CTR040876 WIC BFPC MARICOPA COUNTY A10.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 1 of 25 
WIC and BFPC 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, Section 6.1 Amendments, Purchase Orders 
and Change Orders, it is mutually agreed: 
 
1.1. The Scope of Work is revised and replaced; 
 
1.2. The Price Sheet is revised and replaced; 
 
1.3. Exhibit A is revised and replaced; and 
 
1.4. Exhibit B is revised and replaced; 
 
All other provisions of this agreement remain unchanged. 
MARICOPA COUNTY 
 
 
Contractor Name:  
 
County Authorized Signature 
4041 N CENTRAL AVE, SUITE 1400 
 
 
Address:  
 
Print Name 
PHOENIX 
ARIZONA 
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                                  2022. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR040876, 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 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 2 of 25 
SCOPE OF WORK 
 
1. 
BACKGROUND 
 
The Arizona Department of Health Services (ADHS) Bureau of Nutrition and Physical Activity (BNPA) administers 
funds provided by the United States Department of Agriculture (USDA) for the operation of the Special Supplemental 
Nutrition Program for Women, Infants and Children (WIC) and Breastfeeding Peer Counseling Program (BFPC) for the 
State of Arizona. The USDA nutrition programs are discretionary, and each provides a specific service to women, 
infants, and children who are low income and at nutrition risk. The overall goal of all the USDA Nutrition Programs is 
to increase food security and reduce hunger by providing eligible participants access to nourishing food and supportive 
nutrition education. 
 
1.1. 
WIC Nutrition Services 
 
1.1.1. 
The WIC Program accomplishes this goal by providing participant-centered services (PCS) including 
nutrition and breastfeeding information and support, specific supplemental healthy foods through the 
issuance of food benefits that can be used at ADHS-approved grocery stores, and referrals to other 
health and human services as an adjunct to good health care during critical times of growth and 
development. Service population eligibility for the WIC Program is based upon federal regulations 
such as participant category (pregnant and breastfeeding women, postpartum women, and infants or 
children under five years of age), a household income at or below 185% of federal poverty guidelines, 
residence within the service area, and nutrition risks. 
 
1.1.2. 
To be considered as a WIC Local Agency, the organization must be a local public or private non-
profit organization, County health department, or tribal entity under contract with ADHS to provide 
WIC services according to the WIC Program federal regulations and state policies and procedures. 
The State awards a WIC Contract based on the ability of the organization to provide WIC services, 
potentially eligible population, need, response to the Scope of Work, information technology capacity, 
and available funds. The State determines and awards the WIC contract amount based on a funding 
formula using several factors such as a base level for a program to function, the amount of caseload 
negotiated with each Local Agency, and quality of performance. 
 
1.1.1.1 
Specific objectives for nutrition services (based on Healthy People 2030 goals) are: 
 
1.1.1.1.1 
To increase the incidence of women initiating breastfeeding, 
 
1.1.1.1.2 
To increase the duration of women breastfeeding for the first six (6) months 
of their baby’s life, 
 
1.1.1.1.3 
To increase the duration of breastfeeding women breastfeeding for the first 
year of their baby’s life, 
 
1.1.1.1.4 
To increase the rate infants are exclusively breastfed at three (3) months 
and at six months, 
 
1.1.1.1.5 
To reduce the proportion of adults who are considered obese, 
 
1.1.1.1.6 
To reduce the proportion of children ages two (2) to five (5) who are 
considered obese, 
 
1.1.1.1.7 
To increase the consumption and variety of fruits and vegetables by those 
two (2) and older, 
 
1.1.1.1.8 
To increase the consumption of whole grains by those two (2) and older; and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 3 of 25 
1.1.1.1.9 
To reduce household food insecurity and hunger. 
 
1.2. 
Breastfeeding Peer Counseling (BFPC) 
 
1.2.1. 
Breastfeeding peer counselors add a critical dimension to WIC’s efforts to help women initiate and 
continue breastfeeding. WIC breastfeeding peer counselors provide a valuable service to their 
communities, addressing barriers to breastfeeding by offering breastfeeding education, support, and 
role modeling. They are familiar with the resources available to WIC participants and the questions a 
new breastfeeding mother may ask, and recognize when to refer mothers to other resources when 
issues outside their scope of practice arise. In 2020 the USDA Food and Nutrition Service (FNS) 
released their new national breastfeeding campaign titled: WIC Breastfeeding Support: Learn 
Together. Grow Together. As a part of this, FNS has developed training and technical assistance to 
equip WIC Programs with a framework for designing and maintaining peer counseling programs. 
Developing this training included formative research to understand barriers and motivators to 
implementing and sustaining peer counseling programs and develop training curricula. This Peer 
Counseling Training for WIC Managers, which is a training and technical assistance project that will 
be used as a model to aid WIC in designing, building, maintaining, and sustaining peer counseling 
programs that will improve breastfeeding initiation and duration rates. Arizona will be using this 
program to guide and develop the state peer counseling program. 
 
1.2.2. 
The discretionary peer counseling services are considered an adjunct support to WIC breastfeeding 
services to help achieve the WIC Nutrition Services objectives regarding breastfeeding. 
 
1.2.3. 
Peer counseling has been a significant factor in improving initiation and duration rates of 
breastfeeding among women in a variety of settings, including disadvantaged and WIC populations 
representing diverse cultural backgrounds and geographical locations. Peer counselors are 
especially effective in communities where role models for breastfeeding behaviors, knowledgeable 
health care providers, and cultural practices that include breastfeeding as the norm, are scarce. 
Combining peer counseling with the ongoing WIC breastfeeding promotion and support efforts has 
the potential to significantly impact breastfeeding rates among WIC participants, and most 
significantly, increase the harder to achieve breastfeeding duration rates. WIC Local Agencies are 
strongly encouraged to provide peer counseling services in addition to the ongoing breastfeeding 
support to their WIC participants. Contractors must provide a breastfeeding friendly environment and 
have policies to accommodate participants and staff who are breastfeeding. 
 
2. 
OBJECTIVE 
 
At a minimum, to provide WIC services while allowing each Local Agency to provide, at their discretion, Breastfeeding 
Peer Counseling Services. 
 
3. 
SCOPE OF WORK 
 
3.1. 
WIC Services 
 
The WIC Program Contractor shall perform all the work required to administer and provide WIC services to 
eligible participants according to the Arizona WIC Program Policies and Procedures Manual (WIC PPM). These 
include, but are not limited to the following activities: 
 
3.1.1. 
Perform WIC certification procedures such as categorical and income screening and health and 
nutrition assessments, 
 
3.1.2. 
Provide participant centered nutrition and breastfeeding support services to WIC participants, 
 
 
3.1.3. 
Provide the mandatory and appropriate additional referrals reflecting the needs of the individual WIC

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 4 of 25 
participants, 
 
3.1.4. 
Issue WIC food benefits tailored to meet the needs of the participants, 
 
3.1.5. 
Ensure the collection and recording of accurate information, 
 
3.1.6. 
Provide professional training, mentoring and monitoring of WIC staff competencies necessary for 
delivery of required services, 
 
3.1.7. 
Provide administrative functions for operation of the WIC Program, and 
 
3.1.8. 
Prepare and submit all required plans/reports in accordance with this contract and the WIC PPM. 
 
3.2. 
Breastfeeding Peer Counseling (BFPC) 
 
3.2.1. 
WIC BFPC Contractors shall perform all the work required to administer and provide additional 
breastfeeding support services to WIC mothers following the WIC Breastfeeding Support: Learn 
Together. Grow Together guidelines for peer counseling services and according to the Contractor's 
proposal in order to increase the breastfeeding rate and duration of breastfeeding; and 
 
3.2.2. 
Provide supervision, mentoring, monitoring, and evaluation of peer counselors, when appropriate. 
 
4. 
TASKS AND REQUIREMENTS 
 
4.1. 
WIC Services Outreach, Retention, and Referrals: 
 
4.1.1 
Conduct outreach activities targeting underserved populations by developing written and verbal 
presentations, or utilizing available materials, and/or promoting WIC on social media platforms to 
inform potentially WIC eligible individuals of the availability of the WIC Program and to explain the 
benefits of participation in accordance with the WIC PPM, 
 
4.1.2 
Conduct retention activities to maintain and increase the participation of current WIC enrollees, 
 
4.1.3 
Establish community partnerships with, at a minimum, the mandatory referral agencies, local 
hospitals, OB/GYN and pediatricians offices, and provide regular contacts in accordance with the 
WIC PPM, 
 
4.1.4 
Establish community partnerships with community organizations such as food banks, human and 
social services, school districts, etc. in accordance with the WIC PPM, and  
 
4.1.5 
Establish a referral system with breastfeeding/lactation specialists, including but not limited to, 
International Board Certified Lactation Consultants (IBCLC), Certified Lactation Counselors (CLC), 
Certified Breastfeeding Counselors (CBC), and Certified Lactation Educators (CLE) in accordance 
with the WIC PPM. 
 
4.2. 
Additional BFPC Outreach Tasks: 
 
Develop and document an internal referral link between WIC Program and WIC Peer Counseling Program when 
applicable. Interaction between WIC Program and WIC Peer Counseling Program shall occur at least monthly 
and may be in the form of site visits from Peer Counselors, participation of Peer Counselors in WIC clinic 
meetings, and/or additional training for WIC clinic staff and Peer Counselors. 
 
 
 
4.3. 
Participant Records:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 5 of 25 
 
4.3.1 
Document in Health and Nutrition Delivery System (HANDS) and maintain documentation of 
participant centered certification and administrative procedures as described in the WIC PPM, 
including but not limited to: 
 
4.3.1.1 
Eligibility and ineligibility determinations; 
 
4.3.1.2 
Nutrition assessments; 
 
4.3.1.3 
Nutrition and breastfeeding education and support; 
 
4.3.1.4 
Nutrition and breastfeeding counseling; 
 
4.3.1.5 
Facilitate behavioral goal setting; 
 
4.3.1.6 
Appropriate referrals; 
 
4.3.1.7 
Program fraud; and 
 
4.3.1.8 
Food Benefit issuances. 
4.3.2 
Maintain inventory and accountability records, as set forth in the WIC PPM for eWIC cards, 
 
4.3.3 
Maintain records in accordance with the PPM, 
 
4.3.4 
Assure participant confidentiality by obtaining written permission from affected program participant(s) 
prior to the release of participant information to any agency. The Contractor shall have a written 
agreement, completed in accordance with 7 CFR (Code of Federal Regulations) 246.26 (h)(3), and 
the Arizona WIC Policy and Procedure Manual, with any agency or program that will share participant 
information. The above federal regulation details the implementation of a written agreement and state 
plan to regulate use and disclosure of confidential applicant and participant information, 
 
4.3.5 
Staff shall only access the WIC Computer Data System and client files for business related reason(s), 
 
4.3.6 
Ensure paper files containing confidential participant information are stored in a secure location in 
the clinic, archived when appropriate, and destroyed according to the retention schedule.  All files 
should be destroyed in an appropriate manner, 
 
4.3.7 
The Local Agency shall notify the State Agency immediately by telephone call and email upon the 
discovery of a breach of a participant’s confidentiality, 
 
4.3.8 
The Local Agency shall immediately investigate such security incident, breach, or unauthorized use 
or disclosure of participant information, including: 
 
4.3.8.1 
What data elements were involved and the extent of the data involved in the breach; 
 
4.3.8.2 
A description of the unauthorized person(s) known or reasonably believed to have 
improperly used or disclosed the protected information; 
 
4.3.8.3 
A description of where the protected information is believed to have been improperly 
transmitted, sent, or utilized; 
 
4.3.8.4 
A description of the probable causes of the improper use or disclosure; and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 6 of 25 
4.3.8.5 
Whether Arizona Revised Statutes (A.R.S) § 18-545 or any other federal or state laws 
requiring individual notifications of breaches are triggered. 
 
4.3.9 
The Local Agency shall provide a written report of the investigation to the Chief of the Bureau of 
Nutrition and Physical Activity (BNPA)/WIC Director and Program Integrity Manager within ten (10) 
working days of the discovery of the breach or unauthorized use or disclosure.  The report shall 
include the information specified above, as well as a full, detailed corrective action plan, including 
information on measures that were taken to halt and/or contain the improper use or disclosure, and 
 
4.3.10 
The Local Agency shall notify individuals of the breach or unauthorized use or disclosure when 
notification is required under state or federal law and shall pay any costs of such notifications, as well 
as any costs associated with the breach using non WIC funds.  The BNPA Chief/WIC Director, 
Program Integrity Manager, and Assistant Attorney General shall approve the time, manner and 
content of any such notifications. The Local Agency will arrange and pay for any mitigation (e.g. 
LifeLock) for participants at risk for identity theft because of breach of security of information. 
 
4.4. 
Service Delivery and Program Rules 
 
The Contractor shall: 
 
4.4.1 
Determine eligibility of persons requesting WIC services by screening individuals in accordance with 
procedures set forth in the WIC PPM; Eligible program participants shall include the following 
categories whose household income does not exceed 185% of the current designated federal poverty 
guidelines, who have a nutritional risk as defined in the WIC PPM, and reside in Arizona as defined 
by the WIC PPM: 
 
4.4.1.1 
Pregnant women, breastfeeding women up to twelve (12) months post-partum, and non-
breastfeeding women up to six (6) months following the end of a pregnancy; 
 
4.4.1.2 
Infants from birth to age one (1); and  
 
4.4.1.3 
Children from age one (1) year up to five (5) years of age. 
 
4.4.2 
Provide complete nutrition assessment and document results and follow-up as outlined in Chapter 
two (2) and seven (7) of the Arizona WIC Policy and Procedure Manual, 
 
4.4.3 
Provide participant-centered nutrition education to participants and appropriately utilize materials 
provided by the State, 
 
4.4.4 
Facilitate goal setting for behavioral change and follow-up on goals set, 
 
4.4.5 
Promote breastfeeding to WIC participants and provide breastfeeding education and support, and 
refer to and promote the Breastfeeding Peer Counseling Program, when appropriate, 
 
4.4.6 
Prescribe and tailor a food package appropriate to the participant's nutritional risk(s), the amount of 
formula consumed, and cultural preferences and issue food benefits as set forth in the WIC PPM, 
 
4.4.7 
Provide program participants with information about available health and social services to which the 
participant could be referred. The participant shall be provided with written information regarding 
community services and referrals in accordance with the WIC PPM and Local Agency referral 
procedures 
 
4.4.8 
Coordinate WIC Services with other health and social services available within the service area, 
including but not limited to immunizations, voter registration, and breastfeeding support,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 7 of 25 
4.4.9 
Provide information, check for understanding, and document instruction to participants on program 
rules, regulations, WIC approved foods, use of eWIC cards, and food benefit use and redemption. 
The program instruction shall be documented in the participant's record as set forth in the WIC PPM, 
 
4.4.10 
Consider the impact of scheduling practices, hours of operation, and clinic closures on caseload and 
WIC applicants’ access to services, and 
 
4.4.11 
Additional BFPC Service Delivery tasks: 
 
4.4.11.1 Accept referrals generated from calls to the ADHS Pregnancy and Breastfeeding Hotline 
into the Peer Counseling Program; and 
 
4.4.11.2 Provide peer counseling services, when appropriate. Services shall be made available 
outside of usual clinic hours and outside of the WIC clinic, but may also be available during 
usual clinic hours and in the WIC clinic. 
 
4.5. 
Participant-Centered Nutrition Education 
 
The Contractor shall: 
 
4.5.1 
Provide and document participant-centered nutrition education to all WIC adult participants, and to 
parents or caretakers of participants according to the guidelines of the State Nutrition Services Plans. 
All participants shall be offered the opportunity to receive quarterly participant-centered nutrition education 
contacts during a Certification as part of WIC Program service requirements. One of these nutrition 
education opportunities can be provided as part of the Certification. One of these nutrition education 
opportunities can be provided as part of the Mid-Certification appointment, 
 
4.5.2 
Provide and document professional supervision, mentoring and monitoring of staff at the clinic level 
on a regular basis, in accordance with Local Agency Self-Assessment requirements and as often as 
necessary, to ensure competence, 
 
4.5.3 
Offer, as often as necessary, high- and medium-risk nutrition education/counseling by a Registered 
Dietitian Nutritionist (RDN) to all participants deemed high-risk upon assessment. As defined in the 
WIC PPM Local Agencies may designate a Bachelor's degree nutritionist or Nutrition and Dietetic 
Technicians, registered to serve as a WIC Nutritionist to provide medium-risk counseling to 
participants under the supervision of the RDN, 
 
4.5.4 
Expend a minimum of seven percent (7%) of the total amount the Contractor receives for provision 
of WIC services each contract year on salary, employee related expenses, travel expenses, 
continuing education, and training for one or more Registered Dietitian Nutritionists (RDN) providing 
high risk services.  The agency may pay another Arizona WIC Local Agency or RDN contractor for 
RDN services as approved by the State WIC Director or the State WIC Director's designee. If the 7% 
of the total amount the Contractor receives for provision of WIC services is not expended for 
employee related expenses, travel expenses, continuing education, and training expenses for RDNs. 
ADHS may request the Contractor to return an amount equal to the difference between the seven 
percent (7%) of the total amount the Contractor receives for provision of WIC services and the actual 
amount expended, 
 
4.5.5 
Expend for nutrition education activities an aggregate amount that is not less than the sum of one-
sixth (1/6) of the amount the Contractor receives for provision of WIC services each contract year. If 
the one- sixth (1/6) amount is not expended for nutrition education activities, ADHS may request the 
Contractor to return an amount equal to the difference between the one-sixth (1/6) requirement and 
the actual amount expended IF ADHS must pay a penalty to the Federal Government. Costs that can 
be applied to meet the one-sixth (1/6) requirement for nutrition education include:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 8 of 25 
4.5.5.1 
Salary and other costs for time spent on nutrition education, whether with an individual or 
group; 
 
4.5.5.2 
The cost of procuring and producing nutrition education materials; 
 
4.5.5.3 
The cost of training nutrition educators, including costs related to conducting training 
sessions and purchasing and producing training materials; 
 
4.5.5.4 
The cost of conducting participant evaluations of nutrition education, nutrition assessments 
and observations; 
 
4.5.5.5 
Breastfeeding Promotion Costs in excess of the targeted amount, currently four percent 
(4%) of NSA expenditures, may be added to other Nutrition Education costs to meet the 
one-sixth requirement (1/6th) of NSA expenditures target for other Nutrition Education; and  
 
4.5.5.6 
Other ADHS-approved costs. 
 
4.5.6 
Coordinate nutrition education activities and messages. Wherever possible, the Contractor shall 
utilize USDA and/or AZ Health Zone materials and messages to ensure common nutrition messages, 
and 
 
4.5.7 
Provide documentation that a minimum of four percent (4%) of the annual WIC expenditures have 
been used to support breastfeeding promotion and education. If the four percent (4%) is not expended 
for breastfeeding promotion and education activities, ADHS may request the Contractor to return an 
equal to the difference between the four percent (4%) and the actual amount expended if ADHS must 
pay a penalty to the Federal Government. 
 
4.6. 
Staffing 
 
The Contractor shall: 
 
4.6.1 
Designate a WIC Program Director/Manager who is an RDN, with previous WIC and/or community 
health experience to manage and administer the WIC Program and may provide high-risk nutrition 
counseling and/or formula authorization to WIC participants.  If an RDN is on staff to provide the WIC 
RDN services and with prior approval from ADHS, the Contractor shall designate a Director with a 
minimum of an undergraduate degree from an accredited institution in nutrition (community nutrition, 
public health nutrition, nutrition education, human nutrition or nutrition science) or a related field such 
as home economics or biochemistry with an emphasis in nutritional science or public health 
administration. With prior approval from ADHS, number of years working in a WIC program may 
substitute for some years of education, 
 
4.6.2 
Identify an RDN to serve as the Local Agency Nutrition Coordinator as defined in the WIC PPM. The 
Nutrition Coordinator will oversee all WIC nutrition services for the Local Agency.  If a Local Agency 
has barriers to this staffing standard, they must be submitted in writing to ADHS with their plan for 
coordination of nutrition services within the Local Agency to be approved by ADHS, 
 
4.6.3 
Based on the assigned caseload, provide an appropriate number of RDNs to perform high-risk and 
medium-risk counseling, formula authorization, and as necessary, certification of participants. The 
Contractor shall provide the RDN services in a number proportional to the agency's high-risk caseload 
in accordance with the WIC PPM. The Contractor may hire graduates with a minimum of a Master’s 
or Bachelor’s degree from an accredited institution in Nutritional Sciences, Community Nutrition, 
Clinical Nutrition, Dietetics, Public Health Nutrition, or Home Economics with emphasis in Nutrition or 
Nutrition and Dietetic Technicians, registered to do medium-risk counseling, formula authorization, 
and as necessary, participant certification under the direction of an RDN. If a Local Agency has a

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 9 of 25 
barrier to having an RDN on staff, the agency must submit in writing to ADHS with their plan for 
providing high risk nutrition services to participants, 
 
4.6.4 
When applicable, necessary and based on the assigned caseload, provide an appropriate number of 
adequately trained certification specialists to provide categorical and financial eligibility screening, 
pre-certification and record required documentation, in accordance with the WIC PPM, as well as 
administrative support services when necessary. Such individuals shall have the minimum of a high 
school degree or equivalent and must complete the state training requirements and be certified by 
the Contractor as competent according to the competencies for the position. Previous nutrition or 
health related job experience is desirable. These individuals shall meet ADHS competencies as set 
forth in the WIC PPM prior to providing each service such as verifying applicant eligibility, collecting 
anthropometric and biochemical data for participants, and instructing on Food Benefits. Arizona WIC 
Program Staff should be observed and certified by the supervising authority to be competent in an 
activity before being allowed to perform on their own without supervision, 
 
4.6.5 
Based on the assigned caseload, provide an appropriate number of adequately trained nutrition 
education specialists to provide certification and nutrition education services to participants in 
accordance with the WIC PPM. Such individuals will have the minimum of a high school diploma with 
nutrition experience, education, and training that have been certified by local or state agencies to be 
competent for the position. An Associate or Bachelor's degree is highly preferred. These individuals 
shall meet the ADHS competencies for Nutrition Education Specialists as set forth in the WIC PPM 
prior to certifying applicants for participation and/or providing nutrition services in the Arizona WIC 
Program. Staff should be observed and certified by the supervising authority to be competent in an 
activity before being allowed to perform on their own without supervision, 
 
4.6.6 
Identify an International Board Certified Lactation Consultant (IBCLC) to serve as the local agency 
Breastfeeding Coordinator as defined in the WIC PPM. The Breastfeeding Coordinator will oversee 
all WIC breastfeeding services for the local agency to ensure all participants have access to 
breastfeeding promotion and support services. If a local agency has barriers to this staffing standard, 
they must be submitted in writing to ADHS with their plan for coordination of breastfeeding services 
within the local agency to be approved by ADHS, 
 
4.6.7 
Identify a Training Coordinator as defined in the WIC PPM. The Training Coordinator will oversee 
and facilitate both new employee and ongoing WIC training for the Local Agency including certifying 
that staff has met competencies prior to providing services without supervision. If a Local Agency has 
barriers to this staffing standard, they must submit in writing to ADHS their plan for coordination of 
training services within the Local Agency to be approved by ADHS, 
 
4.6.8 
Identify an Outreach Coordinator who will oversee and facilitate activities and efforts to retain current 
WIC enrollees and outreach to potentially eligible populations not currently enrolled in WIC, and 
participate in outreach-related workgroups. If a Local Agency has barriers to this staffing standard, 
they must submit in writing to ADHS their plan for coordination of outreach activities within the Local 
Agency to be approved by ADHS, 
 
4.6.9 
Provide staff to conduct outreach activities targeting high risk and underserved populations, including 
but not limited to homeless and migrants, by developing written and verbal presentations or utilizing 
available materials to inform the potentially eligible individuals of the availability of WIC Program and 
explain the benefits of participation, and 
 
4.6.10 
When applicable and necessary, provide WIC Clerks to perform administrative support within WIC 
clinics at the option of the Contractor. Such individuals shall have the minimum of a high school 
degree or equivalent. They must meet WIC Program competencies. Previous clerical or work 
experience is desirable.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 10 of 25 
4.7. 
Additional BFPC Service Staffing 
 
4.7.1 
Employ a BFPC Program Manager to plan, direct and coordinate general operation of Peer 
Counseling Program. Ideal candidate will be an IBCLC, have WIC experience, and be familiar with 
community resources, 
 
4.7.2 
Develop a support referral system for peer counselors with community Lactation Consultants, 
including IBCLCs, if the BFPC Program Manager is not an IBCLC or is unable to fulfill consultation 
duties for any reason, and 
 
4.7.3 
Employ Breastfeeding Peer Counselors to provide services. Qualifications for peer counselors shall 
be previous personal experience with breastfeeding, enthusiasm for helping others to succeed at 
breastfeeding, and similarities with the WIC population the program serves (including similar age, 
ethnic background, and language spoken). Exemptions to the peer counselor qualifications must be 
approved by ADHS before hire. When possible, peer counselors should be current or previous WIC 
participants. 
 
4.8. 
Staff Training 
 
The Contractor shall: 
 
4.8.1 
Train new staff as outlined in the ADHS developed new employee training plan, 
 
4.8.2 
Register and ensure all WIC staff complete all ADHS required WIC on-line courses according to the 
time requirements set forth by the State through ADHS Learning Management System (LMS) at 
az.train.org, or state-assigned LMS System in accordance with the ADHS WIC PPM, 
 
4.8.3 
In addition to state requirements for competency training, Local Agencies must implement and adopt 
the state training standards as reflected in the ADHS WIC PPM. In addition, Local Agencies must 
participate in any mandatory training provided by ADHS due to changes in policy, procedures, and / 
or federal regulations, 
 
4.8.4 
Provide training for all new staff members regarding Civil Rights, Americans with Disabilities Act 
(ADA), Conflict of Interest and Confidentiality, and Voter Registration during their orientation and, 
annually, provide all staff with training on Civil Rights, ADA, Conflict of Interest and Confidentiality, 
and Voter Registration by completing the ADHS LMS courses on Civil Rights, Conflict of Interest and 
Confidentiality, and Voter Registration or other courses or trainings that will be required by ADHS, 
 
4.8.5 
Provide one (1) representative for a maximum of six (6) mandatory, in-person WIC Partners’ two (2) 
day meetings or training sessions in Phoenix, as scheduled by ADHS on a yearly basis. These 
meetings will be opportunities for the Local Agency to discuss issues with regards to WIC policies 
and procedures, federal rules and regulations, and nutrition standards, 
 
4.8.6 
Provide one (1) representative for a maximum of twelve (12) WIC Director teleconference meetings 
to receive information updates on WIC operations, policies and procedures, and other relevant 
materials being held in lieu of face to face meetings.  This may include urgent meetings to discuss 
current events (e.g. government shutdown) and plan on managing the continuity of operations plan 
(COOP),  
 
4.8.7 
Provide one (1) representative to attend a two (2) day trainer conference in Phoenix during each 
fiscal year for skill and knowledge building,  
 
4.8.8 
Provide one (1) representative to attend a one (1) day Nutrition Coordinator meeting in Phoenix during 
each fiscal year for skill and knowledge building,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 11 of 25 
4.8.9 
Provide one (1) representative to attend a one (1) day Breastfeeding Coordinator meeting in Phoenix 
during each fiscal year for skill and knowledge building, 
 
4.8.10 
Maintain a record of training provided, monitoring and observation results of staff competencies in each 
staff file and/or the State LMS, and 
 
4.8.11 
Document and maintain a record of any additional staff training that applies towards the annual 
Continuing Education Requirements for WIC staff of at least six (6) hours of nutrition education, at least 
six (6) hours of breastfeeding education, at least six (6) hours of WIC-related education, and at least 
six (6) hours of additional education in any of the categories above for a total of twenty-four (24) hours 
in accordance with the PPM. 
 
4.9. 
Additional BFPC Staff Training: 
 
4.9.1 
Send the WIC Director or designee and the Breastfeeding Peer Counselor Program Manager to a 
One (1) day training at the ADHS office in Phoenix during each Peer Counseling Program contract 
term, 
 
4.9.2 
Provide training of Breastfeeding Peer Counselors using the WIC Breastfeeding Support: Learn 
Together. Grow Together curriculum within one (1) month of employment, 
 
4.9.3 
Provide continual education and adequate resources to peer counselors. Continual education shall 
include basic and continuing breastfeeding training, and may include opportunities to shadow 
lactation consultants, opportunities to meet with other peer counselors, and related training such as 
counseling skills, adult learning styles, and others, and  
 
4.9.4 
Provide all WIC clinic staff the recorded presentation of the WIC Breastfeeding Support: Learn 
Together. Grow Together curriculum at least once during each Peer Counseling Program contract 
term. 
 
4.10. Data Collection 
 
The Contractor shall: 
 
4.10.1 
Utilize the hardware, software, and training provided by the Arizona WIC Program to operate the 
Contractor's portion of the WIC Computer Data System - HANDS, 
 
4.10.2 
Complete all data elements required on the WIC Computer Data System as outlined in the WIC PPM, 
 
4.10.3 
WIC Computer Data System users are required to maintain integrity by keeping their username and 
password secure. Users shall not share their login information with others, and  
 
4.10.4 
When applicable and necessary to fulfill WIC business functions, local WIC IT shall coordinate with 
ADHS WIC IT to ensure immediate restoration of technical equipment (i.e. ADHS owned equipment) 
to include but not limited to providing a temporary administrative account. 
 
4.11. Administrative Services 
 
The Contractor shall: 
 
4.11.1 
In addition to complying with the Guidance for Federal Grant Award Management (Blue Book) and 
State of Arizona Accounting Manual (SAAM) for Contractors of ADHS Funded programs, Chapter 
twelve (12) and thirteen (13) of the WIC PPM:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 12 of 25 
4.11.1.1 Maintain a formal inventory listing or subsidiary record of all equipment owned by the 
Contractor in an organized manner as a part of the official accounting system. Ensure the 
non-capital and capital equipment listing includes the following: Tag or ID number, 
Description, Purchase cost or fair market value on date of donation, Purchase or donation 
date, Location, Disposal Date, Funding Source, Serial Number, Manufacturer, Model 
Number, RAM size (if applicable), Specifications (if applicable), and Receipt/Invoice (proof 
of purchase); 
 
4.11.1.2 Provide maintenance and upkeep for all equipment purchased with WIC funds. 
Maintenance may be provided through the Contractor's own organization or the Contractor 
may participate in State maintenance contracts where available; 
 
4.11.1.3 Obtain written permission from ADHS prior to expending WIC funds to purchase equipment 
with a value of $5,000 or more; 
 
4.11.1.4 For all asset-related items, a request shall be submitted to ADHS utilizing the process 
specified in the WIC PPM: hardware (e.g. computers, tablets, scanners, printers, card 
readers, pin pads, webcams, and headsets) and certain telecommunications equipment 
necessary to access the web-based WIC Computer Data System (e.g. routers, MiFi’s). 
New technology will be evaluated for inclusion based on program needs. For software 
purchases with WIC funds, the Local Agency may purchase software that is reasonable 
and necessary: 
 
4.11.1.4.1 
Notification to ADHS must be provided for any asset-related resource items 
that need to be transferred or disposed of. Contractors shall not directly 
dispose of any asset, 
 
4.11.1.5 Transfer and disposals must follow procedures outline in WIC PPM; and  
 
4.11.1.6 Destroyed/Missing/Stolen asset resources must be reported upon discovery no later than 
ten (10) business days from the time of incident to the assigned ADHS WIC Nutrition 
Consultant.  
 
4.11.2 
If applicable, submit to ADHS for approval in writing any policy or procedure that deviates from those 
set forth in the Arizona WIC PPM prior to implementation, 
 
4.11.3 
Update the Local Agency information on a timely basis on the WIC Clinic Search administrative 
website including but not limited to names of CEO/Health Officer, WIC Director, Clinic Supervisors, 
Nutrition Services Coordinator, Breastfeeding Coordinator, Training Coordinator, IT lead(s), clinic 
names, addresses, phone numbers, days and hours of operations, closure days, and other pertinent 
information for the public to know, 
 
4.11.4 
Provide at least ten (10) weeks written notice when planning on opening, moving, or suspending WIC 
services at any location, 
 
4.11.5 
Read, timely, all ADHS provided documents and provide requested response, if applicable, 
 
4.11.6 
The Local Agency Director shall ensure the State Agency has their most recent contact information 
in an effort to maintain current and accurate information in the Arizona Health Alert Network (AzHAN) 
account, 
 
4.11.7 
Maintain records of WIC services in WIC Computer Data System and electronic files of other WIC-
related operations and trainings, if applicable, according to the WIC PPM, including but not limited to: 
 
4.11.7.1 Signed consent for hemoglobin screening and anthropometrics;

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 13 of 25 
 
4.11.7.2 Signed Rights and Obligations for enrolled participant files (active and inactive); 
 
4.11.7.3 Eligible participant files (active and inactive);  
 
4.11.7.4 Ineligible applicant signatures; 
 
4.11.7.5 Monthly Participation Reports by Category and Ethnicity; 
 
4.11.7.6 Outreach files; 
 
4.11.7.7 Medical documentation; 
 
4.11.7.8 Staff files: Trainings attended, skill observations, and Local Agency Self Assessments; 
 
4.11.7.9 Documentation of dual participation actions;  
 
4.11.7.10 Waiting lists (when applicable); 
 
4.11.7.11 Reconciliation of eWIC cards; 
 
4.11.7.12 Civil rights file to include documentation and resolution of all civil rights complaints;  
 
4.11.7.13 Documentation of annual civil rights and voter registration training of all employees; and  
 
4.11.7.14 Documentation of the annual Conflict of Interest and Confidentiality training of all 
employees and the WIC Confidentiality and Conflict of Interest forms. 
 
4.11.8 
Correct and resolve inappropriate or missing participant information, improbable assessment values, 
duplicate participation, and other quality assurance WIC Computer Data System issues identified in 
the report provided to the Contractor by ADHS within the timeframes specified in the WIC PPM, 
 
4.11.9 
Correct any regulatory deficiency or discrepancy noted during any of the program Management 
Evaluations, Audits, Local Agency Compliance Investigations or Program Financial Management 
Reviews within sixty (60) calendar days of the date of the audit report unless an extension date is 
granted by the auditing/reviewing agency and documented, 
 
4.11.10 
Adhere to the SAAM travel rates. Travel rates reimbursed by the Local Agency cannot exceed the 
current Arizona State Reimbursement Rates, located here: https://gao.az.gov/travel/welcome-gao-
travel, 
 
4.11.11 
Complete electronic copies of the Contractor's Expenditure Reports (CER) for each contracted 
program and submit the electronic and a signed copy to ADHS according to the instructions and 
requirements of the WIC PPM, 
 
4.11.12 
Retain all evidentiary documentation (i.e. meal receipts) and submit to ADHS upon request for all 
expenses charged towards the WIC grant, 
 
4.11.13 
Prepare Final Closeout CER invoice for each contracted program reflecting the cumulative 
expenditures for a contract year, 
 
4.11.14 
Prepare WIC Local Agency Quarterly Cost Summary Reports that matches the amount of each 
quarter’s expenditures respectively in accordance with the requirements in the WIC PPM,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 14 of 25 
4.11.15 
Prepare an annual evaluation on the annual Contractor's Outreach Plan and a progress report on 
activities accomplished during the year,  
 
4.11.16 
Prepare an annual Amendment Application in accordance with the individual program requirements 
that will include budget breakdown of line items and budget justifications of any budget changes,  
 
4.11.17 
Adhere to the allowable and unallowable cost principles for WIC and BFPC as outlined in the WIC 
PPM, 
 
4.11.18 
Conduct Local Agency self-assessments annually in the year that the Local Agency has a 
Management Evaluation, and semi-annually in the year that they do not have a Management 
Evaluation, and  
 
4.11.19 
Prepare all required plans, reports, and documents in accordance with the requirements in the WIC 
PPM. 
 
In the event the Arizona WIC Program funding is depleted (e.g. government shutdown) the Contractor may 
request permission to continue operating their program utilizing local funds. The Contractor will contact the 
Arizona WIC Director to discuss the feasibility of sustaining clinic operations and participant food redemption at 
authorized vendor locations. The Contractor may transfer funds to ADHS to ensure continued operation. 
 
Additional monies may be awarded under this contract for WIC Special Projects related to, but not limited to 
general infrastructure, breastfeeding promotion, nutrition services, information system enhancement efforts and 
client retention efforts.  
 
4.12. Additional Peer Counseling Administrative Services 
 
4.12.1. 
Prepare and submit a Quarterly Report for the Peer Counseling services in the format provided by 
ADHS, and  
 
4.12.2. 
Provide training and resources to assist the local agency in establishing and maintaining 
competency for new and existing staff. 
 
5. 
REFERENCE DOCUMENTS 
 
5.1. 
Arizona WIC Program Policies and Procedures Manual: Refer to 
http://azdhs.gov/azwic/local_agencies_policyManual.htm 
 
5.2. 
Federal Regulations: https://www.ecfr.gov/current/title-7/part-246   
 
5.3. 
General Accounting Office (Travel): https://gao.az.gov/travel/welcome-gao-travel  
 
5.4. 
Guidance for Federal Grant Award Management (Blue Book):   
https://www.azdhs.gov/documents/operations/financial-services/bluebook-2018.pdf  
 
5.5. 
Peer Counseling Training for WIC Managers: https://wicworks.fns.usda.gov/resources/peer-counseling-
training-wic-managers ; and 
 
5.6. 
State of Arizona Accounting Manual (SAAM): https://gao.az.gov/publications/SAAM

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 15 of 25 
6. 
STATE PROVIDED ITEMS 
 
ADHS shall provide the following: 
 
6.1. 
Electronic copies of the Arizona WIC Program Policies and Procedures Manual; 
 
6.2. 
Hardware and software necessary for operation of the WIC Computer Database System; 
 
6.3. 
Training and resources to assist local agencies in establishing staff competency for new and existing staff; 
 
6.4. 
Arizona Health Zone (AZHZ) Collaborators Username and Password access in order to order; 
 
6.4.1. 
eWIC cards,  
 
6.4.2. 
Nutrition Education Materials for participants, 
 
6.4.3. 
Breast Pumps and kits, 
 
6.4.4. 
Breastfeeding materials/resources for staff, 
 
6.4.5. 
Required posters, 
 
6.4.6. 
Clinic operation materials, and 
 
6.4.7. 
Outreach materials, 
 
6.5. 
Finance Documents: 
 
6.5.1. 
Contractor Expenditure Report and Quarterly Cost Summary Report templates The ADHS WIC 
Program Manager or designee will accept and approve the expenditures prior to payment,  
 
6.5.2. 
FFATA form, 
 
6.5.3. 
Direct Expenses Template, and 
 
6.5.4. 
LAR Template, 
 
6.6. 
Technical assistance and support; 
 
6.7. 
Required Breastfeeding resources for staff; 
 
6.8. 
Assistance with International Board Certified Lactation Consultant (IBCLC) career track or advanced lactation 
consultant education, when appropriate ; and 
 
6.9. 
Periodic redemption reports for issued benefits, as requested by the Local Agency. 
 
7. 
Additional BFPC Provided Items: 
 
7.1. 
Quarterly Report template (electronic) for Peer Counseling Program; and 
 
7.2. 
WIC Breastfeeding Support: Learn Together. Grow Together curriculum, which includes the PowerPoint 
presentation "Peer Counseling: Making a Difference for WIC Families," when appropriate;

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 16 of 25 
8. 
DELIVERABLES 
 
If applicable, any work plan or other documentation submitted to and accepted by ADHS regarding participation in WIC 
or BFPC shall be incorporated into this Agreement. Furthermore, any policy or procedure that deviates from those set 
forth in the Arizona WIC Program Policies and Procedures Manuals requires approval from ADHS prior to 
implementation. 
 
The Contractor shall submit to ADHS: 
 
8.1. 
Updated copies of Local Agency Policies and Procedures as required per the WIC PPM; 
 
8.2. 
Individual electronic and signed CER invoice for each program, no later than thirty (30) days following the end 
of each report month of the program year; 
 
8.3. 
WIC Local Agency Quarterly Cost Summary matching the WIC Contractor's CER expenses no later than thirty 
(30) days following the end of each quarter of the program year; 
 
8.4. 
Final electronic and signed CER invoice for each program no later than forty-five (45) days following the end of 
each Contract year; 
 
8.5. 
Completed Federal Funding Accountability and Transparency Act (FFATA) Grant Reporting Certification Form 
at the beginning of each contract for each Grant within thirty (30) days of the PO;  
 
8.6. 
WIC Local Agency fourth (4th) Quarterly Final Cost Summary matching the WIC Contractor's CER expenses, 
not later than forty-five (45) days following the end of each Contract year; 
 
8.7. 
Completed Local Agency Self Assessments, as requested for a Management Evaluations; 
 
8.8. 
Each Contracted Program's amendment application by the specified deadline for the following contract year 
which contains the following information: 
 
8.8.1. 
Request for Caseload to be served, 
 
8.8.2. 
Request for budget and budget justification, 
 
8.8.3. 
Updated Outreach Plan for the upcoming FFY and an evaluation of previous years activities, and 
 
8.8.4. 
Any additional services and other documents specified. 
 
8.9. 
All required responses to federal and state audits and reviews submitted in a timely manner;  
 
8.10. A Local Agency Corrective Action Plan in response to Management Evaluation and Financial Management 
Review findings; and  
 
8.11. Additional Peer Counseling Deliverables: 
 
8.11.1. 
Quarterly reports for the Peer Counseling Program to be submitted 15 days after each quarter of 
the Contract year. 
 
9. 
PERFORMANCE STANDARDS AND AWARDS 
 
9.1. 
Upon Contract finalization, ADHS shall notify the Contractor by email of the assigned caseload, and throughout 
the term of the Contract, of any changes to the assigned caseload. The Contractor shall maintain an average 
monthly participation level in accordance with the following table:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 17 of 25 
Caseload Assignment 
 
 
% Maintained 
<10,000 participants/month  
 
 
97% 
10,000 to <49,999 participants/month 
 
98% 
>50,000 participants/month  
 
 
99% 
 
9.2. 
If, after each quarter of the Federal Fiscal Year (October through September), the Contractor has not attained 
the required participation level, ADHS will have the option of reducing the assigned caseload and resources to 
the Contractor's current service level. ADHS may also then move the unused caseload and corresponding 
resources to other WIC Local Agencies in order to fully utilize the resources;  
 
9.3. 
Local Agencies shall be eligible for one (1) or more of the following awards: 
 
9.3.1. 
Any local agency which meets 100% or more of its caseload assignment for three (3) consecutive 
months during the previous FFY may receive an award of $10,000 added to that agency's following 
fiscal year WIC funding formula award if the Contract is extended and additional expenditures can 
be identified, 
 
9.3.2. 
Utilizing the “Nutrition Discussion Contact” report ran in the first quarter of the FFY preceding time 
of application (October through December), any Local Agency meeting 95% of its nutrition education 
documentation requirement for each participation time period may receive an award of $10,000 
added to that agency's following fiscal year WIC funding formula award if the Contract is extended 
and additional expenditures can be identified, 
 
9.3.3. 
The agency with the highest increase of eWIC redemptions in the first quarter (Oct 1st through Dec 
31st) of the FFY preceding time of application compared to their own Local Agency’s eWIC 
redemptions from the first quarter (Oct 1st through Dec 31st) of the previous FFY within their Assigned 
Caseload Cohort may be eligible to receive an award added to the following fiscal year WIC funding 
formula award if the Contract is extended and additional expenditures can be identified. Assigned 
Caseload Cohorts and award amounts will be determined as follows: 
 
Assigned Caseload Cohort 
Award Amount 
Less than 2000 
$5,000 
2000 - 8000 
$10,000 
More than 8000 
$15,000 
 
 
9.3.4. 
The agency with the highest percentage of Infants Exclusively Nursing (IENs) in the first quarter 
(Oct 1st through Dec 31st) of each fiscal year within their Assigned Caseload Cohort may be eligible 
to receive an award added to the following fiscal year WIC funding formula award if the Contract is 
extended and additional expenditures can be identified.  Assigned Caseload Cohorts and award 
amounts will be determined as follows: 
 
Assigned Caseload Cohort 
Award Amount 
Less than 2000 
$5,000 
2000 - 8000 
$10,000 
More than 8000 
$15,000 
 
9.4. 
Pursuant to 7 CFR 246. 14, which allows the WIC program to fund nutrition services and administrative    
expenses, the Performance Awards may be part of the annual funding formula and awarded to the Contractor 
in the next contract year, and  
 
9.5. 
8.5 USDA has the option to award breastfeeding performance awards to State Agencies who exceed the 
national average. If funds are awarded to Arizona, each Local Agency program will receive a proration of the

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 18 of 25 
amount based upon the number of exclusively nursing women in their Local Agency. It will be a set amount, 
and may only be used for purposes outlined in the current federal guidelines. 
 
10. NOTICES, CORRESPONDENCE AND REPORTS 
 
10.1. Notices, correspondence, reports and invoices from the Contractor to ADHS shall be sent to: 
 
Arizona Department of Health Services 
150 N. 18th Avenue, Suite 310 
Phoenix, Arizona 85007 
Attention: WIC Program Manager 
 
10.2. Notice, correspondence and reports from ADHS to the Contractor shall be sent to: (Contractor to complete) 
 
Maricopa County 
Attn: Yunru Lu 
4041 N. Central Ave 
Suite 1400 
Phoenix, AZ 85012 
Phone: (602) 372-0675 
Email: barbara.lu@maricopa.gov

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 19 of 25 
PRICE SHEET 
October 1, 2022 to September 30, 2023 
Agency Name: Maricopa County Department of Public Health 
 
Cost Reimbursement Line Item Budget 
 
WIC Services 
 
Federal Award Date: October 1, 2022 
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children 
 
WIC Services 
Account Classification 
Amount 
Personnel  
$4,881,967.00 
Employee Related Expenses 
$2,392,150.00 
Professional & Outside Services 
$16,000.00 
Travel Expense 
$15,261.00 
Occupancy Expenses 
$384,681.00 
Other Operating Expenses 
$71,080.00 
Capital Expenditures 
$0.00 
Indirect Cost 
$1,388,021.00 
 
 
Total 
$9,099,160.00 
 
 
 
Breastfeeding Peer Counseling Services 
 
Federal Award Date: October 1, 2022 
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children 
 
Breastfeeding Peer Counseling Services 
Account Classification 
Amount 
Personnel  
$322,655.00 
Employee Related Expenses 
$159,376.00 
Professional & Outside Services 
$0.00 
Travel Expense 
$193.00 
Occupancy Expenses 
$0.00 
Other Operating Expenses 
$3,948.00 
Capital Expenditures 
$0.00 
Indirect Costs 
$83,818.00 
 
 
Total 
$570,000.00

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 20 of 25 
WIC Special Projects 
 
Federal Award Date: October 1, 2022 
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children 
 
WIC Special Projects 
Account Classification 
Amount 
Personnel  
$138,477.00 
Employee Related Expenses 
$68,342.00 
Professional & Outside Services 
$0.00 
Travel Expense 
$0.00 
Occupancy Expenses 
$15,296.00 
Other Operating Expenses 
$0.00 
Capital Expenditures 
$0.00 
Indirect Costs 
$38,293.00 
 
 
Total 
$260,408.00 
 
Additional Terms and Conditions: 
 
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten 
percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded 
line items.  Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.  
 
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order 
that is signed by an authorized agent.  The Purchase Order will indicate the Contract number and the dollar amount of funds 
authorized.  The Contractor shall only be authorized to perform services up to the amount on the Purchase Order.  ADHS 
shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order.  No further 
obligation for payment shall exist on behalf of ADHS unless a.) the Purchase Order is modified with an official ADHS 
Procurement Change Order, and/or b.) an additional Purchase Order is issued for purchase of services under this Contract. 
 
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received.  Adjustments will 
be at the discretion of ADHS.  
 
 
Additional WIC Program:   
 
Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase 
order to increase the number of participants served and increase the total of this contract.   
 
The assigned caseload for FFY 2023 is:   44,500 
 
Additional WIC Special Projects: 
 
Monies are provided for WIC Special Projects that will include the following: 
 
a. Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room housing up to 40 
computers at 2737 W Southern Ave, Suite 10, Tempe, AZ  85282.  The WIC computer lab training room will be for the 
priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies.  ADHS 
Information Technology staff will be responsible for installation and maintenance of computer and networking hardware 
and software. The training room computers will not be connected to the Maricopa internal network, but the training room 
will share the same internet line as the adjacent WIC clinic.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 21 of 25 
b. Additional monies have been added for Maricopa County WIC Program to provide RD services to other local WIC 
agencies as agreed upon in the Scope of Work documents between Maricopa and each local WIC program that services 
are provided. 
 
c. Additional monies have been added to the Personnel Services, Employee Related Expenses, and Indirect Cost line 
items to the Maricopa WIC Program Special Project Budget to provide State-wide secondary nutrition education for 
families enrolled with local agencies utilizing the WIC Your Way virtual services approach by providing staff to support 
this program at the state office full time. The staff provided will assist the ADHS team with outreach and retention 
campaigns involving text messaging and/or virtual services, provide virtual secondary nutrition education and high-risk 
services through this project, support local agencies with their training needs related to this service, and support local 
agency services state-wide by facilitating group education classes and completing administrative work related to 
providing these services. The staff will also work with the ADHS WIC Evaluator to evaluate measurable outcomes from 
the service including data on nutrition related attitudes and behaviors, ease and satisfaction of technology use, and 
increasing attendance at the nutrition education sessions, and then implement a process to improve the services.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 22 of 25 
 
Exhibit A - 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): 
216AZ008W1003 
Subrecipient name (which must match the name associated 
with its unique entity identifier): 
Maricopa County Public Health 
Subrecipient's unique entity identifier (DUNS #): 
602062515 
Federal Award Identification Number (FAIN, sometimes it’s 
the same as the Grant Number): 
216AZ008W1003 
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: 
10/01/2022 
Subaward Period of Performance Start and End Date: 
10/01/2022-9/30/2023 
Subaward Budget Period Start and End Date: 
10/01/2022-9/30/2023 
Amount of Federal Funds Obligated by this action by the 
pass-through entity to the subrecipient (this is normally the 
contract amount): 
$9,099,160.00 
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): 
$9,099,160.00 
Total Amount of the Federal Award committed to the 
subrecipient by the pass-through entity: 
$9,099,160.00 
Federal award project description, as required to be 
responsive to the Federal Funding Accountability and 
Transparency Act (FFATA): 
Arizona local implementation of the WIC Special 
Supplemental Nutrition Program for Women, Infants, and 
Children

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 23 of 25 
Name of Federal awarding agency, pass-through entity, and 
contact information for awarding official of the Pass-through 
entity: 
United States Department of Agriculture, FNS Southwest 
Regional Office, Food and Nutrition Service, 1100 
Commerce Street Room 522, Dallas, TX 75242-9980, 
Telephone: (214)290-9810 
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: 
10.557 WIC Special Supplemental Nutrition Program for 
Women, Infants, and Children 
Identification of whether the award is R&D: 
Not R&D award 
Indirect cost rate for the Federal award (including  the de 
minimis rate is charged) per § 200.414: 
17.24%

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 24 of 25 
Exhibit B- 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): 
206AZ002W5003 
Subrecipient name (which must match the name associated 
with its unique entity identifier): 
Maricopa County Public Health 
Subrecipient's unique entity identifier (DUNS #): 
602062515 
Federal Award Identification Number (FAIN, sometimes it’s 
the same as the Grant Number): 
206AZ002W5003 
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: 
10/01/2022 
Subaward Period of Performance Start and End Date: 
10/01/2022-9/30/2023 
Subaward Budget Period Start and End Date: 
10/01/2022-9/30/2023 
Amount of Federal Funds Obligated by this action by the 
pass-through entity to the subrecipient (this is normally the 
contract amount): 
 
 
 
$570,000.00  
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): 
 
 
 
$570,000.00  
Total Amount of the Federal Award committed to the 
subrecipient by the pass-through entity: 
 
$570,000.00  
Federal award project description, as required to be 
responsive to the Federal Funding Accountability and 
Transparency Act (FFATA): 
Arizona local implementation of the Breastfeeding and 
Peer Counseling Program

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR040876 
IGA Amendment No: 10 
Procurement Officer 
Diana Landeros 
 
Page 25 of 25 
Name of Federal awarding agency, pass-through entity, and 
contact information for awarding official of the Pass-through 
entity: 
United States Department of Agriculture, FNS Southwest 
Regional Office, Food and Nutrition Service, 1100 
Commerce Street Room 522, Dallas, TX 75242-9980, 
Telephone: (214)290-9810 
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: 
10.557 WIC Special Supplemental Nutrition Program for 
Women, Infants, and Children 
Identification of whether the award is R&D: 
Not R&D award 
Indirect cost rate for the Federal award (including  the de 
minimis rate is charged) per § 200.414: 
17.24%