16105 Southwest Division 5600 Fishers Ln Rockville, MD, 208521750 Email: yjoyner@hrsa.gov Phone: (301) 4431495 Division of Grants Management Operations: For assistance on grant administration issues, please contact Clare Oscar at: MailStop Code: 10SWH03 OFAM/DGMO/HCB 5600 Fishers Ln Rockville, MD, 208521750 Email: coscar@hrsa.gov Phone: (301) 4438862 Page 3 C-86-02-073-2-54 ATTACHED TO AND A PART OF Grant No. H80CS00044 Notice of Award U. S. Department of Health and Human Services Health Resources and Services Administration Health Center Cluster Notice of Award No. 3 H80CS00044-16-14 IN WITNESS WHEREOF, the parties agree to enter into this Contract and its Amendments: FOR AND ON BEHALF OF MARICOPA COUNTY By Denny Barney Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 4