NGA RE HEALTHY START INITIATIVE WITH HRSA.PDF

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1. DATE ISSUED: 2. PROGRAM CFDA: 93.926
01/15/2014
3. SUPERSEDES AWARD NOTICE dated:
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER
5 H49MC00174-13-00 H49MC00174 GRANT NO.:
H49MC00154 NOTICE OF AWARD
AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD:
Public Health Service Act, Section 751
FROM: 06/01/2002 THROUGH: 01/31/2015
Public Health Service Act: Title III, Part D, Section 330H ; 42 U.SC. 254c-8
7. BUDGET PERIOD:
FROM: 02/01/2014 THROUGH: 01/31/2015
8. TITLE OF PROJECT (OR PROGRAM): HSI: ELIMINATING DISPARITIES IN PERINATAL HEALTH
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR)
MARICOPA COUNTY DEPARTMENT OF HEALTH Lisa L Derrick M. Ed
4041 N Central Ave MARICOPA COUNTY DEPARTMENT OF HEALTH
Phoenix, AZ 85012-3314 2737 W Southern Ave
DUNS NUMBER: Tempe, AZ 85282-4244
602062515
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X] Grant Funds Only a. Authorized Financial Assistance This Period $132,000.00
[ ] Total project costs including grant funds and all other financial b. Less Unobligated Balance from Prior Budget Periods
participation
i. Additional Authority $0.00
a . Salaries and Wages : $74,535.00 ii. Offset $0.00
b . Fringe Benefits : $27,032.00 c. Unawarded Balance of Current Year's Funds $0.00
c . Total Personnel Costs : $101,567.00 d. Less Cumulative Prior Awards(s) This Budget Period $0.00
d . Consultant Costs : $0.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $132,000.00
e . Equipment : $0.00
f . Supplies : $783.00
g . Travel : $2,760.00
h . Construction/Alteration and Renovation : $0.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the availability of
i . Other : $950.00 funds and satisfactory progress of project)
YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $13,940.00
Not applicable
k . Trainee Related Expenses : $0.00
l . Trainee Stipends : $0.00
m . Trainee Tuition and Fees : $0.00
14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
n . Trainee Travel : $0.00 a. Amount of Direct Assistance $0.00
o . TOTAL DIRECT COSTS : $120,000.00 b. Less Unawarded Balance of Current Year's Funds $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $12,000.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
q . TOTAL APPROVED BUDGET : $132,000.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
i. Less Non-Federal Share: $0.00
ii. Federal Share: $132,000.00
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 [A ]
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 Stephannie Young , Grants Management Officer on : 01/15/2014
17. OBJ. CLASS: 41.51 18. CRS-EIN: 19. FUTURE RECOMMENDED FUNDING: $0.00
1866000472A2
SUB
SUB PROGRAM
FY-CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. ACCOUNT
CODE
CODE
14 - 3898020 93.926 H49MC00174C0 $132,000.00 $0.00 N/A
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 1/15/2014 4:59:43 PM
Award Number: 5 H49MC00174-13-00
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. Healthy Start funds may not be used for entertainment costs. Trips and/or activities for Healthy Start clients must relate to both the goal of
reducing infant mortality and the approved project objectives
2. Fund raising costs are unallowable. Healthy Start funds, e.g., staff salary, contract personnel, consultants or costs for items to be sold or
raffled, may not be used for fund raising activities.
3. The replacement of, or significant change in the responsibilities of senior project staff, including the project director, project manager, and
chief financial officer, must have prior approval from the Grants Management Officer . The grantee must obtain prior approval from the
awarding office for changes in scope, direction, type of service delivery or training, and rebudgeting of Healthy Start funds.
4. This Notice of Award is issued based on HRSA’s approval of the Non-Competing Continuation (NCC) Progress Report. All post-award
requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the Electronic
Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the Remarks section
of the Notice of Award, have different prior approval requirements. See “Prior-Approval Requirements” in the DHHS Grants Policy
Statement:
http://www.hhs.gov/asfr/ogapa/grantinformation/hhsgps107.pdf
5. This Notice of Award reflects partial FY2014 funding; these funds have been proportionately allocated to the approved budget categories, therefore, a revised budget is not
necessary. PLEASE NOTE: Grantees that have submitted a FOA application and are approved will receive the remaining FY2014 funds for the 06/01/14 grant cycle. Grantees
that choose not to submit a FOA application or have an unsuccessful application will receive an extension and the remaining FY2014 funds to complete and closeout the grant
project.
Program Specific Term(s)
1. The management Team, including key personnel, must reflect the cultural diversity of the Community to be served.
2. Each project is expected to establish a plan to recover, to the maximum extent feasible, third party revenues to which it is entitled for services
provided; garner all other available Federal, state, local, and private funds; and charge beneficiaries according to their ability to pay for
services without creating a barrier to those services. Where third-party payors, including Government agencies, are authorized or are under
legal obligation to pay all or a portion of charges for health care services, "all such sources must be billed for covered services, and every
effort must be made to obtain payment. Each service provider receiving Federal funds, either directly or indirectly, must have a procedure to
identify all persons served who are eligible for third-party reimbursement."
3. All MCHB discretionary grant projects are expected to incorporate a carefully designed and well-planned evaluation protocol capable of
demonstrating and documenting measurable progress toward achieving the stated goals. The measurement of progress toward goals
should focus on systems, health and performance indicators, rather than solely on the intermediate process measures.
4. In accordance with the requirements of the “Government Performance and Results Act (GPRA) of 1993” (Public Law 103-62), MCHB has
established measurable goals for Federal programs that can be reported as part of the budgetary process, thus linking funding decisions
with performance. Performance measures and data elements for all MCHB-funded grant programs including Healthy Start have been
finalized. As previously communicated all Healthy Start projects are expected to participate in the MCHB reporting requirements system.
Standard Term(s)
1. Recipients must comply with all terms and conditions outlined in their grant award, including grant policy terms and conditions outlined in
applicable Department of Health and Human Services (HHS) Grants Policy Statements, and requirements imposed by program statutes and
regulations and HHS grant administration regulations, as applicable; as well as any requirements or limitations in any applicable
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 1/15/2014 4:59:43 PM
Award Number: 5 H49MC00174-13-00
appropriations acts.
2. All discretionary awards issued by HRSA on or after October 1, 2006, are subject to the HHS Grants Policy Statement (HHS GPS) unless
otherwise noted in the Notice of Award (NoA). Parts I through III of the HHS GPS are currently available at
http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf. Please note that the Terms and Conditions explicitly noted in the award and the HHS
GPS are in effect.
3. The HHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid solicitations, and other
documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds, including but
not limited to State and local governments, shall clearly state the percentage of the total costs of the program or project which will be financed
with Federal money, the dollar amount of Federal funds for the project or program, and percentage and a dollar amount of the total costs of
the project or program that will be financed by nongovernmental sources.
4. Recipients and sub-recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti-kickback statute (42 U.S.C.
1320a - 7b(b) and should be cognizant of the risk of criminal and administrative liability under this statute, specifically under 42 U.S.C. 1320
7b(b) Illegal remunerations which states, in part, that whoever knowingly and willfully: (A) Solicits or receives (or offers or pays) any
remuneration (including kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind, in return for referring (or to
induce such person to refer) an individual to a person for the furnishing or arranging for the furnishing of any item or service, OR (B) In return
for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase, lease, or order, any goods, facility,
services, or item ....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care program,
shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for not more than five years, or
both.
5. Items that require prior approval from the awarding office as indicated in 45 CFR Part 74.25 [Note: 74.25 (d) HRSA has not waived cost-
related or administrative prior approvals for recipients unless specifically stated on this Notice of Award] or 45 CFR Part 92.30 must be
submitted in writing to the Grants Management Officer (GMO). Only responses to prior approval requests signed by the GMO are considered
valid. Grantees who take action on the basis of responses from other officials do so at their own risk. Such responses will not be considered
binding by or upon the HRSA.
In addition to the prior approval requirements identified in Part 74.25, HRSA requires grantees to seek prior approval for significant
rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal share exceeds $100,000, cumulative
transfers among direct cost budget categories for the current budget period exceed 25 percent of the total approved budget (inclusive of
direct and indirect costs and Federal funds and required matching or cost sharing) for that budget period or $250,000, whichever is less. For
example, under a grant in which the Federal share for a budget period is $200,000, if the total approved budget is $300,000, cumulative
changes within that budget period exceeding $75,000 would require prior approval). For recipients subject to 45 CFR Part 92, this
requirement is in lieu of that in 45 CFR 92.30(c)(1)(ii) which permits an agency to require prior approval for specified cumulative transfers
within a grantee's approved budget. [Note, even if a grantee's proposed rebudgeting of costs falls below the significant rebudgeting threshold
identified above, grantees are still required to request prior approval, if some or all of the rebudgeting reflects either a change in scope, a
proposed purchase of a unit of equipment exceeding $25,000 (if not included in the approved application) or other prior approval action
identified in Parts 74.25 and 92.30 unless HRSA has specifically exempted the grantee from the requirement(s).]
6. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is administered by the
Division of Payment Management, Financial Management Services, Program Support Center, which will forward instructions for obtaining
payments. Inquiries regarding payments should be directed to: ONE-DHHS Help Desk for PMS Support at 1-877-614-5533 or
PMSSupport@psc.hhs.gov. For additional information please visit the Division of Payment Management Website at www.DPM.PSC.GOV.
7. The DHHS Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse under grants and
cooperative agreements. Such reports are kept confidential and callers may decline to give their names if they choose to remain anonymous.
Contact: Office of Inspector General, Department of Health and Human Services, Attention: HOTLINE, 330 Independence Avenue Southwest,
Cohen Building, Room 5140, Washington, D. C. 20201, Email: Htips@os.dhhs.gov or Telephone: 1-800-447-8477 (1-800-HHS-TIPS).
8. Submit audits, if required, in accordance with OMB Circular A-133, to: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th
Street Jefferson, IN 47132 PHONE: (310) 457-1551, (800)253-0696 toll free http://harvester.census.gov/sac/facconta.htm
9. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that people with limited
English proficiency can meaningfully access health and social services. A program of language assistance should provide for effective
communication between the service provider and the person with limited English proficiency to facilitate participation in, and meaningful
access to, services. The obligations of recipients are explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html.
10. This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000,as amended (22 U.S.C.
7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.htm. If you are unable to access this link, please contact
the Grants Management Specialist identified in this Notice of Award to obtain a copy of the Term.
11. The Consolidated Appropriations Act, 2012 (P.L. 112-74) enacted December 23, 2011, limits the salary amount that may be awarded and charged to HRSA grants and
cooperative agreements. HRSA funds may not be used to pay the salary of an individual at a rate in excess of $179,700 (the Executive Level II salary of the Federal Executive
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 1/15/2014 4:59:43 PM
Award Number: 5 H49MC00174-13-00
Pay scale). This amount reflects an individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn outside of the duties to the applicant
organization. This salary limitation also applies to subawards/subcontracts for substantive work under a HRSA grant or cooperative agreement. The salary limitation does not
apply to payments made to consultants under this award although, as with all costs, those payments must meet the test of reasonableness and be consistent with institutional
policy. Your award amount will not necessarily be recalculated to adjust for necessary reductions in salaries included in your proposal. However, none of the funds in
this award shall be used to pay the salary of an individual at a rate in excess of the salary limitation. [It is important to note that an individual's base salary, per se, is NOT
constrained by the legislative provision for a limitation of salary. The rate limitation simply limits the amount that may be awarded and charged to HRSA grants and cooperative
agreements.]
12. To serve persons most in need and to comply with Federal law, services must be widely accessible. Services must not discriminate on the basis of
age, disability, sex, race, color, national origin or religion. The HHS Office for Civil Rights provides guidance to grant and cooperative agreement
recipients on complying with civil rights laws that prohibit discrimination on these bases. Please see
http://www.hhs.gov/ocr/civilrights/understanding/index.html. HHS also provides specific guidance for recipients on meeting their legal obligation
under Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or national origin in programs and activities that
receive Federal financial assistance (P. L. 88-352, as amended and 45 CFR Part 80). In some instances a recipient’s failure to provide language
assistance services may have the effect of discriminating against persons on the basis of their national origin. Please see
http://www.hhs.gov/ocr/civilrights/resources/laws/revisedlep.html to learn more about the Title VI requirement for grant and cooperative agreement
recipients to take reasonable steps to provide meaningful access to their programs and activities by persons with limited English proficiency.
13. Important Notice: The Central Contractor registry (CCR) has been replaced. The General Services Administration has moved the CCR to
the System for Award Management (SAM) on July 30, 2012. To learn more about SAM please visit https://www.sam.gov.
It is incumbent that you, as the recipient, maintain the accuracy/currency of your information in the SAM at all times during which your entity
has an active award or an application or plan under consideration by HRSA, unless your entity is exempt from this requirement under 2 CFR
25.110. Additionally, this term requires your entity to review and update the information at least annually after the initial registration, and
more frequently if required by changes in your information. This requirement flows down to subrecipients. Note: SAM information must be
updated at least every 12 months to remain active (for both grantees and sub-recipients). Grants.gov will reject submissions from applicants
with expired registrations. It is advisable that you do not wait until the last minute to register in SAM or update your information. According to
the SAM Quick Guide for Grantees (https://www.sam.gov/sam/transcript/SAM_Quick_Guide_Grants_Registrations-v1.6.pdf), an entity’s
registration will become active after 3-5 days. Therefore, check for active registration well before the application deadline.
Reporting Requirement(s)
1. Due Date: Within 90 Days of Project End Date
The grantee must submit a Performance Report within 90 days after the end of the project period. This report should include completing the
financial forms, project abstract, grant summary and performance measures. The performance report must be submitted using the Electronic
Handbook (EHB).
2. Due Date: Within 90 Days of Budget End Date
The grantee must submit a Federal Financial Report (FFR). The report should reflect cumulative reporting within the project period and must be submitted using the Electronic
Handbooks (EHBs). The FFR due dates have been aligned with the Payment Management System quarterly report due dates, and will be due 90, 120, or 150 days after the
budget period end date. Please refer to the chart below for the specific due date for your FFR:
• Budget Period ends November – January: FFR due April 30
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions.
Contacts
NoA Email Address(es):
Name Role Email
Celeste D Bautista Business Official celestebautista@mail.maricopa.gov
Frances M Delgado Authorizing Official francesdelgado@mail.maricopa.gov
Lisa L Derrick M. Ed Program Director lisaderrick@mail.maricopa.gov
Leah M Chavez Business Official leahchavez@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Juliann DeStefano at:
HRSA/MCHB/DHSPS
5600 Fishers Ln
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 1/15/2014 4:59:43 PM
Award Number: 5 H49MC00174-13-00
Rockville, MD, 20852-1750
Email: jdestefano@hrsa.gov
Phone: (301) 443-0883
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Tonya Randall at:
MailStop Code: 11-03
HRSA/OFAM/DGMO/GSFB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: trandall@hrsa.gov
Phone: (301) 594-4259
Fax: (301) 443-6343
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