AMENDMENT 38 RE HEALTH CENTER CLUSTER WITH HRSA.PDF

e-96-62-673-2-37
Q2/ EHBs will be unavailable on 9/4 from lOpm until 3am on 9/5 due to a network infrastructure upgrade.
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1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 es, Cap:fitment el Health snA Itumin SeIfititeS
09/01/2014 41.11R5A
3. SUPERSEDES AWARD NOTICE dated: 08/07/2014
except that any _ _ additions ,_.--i or restrictions . previously _. _ imposed _ remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 15. FORMER GRANT Httith litiouries and 9104cel AtIrdpistratIon
3 H80CS00044-13-05 H800S00044 NO.: NOTICE OF AWARD
H66CS00459 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title III, Section 330
FROM: 11/01/2001 THROUGH: 10/31/2017 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: 11/01/2013 THROUGH: 10/3112014 Public Health Service Act, Section 330, 42 U.S.C. 254b, as
amended
8. TITLE OF PROJECT (OR PR6GRA1111): . HEALTH CENTER CLUSTER
9. dRANTEEVAMtAND ADDRESS: . 16. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
MARIQOPA COUNTY PUBLIC HLTH SERVS DEPT INVESTIGATOR)
220 S 12th Ave Tresa Floyd
Phoenix, AZ 85007-3101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT
DUNS NUMBER: Division Line: Maricopa County Dept. Public Health, Health Care for
145454000 the Homeless
BHCMIS # 090750 220 5 12th Ave
Phoenix, AZ 85007-3101
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $2,902,460.00
[X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
" • • Periods
a. Salaries and Wages : - $1,505,923,00
i. Additional Authority $0.00
b. Fringe Benefits : $548,724.00
H. Offset $0.00
c . Total Personnel Costs : $2,054,647,00
c. UnawarKleci Balance of Current Year's Funds $0.00
d. Consultant Costs : $0.00
d. Less Cumulative Prior Awards(s) This Budget $2,681,588.00
a. Equipment : $16,240.00 Period
f. Supplies : $51,600.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $220,872.00
g . Travel : $13,526.00 , ACTION
, „ 13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h. Construction/Alteration and Renovation : $u :uu availability of funds and satisfacto iroaress of ro'ect
1. Other : $111,880.00 - .. vtArk TOTAL COSTS
j. Consortium/Contractual Costs : $610,210.00 14 .$2,756,427.00
15 $2,940,487.90
k. Trainee Related Expenses : $0.00 i6 '$2'682 897 0
.
I . Trainee Stipends : $0,00
14, APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
m Trainee Tuition and Fees : $0.00 a, Amount of Direct Assistance $0.00
n. Trainee Travel : $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
o. TOTAL DIRECT COSTS: $2,858,103,00 c. Less Cumulative Prior Awards(s) This Budget Period $0,00
p. INDIRECT COSTS (Rate: To of S&W/TADC) : $397,857,00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
q. TOTAL APPROVED BUDGET.: $3,255,960,00
1. Less Non-Federal Share: $353,500.00
ii. Federal Share: $2,902,450.00
15. PROGRAM INCOME SUBJECT TO 45 CFR Part 74.24 OR 45 CFR 92.25 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: $353,500,00
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 74 or 46
CFR Part 92 as applicable. In the event there are conflicting or otherwise Inconsistent policies applicable to the grant, the above order of precedence shalt prevail. Acceptance of the grant terms and conditions is
acknowledged by (ha grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ INo)
Electronically signed by Helen Harpold , Grants Management Officer on : 09/01/2014
17. OB..1.-CLASS: 41.51 18. CRS-EIN: 1866060472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 911/2014 2:03:53 PM
Award Number; 3 H80CS00044-13.05
: SUB
: :0:weciuNT
jj CODE
N/A
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/1/2014 2:03:53 PM
Award Number; 3 FINCS00044-13-05
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://grants.hrsa.gov/webexternal/login.asp to use the
system. Additional help is available online and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the special remarks and condition(s) 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 NoA provides Health Center Expanded Services (ES) supplemental funding to support the expansion of medical capacity and the provision of comprehensive primary care
services to underserved populations. Health Center Program grantees should ensure that ES funding will supplement, not supplant, existing service provision resources.
Grantees are expected to achieve full operational capacity of the ES proposal as outlined in the application by the end of the two-year project, including the provision of new and
expanded services within 120 days of award arid the achievement of new and existing patient projections. Failure to reach full capacity by the end of the two -year project may
result In the withdrawal of support through the cancellation of all or part of the of the ES supplemental award.
2. Your organization will be required to report on progress made towards reaching full operational capacity through the annual Budget Period Progress Report. In addition, HRSA
will monitor future UDS reports for demonstrated progress toward meeting staffing and patient goals over the two-year ES project period.
3, Grantees may re-budget Expanded Services (ES) funding within and among projects without prior approval as long as no projects are proposed to be added or deleted, no
changes In patient impact goals are proposed, at least 50 percent of the total ES funding requested will support the EMC project, and the use of ES funds otherwise aligns with
the intent of the ES supplemental funding opportunity. Grantees that applied for Mental Health Service Expansion — Behavioral Health Integration (HRSA-14-110) funding and also
proposed a Behavioral Health Service Expansion (BH SE) project as part of the ES application should assess the need to re-budget ES funding for the BH SE project upon
award. Grantees must submit a prior approval request to propose to delete a proposed Service Expansion project.
4. ES funding cannot be used to support services that were: (1) not rioted on Form 5A: Services Provided or (2) proposed for sites not Included on Form 5B: Service Locations at the
time of application. If your organization described the provision of a new service in your application, but did not modify the Form 5A appropriately as required, you must submit a
Change in Scope request to ensure that your Form 5A will accurately reflect the new service you plan to provide as part of your ES-funded project, If a new service was proposed
in the ES application in error, select "Not Implemented" in response to the corresponding scope verification condition. If you are not able to implement a new service within the
specified timeframes, you can request to add the new service via the Change in Scope (CIS) module in EHB at a later date. As a reminder, the provision of new and/or expanded
services, and the corresponding responses to scope verification conditions, must comply with current CIS policy. For more information on scope and the CIS process, see
hlip://bphe.hrsa.govia hatIl/requirernents/scope.
5. This award provides supplemental funding for Expanded Services (ES) activities for the period September 1, 2014 through August 31, 2015.
As such, a portion of these funds are being provided for use in the grantee's upcoming FY 2015 budget period. In order to use this funding in
the upcoming budget period, the appropriate amount must be shown as un-obligated (110B) 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, Pro-rated funding will be included in your annual FY 2015 award to support ES activities for the remainder
of the FY 2015 budget period. Yearly funding equivalent to the amount of this award will continue beyond FY 2015 dependent upon
Congressional appropriation and satisfactory grantee performance.
6. Due to the availability of resources, your Expanded Services funding amount has been increased by $9,000; consistent with Health Center
Program statutory distribution requirements, adjustments have been made to your FY 2014 program allocation. These adjustments do not
reduce your FY 2014 target funding level nor impact your FY 2014 funded activities.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/1/2014 2:03:53 PM
Award Number: 3 HB0CS00044-13-05
NoA Email Address(es):
tlainq. Role Email
Corinne Velasquez Authorizing Official corinnevela nailmaricopa.gov
tresa Floyd Progpm Director tresafloyd@mail.maricopagov ,
Jane E Cochrane Busineis Official lanaceehrarie@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, 20857-1750
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:
IVIaliStop Code: 10SWHO3
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: coscar@hrsa.gov
Phone: (301) 443-8862
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C-86-02-073-2-3 ATTACHED TO AND A PART OF
US Departnnent of Health and Human Services,
Health Resources and Service Administration
Health Center Cluster
Award No. H8OCS0004-13-05
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