REVIEW1_2.3.26_CTR060585 IMMUNIZATION SERVICES - MARICOPA COUNTY A1_2_19 (003).PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
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IMMUNIZATION SERVICES 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
1.
Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is
hereby revised with the following:
1.1. The Scope of Work is revised and replaced.
1.2. The Price Sheet is revised and replaced.
1.3. Exhibits Two (2) and Three (3) are revised and replaced.
1.4. Exhibit Four (4) has been added.
ALL CHANGES ARE REFLECTED IN RED 
All other provisions of this agreement remain unchanged. 
Maricopa County Public Health Department 
Contractor Name:  
Authorized Signature 
4041 North Central Avenue, Suite #1400 
Address: 
Print Name 
Phoenix 
AZ 
85012 
City 
State 
Zip 
Title and Date 
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined 
that this Intergovernmental Agreement is in proper form and is within the powers and 
authority granted under the laws of Arizona 
This Intergovernmental Agreement Amendment shall be 
effective the date indicated.  The Public Agency is hereby 
cautioned not to commence any billable work or provide any 
material, service or construction under this IGA until the IGA has 
been executed by an authorized ADHS signatory.  
State of Arizona 
Signature 
Date 
Signed this 
 day  of   
  2026. 
Print Name 
Procurement Officer 
Contract No.: CTR060585, which is an Agreement between public agencies, has been 
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has 
determined that it is in proper form and is within the powers and authority granted 
under the laws of the State of Arizona.  
Signature 
Date 
Assistant Attorney General 
Print Name

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
2 of 23 
1.
Background
1.1. 
The Arizona Department of Health Services (ADHS) has contracted with County Health 
Departments (Contractor) since 1993 to provide immunization-related services. The Scope of Services 
reflects activities necessary to reach the national immunization goals and objectives outlined by the 
Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human 
Services Healthy People website. All objectives and related activities identified in this Scope of Services 
include the Contractor as well as all public health entities involved with immunizations within the 
Contractor's jurisdiction. 
1.2. 
As of July 2025, the CDC split the State of Arizona into two (2) jurisdictions for the implementation of the 
Vaccine for Children (VFC) Program, the City of Phoenix, operated by the Maricopa County Department of 
Public Health (MCDPH), and the rest of the state outside of Phoenix, operated by the ADHS. With this 
change, MCDPH is required to maintain an Immunization Information System (IIS) for the jurisdiction of 
Phoenix under the VFC program. Given that MCDPH and all providers in the State of Arizona are required 
to report immunizations in the Arizona State Immunization Information System (ASIIS), ADHS had identified 
a need to define terms under which ADHS may provide Registry Client access and enhanced database 
access to MCDPH for ASIIS containing public health records limited to the City of Phoenix jurisdiction for 
the purpose of implementing the VFC program.  
1.3. 
In exchange for use of ASIIS, the parties further agree that MCDPH shall continue to meet deliverables for 
the County of Maricopa necessary for meeting the immunization goals and objectives of ADHS and the 
CDC.  
2.
Objective
2.1.
2.2. 
2.3. 
2.4. 
2.5. 
2.6. 
Enhance program stewardship and accountability for all publicly-purchased vaccine in support of the 
Vaccines for Children Program (VFC) and the Vaccines for Adults Program (VFA); 
Provide vaccines to children and adults in accordance with recommendations of the CDC Advisory 
Committee on Immunization Practices (ACIP); 
Assess and improve immunization coverage levels for children and adults; 
Assure access to vaccines for eligible populations in Arizona, 
Provide authorized MCDPH personnel with Registry Client access to ASIIS, permitting them to view the full 
dataset and make changes within the system necessary for operation of the CDC's Strengthening 
Vaccine-Prevention and Response Cooperative Agreement VFC program, and 
Prevent and control Vaccine-Preventable Diseases (VPD).  
3.
Scope of Service
The services shall be provided throughout the Contractor's jurisdiction.  The Tasks described herein are
provided to outline the services required and shall not be considered to be either comprehensive or restrictive
to innovation or creativity on the part of the Contractor in the preparation of the work plan.  The tasks, activities,
and deliverables shall be performed according to the state fiscal funding year of July - June.
4.
Tasks
4.1.
Activity One (1) Immunization Action Plan (IAP)

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
3 of 23 
 
 
4.1.1. 
Develop and implement an annual IAP to ensure that immunization coverage levels in the 
County’s child, adolescent, and adult populations improve for both public and private health care 
recipients. Evidence-based strategies can be taken from the CDC’s “The Community Guide” 
chapter on Vaccination. At a minimum, the IAP must contain the following: 
 
4.1.1.1. 
The current delivery method of immunization services in the public sector to include 
the number of immunization clinics, the location of clinics, the dates and times of 
clinics, and documentation of any changes made to delivery services for the purpose 
of increasing immunization coverage levels; 
 
4.1.1.2. 
The identified strategies to assist and coordinate efforts to provide immunizations to 
the community, to include county-specific time frames and processes for conducting 
Reminder/Recall activities; 
 
4.1.1.3. 
The identification of low or lagging vaccination coverage among children, 
adolescents, adults, special populations, and pockets of need relevant to 
Contractor’s jurisdiction, using best available evidence and data, including State 
reports and locally gathered statistics; and  
 
4.1.1.4. 
A description of how activities will accomplish the objectives and tasks within this 
Scope of Work and address low or lagging coverage rates, 
 
4.1.2. 
Share the IAP and Immunization Quality Improvement for Providers (IQIP) Assessment Reports 
with the Medical Director, Local Health Officer (LHO), and/or other staff for review and/or approval 
as dictated by county health department protocol.   
 
4.2. 
Activity Two (2) Child and Adolescent Immunizations 
 
4.2.1. 
Collaborate with public and private sector organizations, such as the Special Supplemental 
Nutrition Program for Women, Infants, and Children (WIC), to promote child and adolescent 
immunizations in an effort to raise coverage levels, striving to reach Healthy People immunization 
rates located at U.S. Department of Health and Human Services Healthy People website. 
The Contractor shall: 
 
4.2.1.1. 
Be enrolled as a VFC provider and comply with the program requirements as defined 
in the Arizona VFC Program Provider Enrollment Agreement, the Arizona VFC 
Operations Guide, and ADHS directives on appropriate use of 317 funded vaccine; 
 
4.2.1.2. 
Be responsible for compliance with VFC storage, handling, and administration 
requirements and for preventing any loss or wastage of its vaccine used in clinics 
sites or other venues; 
 
4.2.1.3. 
Provide immunizations to eligible children and adolescents, zero through eighteen 
(0-18) years of age, in accordance with ACIP recommendations; 
 
4.2.1.4. 
Distribute an immunization record to those who are immunized; may use the Arizona 
Lifetime Immunization Record Card (LIRC), an immunization record produced from 
the Arizona State Immunization Information System (ASIIS), or a record produced 
from a county-specific software program. The LIRC may be ordered by using the 
Forms Request Order form located at:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
4 of 23 
 
https://www.azdhs.gov/documents/preparedness/epidemiology-disease-
control/immunization/forms-request.pdf. 
   
4.2.1.5. 
In collaboration with ADHS staff, participate in and complete an annual on-site VFC 
compliance visit of contractor clinics/sites that receive publicly purchased vaccine 
from the State. The Contractor shall use The Standards for Child and Adolescent 
Immunization Practices and the CDC General Best Practice Guidelines for 
Immunization to assist with development of clinic policy and procedures. The 
compliance visit shall include: 
 
4.2.1.5.1. 
A review of clinic immunization practices (documentation) and clinic 
vaccine management practices, to include ordering, inventory 
management, storage and handling, checking for VFC eligibility and 
reporting data to ASIIS; 
 
4.2.1.6. 
Participate, when able, in The Arizona Partnership for Immunization (TAPI) 
coalition’s Community Awareness and Provider Awareness committees; and 
 
4.2.1.7. 
Enhance VFC vaccination capacity. Funds can be utilized for staffing, 
materials/supplies, equipment, and travel related to efforts to successfully vaccinate 
children within the community. 
 
4.3. 
Activity Three (3) Adult Immunizations 
 
4.3.1. 
Collaborate with public and private sector organizations, as funding and vaccines become 
available, to promote adult immunizations in an effort to raise adult immunization coverage levels, 
striving to reach Healthy People immunization rates. The Contractor shall:  
 
4.3.1.1. 
If participating in the VFA program, be enrolled as a VFA provider and comply with 
the program requirements as defined in the Arizona VFA Program Provider 
Enrollment Agreement, the Arizona VFA Operations Guide and AIPO directives on 
appropriate use of 317 funded vaccine; 
 
4.3.1.2. 
Be responsible for compliance with VFA storage, handling, and administration 
requirements and for preventing any loss or wastage of its vaccine used in clinics, 
sites, or other venues; 
 
4.3.1.3. 
Provide immunizations to eligible adults, nineteen years of age and older (19+), in 
accordance with ACIP recommendations; 
 
4.3.1.4. 
Distribute an immunization record to those who are immunized; may use the Arizona 
LIRC, an immunization record produced from ASIIS, or a record produced from a 
county-specific software program.  The LIRC may be ordered by using the Forms 
Request Order form; 
 
4.3.1.5. 
Use the Standards for Adult Immunization Practices to develop and implement 
strategies to increase immunization rates of special adult populations, such as, but 
not limited to, college students, educators, healthcare workers, and child care 
employees; 
 
4.3.1.6. 
In collaboration with AIPO staff, participate in and complete an annual on-site VFA 
compliance visit of contractor clinics/sites that receive publicly purchased vaccine

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
5 of 23 
 
from the State. The Contractor shall use The Standards for Adult Immunization 
Practices  and the CDC General Best Practice Guidelines for Immunization to assist 
with development of clinic policy and procedures. The compliance visit shall include: 
 
4.3.1.6.1. 
A review of clinic immunization practices (documentation) and clinic 
vaccine management practices, to include ordering, inventory 
management, storage and handling, checking for VFA eligibility and 
reporting data to ASIIS. 
 
4.3.1.7. 
Participate, when able, in TAPI coalition’s Community Awareness and Provider 
Awareness committees. 
 
4.4. Activity Four (4) Arizona State Immunization Information System (ASIIS) 
 
The MCDPH shall be provided Registry Client ASIIS access for managing sites within the jurisdiction of the 
City of Phoenix.  
 
4.4.1. 
Enroll in ASIIS (https://asiis.azdhs.gov) and use this state registry system to place publicly-
purchased vaccine orders; manage inventory of publicly-purchased vaccine; report, within thirty 
(30) days of administration date, immunizations administered to all children and adults who 
consent to entry into ASIIS; and retrieve information reported by other Arizona providers. 
 
4.4.1.1. 
Adhere to all requirements for the protection and security of information provided 
under Registry Client access as identified in Exhibit Four (4) to this Contract.  
 
4.4.1.2. 
Adhere to ARS 36-135, ARS 36-674, and Arizona Administrative Code (AAC) R9-6-
701-708 and R9-5-304-305 located at: https://www.azleg.gov/arstitle/.  
 
4.4.1.3. 
Adhere to guidelines posted at the ASIIS website (http://azdhs.gov/phs/asiis/); 
 
4.4.1.4. 
Refer to the VFC and VFA Operations Guides; 
 
4.4.1.5. 
Ensure internet access for program personnel who will be using ASIIS; 
 
4.4.1.6. 
Submit any and all immunization staff changes to ASIIS within five (5) days from the 
day the change occurred. Staff members who are no longer employed by the 
Contractor will be inactivated. Contractor will use the most current VFC/VFA Profile 
Change Form when submitting changes. The ASIIS Pledge to Protect Confidential 
Information form is verified online annually through the ASIIS system. 
 
4.5. Activity Five (5) Immunization Quality Improvement 
 
4.5.1. 
ADHS will provide quality improvement assistance to the Contractor, on an annual basis, as part 
of the IQIP program. As part of the IQIP requirements, the Contractor shall receive the following 
assistance: 
 
4.5.1.1. 
An annual in-person site visit from ADHS staff to include an ASIIS-based coverage 
rate report for children ages twenty-four to thirty-five (24-35) months and for 
adolescents aged thirteen (13) years, including a list of patients not up-to-date. The 
visit will include a discussion of current immunization practices and quality 
improvement goals,

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
6 of 23 
4.5.1.2. 
Phone-based check-in calls at two (2) months and six (6) months post-site visit to 
include     a discussion of the quality improvement objectives and any technical 
assistance requested by the Contractor, and 
4.5.1.3. 
An email-based check-in at twelve (12) months post site visit, to include a follow-up 
coverage rate assessment, a discussion of progress toward quality improvement 
goals, and any other technical assistance requested by the Contractor. 
4.6. Activity Six (6) Reminder/Recall Activities 
4.6.1. 
Conduct Reminder/Recall activities within time frames identified by the contractor in the IAP. 
Reminder/Recall activities will include notification to parents/guardians of all children and 
adolescents served by the county.  These activities will include, but not be limited to, reminders 
of when the next vaccination visit is due, as well as recall of any children and adolescents who 
are overdue for vaccinations, or who have missed an immunization visit, 
4.6.2. 
May conduct Reminder/Recall activities for adults served by the County. These activities may 
include, but not be limited to, reminders of when the next vaccination visit is due, as well as recall 
of any adults who are overdue for vaccinations, or who have missed an immunization visit, and 
4.6.3. 
If selected as one of the IAP objectives, report Reminder/Recall activities and efforts in the 
Quarterly Progress Report and make reports available to ADHS during any compliance and/or 
review visits. 
4.7. Activity Seven (7) Perinatal Hepatitis B Case Management 
4.7.1. 
Implement Perinatal Hepatitis B program activities designed to prevent the spread of the hepatitis 
B virus (HBV) from mother to newborn.  The contractor shall comply with Chapter Eight (8) of the 
Perinatal Hepatitis B Prevention Program Manual (https://azdhs.gov/documents/prepare
dness/epidemiology-disease-control/immunization/healthcare-professionals/perinatal-hepatitis-
b-manual.pdf) and appoint a primary and back up Perinatal Hepatitis B coordinator. The ADHS 
will provide the Contractor with county-specific information on HBsAg-positive (HBsAg+) 
identified pregnant women and infants. The Contractor shall then conduct the following activities 
and provide the state Perinatal Hepatitis B program with data on case management and services 
provided to the County’s perinatal hepatitis B cases: 
4.7.1.1. 
4.7.1.2. 
4.7.1.3. 
Provide high-risk case management, including home visits if necessary, to assure 
that all infants born to HBsAg+ mothers (including infants born to mothers whose 
HBV status is unknown or under investigation) are offered appropriate prophylactic 
treatment after birth; 
Provide high-risk case management, including home visits if necessary, to assure 
infants born to positive mothers receive time appropriate subsequent doses of 
hepatitis B vaccine and receive post vaccination serologic testing (PVST) at nine to 
twelve (9-12) months of age (or one to two (1-2) months after the final dose of the 
vaccine series, if the series is delayed); 
Implement measures to assure that all identified household/sexual contacts of 
HBsAg+ mothers in the County are referred for offered testing (to include HBsAg 
and anti-HBs) for susceptibility and immunized if susceptible; and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
7 of 23 
 
4.7.1.4. 
Report to ADHS, at least quarterly, in a Department-provided format, data specified 
in Chapter eight (8) of the Perinatal B Prevention Program Manual on HBsAg+ 
women, their contacts, and infants born to HBsAg+ women. 
 
4.8. Activity Eight (8) Community Outreach Education 
 
4.8.1. 
As staffing and identified needs allow, promote immunizations, in partnership with public and 
private sector organizations, by using educational materials, social media, newsletters, 
communicable disease bulletins, websites, email list services, and other outreach methods. If 
outreach education is selected as an IAP objective, then document these activities in the 
Quarterly Progress Report; 
 
4.8.2. 
Conduct activities, as staffing allows, at immunization clinics to promote and increase attendance 
of children, adolescents, and adults, as appropriate, during events such as National Infant 
Immunization Week (NIIW) in April, Child Health Month (October), National Immunization 
Awareness Month (August), Influenza Vaccination Week (December), and other immunization 
promotional events;  
 
4.8.3. 
If identified as an IAP objective, and when possible, include copies or samples of promotional 
efforts and activities (flyers, website postings, advertisements, etc.) with the Quarterly Progress 
Report and/or make available to ADHS during any compliance and/or review visits. 
 
4.9. Activity Nine (9) Healthcare Provider Education 
 
4.9.1. 
Coordinate and/or provide, upon request or identified need, immunization education programs 
for staff of private medical offices and clinics, hospitals, schools, or other immunization 
administration sites. Suggested program topics include, but are not limited to, vaccine 
administration, 
immunization 
schedules, 
immunization 
assessments, 
immunization 
registry/tracking, and vaccine storage and handling; 
 
4.9.2. 
If provider education is identified as an IAP objective, and if education is provided, document 
these activities in the Quarterly Progress Reports, and 
 
4.9.3. 
Attendance sheets and/or program agenda and handouts will be retained by the Immunization 
Coordinator for a minimum of two (2) years and are to be made available to ADHS during any 
compliance and/or review visits. 
 
4.10. Activity Ten (10) County Health Department (CHD) Immunization Staff Education 
 
4.10.1. 
Ensure that immunization program staff members view the CDC Epidemiological and Prevention 
of Vaccine-Preventable Diseases (Pink Book) program upon orientation, 
 
4.10.2. 
Share immunization information received from ADHS, CDC, TAPI, and/or other agencies with 
immunization program staff members, 
 
4.10.3. 
Ensure that, on a yearly (reporting year) basis, the County Immunization Program Coordinator, 
or appropriate substitute, attends or participates in four (4) quarterly Immunization Services 
Meetings (ISM) and the annual conference conducted by ADHS, and one (1) additional 
immunization education program offered in person or remotely by ADHS, CDC, or other 
recognized community, local, state or federal immunization partner,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
8 of 23 
 
4.10.4. 
Maintain staff records of education course attendance/completions for a minimum of two (2) 
years. Course completion certificates may be obtained from the entity or facility providing the 
education or may be on a county-specific form. 
 
4.11. Activity Eleven (11) Vaccine Adverse Event Reporting System (VAERS) 
 
4.11.1. 
Comply with the immunization provider responsibilities as defined in the National Childhood 
Vaccine Injury Act located at: 
http://www.cdc.gov/vaccinesafety/ensuringsafety/history/index.html/. 
 
4.11.1.1. 
Submit reports of adverse reactions or events that occurred specific to the 
Contractor’s vaccine administration sites to the electronic VAERS located at: 
http://vaers.hhs.gov/index/ within seventy-two (72) hours of notification of the 
adverse event; 
 
4.11.1.2. 
Follow-up on any reports as requested by CDC or ADHS. 
 
4.12. Activity Twelve (12) (At the Contractor’s Option) School/Child Care Immunization Data Reports (IDRs)
 
 
4.12.1. 
It is the responsibility of schools and childcare facilities to complete and submit the annual IDRs 
to ADHS.  The Contractor is encouraged, when able, to support and work directly with school 
and child care facilities to improve compliance with state immunization requirements as specified 
by the Arizona Revised Statutes and Arizona Administrative Code, and assist with the submission 
of 
required 
reports 
in 
the 
format 
prescribed 
by 
ADHS 
and 
posted 
at 
http://azdhs.gov/phs/immunization/school-childcare/data-reports.htm. IDR data is posted on the 
ADHS website, but upon request, ADHS will provide the Contractor with a list of county-specific 
schools and child care centers that might need assistance with compliance or have not submitted 
the IDR. Assistance may include on-site visits to provide education and technical support.  If on-
site assistance is provided, the Contractor shall incorporate one or more of the following tasks: 
 
4.12.1.1. 
Review immunization records; 
 
4.12.1.2. 
Assist the site in completing a “Referral Notice of Inadequate Immunization” for each 
under-immunized child; and 
 
4.12.1.3. 
Complete and submit the site’s IDR for each grade level as required by ADHS. 
 
4.13. Activity Thirteen (13) Immunization Data Report (IDR) Validation 
 
4.13.1. 
Support ADHS, if able, in completing CDC-selected school and/or child care IDR validations. 
Work will include on-site visits to assess the immunization status of each state-required 
immunization for thirty (30) randomly-selected students within the designated grade. Contractor 
will also note the number and types of exemptions and if exemptions are completed and valid 
(submitted on state-approved forms.)  Data shall be collected on a standard form provided by 
ADHS.  Data shall be sent to ADHS to consolidate for state validation. 
 
4.14. Activity Fourteen (14) Vaccine Preventable Disease Outbreak Response 
 
This activity is for moderate to large-scale outbreaks as identified by ADHS in consultation with the CDC.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
9 of 23 
 
4.14.1. 
Investigate and document cases or outbreaks of reportable vaccine preventable diseases. 
 
4.14.2. 
Implement public health activities for the control and prevention of cases/outbreaks of vaccine 
preventable diseases. 
 
4.14.3. 
Report data and information to ADHS for reportable vaccine preventable diseases and 
collaborate on outbreak response and management. 
 
4.14.4. 
Increase vaccine uptake as part of vaccine preventable disease outbreak. 
 
4.14.5. 
Support community education as appropriate as part of outbreak response. 
 
5. 
Requirements 
 
The activities in this Contract shall be performed by the Contractor, or its partners, for the purpose of increasing 
immunization coverage levels of children zero to eighteen (0-18) years of age and adults nineteen (19) years of 
age and older in both the public and private sectors of health care.  Funds provided under this Contract, 
including in-kind support, shall be used for immunization-related services and activities, and in accordance 
with any federal and state regulations. 
 
6. 
Deliverables 
 
The Contractor shall: 
 
6.1. 
Complete and submit, within thirty (30) days (but no later than 45 days) of the new reporting year, an Annual 
Immunization Action Plan (IAP); 
 
6.2. 
Complete and submit, within thirty (30) days (but no later than 45 days) of the end of each quarter, a quarterly 
Contractor’s Expenditure Report (CER), with supporting documentation, listing all immunization activities 
and reports for which reimbursement is due. The Contractor is expected to use the funds received from 
the CER for immunization-related services and activities and in accordance with federal and state 
regulations. 
 
6.3. 
Complete and submit, within thirty (30) days (but no later than 45 days) of the end of each quarter, a Quarterly 
Progress Report. 
 
7. 
Notices, Correspondence, and Reports 
 
7.1. 
Notices, correspondence, reports, and invoices/CERs from the contractor to ADHS shall be sent to: 
 
 
     Contract Management Specialist 
Immunization Program Office 
Arizona Department of Health Services 
150 N. 18th Avenue, Suite 260 
Phoenix AZ 85007 
Telephone: 602:364-3626 
FAX: 602:364-3285 
David Reyman 
Contract Management Specialist 
David.reyman@azdhs.gov

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
10 of 23 
 
7.2. 
Notices, correspondence, and reports (and payments if sent to the same address) from ADHS to the 
contractor shall be sent to: 
 
 
Maricopa County Public Health Department  
 
Attn: Immunization Coordinator 
 
4041 N. Central Ave., Suite 1400  
 
Phoenix, AZ 85012

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
11 of 23 
Price Sheet 
Maricopa County Public Health Department (MCDPH) receives direct funding from the CDC's Strengthening Vaccine 
Preventable Disease Prevention and Response Cooperative Agreement CDC for the Vaccine for Children (VFC) 
Program. As such, services outlined in this contract shall be provided by the “contractor” in-kind. The Arizona 
Department of Health Services (ADHS) will provide data and support for the Immunization Information System (IIS) in-
kind to MCDPH. The ADHS may authorize additional funds for services to the contractor identified in the price sheet at 
their discretion and as supported by an approved purchase order. Funds authorized and received by the contractor 
shall be supported by a Contractor’s Expenditure Report (CER) and follow all appropriate state and federal terms for 
use. 
Activity 
Frequency 
Unit Rate 
Unit of Measure 
Total 
Immunization Visit for children 
zero (0) to eighteen (18) years of 
age who meet VFC eligibility 
requirements. Do not include 
visits for insured children. 
Quarterly 
$50.00 
Per Visit 
As approved by 
ADHS and 
authorized by 
purchase order 
Immunization Visit for adults 
nineteen (19) years of age and 
older who meet VFA eligibility 
requirements. Do not include 
visits for insured adults  
Quarterly, when 
specific VFA 
funds are 
available 
$50.00 
Per Visit 
Immunization Completion report 
for children zero (0) to twenty-
four (24) months of age for the 
4:3:1:3:3:1:4 series 
Quarterly 
$100.00 
Per Series 
Completion 
Perinatal Hepatitis B Case 
Management – Prenatal 
Quarterly 
$300.00 
Per Case 
Perinatal Hepatitis B Case 
Management – Postnatal 
Quarterly 
$200.00 
Per Case 
Immunization Visit for Flu 
Vaccine, in children and adults 
who meet VFC and VFA 
eligibility requirements. Do not 
include visits for insured children 
or adults. 
When specific 
pan flu vaccine 
funds are 
available 
$50.00 
Per Visit 
Immunization Data Report (IDR) 
Submission – Preparation and 
Submittal of School/Child Care 
IDR by CHD nurse or in 
cooperation with school/child 
care personnel  
Optional 
$250.00 
Each/per grade 
level IDR 
IDR Validation – On-site visit to 
schools/child care facilities to 
validate IDR submission data 
Optional 
$50.00 
Each/per grade 
level validation 
Outbreak – Funding for 
vaccines, education, 
communication, staffing, 
associated with managing a 
vaccine preventable disease 
One-Time 
up to 
$100,000.00 
As approved by 
ADHS and 
authorized by 
purchase order

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
12 of 23 
 
outbreak.  
 
*Prices may be reviewed and adjusted annually over the term of the contract.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
13 of 23 
 
 
Exhibit One (1) 
 
Scheduled Reports Delivery 
 
Reports 
Due Date 
(based on State Fiscal Year Funding of 
July – June) 
Immunization Action Plan (IAP) 
August 30 (September 15) 
Quarterly Progress Reports 
1st Qtr. – October 30 (Nov 15) 
2nd Qtr. – January 30 (Feb 15) 
3rd Qtr. – April 30 (May 15) 
4th Qtr. – July 30 (Aug 15) 
Hepatitis B Line Listing Reports, VFC and 
VFA visit reports, completion/coverage 
level reports, IDR Submission form/copies, 
IDR Validation forms. Contractor 
Expenditure Report (CER) as needed per 
purchase order. 
1st Qtr. – October 30 (Nov 15) 
2nd Qtr. – January 30 (Feb 15) 
3rd Qtr. – April 30 (May 15) 
4th Qtr. – July 30 (Aug 15)

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
14 of 23 
 
 
Exhibit Two (2) 
 
Fee for Service Definitions 
1. Fixed Price 
 
1.1. 
Immunization Administration 
 
1.1.1. 
"Immunization Visits Fee" is the rate paid to supplement the county-specific administration cost 
for each child immunization visit. The fee will only be applied to VFC and VFC eligible visits and 
should not be used for private insurance visits. When able, please use ASIIS reports such as the 
ASIIS Vaccines for Children Accountability Log, VFC Vaccination Breakdown Report, or the 
Vaccination total report as a source documents when submitting the quarterly CER. CHD’s may 
also use internal electronic medical report (EMR) documents to report visits. 
 
1.1.2. 
"Completions" is the rate paid for each child who completes (receives valid dose of) four (4) DTaP, 
three (3) Polio, one (1) MMR, three (3) Hib, three (3) Hep B, and one (1) Varicella, and four (4) 
Pneumococcal vaccines by twenty-four (24) months of age. Contractor is advised that this 
immunization completion series is subject to change based on future CDC and ADHS 
requirements or recommendations. When able, please use ASIIS reports such as ASIIS Coverage 
Data Report as source documents when submitting the quarterly CER. 
1.2. 
Perinatal Hepatitis B Case Management 
 
1.2.1. 
Perinatal Hepatitis B Case Management spans from the mother's initial interview through to 
completion of all preventive services for the infant and the household/sexual contacts. It is 
anticipated that cases should not take more than eighteen (18) months to complete. 
1.2.2. 
Contract payment for each case will be paid in two (2) increments, depending upon completion of 
prenatal and postnatal services: 
 
1.2.2.1. 
"Pre-Natal Management" is the rate paid to include date of initial client interview, 
identification of household and sexual contacts, testing and/or immunization of contacts 
or documentation of previous services or refusal of services. All services will be 
reported in a Department-provided format. A report of services completed, in a 
Department-provided format, shall accompany the quarterly CER. 
 
1.2.2.2. 
"Post-Natal Management" is the rate paid to include obtaining name of birth hospital, 
infant' s name, date of birth (DOB), birth weight, date of administration of Hepatitis B 
immune globulin (HBIG) and Hepatitis B # 1, and the name of the infant's healthcare 
provider. The rate also includes obtaining subsequent dates for the remaining two (2) 
doses of Hepatitis B vaccine as well as the dates and results of post serology 
follow-up or documentation of refusal. 
 
1.2.3. 
Per CDC guidelines (refer to Hepatitis B Manual identified in Activity 4 . 7 . 1 ) infants born to 
HBsAg positive mothers should receive Hepatitis # 3 optimally by six (6) months of age (and more 
than twenty-four (24) weeks) of age. All services will be reported in a Department-provided format. 
A report of services completed on a Department-provided format shall be submitted quarterly. 
 
1.3. 
Immunization Data Report (IDR) Submission (Optional) 
1.3.1. 
An “Immunization Data Report (IDR)” is an ADHS designed form used to collect enrollment and 
immunization information from schools, child care centers, and Head Start Programs about children

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
15 of 23 
 
in an age group or at a grade level required by ADHS. Information about the IDR and a link to the 
survey site can be found on the ADHS website at http://www.azdhs.gov/phs/immunization/school-
childcare/data-reports.htm. IDRs shall include the number of children enrolled, the number of 
enrolled children who have proof of each required immunization dose, and the number of enrolled 
children who have exemptions from state required immunizations. Schools and child care centers 
are required to submit an annual Immunization Data Report by November 15th per Arizona Revised 
Statutes 15-874, and Arizona Administrative Code, R9-6-707. 
 
1.3.2. 
“Immunization Data Report Submission” is the rate compensated for submitting an IDR report per 
child care center or per grade level for a school. This rate includes at least one site visit to the school 
or child care center by the CHD nurse in cooperation with school/child care personnel, and 
documentation of the completed Immunization Data Report. Documentation of electronic 
submission is satisfied by indicating the following in the comments field of the IDR survey: 
 
1.3.2.1. Name of the County personnel who assisted; 
1.3.2.2. Time and Date of visit; or 
 
1.3.2.3. Approximate time/hours of assistance provided. 
 
1.4. 
Immunization Data Report Validation (Optional) 
1.4.1. 
IDR Validation is a process by which state and/or county personnel visit a sample of schools and/or 
child care centers assigned by the Centers for Disease Control and Prevention – Assessment 
Branch and validate student immunization records. Thirty (30) students from the designated 
grade(s) are randomly chosen and the immunization status is recorded on a form designed by 
ADHS. ADHS then assesses aggregate validation data. ADHS traditionally uses ninety percent 
(90%) or ninety-five percent (95%) confidence interval with a minimum level of precision of 0.02 – 
0.03. 
 
1.4.1.1. IDR Validation is a rate compensated for completion and submission of an IDR Validation 
to ADHS per grade level for a school or childcare center. This rate includes on site visit to 
the school or child care center by the County personnel and completion of validation. To 
be compensated for an IDR Validation, county personnel shall claim the number of audits 
completed on their CER. The CER data will be confirmed/verified by ADHS.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
16 of 23 
 
 
Exhibit Three (3) - 2 CFR 200.332 
 
"§ 200.332 
Requirements for pass-through entities. 
All pass-through entities must: 
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information 
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward 
modification. When some of this information is not available, the pass-through entity must provide the best information 
available to describe the Federal award and subaward. 
 
Prime Awardee:  
Arizona Department of Health Services 
UEI # 
QMWUG1AMYF65 
Federal Award Identification (Grant Number): 
5 NH23IP922599-03-00 
Subrecipient name (which must match the name 
associated with its unique entity identifier): 
Maricopa County  
 
Subrecipient's unique entity identifier (UEI #): 
602062515 
Federal Award Identification Number (FAIN, sometimes 
it’s the same as the Grant Number): 
NH23IP922599 
Federal Award Date (see the definition of Federal award 
date in § 200.1 of this part) of award to the recipient by 
the Federal agency; 
 
Subaward Period of Performance Start and End Date; 
07/01/2019 – 06/30/2024 
Subaward Budget Period Start and End Date: 
07/01/2022 – 06/30/2023 
Amount of Federal Funds Obligated by this action by the 
pass-through entity to the subrecipient (this is normally 
the contract amount): 
Total Amount of Federal Funds Obligated to the 
subrecipient by the pass-through entity including the 
current financial obligation (how much is available for 
contracts): 
$4,471,666.00  
 
 
Total Amount of the Federal Award committed to the 
subrecipient by the pass-through entity  
$7,757,534.00  
 
 
Federal award project description, as required to be 
responsive to the Federal Funding Accountability and 
Transparency Act (FFATA) 
CDC-RFA-IP19-1901 Immunizations 
vaccines for children 
 
 
Name of Federal awarding agency, pass-through entity, 
and contact information for awarding official of the Pass-
Centers for Disease Control and 
Prevention

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
17 of 23 
 
through entity 
 
 
Assistance Listings number and Title; the pass-through 
entity must identify the dollar amount made available 
under each Federal award and the Assistance Listings 
Number at time of disbursement: 
93.268 Immunization Cooperative 
Agreement 
 
 
Identification of whether the award is R&D 
  
No 
 
 
Indirect cost rate for the Federal award (including if the 
de minimis rate is charged) per § 200.414

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
18 of 23 
Exhibit Four (4) 
1.
Arizona State Immunization Information System (ASIIS) Requirements
In support of operationalization and accomplishing strategies and activities defined in CDC's Strengthening 
Vaccine-Preventable Disease Prevention and Response cooperative agreement and items outlined in 
Activity Four (4) of this Agreement for Registry Client Access, Maricopa County Public Health Department 
(MCDPH) 
personnel 
shall perform 
only 
the 
following 
authorized 
ASIIS 
operational 
tasks 
and 
responsibilities within their jurisdiction of the City of Phoenix:
1.1. 
Access and manage patient and immunization data.
1.2. 
Fulfill patient record requests and update ASIIS patient demographics.
1.3. 
Assist providers with merged or missing patient records.
1.4. 
Update missing vaccinations and generate vaccination forecasts for patients.
1.5. 
Process and manage patient opt-out requests.
1.6. 
Review and approve Vaccine for Children (VFC), Flu, COVID-19, and Respiratory Syncytial Virus (RSV)
vaccine orders. 
1.7. 
Track vaccine orders and shipments, including viewing shipment tracking numbers. 
1.8. 
Review and approve vaccine wastage and return submissions. 
1.9. 
Process vaccine borrowing reports and vaccine transfers. 
1.10. 
Assist providers with vaccine reconciliation and use of the Correct Lot Decrementing Tool. 
1.11. 
Process provider profile changes. 
1.12. 
Manage provider inactivation, reactivation, and re-enrollment within the MCDPH VFC program. 
1.13. 
Oversee organization, facility, and user account management. 
1.14. 
Process ASIIS tasks related to vaccine temperature incidents and excursions. 
1.15. 
Review inventory and accountability reports (e.g., Patient Detail, Lot Usage). 
1.16. 
Support Immunization Quality Improvement for Providers (IQIP) visits by running coverage and inventory 
reports. 
1.17. 
Assist providers with dose accountability and vaccine usage reconciliation. 
1.18. 
Provide general ASIIS and VOMS support to providers, including: 
1.18.1. 
Guidance on ASIIS navigation and system functionality. 
1.18.2. 
Assistance with running ASIIS reports. 
1.18.3. 
Responding to provider inquiries, questions, and concerns.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
19 of 23 
 
2. System Requirements  
 
2.1. 
Compliance and Data Governance  
 
All MCDPH personnel with ASIIS access shall adhere to the confidentiality, privacy, and security 
requirements established under applicable federal and state laws, including but not limited to the Health 
Insurance Portability and Accountability Act (HIPAA), Arizona Administrative Code R9-6-702, 
Security/Confidentiality Agreement (Pledge to Protect Confidential Information), and ADHS data security 
policies. Users shall:  
 
2.1.1. 
Access ASIIS data solely for legitimate public health purposes within the scope of their authorized 
duties. 
  
2.1.2. 
Refrain from using, disclosing, or distributing ASIIS data outside the authorized jurisdiction for 
non-public health purposes. 
 
2.1.3. 
Immediately report any suspected or actual data breach, unauthorized access, or system misuse 
to the Arizona Department of Health Services (ADHS) in accordance with established incident 
response procedures. 
  
2.1.4. 
Participate in training, annual recertification, and security compliance reviews as required by 
MCDPH. 
  
2.1.5. 
ADHS reserves the right to audit MCDPH access and usage of ASIIS data at any time to ensure 
compliance with this Agreement. Failure to adhere to the terms of this agreement may result in 
suspension or termination of access privileges.  
 
2.2. 
Database Access and Secure Connectivity  
 
ADHS will provide the MCDPH with authorized access to a designated database view containing data 
limited to the City of Phoenix jurisdiction. Access shall be granted solely to approved MCDPH personnel. It 
shall include the following database tables: Patient Demographics tables, Vaccination Master, Vaccine 
Orders and Order Items, Transfers and Transfer Items, Vaccine Returns and Wastage, Vaccine Lot 
Numbers, Lot Number Transactions, and General Code Tables. Such access shall be provided exclusively 
for the purposes outlined in this Agreement. Connection to the database shall occur only through a secure 
Virtual Private Network (VPN) established and maintained by ADHS to ensure encrypted data transmission 
and protection of data in transit. MCDPH shall implement and maintain appropriate administrative, 
technical, and physical safeguards to protect the confidentiality, integrity, and availability of the data, 
prevent unauthorized access or disclosure, and ensure that all user credentials and permissions are 
managed in compliance with ADHS security policies and applicable federal and state data protection 
requirements. 
 
2.3. 
Data Access Methods  
 
 
2.3.1. 
The method of data sharing will be in a manner agreeable to ADHS and MCDPH, and which 
meets the requirements of ADHS to assure the security of the data. The following are the methods 
of transfer allowed: 
 
2.3.1.1. 
Encrypted file transfer using Secure File Transfer Protocol (SFTP).

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
20 of 23 
 
2.3.1.2. 
Secure direct data access from ADHS Snowflake Data Lakehouse or ADHS ASIIS 
Read Replica. 
 
2.3.1.3. 
Secure direct access to the system/application of record.  
 
2.3.2. 
ADHS and MCDPH will use Encrypted file transfer using SFTP. The data file will be posted to a 
web accessible ADHS server by ADHS or to a server owned by MCDPH, where it can be 
accessed only by MCDPH. If posted to an ADHS server, the MCDPH staff designated to access 
the SFTP file transfer site must be Authorized Persons for the data element(s) they receive, and 
must use an ADHS-issued user ID and secure password to access the SFTP site. 
 
2.3.3. 
ADHS and MCDPH will use a secure direct connection to the ADHS Data Lakehouse or to the 
ADHS ASIIS Read Replica to access the data elements in scope of the agreement. The data will 
be accessible either as an extracted dataset for download or views built based on the scope of 
data accessible, where it can be accessed only by MCDPH. The MCDPH staff designated to 
access the data must be Authorized Persons for the data element(s) they can access, and must 
use a secure user ID and secure password to access the data. 
 
2.3.4. 
ADHS and MCDPH will use a secure, direct web accessible connection to the ASIIS to access 
the data elements in scope of the agreement. The data will be accessible through the 
system/application based on the scope of data accessible, where it can be accessed only by 
MCDPH. The MCDPH staff designated to access the data must be Authorized Persons for the 
data element(s) they can access, and must use an ADHS-issued user ID and secure password 
to access ASIIS. 
 
2.4. 
Inadvertent Disclosure  
 
2.4.1. 
In the event that MCDPH is inadvertently provided with data files containing any of the information 
listed in subsection 2.2, MCDPH will notify ADHS of the disclosure and delete or destroy such 
data files upon ADHS’s request. 
 
3. Security of Confidential Information  
 
3.1. 
MCDPH shall monitor the use of all Public Health Data disclosed by ADHS under this Agreement, including 
but not limited to Personal Identifying Information (PII) and Protected Health Information (PHI), and carefully 
restrict the use and disclosure of such information as provided for herein. 
 
3.1.1. 
Survival of Duty to Protect Confidential Information  
 
3.1.1.1. 
It is understood and agreed by the Parties that the obligations set forth in this Section 
shall survive the expiration or termination of this Agreement, except as expressly 
provided for herein. 
 
3.1.2. 
Minimum Safeguards for Public Health Data  
 
3.1.2.1. 
MCDPH shall carefully restrict use and access of ADHS PII and PHI solely to 
Authorized Persons and shall ensure that MCDPH implements the following 
minimum safeguards to prevent a Security Breach in a manner consistent with the 
requirements of this Agreement or applicable law. MCDPH safeguards shall, at a 
minimum, require that MCDPH and its Authorized Persons:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
21 of 23 
 
3.1.2.1.1. 
Prohibit PII and PHI supplied under the terms of this Agreement from 
being released or disclosed to anyone not working on MCDPH data 
access, collection, and analysis as an Authorized Person. 
 
3.1.2.1.2. 
Ensure that any Authorized Persons, including any agent or 
subcontractor to MCDPH, to whom MCDPH provides confidential 
medical information, PHI, or PII under this Agreement, agree to the 
same restrictions and conditions that apply through this Agreement to 
MCDPH with respect to such information. 
 
3.1.2.1.3. 
Secure all printouts containing individual identifiers or confidential data 
in a locked vault, file cabinet, or other method reasonably necessary 
to protect the confidential information. 
 
3.1.2.1.4. 
Store all Public Health Data shared pursuant to this Agreement only 
on secured servers or encrypted devices within MCDPH, which, at the 
termination of this Agreement, shall be securely deleted upon the 
conclusion of this Agreement consistent with the requirements of this 
Agreement and applicable law. 
 
3.1.2.1.5. 
Provide ADHS with a description of the security measures that are in 
place to maintain the confidentiality of the data being received under 
this Agreement. 
 
3.1.2.1.6. 
Provide ADHS, upon request, with a current list of Authorized Persons, 
and evidence that all Authorized Persons who have access to the 
Public Health Data shared under this Agreement have participated in 
any required training and signed any documents that are necessary to 
keep both MCDPH and ADHS in compliance with HIPAA, including 
but not limited to, Business Associate Agreement, user confidentiality 
affirmation statement, HIPAA training certification or other HIPAA 
related compliance documents, if applicable. 
 
3.1.2.1.7. 
Provide or continue to provide the ADHS with a copy of the MCDPH 
procedure for the notification of ADHS of any Security Breach, which 
shall include a requirement that any user of the Public Health Data 
shared under this Agreement shall immediately notify a designated 
individual at MCDPH of any known or reasonably suspected Security 
Breach. 
 
3.1.2.1.8. 
Maintain a log of all encrypted devices and identification numbers of 
those devices that are authorized to transmit, receive, or store the 
Public Health Data shared under this Agreement, until the data is 
destroyed. The ADHS may request a copy of the log at any time during 
the term of the Agreement or until the data is destroyed.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
22 of 23 
 
3.1.2.1.9. 
Make clear to all Authorized Persons and other MCDPH employees 
with a need to know that MCDPH is prohibited from storing Public 
Health Data on non-encrypted flash drives, CDs, external drives, 
smart phones, or other non-networked hard drives. 
 
3.1.2.1.10. 
Provide ADHS prompt proof of the complete destruction of the original 
data and any copies or subsidiary data sets containing Personally 
Identifying Information that are developed from the original data upon 
the conclusion of this Agreement or at such time that such destruction 
is required by applicable law. 
 
3.1.2.1.11. 
Take all reasonable steps to ensure that Authorized Persons who 
have access to the Public Health Data shared under this Agreement 
shall maintain the same in strict confidence after the termination of this 
Agreement; provided that MCDPH obligations hereunder shall not 
apply to information that: 
 
3.1.2.1.11.1. 
Was already known to the receiving party prior to the 
time of first disclosure, as demonstrated by 
contemporaneous, written documentation; or 
 
3.1.2.1.11.2. 
Is received without any obligation of confidentiality 
from a third party having a legal right to disclose the 
same; or 
 
3.1.2.1.11.3. 
Is independently developed by the receiving party by 
individuals without access to such information, as 
demonstrated 
by 
contemporaneous, 
written 
documentation; or 
 
3.1.2.1.11.4. 
Is required to be disclosed by the receiving party 
pursuant to a legally enforceable order, subpoena, or 
other regulation (ORDER), provided, however, that 
the receiving party promptly notifies the disclosing 
party in advance of such disclosure and discloses 
only that information necessary to comply with said 
ORDER. 
 
3.1.3. 
Security Breach  
 
In the event of a Security Breach, pursuant to A.R.S. § 44-7501, MCDPH and ADHS agree to 
collaborate with each other on the investigation, mitigation, remediation, and, if necessary, 
breach notification of citizens. Pursuant to A.R.S. § 41-3507, MCDPH and ADHS shall notify the 
Arizona Strategic Enterprise Technology (ASET) Statewide Information Security and Privacy 
Office (SISPO) immediately upon becoming aware or receiving notice of a Security Breach.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR060585 
IGA Amendment No: 1 
Procurement Officer: 
Kailee Gray 
 
23 of 23 
 
4. Data Use and Ownership  
 
4.1. 
MCDPH activities using the ADHS data that generate external papers or publications for dissemination 
outside of MCDPH must have written review and comment from the data owner at ADHS before release. 
MCDPH shall allow thirty (30) calendar days for ADHS review. 
 
4.2. 
ADHS shall be cited as the source of the data in all tables, reports, presentations, and scientific papers, 
and MCDPH or its corresponding authors shall be cited as the source of interpretations, calculations, and/or 
manipulations of the data. 
 
4.3. 
ADHS retains exclusive ownership of the Public Health Data shared with MCDPH under this Agreement. 
Any release, or modified re-release of Public Health Data shared under this Agreement requires prior ADHS 
approval.