AMENDMENT RE HEALTH CENTER CLUSTER WITH HRSA.PDF

a-Ve-e0-0-q3-&
1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 U. Dparfaam9gF.t1mith epl:tioura S6Dlacz
12/09/2013
411 RSA
3. SUPERSEDES AWARD NOTICE dated: 10117/2013
except that any additions or rcstriclioeu previously imposed remain in effect unless specifically rescinded, Hot% Rtmorm ittd Seleos AblinWatirm
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER NOTICE OF AWARD
6 H80CS00044-13-01 H8OCS00044 GRANT NO.: AUTHORIZATION (Legislation/Regulation)
H66CS00459 Public Health Service Act, Title III, Section 330
Public Health Service Act, Section 330, 42 U.S.C. 254b
Affordable Care Act, Section 10503
6. PROJECT PERIOD: Public Health Service Act, Section 330, 42 U.S.C. 254, as amended.
FROM: 11/01/2001 THROUGH: 10/31/2017 Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b, as
7. BUDGET PERIOD: a mended
Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended
FROM: 11/01/2013 THROUGH: 10/31/2014
8. TITLE OF PROJECT (OR PROGRAM). HEALTH CENTER CLUSTER
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPALINVESTIGATOR)
MAR ICOPA COUNTY PUBLIC HLTH SERVS DEPT Tresa Floyd
220S 12th Ave MAR ICOPA COUNTY PUBLIC HLTH SERVS DEPT
Phoenix, AZ 85007-3101 Division Line: Maricopa County Dept. Public Health, Health Care for the
DUNS NUMBER: Homeless
145454000 2205 12th Ave
BHCMIS #090750 Phoenix, AZ 85007-310
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 b. Less Unobligated Balance from Prior Budget Periods
participation i. Additional Authority $0.00
Salaries and Wages : $0.0 ii. Offset $0.00
Fringe Benefits : $0.0 c. Unawarded Balance of Current Year's Funds $1,075,095.00
Total Personnel Costs : $0,00 d. Less Cumulative Prior Awards(s) This Budget Period $1,505,134,00
Consultant Costs : $0.00 e, AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $64,641.00
Equipment : $0,00
Supplies : $0.00
Travel : $0,00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the availability of
Construction/Alteration and Renovation : $0.00 funds and satisfactory ro ress of proiectt
Other : $2,644,870.00 , yEAR I TOTAL cdsTs
14 $2,682,897.00
Consortium/Contractual Costs : $0,00 15 $2,682,897.00
Trainee Related Expenses : $0,00 16 $2,682,897.00
Trainee Stipends : $0.00
Trainee Tuition and Fees : $0.00
n. Trainee Travel : $0.00 4. APPROVED DIRECT ASSISTANCE BUDGET:(in lieu of cash)
0. TOTAL DIRECT COSTS: $2,644,870.00 a. Amount of Direct Assistance $0.00
P INDIRECT COSTS (Rate: % of S&W/TADC) : $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
TOTAL APPROVED BUDGET $2,644,870.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
I. Less Non-Federal Share: $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
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=AdditionB=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 grogram regulation cited above. e. This award notice inctuding terms and condi/Ione, deny, noted bedew under REMARKS. 4,45 CFR Part 74 or 45
CFR Pad 92 as applicable. In the event there are conflicting or otherwise inconststent policies applicable to the grant, the above order of precedence shalt prevail. Acceptance attire grant terms and conditions i.
acknowle gad by the 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 : 12/09/2013
17. OBJ. CLASS: 41.51 18. CRS-EIN: 19. FUTURE RECOMMENDED FUNDING: $0.00
186606047242
FY CAN CFDA pooL,AnNT. NC). AMT FIN ASST
14 - 398879D 93.527 H8OCS00044D0 $64,641.00 $0.00 HCH
Page I

NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/9/2013 2:27:44 PM
Award Number: 6 H80CS00044 , 13-01
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 (Eldes). Registration within HRSA EI-IBs 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 NcA. After you have completed the initial registration steps (i.e.,created an individual account and assoc iated 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. The purpose of the FY 2014 Health Center Outreach and Enrollment Assistance one-time supplemental funding is to provide support to
health centers to meet increased demand for enrollment assistance through March 2014. This one-time supplemental funding will support
immediate health center needs, consistent with the intent of and allowable costs outlined in FY 2013 Health Center Outreach and Enrollment
Assistance Supplemental Funding. Any ongoing expenditures initially supported by these one-time funds beyond FY 2014 must sustained
with other resources.
Health centers must use these funds to increase their current outreach and enrollment assistance capacity. This may be accomplished by
expanding the hours of existing outreach and enrollment assistance workers, hiring new Of temporary outreach and enrollment assistance
workers, and/or other allowable activities and costs consistent with the FY 2013 outreach and enrollment supplemental guidance (expected
within 30 days of award). Health centers should also collaborate with other health centers and organizations in their service area to ensure
that outreach and enrollment assistance activities are coordinated with other local, regional, and/or state-wide outreach and enrollment
assistance efforts and training requirements.
Health center outreach and enrollment assistance workers supported by this funding opportunity must:
• Demonstrate and maintain expertise in: eligibility and enrollment rules and procedures; the range of qualified health plan options and
insurance affordability programs; the needs of underserved and vulnerable populations; and privacy and security standards,
• Comply with and successfully complete all required and applicable federal and/or state consumer assistance training, as is required for all
assistance personnel carrying out consumer assistance functions.
All Outreach and Enrollment supplemental funds are to be used to support new outreach and enrollment capacity and not supplant existing
resources.
Health centers will be required to report additional activities supported through this one-time supplemental via the Health Center Program
Outreach and Enrollment Quarterly Progress Report (QPR) to be submitted through the HRSA Electronic Handbook (EHB) in January 2014,
April 2014, July 2014, and October 2014. HRSA will provide additional guidance regarding specific requirements and deadlines through
separate resources that will be available at http://Cphc.hrsa.govioutreachanclenrollment).
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role .. final.
Jane E Cochrane Business Official janecochranemail.maricopa.gov
Corinne Velasciu z Authorizing Official connnevelasguez@mail.maricopagov
Tresa Floyd Program Director tresafioyd@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
HRSNBPHC
5600 Fishers Ln
Rockville, MD, 20857-1750
smccoy©hrsa.gov
Page 2

NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/9/2013 2:27:44 PM
Award Number: 6 I-180CS00044-13-01
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: 11-03
OFAIVI/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: coscar@hrsa,gov
Phone: (301) 443-8862
Fax: (301) 443-9810
Page 3

C-86-02-073-2-33 HRSA Amendment
IN WITNESS WHEREOF, the parties agree to enter into this Agreement:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Deputy Attorney for Maricopa County
Date