AMD GRANTEE AGRMT RE ORAL HEALTH E NW SW WITH FTF.PDF

4000 North Central Avenue, Suite 800
Phoenix, Arizona 85012
Phone: 602-771-5100
Fax: 602-274-7040
www.azftf.gov
Chair
Steven W. Lynn DATE: June 11, 2014
Vice Chair TO: Maricopa County Department of Public Health
Dr. Pamela Powell
ATTENTION: Emily Lehr
Members EmilyLehr@mail.maricopa.gov
Nadine Mathis Basha
Gayle Burns FROM: Dana Browning
Janice Decker
Hon. Cecil Patterson RE: Grant Renewal Information
Vivian Saunders
Ruth Solomon
________________________________________________________
Ex-Officio Members
Congratulations on the renewal of your grant from the East Maricopa,Northwest Maricopa
Clarence H. Carter and Southwest Maricopa Regional Partnership Councils. The award period for your grant,
Director DES GRA-MULTI-11-0077-01-Y5, is July 1, 2014 through June 30, 2015.
Will Humble Follow Up Action Necessary
Director ADHS Please print two copies of the attached Grant Renewal Amendment form, obtain original
signatures by your designated signatory, and mail both originals back to my attention. First
Things First will countersign and return one original for your records.
John Huppenthal
Superintendent ADE For your FY15 grant, the reimbursement requests, data and narrative reports, and general
grant management documentation will continue to be submitted through the Partner and
Chief Executive Officer Grant Management System (PGMS). Please reference the Grantee Resources Folder in PGMS
Sam Leyvas for the most current versions of the budget modification request and staff change notification
forms.
Your current grant ends June 30, 2014 and the current terms require final data and narrative
reports be submitted on or before July 21, 2014 and your final request for reimbursement
must be submitted no later than August 15, 2014 (45 days from the grant end date.)
Unexpended funds from 2014 do not carry over to the 2015 fiscal year.
If you have any questions, please contact either of us, Annette Garcia, angarcia@azftf.gov,
602-771-5089 or Dana Browning, dbrowning@azftf.gov, 602-771-5094. We look forward to
working with you again this year.

Early Childhood Health and
Grant Renewal Amendment Development Board (First
Things First)
2015 Grant Award Page
4000 North Central
GRA-MULTI-11-0077-01-Y5 1 Avenue, Suite 800
East Maricopa,Northwest of Phoenix, Arizona 85012
Maricopa,Southwest Maricopa 1 (602) 771-5000
Oral Health (602) 265-0009 fax
CONTRACTOR:
Maricopa County Department of Public Health
4041 N. Central Ave., Ste. 1400
Phoenix, Arizona 85012
PURPOSE OF AMENDMENT:
1. Pursuant to Special Terms and Conditions, “Contract Renewal”, of the above referenced Grant
Agreement/Contract Award, the State of Arizona hereby exercises its sole option to renew the Grant
Agreement/Contract Award number referenced above. The renewal start date is July 1, 2014 and end
date is June 30, 2015.
2. Total award amount for the contract period is $726,484.00
3. The Grantee is responsible for all updated Standards of Practice located for reference in the First
Things First Grant Management System known as PGMS under Grantee Resources.
4. All other terms and conditions remain unchanged.
Contractor hereby acknowledges receipt and understanding The above referenced amendment is hereby executed
of the contract amendment. effective July 1, 2014 once signed and dated below:
Signature _______________________________________________
Josh Allen
Name CFO/COO
Title _______________________________________________
Date
Date

Attachment A
Program Implementation Questions
1. Provide a brief narrative description of your current approved program and your plan for
continuation in SFY15, including context for the activities listed in the Program
Implementation Plan. (Attachment B)
First Teeth First currently provides oral screenings, fluoride varnish and education to children
through the age of five years old at Maricopa County Women, Infant and Children (WIC) clinics,
a Maricopa County Immunization clinic in the West Valley, childcare centers and preschools in
each funded region. The program provides a basic oral screening to the child and provides one-
on-one education to parents at the time of service. Children are given a toothbrush kit once
services are completed to promote healthy brushing habits in the future. The parent is
encouraged to return with the child every 6 months to obtain services and continue to pursue
healthy habits. in addition, First Teeth First provides basic oral screenings and education to
pregnant women at our permanent location sites. Pregnant women are educated on the
importance of their oral health and maintaining regular dental visits during their pregnancy for a
healthy baby. Referrals are made to low cost/reduced fee clinics when an urgent dental need is
determined by our registered dental hygienist for a child or a pregnant woman we have
screened.
2. If applicable, explain any proposed modifications for SFY15, including the change(s) to be
made, how they were determined to be necessary, and how they will contribute to the
success of your program. Please note that program modifications cannot deviate from the
original scope of work or applicable standards of practice.
In the interest of program sustainability and improvement, we are changing the staffing model
for contract staff. First Teeth First will be transitioning from independent contract staff to hiring
individuals as Maricopa County temporary status employees.
3. Describe how the program data will be utilized to improve program implementation. Include
assurances that data collection and submission will be timely and ongoing.
• A relational database management system (RDBMS) is utilized by sites to identify if a child has
been screened in our program within the last 6 months. Our site assistants input data on a daily
basis to provide a real-time date record of service. Our program utilizes childcare and preschool
location data to continue administration of oral health screenings and fluoride varnish services
at locations in the Central Phoenix region. The database allows our program access to real-time
numbers that we report to First Things First on a quarterly basis.
2

4. Please provide a detailed approach and efforts made to collaborate with other regional
partners in the rural areas of the region.
First Teeth First recognizes the importance of partnering with not only other First Things First
grantees but with various entities in the community. In addition to urban areas, our program
pursues rural areas in each region where we provide services by visiting the rural areas at least
once every six months. In an effort to provide services in hard-to-reach populations, our
program partners with family resource centers, community centers and shcools in the rural
regions to encompass as many children as possible. These locations include Gila Bend/Paloma,
Wickenburg/Aguila and Fountain Hills/Ft. McDowell Indian Reservation. Our health educators
also participate in regional grantee partnership meetings, engaging with new First Things First
grantees and community partners regularly. Our program continues to actively engage our
community dental providers and clinics as a resource for referral for all of our urgent children
within the communities we serve.
3

treatment treatment
Documentation
forms, Database forms, Database
Support Consent records, Consent records,
Be 'incline
Will
Task
Date Completed Ongoing Ongoing
Plan
Responsible personnel assistants personnel
Implementation 2015 Coordinator, site Coordinator, site assistants. 4
Person Program dental and Program dental and
Program to the our one on while screened the in one while
staff to never have oral and through one services. and to services on services.
Task WIC services have that received parents WIC staff have varnished one parents
the the and screenings varnish Provide to receiving the continued we Continue to receiving
with provide that received previously fluoride program. education is with Immunization provide children fluoride education is
Work clients health child Work to and past. child
WIC Immunization education clinics, and
B Activities health fluoride in children health WIC locations
oral and to the and oral at
Attachment Provide screenings varnish clinics clinic, Provide parents community events.
to

treatment treatment treatment treatment
forms, Database forms, Database forms, Database forms, Database
Consent records, Consent records, Consent records, Consent records,
Ongoing Ongoing Ongoing Ongoing Ongoing
Assistant Assistant hygienist)
Health Educator/Outreac Specialist Health Educator/Outreac Specialist Program Coordinator Program Health Educator/Outreac Specialist Program Coordinator Program Subcontractors (dental hygienists), Program coordinator Program Coordinator Subcontractors (dental 5
h h h
child's Play Things with and every women pregnancy provide setting.
parent events and First with Childcare regions. centers provide location pregnant and sites. local to group
one on during -Community Stay contact/visit/schedule First the in childcare to the at screenings at with groups a in
Sites WIC -One education services. -Library Collaborate to First Quality Centers Track preschools services months six Sites WIC -Provide oral education Work - outreach services
health fluoride in and each in children oral education and
Oral and children to Centers in providing to women and screening
Provide screenings varnish Care Child preschools region, education location. the Pregnant screenings Continue

subcontractor treatment treatment
from monthly forms, Database forms, Database
Report received Consent records, Consent records, Database Database
First
Year Year to First
School School Ongoing Quarterly Things Ongoing
assistant, educator. assistant, educator assistant assistant
Subcontractor, Program Coordinator Program coordinator, program health Program Coordinator, program health Program Coordinator, program Program coordinator, program 6
to analysis clinic
Services and and of
Provide community input analysis interpretation findings
Data Data
in two school from the in the to screenings care in (e.g. etc.) to varnish
services region subcontractor. reporting program and preschools oral services. expanded communities Buckeye, health fluoride Reporting
varnishing Northwest districts by Program subcontractor. Continue Southwest Northeast provide and varnish Continue outlining Gila Bend, provide oral screenings, and education. Program

Attachment C
Line Item Budget
Budget period: July 1, 2014—June 30, 2015
. Requested Funds . Total CoAt :,
Personnel Services Sub Rota $351,288
Prog Coord Kim Richards .5 FTE $20,410
Prog Asst. .75 FTE $23,490
Accting Spec Camelia $8,154
Williams.25FTE
$36,937
Hlth Educator Maryola Blancas
1.0 FIE
Hlth Educator Antoinette $40,027
Martinez
1.0 FTE
3% Salary Increase $3,871
Registered Dental Hygienists $140,400
5,200 annual hours
Site Assistants 5,200 annual $78,000
hours
EMPLOYEE RELATED EXPENSES gtoisloyoRoiatoi:Exiiiotoi $4101:001 $98,822
Fixed $8.904 per FTE $31,164
Variable 19.26% of total salaries $25,594
Variable —Temporary Personnel
Only 19.26%
In-State Travel Mileage:
Out of State Travel -Program Coordinator
- Program Assistant
- 2 Outreach Specialists
$,2904
Airfare-2 FTEs $800
Hotel $696
Per diem $ 408
Home & conference airport shuttles $200
Conference Registration $ 800
AID TO ORGANIZATiONS OR vipiyiptJALs:: Aid to Organizations or Individuals Sub Total $44,000
Sub grants Of Subcontracts to Delta Dental Subcontract - $44,000
organizations/agencies/entities Preschools ($22,000 x 2 school
districts)
OTHER OPERATING EXPENSES OthPfOperOtif*:.P.KpeOPs*Itv. TOW:
7

• Telephones/Communications Services Monthly charges for 4 smart phones $2,880
$100/month for 12 months
• General Office Supplies $100/month for 12 months $1,200
O Rent/Occupancy 10 WIC clinic days/week@ $20/day
12 months plus storage unit for $14,900
program supplies.
• Printing/Copying
$900/month for 12 months $10,800
• Professional Development/Staff Training 5 people @ $250 $1,250
O Conference Workshops/ Training Fees for
Staff 3@$140 +1 @$300 $720
* Program Supplies
$2.00/bag (toothbrushes, stickers, ed $11,420
materials) for approx. 5,710 children
$2.00/visit (fluoride varnish, gloves, $11,420
etc.) for 5,710 children
Toothbrushes for pregnant woman $2,100
1,400 x $1.50
800 saliva kits @ $70 each $56,000
brochures, pamphlets, cups for kids, $47,520
misc. incentives
EQUIMIgINT! N.9n-CaPit0Sub Toth SN/A
Equipment $4,999 or less in value ; NIA
Subtotal f)irecrProgiam Costs $620,440
ADIV11.1114TRAIty.E./.1.NORtg..cOSTS.. ::..• Total Admin/Indirect
I n dfrect/Admin Costs $62,044
Total : .$726;484
Authorized signature Date I Li
8

Attachment C (Continued)
Budget Narrative
Personnel Services:
The Program Coordinator has daily oversight of program implementation and reporting. She completes
reports, tracks performance measures, and supervises staff. The 12-month salary at $1955 per hour for
this .50 FTE position is $20,410.
The Program Assistant schedules personnel at the sites, and assists the program coordinator and staff
with administrative functions. The 12-month salary at $15.00 per hour for this .75 FIE position is
$23,490.
The Accounting Specialist is responsible for tracking the budget, submitting reimbursement requests
and other financial related activities. At $15.62 per hour, the 12-month salary for this .25 FTE position is
$8,154.
The Health Educators/Outreach Specialists promote the program in the communities and identify
partners drawing large numbers of families, children five years of age and under, and pregnant women
where preventive oral health services could be offered. The two 12-month salaries for these positions
are $76,964 (one at $17.69/hr. totaling $36,937 and one at $19.17/hr. totaling $40,027).
Temporary Personnel Services
Registered Dental Hygienists (RDHs)
Dental hygienists are hired by Maricopa County as temporary personnel to provide one on one
education, standardized oral screenings, and fluoride varnish applications.
Dental hygienists in the NW/SW/NE Regions are estimated to spend a total 5,200 hours; at an estimated
$27/hour the total is $140,400 for the twelve-month period.
Site Assistants
Site assistants are hired by Maricopa County as temporary personnel to provide translation for dental
hygienists who are not bilingual, and to assist the dental hygienist on-site with patient flow, forms, and
data entry. They are scheduled at the same time as the dental hygienists, for the same number of
hours/days described above for the dental hygienists (the difference being the site assistant's salary, at
an estimated $15/hour). Sites assistants in the NW/SW/NE Regions are estimated to spend a total 5,200
hours; at an estimated $15/hour the total is $78,000 for the twelve-month period.
Employee Related Expenses:
Fringe Benefits are calculated at $8,904 per FTE for a total of $31,164 (fixed rate) for medical and dental
coverage. Variable benefits are calculated at 19.26% of salaries for Medicare, social security,
unemployment, workers' compensation, long term disability, life insurance, and the Arizona State
9

Retirement System. Total variable benefit cost is $25,594 for twelve months. The total cost of fixed and
variable benefits is $56,758.
Fringe Benefits for temporary personnel only include the variable benefits and are calculated at 19.26%
of salaries for Medicare, social security, unemployment, workers' compensation, long term disability, life
insurance, and the Arizona State Retirement System. Total variable benefit cost for temporary personnel
is $42,064 for twelve months.
Professional and Outside Services:
Contracted Services
Consulting Dentist
A Dentist will be contracted to provide standing orders and ACCHS billing support across all three
regions this expense totals $2,500 for twelve months.
Travel:
In-State Travel
Travel is necessary between sites for training, events, program monitoring, and meeting attendance
(e.g., First Things First State and Regional meetings). Travel for the twelve-month period for the program
coordinator, program assistant, and two outreach specialists are estimated at 10,596 miles. At
$.445/mile, mileage for in-state travel totals $4,715.
Out-of-state Travel
Attendance of staff at the annual National Oral Health Conference is estimated to cost $800 in
registration fees ($400 x 2 people), $800 in airfare ($400 x 2), $696 for a conference hotel ($87/night x 4
nights x 2 people), $408 per diem ($51/day x 4 days x 2 people), and $200 in airport shuttles ($50 RT in
Phoenix for each of 2 people and $50 RT in the host city for each of 2 people), for an estimated total of
$2,904 for two people.
Aid to Organizations or Individuals:
Delta Dental Foundation of Arizona
We are contracting with Delta Dental Foundation of Arizona to provide dental screening, fluoride
varnish, and education and referral services to pre-school children in two school districts in the
Northwest Maricopa Region. The cost per district is $22,000 for two school districts for a total of
$44,000.
Other Operating Expenses:
Telephone communications services
Monthly charges for four smart phones is $240 ($60 each), or $2,880 for the twelve-month period.
General Office Supplies
10

Office supplies are estimated at $100 per month, for twelve months for all three regions, totaling
$1,200.
Rent/occupancy
Space in each of three WIC Centers will cost $20 per day, for a total in all three WiCs of 10 clinic days per
week, for 52 weeks per year up to $10,400. Also, a storage unit will be maintained for the storage of
program supplies for the 12-month period at a rate of $4,500
Printing/Copying
Printing and copying of forms is estimated at $900 per month, for twelve months, for all three regions,
totaling $10,800.
Professional Development/Staff Training
Staff training for the Program Coordinator and Assistant, the Accounting Specialist, and the Outreach
Specialists is estimated at $250 each, for a total of $1,250 for the twelve-month period.
Conference Workshops/Training Fees for Staff
The annual Western Regional Dental Conference registration (in Phoenix) will cost a total of
approximately $720 for four people (the program coordinator and assistant and the two outreach
specialists).
Program Supplies-gift dental bags
The gift bags (e.g., toothbrush, stickers, toothpaste, etc.) are estimated at $2 per bag. It is estimated
that we will need approximately 5,710 bags or $11,420 for the twelve-month period.
Program Supplies-clinical
Each visit requires approximately $2 in clinical supplies (fluoride varnish, gloves, gauze, etc). 5,710 visits
total $11,420 in clinical supplies for the twelve-month period.
Program supplies-toothbrushes for pregnant women
We expect to use approximately 1,400 adult toothbrushes across all sites. At $1.50 each, this totals
$2,100 for the twelve-month period.
Program Supplies-screening for pregnant woman
Saliva kits for 800 pregnant women at $70 each
Program supplies-educational materials
Pamphlets, brochures, incentives, women testing kits etc., along with training materials in the form of
program manuals for approximately ten people are necessary and the total of this category is $47,520.
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Non-Capital Equipment: N/A
Administrative/Indirect Costs:
The indirect rate is calculated based on actual costs from a prior fiscal year, and is updated annually.
The indirect amount is determined monthly by applying the percentage rated to actual expenditures
for the prior month. The current federally approved indirect rate is 15%. Indirect costs OW% of the
agreement expenses will be $62,044.
Option B - Federally Approved Indirect Costs: If your organization has a federally approved
indirect cost rate agreement in place, grantees may include an allocation for indirect costs for up
to 10% of the direct costs. Applicants must provide a copy of their federally approved indirect
cost rate agreement. (See Attachment S)
Authorized signature Date VIA y
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Attachment D
Key Personnel
STAFF MEMBER BACKGROUND AND EXPERTISE OF PERSONNEL
Name: Kimberly Richards The Program Coordinator has daily oversight of overall program implementation,
Title: Program Coordinator management and reporting. This position completes reports, tracks performance
FTE on this project: .50 FTE measures, and supervises the program staff. A resume has been previously
submitted.
Name: TBD This individual will assist the program coordinator and the health
Title: Program Assistant education/outreach specialist with administrative functions for this program. We
FTE on this project: .75 FTE are currently interviewing applications to replace the previous program assistant
r that is no longer with the program.
Name: Camelia Williams The Accounting Specialist is responsible for tracking the budget, submitting
Title: Accounting Specialist reimbursement requests and other financial related activities. A resume has
FTE on this project: .25 FTE previously been submitted.
Name: Maryola Biancas The Outreach Specialist/Health Educator will promote the program in the
Title: Outreach Educator communities and identify partners drawing large numbers of families, children five
FTE on this project: 1 FTE years of age and under, and pregnant women where preventive oral health
services will be offered. A resume has been previously submitted.
Name: Antoinette Martinez The Outreach Specialist/Health Educator will promote the program in the
Title: Outreach Educator communities and identify partners drawing large numbers of families, children five
FTE on this project: 1 FTE years of age and under, and pregnant women where preventive oral health
services will be offered. A resume has been previously submitted.
Name:
Title:
FTE on this project:
*In addition, please attach a resume (for current personnel) or a job description (for positions to be
hired) for the key personnel involved in the project and listed above. If awarded and there is a change
in staff or a vacant position filled, a Staff Change Notification form and resume must be uploaded via
the Communication Log in PGMS within 14 days of hire.
KEY PERSONNEL INCLUDE ANYONE WHO WILL BE PAID FROM THE GRANT
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Attachment E
DISCLOSURE OF OTHER FUNDING SOURCES
Please list all other funding that your organization currently receives from State or Public Agencies,
Federal Agencies, Non-Profit Organizations, or any other source providing funding for the funded
program*. Statute ARS 8-1183 provides for a prohibition on supplanting of state funds by First Things
First expenditures, meaning that no First Things First monies expended are to be used to take the place
of any existing state or federal funding for early childhood development and health programs.
Use a continuation sheet if necessary. The following form may be reproduced with word processing
software or another form may be created that contains all the information requested.
%.' If used for
Type of Funding Received From Amount match on
(Federal, State, local, other) this grant
N/A 0.00
TOTAL: 0.00
*Should include only those funds that will support the program detailed the awarded First Things First grant award
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Attachment F
First Things First Standard Agency Information Collection Form
A. Agency Information:
Program Name (if applicable) Maricopa County Department of Public Health
Agency Maricopa County through its Department of Public Health Contact Person Emily Lehr, R.D.H.
Address 1645 E. Roosevelt, 2nd Floor Position Office of Oral Health Supervisor
Address Email EmilyLehrPmail.maricopa.gov
City, State, Zip Phoenix, Az 85006 Phone (602) 506-6890 Ext
County Maricopa Fax (602) 506-9330
Employer Identification Number: 86-6000472
Agency Classification: State Agency X County Government Local Government Schools
Tribal Faith Based Non Profit Private Organization Other
Have you previously conducted business with First Things First using this EIN? X
If not, please go to http://www,gao.az.gov/Vendorlaccount setup home.asp,
download the State of Arizona Substitute W-9 Form, and submit with your application
Congressional district (federal) in which agency provides most services: District It 4
Legislative district (state) in which agency provides most services: District It 15
Go to http://www.azredistrictina.oro and click on Final Maps to identify your
Congressional and legislative district
Approximate federal funding (from a federal source) to be received in current fiscal year? $ 28,696,233
Agency's fiscal year-end date: June 30, 2014
Agency's accounting method: Cash X Accrual
Does your organization undergo an annual independent audit in accordance with OMB Circular A-133?
Contact information for firm conducting agency audit:
Audit firm: State of Arizona, Office of the Auditor General
Address: 2910 N 44th Street. Suite 410, Phoenix, AZ 85018
Phone: 602-553-0333
B. Proposed Program information/Description:
Amount requested: 5 726,484.00
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Service area of proposed program: Northwest. Southwest and Northeast Maricopa First Things First Regions-Oral Health
Target population of proposed program: Pregnant women, Children birth through five years of age and their parents
Lead Strategy - Oral Health
There are assigned Service units for the strategy award from First Things First. Given the Listed Service
Unit, provide a contracted number for FY 15.
Important Items to NOTE:
If you are providing a Service Unit different than the FY 14 contracted number, provide a brief
description explaining the change.
If you are not providing services for a particular Target Service Unit within the assigned
Strategy please indicate with "NA".
IMPORTANT: Please find the full listing of First Things First Target Service Unit descriptions loaded in
PGMS under Grantee Resources within a folder called Target Service Units.
Southwest Maricopa
Number of children receiving oral health screenings: 2667
Number of fluoride varnishes applied: 2667
Number of participating adults: 200
Number of participating professionals: 8-10
Number of prenatal women receiving oral health screenings: 220*
Northwest Maricopa
Number of children receiving oral health screenings: 6667
Number of fluoride varnishes applied: 6667
Number of participating adults: 700
Number of participating professionals: 8-10
Number of prenatal women receiving oral health screenings: 220*
Northeast Maricopa
Number of children receiving oral health screenings: 1250
Number of fluoride varnishes applied: 1250
Number of participating adults: 220
Number of participating professionals: 8-10
Number of prenatal women receiving oral health screenings: 220*
*We will be providing oral screenings and education only for pregnant women.
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Please provide a brief description (250 words or less) of the proposed program. This description will be used by First Things
First for all public information regarding the grant.
First Teeth First will provide oral health screenings, fluoride varnish and education to children through
the age of five years at Maricopa County Women, Infant and Children (WIC) clinics, childcare centers
and preschools in the funded regions. This program provides a basic oral health screening to the child
and provides one on one education to parents at the time of service. Children receive a toothbrush kit
once services are completed to promote healthy brushing habits to the child. The parent is encouraged
to bring the child back to the site every six months to receive services again and continue to promote
healthy habits. In addition, we will provide basic oral screenings and education to pregnant women.
Contact Information:
For each contract in the Partner and Grants Management System (PGMS), there are four contact slots available
that provide a varying degree of access. The four slots are the Main Contact (all access), the Program Contact
(access to narrative and data reports), the Evaluation Contact (access to only data reports) and the Finance
Contact (budget and reimbursements.) The same person may be assigned to more than one slot.
Main Contact: This person has overall responsibility for ensuring the program is successfully implemented and will
have access to all financial, programmatic, and data reports in PGMS.
Main Contact: Emily Lehr, R.D.H.
Position: Marico_pa County, Department of Public Health; Office of Oral Health Supervisor
Address: 1645 E. Roosevelt, 2nd Floor
City, State, Zip: Phoenix, AZ 85006
Email: EmilyLehr@mail.maricopa.gov
Phone: (602) 506-6890 Ext. Fax: (602) 506-9330
Program Contact: This person has responsibility for the regular program operations. They will be able to access
program narrative and data reports in PGMS.
Program Contact: Kimberly Richards
Position: First Teeth First Program Coordinator
Address: 1645 E. Roosevelt, 2nd Floor
City, State, Zip: Phoenix, AZ 85012
Email: KimberlyRichards@mail.maricopa.gov
Phone: (602) 372-4650 Ext. Fax: (602) 506-9330
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Financial Contact: This person has the responsibility for financial accounting and reporting including submitting
reimbursement request through PGMS. They will be able to access financial information in PGMS.
Financial Contact: Camelia Williams
Position: Accounting Specialist
Address: 4014 N Central Ave, Suite 700
City, State, Zip: Phoenix, AZ 85012
Email: CamellaWilliams@mail.maricopa.gov
Phone: 602-372-8405 Ext. Fax: 602-506-6896
Evaluation Contact: This contact person has responsibility for the program's evaluation and data collection
activities. They will be able to access the data reports in PGMS.
Evaluation Contact: Kimberly Richards
Position: First Teeth First Program Coordinator
Address: 1645 E. Roosevelt 2 nd Floor
City, State, Zip: Phoenix, AZ 85006
Email: KimberlyRichards@mail.maricopa.gov
Phone: (602) 372-4650 Ext. Fax: (602) 506-9330
PGMS Training
If any of the contacts are new or in need of technical assistance with PGMS, please indicate the type of training
and which contact:
O Accessing/Navigating PGMS Contact(s):
O Narrative/Data Report Entry Contact(s):
O Reimbursements/Budget Modifications Contact(s):
O Other: Contact(s):
18