HEALTHY START INITIATIVE-ELIMINATION DISPARITIES IN PREINATAL HEALTH YEAR 5.PDF

Maricopa County — Formal (2026-05-06)

Extracted text (via pymupdf) 21653 characters

Department of Health and Human Services
Health Resources and Services Administration
Notice of Award
FAIN# H4900174
Federal Award Date: 04/02/2026
Recipient Information
1. Recipient Name
MARICOPA COUNTY DEPARTMENT OF HEALTH
4041 N Central Ave
Phoenix, AZ 85012‐3330
2. Congressional District of Recipient
03
3. Payment System Identifier (ID)
1866000472A2
4. Employer Identification Number (EIN)
866000472
5. Data Universal Numbering System (DUNS)
602062515
6. Recipient's Unique Entity Identifier
LM85MG1513K5
7. Project Director or Principal Investigator
Meloney Baty
Project Director
meloney.baty@maricopa.gov
(602)302‐1166
8. Authorized Official
Meloney Baty
meloney.baty@maricopa.gov
(602)307‐1166
Federal Agency Information
9. Awarding Agency Contact Information
Tya T Renwick
Grants Management Specialist
Office of Federal Assistance Management (OFAM)
Division of Grants Management Office (DGMO)
trenwick@hrsa.gov
(301) 594‐0227
10. Program Official Contact Information
Mabatemije Otubu
Maternal and Child Health Bureau (MCHB)
MOtubu@hrsa.gov
(301) 594‐4462
Federal Award Information
11. Award Number
5 H49MC00174‐26‐00
12. Unique Federal Award Identification Number (FAIN)
H4900174
13. Statutory Authority
42 U.S.C. § 254c‐8
14. Federal Award Project Title
Healthy Start Initiative
15. Assistance Listing Number
93.926
16. Assistance Listing Program Title
Healthy Start Initiative
17. Award Action Type
Noncompeting Continuation
18. Is the Award R&D?
No
Summary Federal Award Financial Information
19. Budget Period Start Date 04/01/2026 ‐ End Date 03/31/2027
20. Total Amount of Federal Funds Obligated by this Action
$367,620.00
20a. Direct Cost Amount
20b. Indirect Cost Amount
$49,747.00
21. Authorized Carryover
$0.00
22. Offset
$0.00
23. Total Amount of Federal Funds Obligated this budget period
$367,620.00
24. Total Approved Cost Sharing or Matching, where applicable
$0.00
25. Total Federal and Non‐Federal Approved this Budget Period
$367,620.00
26. Project Period Start Date 05/01/2024 ‐ End Date 03/31/2029
27. Total Amount of the Federal Award including Approved
Cost Sharing or Matching this Project Period
$2,769,665.00
28. Authorized Treatment of Program Income
Addition
29. Grants Management Officer – Signature
Tya Renwick on 04/02/2026
30. Remarks
This grant is under Expanded Authority.
Page 1
A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more
information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays.

Maternal and Child Health Bureau (MCHB)
Notice of Award
Award Number: 5 H49MC00174‐26‐00
Federal Award Date: 04/02/2026
31. APPROVED BUDGET: (Excludes Direct Assistance)
[X] Grant Funds Only
[ ]
Total project costs including grant funds and all other financial participation
a.
Salaries and Wages:
$188,098.00
b.
Fringe Benefits:
$74,637.00
c.
Total Personnel Costs:
$262,735.00
d.
Consultant Costs:
$0.00
e.
Equipment:
$2,898.00
f.
Supplies:
$882.00
g.
Travel:
$2,823.00
h.
Construction/Alteration and Renovation:
$0.00
i.
Other:
$3,492.00
j.
Consortium/Contractual Costs:
$45,043.00
k.
Trainee Related Expenses:
$0.00
l.
Trainee Stipends:
$0.00
m. Trainee Tuition and Fees:
$0.00
n.
Trainee Travel:
$0.00
o.
TOTAL DIRECT COSTS:
$317,873.00
p.
INDIRECT COSTS (Rate: % of S&W/TADC):
$49,747.00

i. Indirect Cost Federal Share:
$49,747.00

ii. Indirect Cost Non-Federal Share:
$0.00
q.
TOTAL APPROVED BUDGET:
$367,620.00

i. Less Non‐Federal Share:
$0.00

ii. Federal Share:
$367,620.00

32. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
a. Authorized Financial Assistance This Period
$367,620.00

b. Less Unobligated Balance from Prior Budget Periods

i. Additional Authority
$0.00

ii. Offset
$0.00

c. Unawarded Balance of Current Year's Funds
$0.00

d. Less Cumulative Prior Award(s) This Budget Period
$0.00

e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION
$367,620.00

33. RECOMMENDED FUTURE SUPPORT:
(Subject to the availability of funds and satisfactory progress of project)
YEAR
TOTAL COSTS
27
$1,100,000.00
28
$1,100,000.00
34. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
a. Amount of Direct Assistance
$0.00
b. Less Unawarded Balance of Current Year's Funds
$0.00
c. Less Cumulative Prior Award(s) This Budget Period
$0.00
d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION
$0.00
35. FORMER GRANT NUMBER
H49MC00154
36. OBJECT CLASS
41.51
37. BHCMIS#
38. THIS AWARD IS BASED ON THE APPLICATION APPROVED BY HRSA FOR THE PROJECT NAMED IN ITEM 14. FEDERAL AWARD PROJECT TITLE AND IS SUBJECT TO THE
TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE AS:
a. The program authorizing statue and program regulation cited in this Notice of Award; b. Conditions on activities and expenditures of funds in certain other applicable
statutory requirements, such as those included in appropriations restrictions applicable to HRSA funds; c. 45 CFR Part 75; d. National Policy Requirements and all other
requirements described in the HHS Grants Policy Statement; e. Federal Award Performance Goals; and f. The Terms and Conditions cited in this Notice of Award. In the event
there are conflicting or otherwise inconsistent policies applicable to the award, the above order of precedence shall prevail. Recipients indicate acceptance of the award, and
terms and conditions by obtaining funds from the payment system.
39. ACCOUNTING CLASSIFICATION CODES
FY‐CAN
CFDA
DOCUMENT
NUMBER
AMT. FIN. ASST.
AMT. DIR. ASST.
SUB PROGRAM CODE
SUB ACCOUNT CODE
26 - 3898020
93.926
24H49MC00174
$367,620.00
$0.00
N/A
24H49MC00174
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 4/2/2026 9:07:03 AM
Award Number: 5 H49MC00174-26-00
Page 2

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://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx 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 remarks, terms, conditions, or reporting requirements 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.

By applying for or accepting federal funds from HHS, recipients certify compliance with all federal antidiscrimination laws and these
requirements and that complying with those laws is a material condition of receiving federal funding streams. Recipients are responsible for
ensuring subrecipients, contractors, and partners also comply.
2.

Applicable Regulations – Prior to October 1, 2025, this award is subject to 45 CFR 75 except for eight flexibilities from 2 CFR 200 adopted
by HHS on October 1, 2024, in Federal Register Notice 89 FR 80055. After October 1, 2025, this award will be subject to any applicable
provisions of 2 CFR 200 and 2 CFR 300.
3.

Any term or condition in this NOA, including those incorporated by reference, that HHS is enjoined by court order from imposing or enforcing
shall not apply or be enforced as to any recipient or subrecipient to which that court order applies and while that court order is in effect.
4.

Funding beyond this budget period is contingent upon the availability of appropriated funds for this program, recipient satisfactory
performance, program authority, compliance with the Terms and Conditions of the award, and a decision that continued funding is in the best
interest of the Federal government.
This award action is based on HRSA’s approval of the recipient’s application and any modifications at the time of this award. Continued
support for this award may be subject to other programmatic considerations to the extent permitted by law, including, but not limited to,
Administration priorities and court orders.
Should additional federal funds not be available and/or shifting priorities affect the programmatic objectives of this award, the recipient will
work with HRSA to revise any workplan tasks and budget in accordance with 45 CFR 75.308 (Revision of budget and program plans).
5.

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: https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf
.
6.

Prior to October 1, 2025, this award is subject to the termination provisions at 45 CFR 75.372. Starting on October 1, 2025, this award is
subject to the termination provisions at 2 CFR 200.340. Pursuant to 2 CFR 200.340, the recipient agrees by accepting this award that
continued funding for the award is contingent upon the availability of appropriated funds, recipient satisfactory performance, compliance with
the Terms and Conditions of the award, and to the extent authorized by law, a decision by the agency that the award continues to effectuate
program goals or agency priorities.
7.

By accepting this award, including the obligation, expenditure, or drawdown of award funds, recipients, whose programs are covered by Title
IX, certify as follows:
• Recipient is compliant with Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. §§ 1681 et seq., including the
requirements set forth in Presidential Executive Order 14168 titled Defending Women From Gender Ideology Extremism and Restoring
Biological Truth to the Federal Government, and Title VI of the Civil Rights Act of 1964, 42 U.S.C. §§ 2000d et seq., and Recipient will
remain compliant for the duration of the Agreement.
• The above requirements are conditions of payment that go the essence of the Agreement and are therefore material terms of the
Agreement.
• Payments under the Agreement are predicated on compliance with the above requirements, and therefore Recipient is not eligible for
funding under the Agreement or to retain any funding under the Agreement absent compliance with the above requirements.
• Recipient acknowledges that this certification reflects a change in the government’s position regarding the materiality of the foregoing
requirements and therefore any prior payment of similar claims does not reflect the materiality of the foregoing requirements to this
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 4/2/2026 9:07:03 AM
Award Number: 5 H49MC00174-26-00
Page 3

Agreement.
• Recipient acknowledges that a knowing false statement relating to Recipient’s compliance with the above requirements and/or eligibility for
the Agreement may subject Recipient to liability under the False Claims Act, 31 U.S.C. § 3729, and/or criminal liability, including under 18
U.S.C. §§ 287 and 1001.
8.

The Recipient hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964, as amended (codified at 42 U.S.C. 2000d et
seq.), and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80);
Section 504 of the Rehabilitation Act of 1973, as amended (codified at 29 U.S.C. 794), and all requirements imposed by or pursuant to the
Regulation of the Department of Health and Human Services (45 C.F.R. Part 84); Title IX of the Education Amendments of 1972, as
amended (codified at 20 U.S.C. § 1681 et seq.), and all requirements imposed by or pursuant to the Regulation of the Department of Health
and Human Services (45 C.F.R. Part 86); The Age Discrimination Act of 1975, as amended (codified at 42 U.S.C. § 6101 et seq.), and all
requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91); and Section
1557 of the Patient Protection and Affordable Care Act, as amended (codified at 42 U.S.C. § 18116), and all requirements imposed by or
pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 92).
9.

This award reflects a reduced level of funding at 33.42%. In accordance with this reduction, funding has been adjusted proportionately
across requested cost categories. Up to 25% of the total approved budget may be re-budgeted within approved categories, without prior
approval.
Program Specific Term(s)
1.

This award is governed by the post-award requirements cited in Subpart D-Post Federal Award Requirements, standards for program and
fiscal management of 45 CFR Part 75 except when the Notice of Award indicates in the “Remarks” section that the grant is included under
“Expanded Authority”. These recipients may take the following actions without prior approval of the Grant Management Office:
Section 75.308 c(2)(d)(1) Incur pre-award costs up to 90 calendar days before the award. See also 75.458.
Section 75.308 c(2)(d)(2) Initiate a one-time extension of the period of performance by up to 12 months unless one or more of the conditions
outlined in paragraphs (d)(2)(i) through (iii) of this section apply. For one-time extensions, the recipient must notify the HHS awarding agency
in writing with the supporting reasons and revised period of performance at least 10 calendar days before the end of the period of
performance specified in the Federal award. This notification must be submitted through the Electronic Handbooks (EHB). This one-time
extension may not be exercised merely for the purpose of using unobligated balances.
Section 75.308 c(2)(d)(3) Carry forward unobligated balances to subsequent periods of performance.
Except for funds restricted on a Notice of Award, grantee organizations are authorized to carry over unobligated grant funds up to the lesser
of 25% or $250,000 of the amount awarded for that budget period remaining at the end of that budget period. If the unobligated balance is in
excess of 25% of the total amount awarded, or $250,000, whichever is less, and the grantee wishes to carry the funds forward, the grantee
must obtain prior approval from the Grants Management Office.
The grantee must notify the Grants Management Office when it has elected to carry over unobligated balances under Expanded Authority
and the amount to be carried over. The notification must be provided under item 12, “Remarks”, on the initial submission of the Federal
Financial Report (FFR).
For all other Post Award request refer Standard Term 5 below.
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.
5.

Grantees must use the Healthy Start Data Collection Tools (i.e., the Demographic, Background, Prenatal, and Parent/Child forms) to collect
standardized client-level data elements and must report the collected data on a quarterly basis to the Division Healthy Start and Perinatal
Services (DHSPS) by uploading it to the Healthy Start Monitoring and Evaluation Data System (HSMED). Grantees must screen all Group-
Based Health Education and Case Management/Care Coordination participants using the data collection tools and screening
procedure/implementation guidance/form administration process provided by DHSPS.
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 4/2/2026 9:07:03 AM
Award Number: 5 H49MC00174-26-00
Page 4

Grantees must respond to requests for information from DHSPS and the Technical Assistance and Support Center (TASC). Grantees are
required to participate in the National Healthy Start Evaluation activities, which may include, but is not limited to, grantee convenings, data
collection, staff interviews, and program case studies.
7. HRSA reserves the right to reduce base awards for grantees that consistently maintain unobligated balance greater than $100,000.
8.

A grantee can propose to include an evidence-based home visiting model as part of their Healthy Start (HS) program if each component of
the program addresses all Health Start (HS) program requirements, and the evidence-based model allows for the HS program to collect the
data included in the HS screening tools. That is, the requirements of any curriculum or model chosen do not supersede the requirements of
HS.
9.

HRSA reserves the right to reduce funding if, after receiving technical assistance, grantee cannot fulfil the requirements of the grant. i.e.
progress on benchmarks, number of participants served.
10. Grantees are to budget for up to 3 persons to attend all mandatory regional meetings and the Healthy Start convention.
11. A change in service area must be approved by HRSA and require a prior approval submission in HRSA’s Electronic Handbook (EHB).
Standard Term(s)
1.

Your organization must have policies, procedures, and financial controls to follow all the General Terms and Conditions. HRSA awards are
based on the application submitted and approved by HRSA. All awards are subject to the General Terms and Conditions, in addition to
those included in the Notice of Award or referenced in documents and attachments.
Reporting Requirement(s)
1.

Due Date: Within 90 Days of Award Issue Date
The grantee must submit a Performance Report within 90 days of receipt of the NoA. 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: Annually (Budget Period) Beginning: Budget Start Date Ending: Budget End Date, due 90 days after end of reporting
period.
The recipient must submit, within 90 days after budget period end date, an annual Federal Financial Report (FFR). The report should reflect
cumulative reporting within the project period of the document number. All FFRs must be submitted through the Payment Management
System (PMS). Technical questions regarding the FFR, including system access should be directed to the PMS Help Desk by submitting a
ticket through the self-service web portal (PMS Self-Service Web Portal), or calling 877-614-5533.
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
Meloney Baty
Point of Contact, Program Director,
Authorizing Official
meloney.baty@maricopa.gov
Anna M David
Business Official
anna.david@maricopa.gov
Note: NoA emailed to these address(es)

All submissions in response to conditions and reporting requirements (with the exception of the FFR) must be submitted via EHBs. Submissions
for Federal Financial Reports (FFR) must be completed in the Payment Management System (https://pms.psc.gov/).

NOTICE OF AWARD (Continuation Sheet)
Date Issued: 4/2/2026 9:07:03 AM
Award Number: 5 H49MC00174-26-00
Page 5