HEALTHY START WITH MIHS AMD 2.PDF

CONTRACT NO: C-86-15-076-3-02 AMENDMENT NO: 2
AMENDMENT TO
INTERGOVERNMENTAL AGREEMENT (IGA)
Between
MARICOPA COUNTY By and Through the
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400
Phoenix, Arizona 85012, and
Maricopa County Special Healthcare District
dba Maricopa County Integrated Health Systems (MIHS)
I. The above named IGA is hereby amended as specified below:
A. Page 1, Item 3: Agreement amount is changed to an aggregate, not-to-exceed
amount from $206,904 to $375,234 (increased by $168,330.00 for the budget
period November 1, 2015 through October 31, 2016);
B. Year 2 Budget is replaced with the revised year 2 budget and narrative (Exhibit
A). The year 2 budget is for a total of $203,330. $35,000 of this total was
previously approved, resulting in a current increase of $168,330.00.
II. All other terms and conditions of the original IGA and its Amendments 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
MARICOPA COUNTY MARICOPA COUNTY INTEGRATED
HEALTH SYSTEMS (MIHS)
By: By:
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

Exhibit A
MIHS Healthy Start Year 2 Budget
Line Item Year 2 Budget
Personnel Hrly Rate # Hours
Program Coordinator (0.5 FTE) $28.48 1040 $28,870.00
Community Health Worker (1.0 FTE) $16.29 2080 $33,883.20
Care Coordinator (1.0 FTE) $25.00 2080 $52,000.00
Epic Report Writer $4,000.00
Subtotal Salaries $118,753.20
EREs % of salary
Program Coordinator 66% $18,931.51
Community Health Worker 40% $13,553.47
Care Coordinator 39% $20,800.00
Epic Report Writer 32% $1,280.00
Subtotal EREs $54,564.98
Subcontracts
DMG $2,067.36
Subtotal Consultants $2,067.36
Supplies
General supplies $5,000.13
Subtotal Supplies $5,000.13
Other
Mileage 0.54 6407 $3,459.78
Seminars $1,000.00
Subtotal Other $4,459.78
Subtotals
Subtotal Direct $184,845.45
Subtotal Indirect $18,484.55
TOTAL BUDGET $203,330.00
Budgeted amount $225,922
Budget w/ 10% reduction $203,330.00
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MIHS Healthy Start 3.0 FY 16 Budget Narrative (Year 2)
Personnel Year 2: $118,753.20
Personnel expenses for Year 2 reflect being assigned to the program for 12 months.
Position Title Hourly Salary FTE Level Total Amount
Requested
Program Coordinator $28.48 .5 $28,870.00
Community Health $16.29 1.0 $33,883.20
Worker
Care Coordinator $25.00 1.0 $52,000.00
Epic Report Writer $4,000.00
TOTAL $118,753.20
Employee Related Expenses (ERE) Year 2: $54,564.98
MIHS has approved the following Fringe Benefits (ERE) rates for FY16:
Name of Employee % of Total
salary Benefits
Program Coordinator 66% $18,931.51
Community Health 40% $13,553.47
Worker
Care Coordinator 39% $20,280.00
EPIC Report Writer 32% $1,280.00
TOTAL $54,564.98
In accordance with the Consolidated Appropriations Act, 2012 (Public Law 112-74, Section
203), signed into law on December 23, 2011, direct salaries which may be paid under an HHS
grant are limited to a rate of no greater than Executive Level II of the Federal Executive Pay
Scale. Currently the Executive Level II salary level is $185,100. MIHS has capped salary
reimbursements so that none of them exceed the statutory salary limitation.
Subcontractor – District Medical Group Year 2: $2,067.36
MIHS contracts with the District Medical Group (DMG) for physician and mid-level clinicians.
The contract payment to DMG is based on a negotiated rate based on fair market value (FMV).
The FMV rate is based on data from the Medical Group Management Association (MGMA), a
nationally recognized source for provider compensation information.
Under the DMG contract, compensation for mid-levels reflects a blend, on a fifty-fifty basis, of
rates taken from the MGMA Academic Practice Compensation and Production Survey (Total
Compensation for All Academic Faculty) and the MGMA Physician Compensation and
Production Survey, for the applicable specialty.
As mentioned, MIHS has capped salary reimbursements so that the salary limitation imposed by
Public Law 112-74, Section 203 is not exceeded. The table, below, shows the base salaries,
capped salaries, and the amount requested for clinician.
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MIHS Healthy Start 3.0 FY 16 Budget Narrative (Year 2)
Dean Coonrod, M.D., Chair, Department of Obstetrics & Gynecology: Consultant
Dr. Coonrod will provide consultation with creating the Epic build so that providers and Healthy
Start staff will be able to enter and collect data. He will assist with the creation of the training
materials and curriculum. He will review the health outcomes to identify opportunities to educate
staff and providers.
Name Position FTE Contracted Adjusted Amount
Annual Annual Requested
Rate Rate
Dean Coonrod, Chair, Dept. of Obstetrics & 0.0096 $266,826 $185,100 $1,776.96
M.D. Gynecology
TOTAL 0.0096 $266,826 $185,100 $1,776.96
Yolanda Alonzo, Family Violence Program Advocate, Mariposa: Wings to Safety (Yr 2):
$290.40
Yolanda Alonzo provides training and advocacy for the Mariposa Wings to Safety domestic
violence program. She will provide 10 hours of preparation and training to Healthy Start staff.
Name Position Contracted Hours Per Amount
Rate Year Requested
Yolanda Family Violence Program Advocate, Mariposa Wings $29.04/hour 10 $290.40
Alonzo To Safety
General Supplies/Educational Materials Year 2: $5,000.13
MIHS will purchase office and educational supplies pertaining to program implementation. This
includes, but is not limited to, general office supplies, educational and promotional brochures
and materials for participants and potential participants.
Mileage Year 2: $3,459.78
Rate # miles Total
$.54 / mile 6,407 in 12 months $3,459.78
Seminars Year 2: $1,000
$1,000 for the 12 month program. Local workshops and seminars are announced throughout the
program year. Seminar fees will be used to pay for upcoming relevant programs.
Indirect Year 2: $18,484.55
MIHS has a Federally Approved Indirect Cost Rate Agreement in place and is requesting 10%
indirect for Years 1 – 5.
Total Budget $203,330.00
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