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CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
by and through
DEPARTMENT OF PUBLIC HEALTH
and
Community Medical Services Arizona-State, LLC
I.
The above-named contract is hereby amended as specified below:
A. Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of August
31, 2025.
B. An additional $250,000 shall be added for the additional year as outlined in Exhibit A, Year 2
Budget & Budget Narrative, beginning on page 2 of this amendment. The revised not to
exceed (NTE) amount shall be updated to $450,000.
C. Exhibit B, Scope of work, shall be replaced with the Revised Scope of Work, Year 2 Project
Narrative, and Year 2 Project Timeline beginning on page 5 of this amendment.
II.
All other terms and conditions of the original contract 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
COMMUNITY MEDICAL SERVICES ARIZONA-
STATE, LLC
By:
By:
Chairman, Board of Supervisors
Community Medical Services Arizona-State, LLC
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
7/11/2024
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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EXHIBIT A
YEAR 2 BUDGET & BUDGET NARRATIVE
YEAR TWO BUDGET SHEET
TOTAL
Personnel
Salaries
Program Manager
$47,500
24/7 Criminal Justice Liaison 1
$48,000
24/7 Criminal Justice Liaison 2
$44,000
Total Salaries
$139,500
Fringe Benefits (ERE rate: 21.9%)
$30,550.50
Personnel Subtotal
$170,050.50
Operating
Travel
$6,734
Outreach
$43,200
Staff Education and Training
$360
Equipment
$1,800
Other
$5,292.86
Operating Subtotal
$57,384.86
DIRECT COSTS (personnel + operating)
$227,436.36
INDIRECT COSTS (10%, excludes equipment)
$22,563.64
TOTAL BUDGET (Direct + Indirect)
$250,000
Year 2 Budget Narrative
Program Personnel: $170,050.50
Program Manager
This role will be responsible for a comprehensive programmatic overview. Duties will include strategic
planning, outreach to key stakeholders, facilitating communication among the cross-functional team
(including the development of a deflection committee for Maricopa County), development of training
materials, conducting training for law enforcement and first responders, outreach at community events,
evaluation of program outcomes, continuous quality improvement, and the preparation and submission
of narrative reports to the MCDPH.
0.50 FTE Program Manager Salary = $47,500.00
0.50 FTE Program Manager ERE (21.9%) = $10,402.50
0.50 FTE Program Manager Salary and ERE Subtotal = $57,902.50
24/7 Criminal Justice Liaison 1
This role will provide member support and be assigned to any member with opioid use disorder and
criminal justice involvement. Duties will include assisting members with the process regarding any open
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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or ongoing court proceedings or court hearings, coordination of care for members who are incarcerated
while receiving services, engaging the client to resume treatment upon release as well as being involved
in the release planning for the incarcerated member, and a liaison for any community supervision entities
that the member may be involved with, including complying with terms and conditions of probation and
parole.
0.80 FTE CJ Liaison 1 Salary = $48,000.00
0.80 FTE CJ Liaison 1 ERE (21.9%) = $10,512.00
0.80 FTE CJ Liaison 1 Salary and ERE Subtotal = $58,512.00
24/7 Criminal Justice Liaison 2
This role will provide member support and be assigned to any member with opioid use disorder and
criminal justice involvement. Duties will include assisting members with the process regarding any open
or ongoing court proceedings or court hearings, coordination of care for members who are incarcerated
while receiving services, engaging the client to resume treatment upon release as well as being involved
in the release planning for the incarcerated member, and a liaison for any community supervision entities
that the member may be involved with, including complying with terms and conditions of probation and
parole.
0.80 FTE CJ Liaison 2 Salary = $44,000.00
0.80 FTE CJ Liaison 2 ERE (21.9%) = $9,636.00
0.80 FTE CJ Liaison 2 Salary and ERE Subtotal = $53,636.00
Travel:
Local Travel and Deliveries
CMS is requesting funds to support local travel and deliveries. Staff will be responsible for attending
deflection committee and stakeholder meetings related to the ongoing referrals with law enforcement,
fire departments, hospitals, correctional health facilities, and other stakeholders that engage and support
patients with opioid use disorder. Miles may also be used for delivering medication to skilled nursing
facilities and other rehabilitative settings.
$0.665 per mile x 350 miles per month x 12 months = $2,793.00
PAARI National Law Enforcement Summit (Location TBD, rates based on BOS)
CMS is requesting funds to support attendance by program staff at the PAARI National Law Enforcement
Summit. This summit provides a unique opportunity for staff to engage with national experts, learn about
innovative practices in law enforcement-assisted recovery initiatives, and network with peers from across
the country. Attendance at this summit will enhance the knowledge and skills of our team, enabling them
to implement cutting-edge strategies in our own deflection and recovery programs.
Airfare: $300 per round trip flight x 3 key personnel = $900.00
Lodging: $197 per night x 3 nights x 3 key personnel = $1,773.00
M&IE: $79 per day x 4 days x 3 key personnel = $948.00
Car Rental: $80 per day x 4 days shared between 3 key personnel = $320.00
Education and Outreach:
Naloxone (injectable)
CMS is requesting funds for naloxone (injectable) kits to distribute to local law enforcement, first
responders, and other co-responders at training sessions, during service provision, on-site, and in the
community to support harm reduction efforts. Narcan is a safe medication that is widely used to prevent
opioid overdose deaths.
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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$18 per injectable naloxone kit x 30 kits per month x 12 months = $6,480.00
Naloxone (nasal)
CMS is requesting funds for naloxone (nasal) kits to distribute to local law enforcement, first responders,
and other co-responders at training sessions, during service provision, on-site, and in the community to
support harm reduction efforts. Narcan is a safe medication that is widely used to prevent opioid
overdose deaths.
$36 per nasal naloxone kit x 75 kits per month x 12 months = $36,720.00
Staff Education and Training:
Registration for PAARI National Law Enforcement Summit
CMS is requesting funds to support attendance by program staff at the PAARI National Law Enforcement
Summit. This summit provides a unique opportunity for staff to engage with national experts, learn about
innovative practices in law enforcement-assisted recovery initiatives, and network with peers from across
the country. Attendance at this summit will enhance the knowledge and skills of our team, enabling them
to implement cutting-edge strategies in our own deflection and recovery programs.
$120 per registration x 3 key personnel to attend = $360.00
Equipment:
Enterprise Vehicle Lease
CMS is requesting funds to support transportation and ancillary services provided by staff through an
Enterprise Fleet Management vehicle lease. Transportation utilized by staff will focus on engaging
individuals, providing access and information to treatment, and promoting the integration of services,
particularly for under and uninsured populations. Leased vehicles will also be used to deliver medication
to individuals on MAT that are residing in skilled nursing facilities or other rehabilitative settings who
cannot come to the clinic for their medication, and for local travel between clinics. The vehicle will be
shared between the 24/7 Criminal Justice Liaisons.
$150 per vehicle per month x 1 vehicle x 12 months = $1,800.00
Other:
Cell Phone Service
CMS is requesting funds for cell phones for staff to support daily work duties and provide resources and
referrals for positions that need to be mobile.
$50 per month x 12 months x 0.50 FTE for Program Manager = $300.00
$50 per month x 12 months x 0.80 FTE for CJ Liaison 1 = $480.00
$50 per month x 12 months x 0.80 FTE for CJ Liaison 2 = $480.00
Cell Phone Service Subtotal = $1,260.00
Leased Vehicle Fuel, Registration, and Repairs and Maintenance
CMS is requesting funds for several vehicle-related expenses essential to maintaining compliance and
supporting program activities. This includes the registration renewal of vehicles leased through
Enterprise Rental, an annual expense necessary to ensure vehicle compliance. Additionally, CMS is
requesting funds for fuel, provided through Wright Express, to transport patients referred from various
settings and deliver medication as needed. Lastly, funds are needed for regular, ongoing repairs and
maintenance of leased vehicles to ensure their reliability and safety.
Leased Vehicle Fuel: $200 per vehicle per month x 1 vehicle x 12 months = $2,400.00
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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Leased Vehicle Registration: $250 annually
Leased Vehicle Repairs and Maintenance: $1,381.86 annually
Indirect Costs:
CMS is electing a 10 percent de minimis rate based on the modified total direct cost of this grant budget,
in compliance with the 2 CFR §200.403 factors that affect allowability of cost. CMS does not currently
have a negotiated indirect cost rate and will be using the de minimis rate indefinitely and consistently for
all federal awards until such a time CMS chooses to negotiate a rate. CMS is not a state, local
government, or Indian tribe and is not receiving more than $35M in direct federal funding and is eligible
for de minimis according to 2 CFR §200 Appendix VII D(1)(b).
Modified Total Indirect Cost Calculation
Total Direct Costs
$227,436.36
Less: Equipment
$1,800.00
Less: Subawards
$0.00
Plus: First $25,000
$0.00
MTDC Base:
$225,636.36
Rate Applied:
10%
Indirect Costs:
$22,563.64
Exhibit B
REVISED SCOPE OF WORK, YEAR 2 PROJECT NARRATIVE, YEAR 2 PROJECT TIMELINE
REVISED SCOPE OF WORK
Contractor shall:
3.1
Provide training to public safety professionals. Activities/topics should include, but are
not limited to:
3.1.1
Deflection programs
3.1.2
Opioid reversal medication administration and distribution
3.2
Participate in the Maricopa County Deflection Committee and use feedback to inform
deflection trainings.
3.3
Engage in community outreach to disseminate substance use prevention and education
resources as well as distribute harm reduction supplies.
3.4
Distribute opioid reversal medications and provide training on its administration.
3.5
Provide referrals and warm hand-offs for those in need of additional services.
3.6
Submit any training or educational materials to MCDPH for review and approval prior to
implementation/dissemination. Any material with the Maricopa County brand is also
subject to review and approval prior to use.
3.7
Evaluation
3.7.1
Collaborate with MCDPH on an evaluation plan that includes metrics for how
success will be measured and opportunities for improvement.
3.7.2
Complete quarterly and annual reports using template(s) provided by MCDPH, to
include:
•
Narrative description of project activities achieved during the specified
timeframe
•
Accomplishments (“success stories”) and challenges
•
Staffing changes
•
Current budget and description of over or underspending
•
Evaluation metrics
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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3.7.3
Complete any additional reporting requirements that may be requested.
3.8
Participate in, at minimum, one monthly meeting with MCDPH.
3.9
Submit invoices and supporting documentation for work completed during the month by
the 15th of the following month.
3.10
Maintain client confidentiality in alignment with applicable state and federal laws that
protect client confidentiality of medical, behavioral health, and drug treatment
information.
3.11
Provide documentation that any staff working with minors has secured and maintained
an Arizona Department of Public Safety Level 1 Clearance Card and completed a
background check.
3.12
Allowable expenses:
Direct, operational, and indirect costs associated with the provision of activities and
services as detailed and accepted in the Scope of Work, Budget, and/or Budget Narrative.
Indirect expenses may not exceed ten percent (10%).
MCDPH shall:
3.13
Provide technical assistance in developing an evaluation plan and support for ongoing
evaluation.
3.14
Ongoing review of the establishment and implementation of activities and measures for
accomplishing the goals of this agreement.
3.15
Participating, as appropriate, in conference calls and meetings that are conducted during
the project period.
3.16
Review training and education materials prior to implementation/dissemination.
3.17
Review and approve the use of any materials or items with the Maricopa County
branding.
YEAR 2 PROJECT NARRATIVE
2.1.3 Prevent overdose deaths and other harms (harm reduction)
ACTIVITIES/DELIVERABLES
To prevent overdose deaths and other harms (harm reduction), several key activities will be expanded
upon in the second year of funding.
The Program will focus on continued engagement in a credentialed curriculum for harm reduction and
naloxone administration. Key program staff, including the Program Manager and two Criminal Justice
Liaisons, have been trained to conduct these sessions. This will enable the continuation of monthly harm
reduction and naloxone administration training sessions specifically designed for law enforcement
officers and first responders. The outcome that will be measured is the number of harm reduction and
naloxone administration training sessions conducted.
Community outreach and education will be a significant component of the harm reduction efforts.
Educational materials such as flyers, brochures, and fact sheets will be developed and distributed to
increase awareness and understanding, as well as naloxone and Narcan for community. Additionally,
participation in community events will provide opportunities to educate the public about the Criminal
Justice Liaison and Deflection Program, further supporting harm reduction goals. The outcome that will
be measured is the number of community outreach events attended and supplies distributed.
Evaluation and reporting will ensure the effectiveness of these activities. Pre- and post-surveys will be
conducted at each training session to assess their impact. Quarterly narrative progress reports will be
prepared and submitted to the MCDPH Substance Abuse Prevention program to provide ongoing
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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evaluation and accountability. The outcome that will be measured are the results from pre- and post-
surveys assessing training effectiveness and submission of quarterly narrative progress reports and a
comprehensive annual report at the end of the grant term.
ACTIVITIES
Activity
Activity Type
Projected # of individuals to be
served during year 2
Harm reduction and naloxone
administration training sessions
Naloxone Training
120
Community outreach events to
distribute harm reduction
supplies
Naloxone Distribution
1,200
TARGET POPULATION & SERVICE AREA
The target population remains unchanged from Year One. CMS is committed to reducing barriers to
treatment for individuals who are experiencing opioid use disorder, including reducing stigma and
educating the community on effective treatments regardless of race, ethnicity, nationality, religion or
spirituality, gender identity or expression, sexual orientation, socioeconomic status, physical or cognitive
ability, language, beliefs, values, behavior patterns, or customs.
OUTCOMES
•
Increase knowledge on how to use Naloxone for a suspected overdose (measure number of
sessions and change in knowledge via survey)
•
Harm reduction supplies are distributed at community outreach events (measure number of
events and number of supplies distributed)
2.1.4 Support connections to care and warm hand-off services
ACTIVITIES/DELIVERABLES
To support connections to care and warm hand-off services, the program will focus on the enhancement
of the Deflection Committee and framework, as well as the Deflection Program and warm hand-off
services.
The program will continue to gather stakeholder interest and invite key community members to
participate in the Maricopa County Deflection Committee. Collaboration with the Deflection Committee
and the Maricopa County Department of Public Health (MCDPH) will be essential to develop effective
deflection training materials. The outcome to be measured will be the number of committee meetings
held.
The Deflection Program will involve quarterly and as-needed training sessions that will be conducted for
law enforcement officers and first responders to ensure they are well-versed in deflection strategies. The
outcome to be measured will be the number of deflection training sessions conducted.
Warm Hand-Off Services Enhancement will be a key focus area in the second year of funding, with
activities aimed at improving the referral and service uptake processes for individuals with OUD. Efforts
will be made to increase the number of individuals referred to recovery services through enhanced
outreach and collaboration with relevant facilities and organizations. Strengthening these partnerships
will help identify more individuals in need and connect them with essential support services. This will
involve reducing barriers to access and encouraging greater participation in recovery programs, ensuring
that individuals can fully benefit from the services available.
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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The program will also work to offer tailored services to a diverse group of individuals, ensuring that
interventions meet the specific needs of different demographic groups. By addressing the unique needs
of various populations, the program aims to provide more effective and equitable support to those at risk.
The outcome to be measured will be the number of individuals referred to CMS and receiving recovery
services.
ACTIVITIES
Activity
Activity Type
Projected # of individuals to be
served during year 2
Participate in the Maricopa
County Deflection Committee
Training on Substance Use
Disorder Screening and Warm
Hand Off
Monthly meeting, attendance
count is approx. 5
Provide deflection program
training sessions
Training on Substance Use
Disorder Screening and Referral
25
Enhance warm hand-off
services
Substance Use Disorder Referral
1,200
TARGET POPULATION & SERVICE AREA
The target population remains unchanged from Year One. The target population for this project are any
members who are at risk of becoming criminal justice involved, who are criminal justice involved, and who
have – or are at risk of developing – opioid use disorder and any co-occurring substance use disorder or
mental health conditions. Our wide range of medication assisted treatment (MAT) and wrap-around
services are offered to all individuals regardless of race, ethnicity, nationality, religion or spirituality,
gender identity or expression, sexual orientation, socioeconomic status, physical or cognitive ability,
language, beliefs, values, behavior patterns, or customs.
OUTCOMES
•
Increased knowledge about deflection strategies (measure number of sessions held)
•
Increase enrollment in recovery programs (measure number of referrals)
CONTRACT NO: C-86-24-007-X-00 / PH RFP 230190 AMENDMENT NO: 1
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