CONTRACT AMENDMENT 35 RE HEALTH CENTER CLUSTER WITH US DEPT OF HEALTH AND HUMAN SERVICES.PDF

1. DATE ISSUED: 2. PROGRAM CFDA: 93.224
04/21/2014
3. SUPERSEDES AWARD NOTICE dated: 12/09/2013
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT
6 H80CS00044­13­02 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: 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: 10/31/2014 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 Tresa Floyd
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 $2,644,870.00
[X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
Periods
a . Salaries and Wages : $0.00
i. Additional Authority $0.00
b . Fringe Benefits : $0.00
ii. Offset $0.00
c . Total Personnel Costs : $0.00
c. Unawarded Balance of Current Year's Funds $0.00
d . Consultant Costs : $0.00
d. Less Cumulative Prior Awards(s) This Budget $1,569,775.00
e . Equipment : $0.00 Period
f . Supplies : $0.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $1,075,095.00
ACTION
g . Travel : $0.00
13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h . Construction/Alteration and Renovation : $0.00
availability of funds and satisfactory progress of project)
i . Other : $2,644,870.00 YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $0.00 14 $2,682,897.00
15 $2,682,897.00
k . Trainee Related Expenses : $0.00
16 $2,682,897.00
l . Trainee Stipends : $0.00
m 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
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 : $2,644,870.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
q . TOTAL APPROVED BUDGET : $2,644,870.00
i. Less Non­Federal Share: $0.00
ii. Federal Share: $2,644,870.00
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: $0.00
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 45
CFR Part 92 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 Helen Harpold , Grants Management Officer on : 04/21/2014
17. OBJ. CLASS: 41.51 18. CRS­EIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
SUB
SUB PROGRAM
FY­CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. ACCOUNT
CODE
CODE
14 ­ 3980879 93.224 H80CS00044D0 $1,075,095.00 $0.00 HCH N/A
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 4/21/2014 10:27:15 AM
Award Number: 6 H80CS00044-13-02
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 10­digit 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 877­Go4­HRSA/877­464­4772.
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 action completes funding of the FY 2014 budget period at the grantee’s current target funding level.
2. FY 2014 outreach and enrollment (O/E) funding has been provided to support continued O/E assistance activities funded initially in FY 2013.
The grantee will be required to continue to report on O/E progress via a quarterly progress report (QPR) to be submitted through the HRSA
Electronic Handbook (EHB). HRSA will provide additional guidance regarding future funding and reporting requirements.
3. Please note that HRSA has issued Policy Information Notice 2014­01: Health Center Program Governance
(http://www.bphc.hrsa.gov/policiesregulations/policies/pin201401.html) which no longer permits health centers to waive the health center program requirement to hold monthly
governing board meetings. Based on submission of an application prior to the date of the PIN’s release when such waivers were permitted, health centers are being afforded a
reasonable timeframe to develop and submit a plan to come into compliance with the requirement to hold monthly governing board meetings. For more information regarding
timelines for submissions of plans, please contact your Project Officer.
4. Health centers are expected to recognize any same­sex marriage legally entered into in a U.S. jurisdiction that recognizes their marriage,
including one of the 50 states, the District of Columbia, or a U.S. territory, or in a foreign country so long as that marriage would also be
recognized by a U.S. jurisdiction. This applies regardless of whether or not the couple lives in a jurisdiction that recognizes same­sex
marriage. However, this does not apply to registered domestic partnerships, civil unions or similar formal relationships recognized under the
law of the jurisdiction of celebration as something other than a marriage. Accordingly, health centers must review and revise, as needed,
internal health center policies and procedures that include references to familial relationships, such as “spouse,” “husband,” “wife,”
“marriage,” or other terms related to the recognition of a marriage and/or family, to reflect this recognition. In addition, HRSA will apply
pertinent Health Center Program requirements, including those relating to sliding fee scale and conflict of interest, consistent with this
interpretation.
Reporting Requirement(s)
1. Due Date: Annually (Calendar Year) Beginning: 01/01/2015 Ending: 12/31/2015, due 75 days after end of reporting period.
The Uniform Data System (UDS) is a core set of information appropriate for reviewing the operation and performance of health centers. The
UDS tracks a variety of information, including patient demographics, services provided, staffing, clinical indicators, utilization rates, costs,
and revenues. It is reviewed to ensure compliance with legislative and regulatory requirements, improve health center performance and
operations, and report overall program accomplishments. The data help to identify trends over time, enabling HRSA to establish or expand
targeted programs and identify effective services and interventions to improve the health of underserved communities and vulnerable
populations. UDS data are compared with national data to review differences between the U.S. population at large and those individuals and
families who rely on the health care safety net for primary care. UDS data also inform Health Center Programs, partners, and communities
about the patients served by health centers. Health centers must report annually in the first quarter of the year. The UDS submission
deadline is February 15 every year. Please consult the Program Office for additional instructions. Reporting technical assistance can be
found at http://bphc.hrsa.gov/healthcenterdatastatistics/reporting/index.html.
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 4/21/2014 10:27:15 AM
Award Number: 6 H80CS00044-13-02
Jane E Cochrane Business Official janecochrane@mail.maricopa.gov
Corinne Velasquez Authorizing Official corinnevelasquez@mail.maricopa.gov
Tresa Floyd Program Director tresafloyd@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Stephanie McCoy at:
MailStop Code: 16C­26
HRSA/BPHC
5600 Fishers Ln
Rockville, MD, 20857­1750
Email: smccoy@hrsa.gov
Phone: (301) 443­1848
Fax: (301) 594­0161
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 11­03
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852­1750
Email: coscar@hrsa.gov
Phone: (301) 443­8862
Fax: (301) 443­9810
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