HomeMy WebLinkAboutResolutions - 1986.05.08 - 10753Miscellaneous Resolution #86121
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: HEALTH DIVISION — 1986 PRENATAL/POSTPARTUM CARE (PPC) GRANT ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS,
MR. CHAIRPERSON, LADIES AND GENTLEMEN:
WHEREAS, Miscellaneous Resolution #8145 requires the Finance Committee to
review acceptance of all grants that vary less than ten (10) percent from the
original grant application; and
WHEREAS, the Oakland County Board of Commissioners by Miscellaneous
Resolution #86078 authorized the application for the 1986 Prenatal/Postpartum
Care (PPC) Grant in the amount of $205,273 for the period January 1, 1986
through September 30, 1986; and
WHEREAS, the Finance Committee has reviewed said grant as approved by the
Michigan Department of Public Health and finds the grant award in the amount of
$205,275, the same as the original grant application for the same time period;
and
WHEREAS, said program is 100% funded by the state; and
WHEREAS, this grant contract has been reviewed and approved as to form by
the Office of Corporation Counsel; and
WHEREAS, application or acceptance of the grant does not obligate the
County to any future commitment.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
accepts the 1986 Prenatal/Postpartum Care (PPC) Grant in the amount of $205,275.
BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of
Commissioners be and is hereby authorized to execute said grant contract.
BE IT FURTHER RESOLVED that the Chairperson of this Board is hereby authorized
to approve minor changes and grant extensions, not to exceed a ten percent variance,
which are consistent with the grant as approved.
Mr. Chairperson, on: behalf of the Finance Committee, I move the adoption of
the foregoing resolution.
May 8, 1986
APPROVE0 AS TO FORM
Department CorpqratIon
By: ,z_17
"1---14.1i,EC-Eft3Y APPROVE THE FOREcOING RESOLUTION
/ / L-AY
Z°7
, It aniel T. Murp yg eartIve
FINANCE COMMITTEE
AGREEMENT BETWEEN THE
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
HEREINAFTER REFERRED TO AS THE "DEPARTMENT"
AND
All 1 aad....C.C11.111 1eSar.tMent---
FEDERAL ID # 38-6004376
HEREINAFTER REFERRED TO AS TEE "AGENCY"
FOR THE
PRENATAL POSTPARTUM CARE PROGRAM
FOR TEE PERIOD 1/1/86 THROUGH . 9/30/86
PURPOSE
The purpose of this Agreement is to ensure the provision of Prenatal/Postpartum
Care Services to uninsured pregnant women whose income is at or below 185% of
the poverty line and to define the responsibilities of each party relative to
the provision of services to these clients.
OBJECTIVES
1. To serve a caseload of 425 clients.
2. To provide administration, outreach, prenatal/postpartum care services,
and reimbursement for limited special/high risk services as specified
in the standafds'and guidelines promulgated by the Michigan Department
of Public Health.
3. To provide service to 0 uninsured pregnant women as a
maintenance of effort condition. -
KETWTOLOGY
The applicant agency shall follow the general methods set forth in the
department's request for a plan and budget and the Agency's approved response,
for prenatal and postpartum care services. This process includes, but is not
limited to:
The implementation or revision of a plan which addresses the following
areas:
I. Description of current services
2. Requested caseload
3. Description of proposed program including:
a. Service delivery model
b. Timelines and steps which will be taken to implement the following:
1) Eligibility
2) Outreach
3) Patient care services
4) Referral system
5) Patient records
6) Provider selection and agreements
7) Local agency personnel
8) Staff training
c. Community coordination
6. Provide the necessary administrative, professional and technical staff for
operation of the program.
7. Provide payment to contracted providers as outlined in the provider
contract. This payment will be based upon appropriate reports, records
and documentation maintained by the Provider and the Agency. The fee
schedule outlined in Attachment A may not be exceeded using state or
federal title V MCH Block grant funds.
8. 'Utilize standard federal and state reporting forms and reporting schedules
-prescribed by the Department. - -
9. NOTE: For local agencies other than local health departments use the
following subcontracting language:
-Submit sample of each type of subcontract that modifies the departments
standard PPC subcontracts, to the department for review and approval prior
to execution for authorization under this master agreement.
Assure for any subcontracted service, activity or product:
a. that a formal subcontract document is executed by all affected parties,
after the mister agreement has been executed and prior to the
initiation of subcontract activity.
b. that any subcontract will become part of this master agreement and
shall require the subcontractor to comply with all applicable terms and
conditions of this master agreement. In the event of a conflict
between the master agreement and the provisions of the subcontract, the
provisions of the master agreement shall prevail.
c. that the local agency assumes all responsibility for any work performed
under a subcontract including appropriate compliance with all terms and
conditions of the master agreement.
d. that copies of each subcontract shall be promptly available for review
by authorized department representatives or, upon request by the
department, the local agency shall promptly forward copies of requested
subcontracts for review.
e. that any billing or request for reimbursement for subcontract costs
is supported by a valid subcontract and adequate source documentation
on costs and services.
10. Assure that all purchase transactions whether negotiated or advertised
shall be conducted openly and competitively in accord with the principles
and requirements of OMB Circular A-102 or A-I10 as applicable and that
records sufficient to document the significant history of all purchases
are maintained for a minimum of three years after the end of the agreement
period.
4. Monitor the services provided in accordance with standards promulgated by
the Bureau of Community Services.
ASSURANCES
In compliance with
Title VI of the Civil Rights Act of 1964 and the Regulations of the U.S.
Department of Health and Human Services issued thereunder, and Section 504
of the Rehabilitation Act of 1973, and the Michigan Handicappers' Civil
Rights Act (1976 PA 220), The Elliott—Larsen Civil Rights Act (1976 PA
453) and the Rules of the Michigan Civil Rights Commission which have been
promulgated and adopted pursuant to the requirements of the Administrative
Procedure Act of 1969 (1969 PA 306) as amended.
The Agency assures that in carrying out this program, no person shall be
excluded from participation, denied any benefits,or subjected to
discrimination on the basis of race, creed, age, color, national origin or
ancestry, religion, sex, or marital status (except where a bona fide
occupational qualifiction exists). This policy of nondiscrimination shall
also apply to otherwise qualified handicapped individuals.
T - -
PAYMENT AND REPORTING PROCEDURES
An operating advance up to 1/6 of the state share of the agreement may be
provided by the Department to the Agency to assist initiating the program. The
operating advance will be adjusted annually as required based on the amount of
the subsequent PPC agreement. The department may also adjust the amount of the
operating advance during the agreement period if there is evidence that actual
number of clients served will be substanially less than the agreement caseload.
Payments to the Agency will be made monthly based upon receipt of the Prenatal
Postpartum Care monthly Service, Expenditure and Revenue (SEE) report. The
maximum reimbursement rate will be $435/client plus actual special High Risk
expenditures. Actual reimbursement will be based on the PPC fee and
reimbursement schedule (Attachment A).
As attachments to the SER Report, the agency will also submit the patient
enrollment and exit forms. The SER Report and enrollment and exit forms must be
submitted within 15 days after the end of each month
The Agency must submit a special State Fiscal Year End Report by September 15,
1986 in the prescribed format. The final agreemental year Service Expenditure
and Revenue Report must be submitted within 60 days after the end of this
agrement that reports the actual services, expenditures,and revenues for the
program. The final cost settlement will be based on reimbursed fees per actual
services and actual special high risk expenditures minus the reported revenues.
PRENATAL/POSTPARTUM CARE PROGRAM
REIMBURSEMENT SCHEDULE
I. FEE SCHEDULE
A. PPC Package..... ...... $435.00 per client
$ 35.00 Outreach
32.00 Administrtion
368.00 Patient Care Services
263.00 Prenatal/Postpartum Care (nursing,
nutrition and psycho/social assessments,
and medical visits)
55.00 Routine laboratory
25.00 Prenatal vitamins
25.00 Education (patient and childbirth)
B. Special/High Risk Services.., allocated rate of $48 x agreement
caseload
: II. OPERATING ADVANCE 1/6 of state share
of agreement
III. REIMBURSEMENT SCHEDULE
ON ENROLLENT: new clients .
32.00 Administration
35.00 Outreach
35.00 Initial Medical Visit
55.00 Routine Laboratory Services
25.00 Prenatal Vitamins
25.00 Education (patient and childbirth)
207.00
$207.00 per client
ON EXIT: Clients with six or more visits
Balance owed for PPC clients who receive
a Minimum of Six Visits (5 prenatal plus
1 postpartum or 6 prenatal $228.00 per client
ON EXIT; Clients with Less Than Six Visits
Additional Prenatal Visits for Clients
Receiving Less Than Six visits $ 16.00 per visit
One Postpartum Visit for Clients
Receiving Less Than Six Visits $ 35.00 per visit
HIGH RISK: Actual expenditures not to
exceed enrolled caseload x 848
and MDPH rate per procedure as stated
- in Policy Manual.
PROGRAM BUDGET SUMMARY Page_ 1 of, 2 P H
FIN-I 40
4/74
Prosirre,Code BOCJOITE FRU ICKI CI tO Pr*pared
PRENATAL/POSTPARTUM CARE PROGRAM 111186 T.)9/30/86 2118/66'
Loci, Agency Original Relayed 1"--1 "%vision
OAKLAND COUNTY HEATLE DIVISION audget Budget 1.,..j Number
AGREEMENT BUDGET LOCAL BUDGET
CATEGORY TOTAL CURRENT YEAR SUBSEQUENT CURRENT SUBSEQUEr
BUDGET PORTION YEAR PORTION YEAR 19— YEAR 197._
_
1 Salaries & Wages
2 Fringe Benefits —
3 Travel A.
4 Supplies & Materials
5 Contractual (Sub-Contracts) 205,275
6 Equipment
Other .
7 Expenses:
...
-.
8 TOTAL DIRECT 205,275
Indirect Costs:
9 Cur % Subs__
10 TOTAL EXPENDITURES 205,27
11 Less: Fees & Collections
2 FUNDS REQUIRED 205,275
FUND SOURCES
3 State Agreement 100% 205,275
14 State Formula
15 PHS 314fdl •
16 MfriCH
7 Federal
18 Local .
19 Other
20 TOTAL FUNDING 205,275 ____________
CERTIFICATION: I certify that I am authorized to sign on behalf of the local agency. This budget represents cost
necessary for the administration and operation of the program. Adequate documentation and records will be maintained
to support all required program expenditures, .
NAME: TITLE: DATE:
8th this day of May 9 86
ALLEN
Counk Clerk/Register of Deeds
May 8, 1986 #86121
Moved byCaddel I supported by Lanni the resolution be adopted.
AYES: Susan Kuhn, Lanni, McConnell, McDonald, Moffitt, Pernick, Rewold,
Rowland, Skarritt, Webb, Wilcox, Aaron, Caddell, Calandro, Doyon, Fortino, Gosling,
Hassberger, Hobart, Richard Kuhn. (20)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
1, Lynn D. Allen, Clerk of the County of Oakland and having a seal,
do hereby certify that 1 have compared the annexed copy of
Miscellaneous Resolution #86121 adopted by the Oakland County Board of
Commissioner5 at their held on May 8. 1986
with the orginial record thereof now remaining in my office, and
that it is a true and correct transcript therefrom, and of the
whole thereof.
In Testimony Whereof, I have hereunto set my hand and affixed the
seal of said County at Pontiac, Michigan