IGA AMD C-95-19-005-3-02 RENEWAL UPDATED.DOCX

C-95-19-005-3-02                                                                                          AMENDMENT NO: 2       
                                                                       
1
AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA)
Between
MARICOPA COUNTY 
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
VALLEYWISE HEALTH fka MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
I.
The above-named contract is hereby amended as specified below:
A. The Expiration date shall be extended an additional three (3) years thru February 
28, 2025.
B. The Agreement Amount shall be changed to a NTE of $2,000,000 annually for a 
cumulative not to exceed amount of $6,000,000 over next three (3) years.
C. Add additional language regarding Health Resources and Services 
Administration (HRSA) Office of Pharmacy Affairs 340B program (5.9) under 
Section I, General Provision, 5.0 Method of Payments, as shown on Page 2.
D. Add Referral for Health Care/Supportive Services (1.18) under Section III, Scope 
of Work, 1.0 Service Category(s) Allowed, as shown on Page 3.
II.
All other terms and conditions of the original IGA shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
     
FOR AND ON BEHALF OF                            
MARICOPA COUNTY
FOR AND ON BEHALF OF VALLEYWISE 
HEALTH
                             
By: 
By:
Chairman, Board of Supervisors
Jennifer Joiner, Director of Grants
Date
Date
ATTEST
Clerk of the Board
 
APPROVED AS TO FORM:
Date
Attorney for Maricopa County
Date

C-95-19-005-3-02                                                                                          AMENDMENT NO: 2       
                                                                       
2
Section I, GENERAL PROVISION, 5.0 METHOD OF PAYMENTS
ADDED:
5.9 
The Subrecipient understands and agrees that program income generated through the 
Health Resources and Services Administration (HRSA) Office of Pharmacy Affairs 340B 
program, through the Maricopa Ryan White grant award providing 340B covered entity 
status, will be subject to additional program income monitoring requirements that shall 
be provided in writing prior to contract award.  Additional requirements may include but 
are not limited to: annual completion and submission of an independent 340B audit; 
submission of monthly aggregate reports of program income generated and detailed 
expenditures showing that program income is spent only on Ryan White allowable costs; 
enhanced requirements regarding Subrecipient monitoring of all subrecipients; and 
additional reporting requirements in order to ensure that program income is spent within 
the same budget period it was generated. The Maricopa County Ryan White Program 
Office shall have full authority to monitor these additional requirements as well as others 
in order to ensure compliance with the 340B program rules as established by the 
Department of Health and Human Services Office of Pharmacy Affairs.

C-95-19-005-3-02                                                                                          AMENDMENT NO: 2       
                                                                       
3
Section III, SCOPE OF WORK, 1.0 SERVICE CATEGORY(S) ALLOWED
ADDED:
1.18 
Referral for Health Care/Supportive Services
DEFINITION: A list of service categories as defined services that direct a client to a 
service in person or through telephone, written, or other types of communication, 
including the management of such services where they are not provided as part of 
Ambulatory/Outpatient Medical Care or Case Management Services. May include 
benefits/entitlement counseling and referrals to assist eligible clients in obtaining access 
to other public and private programs for which they may be eligible, e.g. Medicaid, 
Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturers’ 
Patient Assistance Programs, and other State or local health care and supportive 
services.