NOA HEALTHY START INITIATIVE FY23 2.28.22.PDF

Department of Health and Human Services
Health Resources and Services Administration
Notice of Award
FAIN#  H4900174
Federal Award Date:  02/28/2022
Recipient Information
1. Recipient Name
MARICOPA COUNTY DEPARTMENT OF HEALTH
4041 N Central Ave
Phoenix, AZ 85012‐3330
2. Congressional District of Recipient
09
3. Payment System Identifier (ID)
1866000472A2
4. Employer Identification Number (EIN)
866000472
5. Data Universal Numbering System (DUNS)
602062515
6. Recipient's Unique Entity Identifier
LM85MG1513K5
7. Project Director or Principal Investigator
Meloney Baty
meloney.baty@maricopa.gov
(602)302‐1166
8. Authorized Official
Meloney Baty
meloney.baty@maricopa.gov
(602)304‐1166
Federal Agency Information
9. Awarding Agency Contact Information
Nelson Pinto
Grants Management Specialist
Office of Federal Assistance Management (OFAM)
Division of Grants Management Office (DGMO)
NPinto@hrsa.gov
(301) 443‐8899
10. Program Official Contact Information
Sarah Barrett
Public Health Analyst
Maternal and Child Health Bureau (MCHB)
SBarrett@hrsa.gov
(301) 443‐2525
Federal Award Information
11. Award Number
5 H49MC00174‐22‐00
12. Unique Federal Award Identification Number (FAIN)
H4900174
13. Statutory Authority
Public Health Service Act, Section 751
Public Health Service Act: Title III, Part D, Section 330H ; 42 U.SC. 254c‐8
Public Health Service Act, Title III, Part D, § 330H (42 U.S.C. 254c‐8), as amended by the
Healthy Start Reauthorization Act of 2007 (P.L. 110‐339)
42 U.S.C. § 254c‐8 (Title III, Part D, § 330H of the Public Health Service Act)
42 U.S.C. § 254c‐8
14. Federal Award Project Title
HSI: ELIMINATING DISPARITIES IN PERINATAL HEALTH
15. Assistance Listing Number
93.926
16. Assistance Listing Program Title
Healthy Start Initiative
17. Award Action Type
Noncompeting Continuation
18. Is the Award R&D?
No
Summary Federal Award Financial Information
19. Budget Period Start Date 04/01/2022 ‐ End Date 03/31/2023
20. Total Amount of Federal Funds Obligated by this Action
$441,974.00
     20a. Direct Cost Amount
     20b. Indirect Cost Amount
21. Authorized Carryover
$0.00
22. Offset
$0.00
23. Total Amount of Federal Funds Obligated this budget period
$441,974.00
24. Total Approved Cost Sharing or Matching, where applicable
$0.00
25. Total Federal and Non‐Federal Approved this Budget Period
$441,974.00
26. Project Period Start Date 04/01/2019 ‐ End Date 03/31/2024
27. Total Amount of the Federal Award including Approved
Cost Sharing or Matching this Project Period
$4,111,652.00
28. Authorized Treatment of Program Income
Addition
29. Grants Management Officer – Signature
Stephannie Young on 02/28/2022
30. Remarks
THIS GRANT IS UNDER EXPANDED AUHORITY.
Page 1
A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more
information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays.

Maternal and Child Health Bureau (MCHB)
Notice of Award
Award Number: 5 H49MC00174‐22‐00
Federal Award Date:  02/28/2022
31. APPROVED BUDGET: (Excludes Direct Assistance)
[X] Grant Funds Only
[  ]
Total project costs including grant funds and all other financial participation
a.
Salaries and Wages:
$171,532.00
b.
Fringe Benefits:
$79,163.00
c.
Total Personnel Costs:
$250,695.00
d.
Consultant Costs:
$0.00
e.
Equipment:
$0.00
f.
Supplies:
$1,935.00
g.
Travel:
$3,080.00
h.
Construction/Alteration and Renovation:
$0.00
i.
Other:
$17,739.00
j.
Consortium/Contractual Costs:
$112,023.00
k.
Trainee Related Expenses:
$0.00
l.
Trainee Stipends:
$0.00
m. Trainee Tuition and Fees:
$0.00
n.
Trainee Travel:
$0.00
o.
TOTAL DIRECT COSTS:
$385,472.00
p.
INDIRECT COSTS (Rate: % of S&W/TADC):
$56,502.00
q.
TOTAL APPROVED BUDGET:
$441,974.00
i. Less Non‐Federal Share:
$0.00
ii. Federal Share:
$441,974.00
32. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
a. Authorized Financial Assistance This Period
$441,974.00
b. Less Unobligated Balance from Prior Budget Periods
i. Additional Authority
$0.00
ii. Offset
$0.00
c. Unawarded Balance of Current Year's Funds
$0.00
d. Less Cumulative Prior Award(s) This Budget Period
$0.00
e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION
 $441,974.00
33. RECOMMENDED FUTURE SUPPORT:
(Subject to the availability of funds and satisfactory progress of project) 
YEAR
TOTAL COSTS
23
$1,144,121.00
34. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
a. Amount of Direct Assistance
$0.00
b. Less Unawarded Balance of Current Year's Funds
$0.00
c. Less Cumulative Prior Award(s) This Budget Period
$0.00
d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION
$0.00
35. FORMER GRANT NUMBER
H49MC00154
36. OBJECT CLASS
41.51
37. BHCMIS#
38. THIS AWARD IS BASED ON THE APPLICATION APPROVED BY HRSA FOR THE PROJECT NAMED IN ITEM 14. FEDERAL AWARD PROJECT TITLE AND IS SUBJECT TO THE
TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE AS: 
a. The program authorizing statue and program regulation cited in this Notice of Award; b. Conditions on activities and expenditures of funds in certain other applicable
statutory requirements, such as those included in appropriations restrictions applicable to HRSA funds; c. 45 CFR Part 75; d. National Policy Requirements and all other
requirements described in the HHS Grants Policy Statement; e. Federal Award Performance Goals; and f. The Terms and Conditions cited in this Notice of Award. In the event
there are conflicting or otherwise inconsistent policies applicable to the award, the above order of precedence shall prevail. Recipients indicate acceptance of the award, and
terms and conditions by obtaining funds from the payment system.
39. ACCOUNTING CLASSIFICATION CODES
FY‐CAN
CFDA
DOCUMENT
NUMBER
AMT. FIN. ASST.
AMT. DIR. ASST.
SUB PROGRAM CODE
SUB ACCOUNT CODE
22 - 3898020
93.926
19H49MC00174
$441,974.00
$0.00
N/A
19‐HIS‐ERED
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 2/28/2022 11:07:39 AM
Award Number: 5 H49MC00174-22-00
Page 2

HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already
registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee
organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting
continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating email
addresses and submitting certain deliverables electronically. Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online
and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1. This award is governed by the post-award requirements cited in Subpart D-Post Federal Award Requirements, standards for program and
fiscal management of 45 CFR Part 75 except when the Notice of Award indicates in the “Remarks” section that the grant is included under
“Expanded Authority”. These recipients may take the following actions without prior approval of the Grant Management Office:
Section 75.308 c(2)(d)(1) Incur pre-award costs up to 90 calendar days before the award. See also 75.458.
Section 75.308 c(2)(d)(2) Initiate a one-time extension of the period of performance by up to 12 months unless one or more of the conditions
outlined in paragraphs (d)(2)(i) through (iii) of this section apply. For one-time extensions, the recipient must notify the HHS awarding agency
in writing with the supporting reasons and revised period of performance at least 10 calendar days before the end of the period of
performance specified in the Federal award. This notification must be submitted through the Electronic Handbooks (EHB). This one-time
extension may not be exercised merely for the purpose of using unobligated balances.
Section 75.308 c(2)(d)(3) Carry forward unobligated balances to subsequent periods of performance.
Except for funds restricted on a Notice of Award, grantee organizations are authorized to carry over unobligated grant funds up to the lesser
of 25% or $250,000 of the amount awarded for that budget period remaining at the end of that budget period. If the unobligated balance is in
excess of 25% of the total amount awarded, or $250,000, whichever is less, and the grantee wishes to carry the funds forward, the grantee
must obtain prior approval from the Grants Management Office.
The grantee must notify the Grants Management Office when it has elected to carry over unobligated balances under Expanded Authority
and the amount to be carried over. The notification must be provided under item 12, “Remarks”, on the initial submission of the Federal
Financial Report (FFR).
For all other Post Award request refer Standard Term 5 below.
2. Healthy Start funds may not be used for entertainment costs. Trips and/or activities for Healthy Start clients must relate to both the goal of
reducing infant mortality and the approved project objectives
3. Fund raising costs are unallowable. Healthy Start funds, e.g., staff salary, contract personnel, consultants or costs for items to be sold or
raffled, may not be used for fund raising activities.
4. The replacement of, or significant change in the responsibilities of senior project staff, including the project director, project manager, and
chief financial officer, must have prior approval from the Grants Management Officer . The grantee must obtain prior approval from the
awarding office for changes in scope, direction, type of service delivery or training, and rebudgeting of Healthy Start funds.
5. This Notice of Award is issued based on HRSA’s approval of the Non-Competing Continuation (NCC) Progress Report. All post-award
requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the Electronic
Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the Remarks section
of the Notice of Award, have different prior approval requirements. See “Prior-Approval Requirements” in the DHHS Grants Policy
Statement:
http://www.hrsa.gov/grants/hhsgrantspolicy.pdf
6. 45 CFR Part 75 applies to all federal funds associated with the award. Part 75 has been effective since December 26, 2014. All references
to prior OMB Circulars for the administrative and audit requirements and the cost principles that govern Federal monies associated with this
award are superseded by the Uniform Guidance 2 CFR Part 200 as codified by HHS at 45 CFR Part 75.
7. The funds for this award are in a sub-account in the Payment Management System (PMS). This type of account allows recipients to
specifically identify the individual grant for which they are drawing funds and will assist HRSA in monitoring the award. Access to the PMS
account number is provided to individuals at the organization who have permissions established within PMS. The PMS sub-account code
can be found on the HRSA specific section of the NoA (Accounting Classification Codes). Both the PMS account number and sub-account
code are needed when requesting grant funds. Please note that for new and competing continuation awards issued after 10/1/2020,
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 2/28/2022 11:07:39 AM
Award Number: 5 H49MC00174-22-00
Page 3

the sub-account code will be the document number.
You may use your existing PMS username and password to check your organizations’ account access. If you do not have access, complete a
PMS Access Form (PMS/FFR Form) found at: https://pmsapp.psc.gov/pms/app/userrequest. If you have any questions about accessing
PMS, contact the PMS Liaison Accountant as identified at: 
http://pms.psc.gov/find-pms-liaison-accountant.html
8. All post-award requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the
Electronic Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the
Remarks section of the Notice of Award, have different prior approval requirements. See “Prior-Approval Requirements” in the DHHS Grants
Policy Statement: http://www.hrsa.gov/grants/hhsgrantspolicy.pdf
9. This Notice of Award (NoA) provides partial funding at the CR rate of 38.63%. In accordance with this reduction, funding has
been adjusted proportionately across requested cost categories. Up to 25% of the total approved budget may be re-budgeted
within approved categories without prior approval.
Program Specific Term(s)
1.
The management Team, including key personnel, must reflect the cultural diversity of the Community to be served.
2. Each project is expected to establish a plan to recover, to the maximum extent feasible, third party revenues to which it is entitled for services
provided; garner all other available Federal, state, local, and private funds; and charge beneficiaries according to their ability to pay for
services without creating a barrier to those services. Where third-party payors, including Government agencies, are authorized or are under
legal obligation to pay all or a portion of charges for health care services, "all such sources must be billed for covered services, and every
effort must be made to obtain payment. Each service provider receiving Federal funds, either directly or indirectly, must have a procedure to
identify all persons served who are eligible for third-party reimbursement."
3. All MCHB discretionary grant projects are expected to incorporate a carefully designed and well-planned evaluation protocol capable of
demonstrating and documenting measurable progress toward achieving the stated goals. The measurement of progress toward goals
should focus on systems, health and performance indicators, rather than solely on the intermediate process measures.
4. In accordance with the requirements of the “Government Performance and Results Act (GPRA) of 1993” (Public Law 103-62), MCHB has
established measurable goals for Federal programs that can be reported as part of the budgetary process, thus linking funding decisions
with performance. Performance measures and data elements for all MCHB-funded grant programs including Healthy Start have been
finalized. As previously communicated all Healthy Start projects are expected to participate in the MCHB reporting requirements system.
5. Grantees must use the DHSPS screening tools, must report aggregate and client level data on a monthly basis to DHSPS, and report
progress on benchmarks in the MCHB Discretionary Grants Information System.
6. Grantees are required to participate in the National Evaluation of Healthy Start Programs and respond to data request for information from
the Division and the supporting HS performance project.
7.
HRSA reserves the right to reduce base awards for grantees that consistently maintain unobligated balance greater than $100,000.
8. A grantee can propose to include an evidence-based home visiting model as part of their Healthy Start (HS) program as long as each
component of the program addresses the four HS approaches, and the evidence-based model allows for the HS program to collect the data
included in the HS screening tools. That is, the requirements of any curriculum or model chosen do not supersede the requirements of HS.
9. HRSA reserves the right to reduce funding if, after receiving Technical Assistance, grantee cannot fulfil the requirements of the grant. i.e.
progress on benchmarks, number of participants served.
10.
Grantees are to budget for up to 3 persons to attend all mandatory regional meetings and the Healthy Start convention.
Standard Term(s)
1.
Your organization must comply with all HRSA Standard Terms unless otherwise specified on your Notice of Award.
Reporting Requirement(s)
1. Due Date: Within 90 Days of Award Issue Date
The grantee must submit a Performance Report within 90 days after receipt of the NoA. This report should include completing the financial
forms, project abstract, grant summary and performance measures. The performance report must be submitted using the Electronic
Handbook (EHB).
2. Due Date: Annually (Budget Period) Beginning: Budget Start Date Ending: Budget End Date, due Quarter End Date after 90
days of reporting period.
The recipient must submit an annual Federal Financial Report (FFR). The report should reflect cumulative reporting within the project period
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 2/28/2022 11:07:39 AM
Award Number: 5 H49MC00174-22-00
Page 4

of the document number. Effective October 1, 2020, all FFRs will be submitted through the Payment Management System (PMS).
Technical questions regarding the FFR, including system access should be directed to the PMS Help Desk by submitting a ticket through the
self-service web portal (PMS Self-Service Web Portal), or calling 877-614-5533.
The FFR will be due 90, 120, or 150 days after the budget period end date. Please refer to the chart below for the specific due date for your
FFR.
Budget Period ends August – October: FFR due January 30
Budget Period ends November – January: FFR due April 30
Budget Period ends February – April: FFR due July 30
Budget Period ends May – July: FFR due October 30
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions.
Contacts
NoA Email Address(es):
Name
Role
Email
Meloney Baty
Point of Contact, Authorizing Official,
Program Director
meloneybaty@mail.maricopa.gov,
meloney.baty@maricopa.gov
Millette Miller
Business Official
millette.miller@maricopa.gov
Note: NoA emailed to these address(es)
All submissions in response to conditions and reporting requirements (with the exception of the FFR) must be submitted via EHBs. Submissions
for Federal Financial Reports (FFR) must be completed in the Payment Management System (https://pms.psc.gov/).
NOTICE OF AWARD (Continuation Sheet)
Date Issued: 2/28/2022 11:07:39 AM
Award Number: 5 H49MC00174-22-00
Page 5
IN WITNESS WHEREOF, the parties agree to enter into this Agreement: 
FOR AND ON BEHALF OF 
MARICOPA COUNTY:  
 
________________________  
Bill Gates, Chairman, Board of Supervisors
_____________ 
 
Date 
ATTEST: 
 
 
 
 
 
 
________________________  
Juanita Garza, Clerk of the Board 
_____________ 
 
Date 
APPROVED AS TO FORM: 
________________________  
Anne Longo, Attorney for Maricopa County 
_____________ 
 
Date