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C-86-02-073-2-48 1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 12/08/2016 3. SUPERSEDES AWARD NOTICE dated: except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 5 H80CS000441600 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 $3,056,819.00 [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 $1,783,144.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $0.00 e . Equipment : $0.00 Period f . Supplies : $95,121.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $1,273,675.00 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 : $76,769.00 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 : $3,167,228.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $454,091.00 q . TOTAL APPROVED BUDGET : $3,621,319.00 i. Less NonFederal Share: $564,500.00 ii. Federal Share: $3,056,819.00 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 : 12/08/2016 17. OBJ. CLASS: 41.51 18. CRSEIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $3,056,819.00 SUB SUB ACCOUNT FYCAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE CODE 17 3980879 93.224 15H80CS00044 $480,686.00 $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: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 17 398879G 93.527 15H80CS00044 $792,989.00 $0.00 HCH HealthCareCenters_15 Page 2 NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 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. The nonFederal share of the project budget includes all anticipated program income sources such as fees, premiums, third party reimbursements, and payments that are generated from the delivery of services, and from “other revenue sources” such as state, local, or other federal grants or contracts, private support or income generated from fundraising or contributions. In accordance with Section 330(e)(5)(D) of the PHS Act, health centers may use their nongrant funds, either “as permitted” under section 330 or “for such other purposes … not specifically prohibited” under section 330 if such use "furthers the objectives of the project." Health centers can meet the standard of "furthering the objectives of the project" by ensuring that the uses of nongrant funds benefit the individual health center’s patient/target population. 2. This Notice of Award is issued based on HRSA’s approval of the NonCompeting Continuation (NCC) Progress Report. All postaward requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the Electronic Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the Remarks section of the Notice of Award, have different prior approval requirements. See “PriorApproval Requirements” in the DHHS Grants Policy Statement: http://www.hrsa.gov/grants/hhsgrantspolicy.pdf 3. The funds for this award are subaccounted in the Payment Management System (PMS) and will be in a P type (sub accounted) account. This type of account allows recipients to specifically identify the individual grant for which they are drawing funds and will assist HRSA in monitoring the award. If your organization previously received a grant under this program, it was in a G type (cash pooled) account designated by a PMS Account Number ending in G or G1. Now that this grant is sub accounted the PMS Account Number will be changed to reflect either P or P1. For example, if the prior year grant was in payee account number 2AAG it will now be in 2AAP. Similarly, if the prior year grant was in payee account 2AAG1, the grant will be in payee account 2AAP1. The P sub account number and the sub account code (provided on page 1 of this Notice of Award) are both needed when requesting grant funds. You may use your existing PMS username and password to check your organizations P account access. If you do not have access, complete a PMS Access Form (PMS/FFR Form) found at: http://www.dpm.psc.gov/grant_recipient/grantee_forms.aspx and send it to the fax number indicated on the bottom of the form. If you have any questions about accessing PMS, contact the PMS Liaison Accountant as identified at: http://www.dpm.psc.gov/contacts/contacts.aspx. 4. This action approves the FY 2017 Budget Period Progress Report or Service Area Competition application and awards prorated support through May 31, 2017 based on the grantee's target FY 2017 funding under the Health Center Program (HCP). The HCP is currently operating under a Continuing Resolution since there is not a final FY 2017 appropriation for the program. A revised Notice of Award (NoA) will be issued later in the budget period after the final FY 2017 appropriation action is taken; the revised NoA will provide the remaining balance of grant support for the budget period that is consistent with the final appropriation for the HCP. 5. Health Center Program award recipients are required to submit an annual Budget Period Progress Report (BPR) to report on progress made from the beginning of an award recipient’s most recent budget period until the date of BPR submission; the expected progress for the remainder of the budget period; and any projected changes for the following budget period. HRSA approval of a BPR is required for the budget period renewal and release of each subsequent year of funding, dependent upon Congressional appropriation, program compliance, organizational capacity, and a determination that continued funding would be in the best interest of the Federal government. Failure to submit the BPR by the established deadline or submission of an incomplete or nonresponsive progress report may result in a delay or a lapse in funding. 6. Prior approval by HRSA is required for any significant change in the scope (e.g., sites or services) or nature of a Health Center Program award recipient's approved project activities. Requests to change the approved scope of project, must be submitted for prior approval by HRSA via the Electronic Handbooks (EHBs) Change in Scope Module prior Page 3 NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 to implementation. See: http://www.bphc.hrsa.gov/about/requirements/scope for more information. 7. A health center’s scope of project includes the approved service sites, services, providers, service area(s) and target population which are supported (wholly or in part) under the total budget approved for the health center. In addition, scope of project serves as the basis for eligibility for programs associated with the Health Center Program such as Medicare and Medicaid Federally Qualified Health Center (FQHC) reimbursements, Federal Tort Claims Act coverage, 340B Drug Pricing. Proper documentation and maintenance of an accurate scope of project is critical in the oversight and management of programs funded or designated under section 330 of the PHS Act. Health centers are responsible for maintaining the accuracy of their Health Center Program scope of project, including updating or requesting prior approval for significant changes to the scope of project when applicable. Refer to the Scope of Project policy documents and resources available at: http://www.bphc.hrsa.gov/programrequirements/scope.html for details pertaining to changes to services, providers, sites, service area zip codes, and target population(s). 8. All postaward requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the Electronic Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the Remarks section of the Notice of Award, have different prior approval requirements. See “Prior Approval Requirements” in the DHHS Grants Policy Statement: http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf 9. Health Center Program Federal award recipients that expend less than $750,000 in Federal awards during their fiscal year are exempt from Federal Single Audit requirements of 45 CFR Part 75. However, in accordance with section 330(q) of the Public Health Service Act, all Health Center Program Federal award recipients, (including those that expend less than $750,000) are required to provide for an independent annual financial audit of any books, accounts, financial records, files, and other papers and property which relate to the disposition or use of the funds received under such [Health Center Program] grant and such other funds received by or allocated to the project for which such grant was made. For purposes of assuring accurate, current, and complete disclosure of the disposition or use of the funds received, each such audit shall be conducted in accordance with generally accepted accounting principles. Therefore, Health Center Program Federal award recipients that expend less than $750,000 should be prepared to provide their most recent annual financial audit to HRSA’s Office of Federal Assistance Management upon request. The audit must include the Auditor's report (including the auditor opinion, financial statements, auditor's notes and required communication from the auditor). In addition, the audit must include any management letters issued by the auditor. Program Specific Term(s) 1. If Federal funds have been used toward the costs of acquiring a building, including the costs of amortizing the principal of, or paying interest on mortgages, you must notify the HRSA Grants Management Contact listed on this Notice of Award for assistance regarding Federal Interest in the property within 60 days of the issue date of this award. 2. Consistent with Departmental guidance, HRSA grantees that purchase, are reimbursed or provide reimbursement to other entities for outpatient prescription drugs are expected to secure the best prices available for such products and to maximize results for the grantee organization and its patients. Eligible health care organizations/covered entities that enroll in the 340B Program must comply with all 340B Program requirements and will be subject to audit regarding 340B Program compliance. 340B Program requirements, including eligibility, can be found at www.hrsa.gov/opa. 3. Uniform Data System (UDS) annual performance report is due in accordance with specific instructions from the Program Office. Failure to submit a complete UDS report by the specified deadline may result in additional conditions and/or restrictions being placed on your award, including the requirement that all drawdowns of Health Center Program award funds from the Payment Management System (PMS) have the prior approval of the HRSA Division of Grants Management Operations (DGMO) and/or limits on eligibility to receive future supplemental funding. 4. Health centers are reminded that separate Medicare enrollment applications must be submitted for each "permanent unit" at which they provide services. This includes units considered both "permanent sites" and "seasonal sites" under their HRSA scope of project. (See: http://www.bphc.hrsa.gov/about/requirements/scope for more information). Therefore, for Medicare purposes, a single health center organization may consist of two or more FQHCs, each of which must be separately enrolled in Medicare and submit bills using its unique Medicare Billing Number. The Medicare enrollment application is located at http://www.cms.hhs.gov/cmsforms/downloads/cms855a.pdf. To identify the address where the package should be mailed, please refer to http://www.cms.hhs.gov/MedicareProviderSupEnroll/downloads/contact_list.pdf. The appropriate Medicare contractor is listed next to "Fiscal Intermediary." Successful enrollment in Medicare as an FQHC does not automatically qualify a health center for payment as an FQHC under its State Medicaid program. Health centers should contact their State Medicaid office directly to determine the process and timeline for becoming eligible for payment as an FQHC under Medicaid. Page 4 NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 5. 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). Standard Term(s) 1. Recipients must comply with all terms and conditions outlined in their grant award, including grant policy terms and conditions outlined in applicable Department of Health and Human Services (HHS) Grants Policy Statements, and requirements imposed by program statutes and regulations and HHS grant administration regulations, as applicable; as well as any requirements or limitations in any applicable appropriations acts. 2. All discretionary awards issued by HRSA on or after October 1, 2006, are subject to the HHS Grants Policy Statement (HHS GPS) unless otherwise noted in the Notice of Award (NoA). Parts I through III of the HHS GPS are currently available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf. Please note that the Terms and Conditions explicitly noted in the award and the HHS GPS are in effect. 3. HRSA requires grantees to use the following acknowledgement and disclaimer on all products produced by HRSA grant funds: “This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number and title for grant amount (specify grant number, title, total award amount and percentage financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.” Grantees are required to use this language when issuing statements, press releases, requests for proposals, bid solicitations, and other HRSA supported publications and forums describing projects or programs funded in whole or in part with HRSA funding. Examples of HRSAsupported publications include, but are not limited to, manuals, toolkits, resource guides, case studies and issues briefs. 4. Recipients and subrecipients of Federal funds are subject to the strictures of the Medicare and Medicaid antikickback statute (42 U.S.C. 1320a 7b(b) and should be cognizant of the risk of criminal and administrative liability under this statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, in part, that whoever knowingly and willfully: (A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind, in return for referring (or to induce such person to refer) an individual to a person for the furnishing or arranging for the furnishing of any item or service, OR (B) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase, lease, or order, any goods, facility, services, or item ....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care program, shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for not more than five years, or both. 5. Items that require prior approval from the awarding office as indicated in 45 CFR Part 75 [Note: 75 (d) HRSA has not waived costrelated or administrative prior approvals for recipients unless specifically stated on this Notice of Award] or 45 CFR Part 75 must be submitted in writing to the Grants Management Officer (GMO). Only responses to prior approval requests signed by the GMO are considered valid. Grantees who take action on the basis of responses from other officials do so at their own risk. Such responses will not be considered binding by or upon the HRSA. In addition to the prior approval requirements identified in Part 75, HRSA requires grantees to seek prior approval for significant rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal share exceeds $100,000, cumulative transfers among direct cost budget categories for the current budget period exceed 25 percent of the total approved budget (inclusive of direct and indirect costs and Federal funds and required matching or cost sharing) for that budget period or $250,000, whichever is less. For example, under a grant in which the Federal share for a budget period is $200,000, if the total approved budget is $300,000, cumulative changes within that budget period exceeding $75,000 would require prior approval). For recipients subject to 45 CFR Part 75, this requirement is in lieu of that in 45 CFR 75 which permits an agency to require prior approval for specified cumulative transfers within a grantee's approved budget. [Note, even if a grantee's proposed rebudgeting of costs falls below the significant rebudgeting threshold identified above, grantees are still required to request prior approval, if some or all of the rebudgeting reflects either a change in scope, a proposed purchase of a unit of equipment exceeding $25,000 (if not included in the approved application) or other prior approval action identified in Part 75 unless HRSA has specifically exempted the grantee from the requirement(s).] 6. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is administered by the Division of Payment Management, Financial Management Services, Program Support Center, which will forward instructions for obtaining payments. Inquiries regarding payments should be directed to: ONEDHHS Help Desk for PMS Support at 18776145533 or PMSSupport@psc.hhs.gov. For additional information please visit the Division of Payment Management Website at www.DPM.PSC.GOV. 7. The DHHS Inspector General maintains a tollfree hotline for receiving information concerning fraud, waste, or abuse under grants and Page 5 NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 cooperative agreements. Such reports are kept confidential and callers may decline to give their names if they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C. 20201, Email: Htips@os.dhhs.gov or Telephone: 18004478477 (1 800HHSTIPS). 8. Submit audits, if required, in accordance with 45 CFR Part 75, to: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 4571551, (800) 2530696 toll free https://harvester.census.gov/facweb/default.aspx/. 9. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that people with limited English proficiency can meaningfully access health and social services. A program of language assistance should provide for effective communication between the service provider and the person with limited English proficiency to facilitate participation in, and meaningful access to, services. The obligations of recipients are explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html. 10. This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000,as amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.htm. If you are unable to access this link, please contact the Grants Management Specialist identified in this Notice of Award to obtain a copy of the Term. 11. The Consolidated Appropriations Act, 2016, Division H, § 202, (P.L.114113) enacted December 18, 2015, limits the salary amount that may be awarded and charged to HRSA grants and cooperative agreements to the Federal Executive Pay Scale Level II rate set at $185,100, effective January 10, 2016. This amount reflects an individual’s base salary exclusive of fringe benefits. An individual's institutional base salary is the annual compensation that the recipient organization pays an individual and excludes any income an individual may be permitted to earn outside the applicant organization duties. HRSA funds may not be used to pay a salary in excess of this rate. This salary limitation also applies to subrecipients under a HRSA grant or cooperative agreement. The salary limitation does not apply to payments made to consultants under this award although, as with all costs, those payments must meet the test of reasonableness and be consistent with recipient’s institutional policy. None of the awarded funds may be used to pay an individual’s salary at a rate in excess of the salary limitation. Note: an individual's base salary, per se, is NOT constrained by the legislative provision for a limitation of salary. The rate limitation simply limits the amount that may be awarded and charged to HRSA grants and cooperative agreements. 12. To serve persons most in need and to comply with Federal law, services must be widely accessible. Services must not discriminate on the basis of age, disability, sex, race, color, national origin or religion. The HHS Office for Civil Rights provides guidance to grant and cooperative agreement recipients on complying with civil rights laws that prohibit discrimination on these bases. Please see http://www.hhs.gov/civil‐rights/for‐individuals/index.html. HHS also provides specific guidance for recipients on meeting their legal obligation under Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or national origin in programs and activities that receive Federal financial assistance (P. L. 88‐352, as amended and 45 CFR Part 75). In some instances a recipient’s failure to provide language assistance services may have the effect of discriminating against persons on the basis of their national origin. Please see http://www.hhs.gov/civil‐rights/for‐individuals/special‐topics/limited‐english‐proficiency/index.html to learn more about the Title VI requirement for grant and cooperative agreement recipients to take reasonable steps to provide meaningful access to their programs and activities by persons with limited English proficiency. 13. Important Notice: The Central Contractor registry (CCR) has been replaced. The General Services Administration has moved the CCR to the System for Award Management (SAM) on July 30, 2012. To learn more about SAM please visit https://www.sam.gov. It is incumbent that you, as the recipient, maintain the accuracy/currency of your information in the SAM at all times during which your entity has an active award or an application or plan under consideration by HRSA, unless your entity is exempt from this requirement under 2 CFR 25.110. Additionally, this term requires your entity to review and update the information at least annually after the initial registration, and more frequently if required by changes in your information. This requirement flows down to subrecipients. Note: SAM information must be updated at least every 12 months to remain active (for both grantees and subrecipients). Grants.gov will reject submissions from applicants with expired registrations. It is advisable that you do not wait until the last minute to register in SAM or update your information. According to the SAM Quick Guide for Grantees (https://www.sam.gov/sam/transcript/SAM_Quick_Guide_Grants_Registrationsv1.6.pdf), an entity’s registration will become active after 35 days. Therefore, check for active registration well before the application deadline. 14. In any grantrelated activity in which family, marital, or household considerations are, by statute or regulation, relevant for purposes of determining beneficiary eligibility or participation, grantees must treat samesex spouses, marriages, and households on the same terms as oppositesex spouses, marriages, and households, respectively. By "samesex spouses," HHS means individuals of the same sex who have entered into marriages that are valid in the jurisdiction where performed, including any of the 50 states, the District of Columbia, or a U.S. territory or in a foreign country, regardless of whether or not the couple resides in a jurisdiction that recognizes samesex marriage. By "samesex marriages," HHS means marriages between two individuals validly entered into in the jurisdiction where performed, including any of the 50 states, the District of Columbia, or a U.S. territory or in a foreign country, regardless of whether or not the couple resides in a jurisdiction that recognizes samesex marriage. By "marriage," HHS does not mean registered domestic partnerships, civil unions or similar formal relationships recognized under the law of the jurisdiction of celebration as something other than a marriage. This term applies to all grant programs except block grants governed by 45 CFR part 96 or 45 CFR Part 98, or grant awards made under titles IVA, XIX, and XXI of the Social Security Act; and grant programs with approved deviations. Page 6 NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/8/2016 8:04:13 AM Award Number: 5 H80CS00044-16-00 Reporting Requirement(s) 1. Due Date: Annually (Calendar Year) Beginning: 01/01/2017 Ending: 12/31/2017, due 45 days after end of reporting period. The Uniform Data System (UDS) is a core set of information appropriate for reviewing the operation and performance of health centers. The UDS tracks a variety of information, including patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, and revenues. It is reviewed to ensure compliance with legislative and regulatory requirements, improve health center performance and operations, and report overall program accomplishments. The data help to identify trends over time, enabling HRSA to establish or expand targeted programs and identify effective services and interventions to improve the health of underserved communities and vulnerable populations. UDS data are compared with national data to review differences between the U.S. population at large and those individuals and families who rely on the health care safety net for primary care. UDS data also inform Health Center programs, partners, and communities about the patients served by Health Centers. Health centers must report annually in the first quarter of the year. The UDS submission deadline is February 15 every year. Please consult the Program Office for additional instructions. Reporting technical assistance can be found at http://bphc.hrsa.gov/healthcenterdatastatistics/reporting/index.html. 2. Due Date: Annually (Budget Period) Beginning: Budget Start Date Ending: Budget End Date, due Quarter End Date after 90 days of reporting period. The grantee must submit an annual Federal Financial Report (FFR). The report should reflect cumulative reporting within the project period and must be submitted using the Electronic Handbooks (EHBs). The FFR due dates have been aligned with the Payment Management System quarterly report due dates, and will be due 90, 120, or 150 days after the budget period end date. Please refer to the chart below for the specific due date for your FFR: Budget Period ends August – October: FFR due January 30 Budget Period ends November – January: FFR due April 30 Budget Period ends February – April: FFR due July 30 Budget Period ends May – July: FFR due October 30 Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions. Contacts NoA Email Address(es): Name Role Email Corinne Velasquez Program Director corinnevelasquez@mail.maricopa.gov Jane E Cochrane Business Official janecochrane@mail.maricopa.gov Note: NoA emailed to these address(es) Program Contact: For assistance on programmatic issues, please contact Stephanie McCoy at: MailStop Code: 17N70C HRSA/BPHC 5600 Fishers Ln Rockville, MD, 208571750 Email: smccoy@hrsa.gov Phone: (301) 4431848 Fax: (301) 5944435 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 7 C-86-02-073-2-48 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. H80CS00044-16-00 IN WITNESS WHEREOF, the parties agree to enter into this Contract and its Amendments: FOR AND ON BEHALF OF MARICOPA COUNTY By Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 8