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C-86-02-073-2-47 1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 08/16/2016 3. SUPERSEDES AWARD NOTICE dated: 04/18/2016 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 6 H80CS000441503 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: 01/01/2016 THROUGH: 12/31/2016 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: Maricopa County Dept. Public Health, Health Care for 145454000 the Homeless BHCMIS # 090750 220 S 12th Ave Phoenix, AZ 850073101 11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE: [ ] Grant Funds Only a. Authorized Financial Assistance This Period $3,069,091.00 [X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget Periods a . Salaries and Wages : $1,540,360.00 i. Additional Authority $0.00 b . Fringe Benefits : $569,588.00 ii. Offset $0.00 c . Total Personnel Costs : $2,109,948.00 c. Unawarded Balance of Current Year's Funds $0.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $3,056,819.00 e . Equipment : $0.00 Period f . Supplies : $98,820.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $12,272.00 ACTION g . Travel : $20,000.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project) i . Other : $87,121.00 YEAR TOTAL COSTS j . Consortium/Contractual Costs : $703,377.00 16 $3,056,819.00 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 : $3,019,266.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $449,825.00 q . TOTAL APPROVED BUDGET : $3,469,091.00 i. Less NonFederal Share: $400,000.00 ii. Federal Share: $3,069,091.00 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: $400,000.00 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 : 08/16/2016 17. OBJ. CLASS: 41.51 18. CRSEIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00 SUB SUB ACCOUNT FYCAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE CODE Page PP T i f i f ll 508 li ibl HTML i i il bl h HRSA El i H db k If d NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/16/2016 11:30:05 AM Award Number: 6 H80CS00044-15-03 16 398879F 93.527 15H80CS00044 $12,272.00 $0.00 HCH HealthCareCenters_15 Page 2 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/16/2016 11:30:05 AM Award Number: 6 H80CS00044-15-03 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 10 digit 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 877 Go4HRSA/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. Health centers will be required to provide information on the QI activities supported through this one time supplement via their FY 2017 Service Area Competition (SAC) application or FY 2017 Budget Period Renewal (BPR) progress report. More information will be provided as part of the SAC and BPR instructions. 2. The purposes of the Fiscal Year (FY) 2016 Health Center Quality Improvement (QI) Fund one time grant supplement are to: (1) recognize health centers that displayed high levels of quality performance in Calendar Year 2015 Uniform Data System reporting and/or significantly improved quality of care from 2014 to 2015 ; (2) provide support for those health centers to continue to strengthen quality improvement activities ; and (3) to recognize and provide support for health centers with one or more sites with new and/or continued patient centered medical home recognition. 3. This award provides onetime funding for use during the period of September 1, 2016, through August 31, 2017. If funds are not fully expended by the end of your current budget period, you must request carryover to use the remaining funds in your next budget period. In order to use this funding in the upcoming budget period, the appropriate amount must be shown as un obligated (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 EHB immediately following the FFR submission. Please consult the Grants Management Specialist for questions regarding submission of the FFR and/or Prior Approval Requests to carry over UOB funds. 4. This supplement must be used within 12 months of receipt of funds to support QI activities. Funds must be used consistent with all federal cost principles as noted in 45 CFR 75. In addition, health centers must use these funds for QI activities, which include but are not limited to: • Developing and improving health center QI systems and infrastructure, including training staff ; developing policies and procedures ; enhancing health information technology, certified electronic health record, and data systems ; data analysis ; and/or implementing targeted QI activities (including hiring consultants). • Developing and improving care delivery systems, including purchasing supplies to support care coordination, case management, and medication management ; developing and implementing contracts and formal agreements with other providers ; laboratory reporting and tracking ; training and workflow redesign to support team based care ; clinical integration of behavioral health, oral health, HIV care, and other services ; and/or patient engagement activities. 5. Funds may not be used for fundraising, lobbying, incentives (gift cards, food), construction/renovation, facility or land purchases, or vehicle purchases. 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). This is consistent with past practice and longstanding requirements applicable to grant awards to health centers. In addition, this supplemental funding may not be used: to supplant existing resources ; to support bonuses or other staff incentives ; for moveable equipment individually valued at $5,000 or greater (except equipment related to Health Information Technology and certified Electronic Health Record systems). 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 Page 3 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/16/2016 11:30:05 AM Award Number: 6 H80CS00044-15-03 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) 443 1848 Fax: (301) 594 4435 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) 443 8862 Page 4 1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 09/12/2016 3. SUPERSEDES AWARD NOTICE dated: 08/16/2016 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 3 H80CS000441504 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: 01/01/2016 THROUGH: 12/31/2016 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 $3,120,472.00 [X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget Periods a . Salaries and Wages : $1,540,360.00 i. Additional Authority $0.00 b . Fringe Benefits : $569,588.00 ii. Offset $0.00 c . Total Personnel Costs : $2,109,948.00 c. Unawarded Balance of Current Year's Funds $0.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $3,069,091.00 e . Equipment : $0.00 Period f . Supplies : $98,820.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $51,381.00 ACTION g . Travel : $20,000.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project) i . Other : $138,502.00 YEAR TOTAL COSTS j . Consortium/Contractual Costs : $703,377.00 16 $3,056,819.00 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 : $3,070,647.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $449,825.00 q . TOTAL APPROVED BUDGET : $3,520,472.00 i. Less NonFederal Share: $400,000.00 ii. Federal Share: $3,120,472.00 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: $400,000.00 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 : 09/12/2016 17. OBJ. CLASS: 41.51 18. CRSEIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00 SUB SUB ACCOUNT FYCAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE CODE 16 398879F 93.527 15H80CS00044 $51,381.00 $0.00 HCH HealthCareCenters_15 Page 5 Page PP T i f i f ll 508 li ibl HTML i i il bl h HRSA El i H db k If d NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/12/2016 7:07:11 AM Award Number: 3 H80CS00044-15-04 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 10 digit 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 877 Go4HRSA/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 award provides Fiscal Year (FY) 2016 Delivery System Health Information Investment (DSHII) supplemental funding to support health centers to make strategic investments in health information technology enhancements. DSHII supplemental funding may only be used to support activities implemented at sites that are in the Health Center Program scope of project. 2. This award provides one time supplemental funding for Fiscal Year (FY) 2016 Delivery System Health Information Investment (DSHII) supplemental funding activities for the period September 1, 2016 through August 31, 2017. As such, a portion of these funds are being provided for use in the health center’s upcoming FY 2017 budget period. In order to use this funding in the upcoming budget period, the appropriate amount must be shown as un obligated (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 EHB immediately following the FFR submission. Consult the Grants Management Specialist for questions regarding submission of the FFR and/or Prior Approval Requests to carry over UOB funds. Ongoing funding will not be available to support activities initiated under this award after the 12 month funding period. 3. Your organization will be required to report your progress on and the impact of the health information technology enhancements supported by the one time DSHII award in future Budget Period Progress Report (BPR) Non Competing Continuation (NCC) submissions. 4. Health centers may re budget Fiscal Year (FY) 2016 Delivery System Health Information Investment (DSHII) supplemental funding without prior approval as long as the proposed use of DSHII funding aligns with the intent of the DSHII supplemental funding opportunity (HRSA 16 191) and complies with requirements in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards at: http://www.ecfr.gov/cgi bin/textidx?node=pt45.1.75. Note that health centers must implement allowable health information technology enhancements by the end of the 12 month funding period, even if the proposed activities change post award and/or if implementation delays arise. 5. Health centers may not use Fiscal Year (FY) 2016 Delivery System Health Information Investment (DSHII) supplemental funding to supplant existing resources (federal, state, local, or private). In addition, these funds may not be used on: costs incurred prior to award, patient care costs, direct hire personnel costs (i.e., salary and fringe benefits), purchase or upgrade of an EHR that is not certified by the Office of the National Coordinator for Health Information Technology (ONC), construction (including minor alterations and renovation), fixed/installed equipment, costs associated with the installation of equipment purchased with one time DSHII funding, or facility, land, or vehicle purchases. 6. In the Approved Budget section of the Fiscal Year (FY) 2016 Delivery System Health Information Investment (DSHII) supplemental funding Notice of Award (item 11), all approved costs are included in the ‘Other’ budget line item (line i). Health centers must expend DSHII supplemental funding in accordance with the distribution across budget line items (otherwise referred to as object class categories) proposed in the approved application and/or any revisions submitted to HRSA prior to this award. (e.g., Equipment, Supplies, Contractual). Contact the Division of Grants Management Operations contact listed on the Notice of Award with any questions about this requirement. All prior terms and conditions remain in effect unless specifically removed. Contacts NoA Email Address(es): Page 6 NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/12/2016 7:07:11 AM Award Number: 3 H80CS00044-15-04 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 Stephanie McCoy at: MailStop Code: 17N70C HRSA/BPHC 5600 Fishers Ln Rockville, MD, 208571750 Email: smccoy@hrsa.gov Phone: (301) 443 1848 Fax: (301) 594 4435 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) 443 8862 Page 7 C-86-02-073-2-47 ATTACHED TO AND A PART OF Notice of Award, U. S. Department of Health and Human Services, Health Resources and Services Administration Health Center Cluster Notice of Award No. H80CS00044-15-00 IN WITNESS WHEREOF, the parties agree to enter into this Contract and its Amendments: FOR AND ON BEHALF OF MARICOPA COUNTY By Clint Hickman, Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 8