NOA AMD 45 RE HEALTH CENTER CLUSTERS WITH HRSA.PDF

Maricopa County — Formal (2015-09-23)

View PDF Item 53 Meeting page

Extracted text (via pymupdf_layout) 10009 characters 
1. DATE ISSUED: 2. PROGRAM CFDA: 93.224
08/18/2015
3. SUPERSEDES AWARD NOTICE dated: 08/05/2015
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT
6 H80CS00044­14­06 H80CS00044 NO.: NOTICE OF AWARD
H66CS00459 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title III, Section 330
FROM: 11/01/2001 THROUGH: 12/31/2017 Public Health Service Act, Section 330, 42 U.S.C. 254b
Affordable Care Act, Section 10503
Public Health Service Act, Section 330, 42 U.S.C. 254, as amended.
Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b,
7. BUDGET PERIOD: as amended
FROM: 11/01/2014 THROUGH: 12/31/2015 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 $3,534,139.00
[X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
Periods
a . Salaries and Wages : $1,534,328.00
i. Additional Authority $0.00
b .Fringe Benefits : $550,494.00
ii. Offset $0.00
c . Total Personnel Costs : $2,084,822.00
c. Unawarded Balance of Current Year's Funds $0.00
d . Consultant Costs: $0.00
d. Less Cumulative Prior Awards(s) This Budget $3,527,020.00
e . Equipment: $33,000.00 Period
f . Supplies: $102,764.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $7,119.00
g . Travel : $20,000.00 ACTION
13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project)
i . Other: $576,932.00 YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $608,035.00 15 $2,940,487.00
16 $2,940,487.00
k . Trainee Related Expenses : $0.00
l . Trainee Stipends: $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
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
n . Trainee Travel : $0.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
o . TOTAL DIRECT COSTS: $3,425,553.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $408,586.00
q . TOTAL APPROVED BUDGET: $3,834,139.00
i. Less Non ­Federal Share: $300,000.00
ii. Federal Share: $3,534,139.00
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: $300,000.00
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 Sarah Hammond, Grants Management Officer on : 08/18/2015
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
15 ­ 398879E 93.527 15H80CS00044 $7,119.00 $0.00 HCH HealthCareCenters_15
Page 1

NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/18/2015 6:05:58 PM
Award Number: 6 H80CS00044-14-06
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. Purpose ­ The purpose of the Fiscal Year (FY) 2015 Health Center Quality Improvement (QI) Fund one ­time grant supplement is to: (1)
recognize health centers that demonstrated improvements in access to care, quality of care and/or value of care through data provided in the
Calendar Year 2014 Uniform Data System ; and (2) provide support for those health centers to continue to strengthen clinical and operational
quality improvement activities.
Use of Funds ­ This supplement must be used:
• Within 12 months of receipt of funds to support QI activities.
• Consistent with federal cost principles at 45 CFR 75.
In addition to costs typically unallowable under the H80 grant, this supplement 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).
• For construction costs (including minor alterations and renovation and fixed equipment).
Fund Activities ­ 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: training staff ; developing policies and procedures ; enhancing health
information technology, certified electronic health record, and data systems ; data analysis ; implementing targeted QI activities (including
hiring consultants).
• Developing and improving care delivery systems: supplies to support care coordination, case management, and medication management ;
developing 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 ; patient engagement activities.
Reporting ­ 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/BPR instructions.
Funding Period ­ This award provides one time funding for use during the period of August 1, 2015, through July 31, 2016. 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.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Page 2

NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/18/2015 6:05:58 PM
Award Number: 6 H80CS00044-14-06
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: 16C ­26
HRSA/BPHC
5600 Fishers Ln
Rockville, MD, 20857­1750
Email: smccoy@hrsa.gov
Phone: (301) 443 ­1848
Fax: (301) 594 ­0161
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 3

C-86-02-073-2-44 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. H8OCS00044-14-06
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