Loading...
HomeMy WebLinkAboutResolutions - 1986.08.21 - 10866August 21, 1986 mISCELLANEOUS RESOLUTION # 86242 BY: FINANCE COMMITTEE-DR. G. WILLIAM UDDELL, CHAIRPERSON IN RE : HEALTH DIVISION - 1986 COMPREHENSIVE HEALTH SERVICES CONTRACT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: WHEREAS Miscellaneous Resolution #86186 requires the Finance Committee to review acceptance of all grants or reimbursement contracts that vary less than fifteen (15) percent from the original grant/reimbursement contract application; and WHEREAS the Finance Committee has reviewed the 1986 Comprehensive Health Services Contract as approved by the Michigan Department of Public Health and finds the Contract award in the amount of $3,839,642, the same as the original Contract application for the period January 1 through December 31,1986; and WHEREAS the 1986 Comprehensive Health Services Contract award consists of: Cost sharing $2,323,389; Preventive Health Block Grant $32,772; Hypertension Control Grant $70,320; Family Planning Grant $248,666; W.I.C. Grant $635,896; Infant Health Initiative/MCH Block Grant $243,560; Prenatal/Postpartum Care Grant $119,784; Sudden Infant Death Syndrome Grant $8,000; and Services to Crippled Children Grant $157,255; and WHEREAS this Contract award has been reviewed and approved as to form by the Office of Corporation Counsel; and wrimEAs application or acceptance of the Contract award does not obligate the County to any future commitment. NOW THEREFORE BE IT RESOLVED that the Board of Commissioners accept the 1986 Comprehensive Health Service Contract in the amount of #3,839,642. BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of Commissioners be and is hereby authorized to execute said Contract. BE IT FURTHER RESOLVED that the Chairperson of this Board is hereby authorized to approve minor changes and Contract extensions, not to exceed a fifteen percent variance, which are consistent with the Contract as approved. Mr. Chairperson, on behalf of the Finance Committee, I move the adoption of the foregoing resolution. • FINANCE CO*ITTEE $1: ,,,REGOING SUMMARY OF 1986 COMPREHENSIVE HEALTH SERVICES CONTRACT COST SHARING 1985 = $2,230,331 1986 = $2,323,389 SUMMARY: Cost Sharing refers to state funds provided to local health departments, pursuant to Public Act 368 (Public Health Code), to help offset local funding of required and allowable public health services. Cost Sharing for 1986 is being allocated on the basis of 19% for required services and 11% for allowable ser- vices on an average of 15%. Actual Cost Sharing funds received is dependent on actual expenditures for Health Division operations. PREVENTIVE HEALTH BLOCK -GRANT 1985 = $32,772 1986 = $32,772 SUMMARY: Supplemental state funding provided to local health departments for development, implementation, enhance- ment and/or expansion of local preventive health efforts. Typically, funds are expended for specific preventive health activity or to purchase preventive health related materials and equipment. Preventive Health Block Grant funds remain unchanged from the previous year. This is the third year of funding under this category with no assurance of continuation beyond the current period. HYPERTENSION CONTROL (FTEs = 2.32) 1985 = $67,856 1986 = $70,320 SUMMARY: This program plans, organizes and provides blood pressure screening activities within the community. Follow-up and educational services are provided to those individuals found to be hypertensive. No change in anticipated service activity. Increase in funding reflects 4% inflationary adjustment. This grant is 100% state funded. PRENATAL/POSTPARTUM CARE 1986 = $119,784 SUMMARY: This program provides prenatal/postpartum care (e.g., physician visits, lab tests, childbirth education classes) to uninsured, low income (185% of Federal Poverty Guideline), high risk pregnant women. This grant is coordinated by the Health Division and subcontracted through the Oakland/Livingston Human Service Agency. This grant is 100% state funded. SUDDEN INFANT DEATH SYNDROME 1985 = $8,000 1986 = $8,000 SUMMARY: This reimbursement agreement 1 .sfor nursing consulta- tion services, as needed, and -is 100% state funded. SERVICES TO CRIPPLED CHILDREN (FTEs = 44-0) 1985 = $147,220 1986 = $157,255 SUMMARY: This program uses state and federal funds for preven- tive efforts and to provide for early diagnosis and evaluation for children up to 21 years of age. The funds help financially eligible families pay for treatment such as hospitilization, medication, braces, hearing aids, wheelchairs and for disabilities that may require care for a long time. Many medical con- ditions are eligible for service including birth defects, cerebral palsy, heart problems, hearing problems, muscular dystrophy, paralysis/spinal injuries and cancer. Increase in funding reflects 4% inflationary adjust- ment in addition to carry forward funds from previous funding period to purchase miscellaneous program equipment (e.g., record file). This grant is 100% state funded. 1 AGREEMENT :BETWEEN THE MICHIGAN DEPARTMENT OF PUBLIC HEALTH (hereinafter referred to as the "Department") and OAKLAND COUNTY (hereinafter referred to as the Local Governina Entity) on Behalf of OAKLAND COUNTY Health Department- (hereinafter referred to as the "Agency") Federal Identification Number (Local Governing Entity) 38-6004876 for THE DELIVERY OF "COMPREHENSIVE HEALTH SERVICES" FOR THE PERIOD January 1, 1986 through December 31, 1986 In the total amount of $3,839,642 I. Purpose This agreement is entered into for the-purpose of ensuring the pro- vision of health services by the Agency to specified populations In accordance with the Michigan Public Health Code (P.A. 368 of 1978, amended), rules promulgated under the Code, and all applicable Federal, State and local laws and regulations. The following program elements are covered under this agreement: *Cost Sharing Preventive Block Hypertension Family Planning WIC THIP (Infant Health Initiative) PPC (Prenatal Post Partum) SIDS (Sudden Infant Death Syndrome) Crippled Children *Cost Sharing is included in the "Comprehensive Health Services" Contract for reporting purposes only. Page 1 MPH 7/18/86 H. To assure that all applicable federal and state laws, guidelines, rules and regulations will be complied with In carrying out the terms of this agreement. V. Department Responsibilities and Assurances The Department agrees: A. To abide by the terms of this agreement including all attachments. B. Provide any report forms and reporting formats required by the Department. C. To make technical assistance available to the Agency for the Implementation of this agreement. D. To notify the Agency in writing of modifications to Federal or State laws, rules and regulations affecting this agreement. E. To iaentify for the Agency relevant laws, rules, regulations, policies, procedures, guidelines and State and Federal manuals. F. To notify the Agency In writing within thirty (30) calendar days of any modifications in agreement funding commitments made necessary by action of the Feaeral Government, the Governor, the Legislature or the Department of Management and Budget on behalf of the Governor or the Legislature:- G. To comply with, enforce, and carry out all applicable provisions contained in Federal grant awards and their attendant rules, regulations ana requirements. VI. Proaram Budaet and Aareement Amount A. Total Buadet The total budget and agreement amount for the period covered by this agreement shall be $ 3,839,642 . The Department and the Agency, under the terms of this agreement shall, subject to ity and other applicable conditions, provide funding as shown in Attachment 1, the Program Budget Summary. An aaency operating under the "Performance" option shall have the total amount available up to the actual cost of each budgeted element provided at least % of the contracted performance level for such element has been met. B. Buacet Transfers • The Agency is authorized to transfer any amount between budget cateaories within any program element whicn is supportea by otner Than stateifeceral categorical funding sources. Transfer of funds between program elements not funaec by state/federal categorical funding sources is also authorized without Department approval, but transfers in excess of MDPH 7/18/86 IHIP (Infant Health Initiative)- 183,927 PPC (Prenatal Post Partum) 59,892 SIDS (Sudden Infant Death Atli OW' Crippled Children 70,320 248,666 635,896 243,560 119,784 8,000 157,255 . 9 month Maximum Estimated Alioc. Through Allocation 9/30 10/1 -12/31 Program ElemenT Allocation Total Cost Sharing Preventive Block $1,661,031 $662,358 32,'772 $2,323,389 32,772 Hypertension 53,356 16,964 62,166 481,393 154,503 59,633 59,892 6,000 2,000 120,450 36,805 Family Planning 186,500 WIC TOTAL $2,785,321 $1,054,321 $3,839,642 MDPH 7/18/86 3. Upon any such termination, the Agency shall be reimbursed for all authorized and necessary expenditures incurred up to the effective date of termination. Any funds in the Agency's possession as of the effective date of termination, which are in excess of the amount required to reimburse the Agency for authorized expenditures, shall be returned to the Department. C. Subcontracts The Agency may subcontract for the provision of any of the - services specified in this agreement, but shall comply with the terms and conditions for authorizing and approving subcontractors in accordance with the provisions of subcontract administration policies issued by the Department. 1. The Agency shall assure, for any subcontracted service, activity or product: a. That a written subcontract is executed by all parties prior to the initiation of subcontract activity. Exceptions to this policy may be grantee by the Department upon written. request. . - — _ • - b. That any executed subcontract becomes part of this agreement and shall require the subcontractor to comply with all .applicable terms and conditions of this agreement. .in the event of-a- conflict between this agreement and the provision d of the subcontract, the provisions of this agreement shall prevail. A conflict between this agreement and a subcontract, however, shall not be deemed to exist where the subcontract: 1) Contains additional non—conflicting provisions not set forth in this agreement; 2) Restates provisions of this agreement to afford the Agency the same or substantially the same rights and privileges as the Department; or 3) Requires the subcontractor to perform duties and/or services in less Time than that afforded the Agency in this agreement. c. That the subcontract does not affect the Agency's accountability to the Department fcc the subcontracted activity. d. That any billing or request for reimbursement for subcontract costs is supported by a valid subcontract anc adequate source oocumentation on COSTS and services. Fa go MORI 7/18/86 E. Civil Riahts The Agency shall comply with Title VI of the Civil Rights Act of 1964 and the Regulations of the U.S. Department of Health ano Human Services issued thereunder, and Section 504 of the Rehabilitation Act of 1973, and the Michigan Handicappers' Civil Rights Act (1976 PA 220), The Michigan Civil Rights Act (1976 PA 453) and the Rules of the Michigan Civil Rights Commission which have been promulaated 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 the procrams covered by this agreement that no person shall be excluded from partici- pation, denied any benefits, or subjected to discrimination on the basis cf race, creed, age, color, national origin, or ancestry, religion, sex, or marital status (except where a bonafide occu- pational qualification exists.) This policy of nondiscrimination shall also apply to otherwise qualified handicapped individuals. F. Confidentiality All information as to personal facts.and circumstances obtained by Agency personnel:in,connection wittle provision of services or other activity under this agreement shallbe privileged communi- cation, shall be held confidential, and shall not be divulged without the responsible person's written consent, except as may be otherwise required by applicable law-or regulation. Such infor- mation may be disclosed in summary, ;statistical, or other form which does not directly or incirectly identify particular I ndividuals. G. Conflict of Interest The Agency will establish sateauards to prohibit employees from using their positions for a purpose that is, or gives the appearance of being a conflict of interest, or motivated by a desire for private gain for themselves or others with whom they have family, business or other ties. H. Continuation In the event that a new agreement is not signed by the expiration date of this agreement, the terms, conditions and funding levels for programs and service elements contained herein shall remain in effect, subject to legislative appropriation and a written authorization from the department fcr a period not to exceed ninety (90) days, unless otherwise specifically provided for. By mutual consent this continuation period may be extended. I. Publications Any procram reports, articles, and publications that result from Information gathered through use of state or feceral funds must acknowleace receipt of that support from The Department and/or the appropriate federal agencies. Page 9 MDPH 7/18/86 alter, amend, modify or waive any clause or condition of this agree- ment. Furthermore, any alteration, amendment, modification or waiver of any clause or condition of this agreement or its attachments is not effective or binding unless made in writing and signed by the responsible Department authority and the party authorized to sign such Instruments on the behalf of the Local Governing Entity. The individuals signing this agreement certify by their signatures That they are authorized to sign this acreement on behalf Of the responsible Local Governing Entity and the Deparilent respectively. X. Sicnatures LOCAL GOVERNING ENTITY: Typed Name and Title Signature MICHIGAN DEPARTMENT OF PUBLIC HEALTH Typed Name and Title Signature Date Date RECOMMENCED BY Typed Name and Title Signature Data, Page 11 MOPH 7/18/86 T Ii PROGRAM SPECIFIC ASSURANCES AND RECUIREMENTS COMPREHENSIVE HEALTH SERVICES AGREP,ENT Special requirements for applicable program el ements and funding sources based upon statute, federal or state rules and regulations and program poi icy are I i sted I n the attached paces fcr those items checked bet ow. PROGRAMS/EL ElvENTS X - Cost Sharing X - Crippled Chilaren X - Family Planning Services X - Infant Health Initiative Project (IHIP) - Maternal and Child Heal it Project (MC-1P) - Maternal and Infant Care (MIC) X - Prenatal/Postpartum Care (FPC) Pr imary Care - Community Health and Social Services (CHAS:3) - Neighborhood Heal th Services - Refugee Heal th X - Women, Infants- and Chi I dren (WIC) , Ill - 1 MDPI-VBCS 7/18/86 I I i COST SHARING CC SPECIAL REQUIREMENTS Budget and Agreement Requirements The total Local Heal th Department Annual Budget for Cost Shari ng during the period covered by this agreement shall be $ 2,323,389 . The budget shall consist of a maximum of $ 2,323.389 state prov aed funds and $ 12,456,529 local funding. State funds represent 1 9 % of the net allowable COST (total cost less speci f ied exclusions) for required services and 11 % of net arl low- able cost for allowable services provided by or throuch the Local Heal th Department. Local funding must not be less than 81 % of net allowable cost for required services and 89 % of net allowable cost for allowable services, subject to the local maintenance of effort requirements of $ 8,175,961 . In add' ti on, $ 32,772 of Preventive Heal it B lock funds are reflected i n the Annual Buccet, wnich shell be used by the local . heal th department as increased or new support for preventive health activity. Such funds cannot be used to replace local or other funds that would otherwise have been avail obi e for these purposes. Payment of Preventive Heal th Block funds shall be made in equal installments during the first nine months of the agreement period based on the prescribed financial reports.. NOTE: Terminology of this sect-Fob omits percent-4.e ref erences for the few smal I/rural Local heal th departMents that are HOf'd .Harmi ess Agencies having guaranteed minimum funding Ievels above the cost sharing percentages for 1986. „- AcE.Incv Recui rements Assure the avai abi I ity and acces.sibi I ity of all basic (required) services pro- v I ded by or through the Local Heal th Department. Submit copies of all new WEPH approved adreements for reallocated funds (Real location Adreeri.,ents) for the del ivery of 1-uired and allowable services, To Ke-FH within 30 days of execution in accordance with Section 2477(2) of the Code. Real location agreements mu.Ti - be fully executed prior to the end of this cost shared agreement period. Any real I coati on agreements must be consistent *4-th KPH policies established for COST Sharing and the terms and conditions of this agreement. Department Regui rements Whenever MDPH del iv ers di rect services within the Local Heal th Department area, it shallprovide summary reports of those act iv i ti es to the Local Heal th Department upon the request of the local heal th off icer pursuant to Section 2235(4) of the Code. Cost Shari na reimbursements shall be suspended, pending a final determination, whenever it appears that the Local Heal th Department is not providing an adequate evel or dual ity of service, or whenever - the Local Heal th Department nas failed TO cc..-mply with The program performance reporting reguire -nents, or if the Local Heal th Department is not meeting the Dost Shari ng maintenance of local eftorT requiremenT. Any sucn suspensions resulTing from a final ceTer- minaTIcn of non--zombi lance shai I be sub ject to appeal processes (as prov iced by Section 2497 and 2498 of the Code). MDPH/BCS 7/18/86 ATTACHMENT ill MATERNAL HEALTH PROMOTION INFANT CHILD AND ADOLESCENT HEALTH IHIP CPBC SPECIAL REOUIREMENTS Budoet and Aareement Recuirements Funds should be used to suppiment other funds available for these services. Proaram income generated by the program snail be used for current allowable costs included in the budget. All procram income MUST be reported and expended during the budget period in which it is received. Acencv Reauirements Maintain a community action group which advises the projects and is broadly representative of public ana private health related agencies and consumers. Assure That funas all ottea under the terms of this agreement will not be used for inpatient services. Department Requirements Provide vital and health statistical data and technical information on infant health promotion and related maternal and child health prccrams. MATERNAL HEALTH PROMOTION MCHP CPBC SPECIAL RECUIREMENTS Budget and Acreement Recuirements Funds should be used to supplement other funds available for These services. — Program income generated by the program shall be used for current allowable COSTS includea in the budget. All program income MUST be reported and expended during the budget period in which it is received. Acencv Requirements Assure that funds allotted under the terms of this agreement will not be used for inpatient services. Department Reauiranents N/A III - 5 MDPH/BCS 7/18/86 $ 119,784 PPC CPBC SPECIAL REQUIREMENTS (continued) Budget and Agreement Requirements (continued) CLIENTS TO BE SERVED/CASELOAD MAXIMUM PRENATAL PACKAGE OUTREACH $8,680 ADMINISTRATION $7,936 PATIENT CARE $91,264 MAXIMUM SPECIAL/HIGH RISK FUNDS $ 11,404 TOTAL BUDGET $119,784 This agreement may be amended for a redistribution of funding among agenc!es in the event that actual caseloads deviate from the approved caseload. An operating advance up to 1/6 of the btate share of the agreement may be proviaed by the Department to the Agency to assist in initiating the program. The operating advance will be adjusted annually as required basea on the amount of the subsequent PPC agreement. The depar Iment may also adjust the amount of The operating advance during the agreement period if there is evidence that the actual number of clients servea will be substantially less than the agreement caseload. Adencv Reguirements Insure continued provision of services to enrol lea patients who become eligible for Medicaid or other third party reimbursement prior to delivery. BIII or arrange for billing for all services coverea under this agreement and provided to patients served under this Agreement who become eligible for meaigaid or other third party reimbursement. Provide payment to contracted providers as outlined in the provider contract. This payment will be basea upon appropriate reports, records and documentation maintained by the Provider and the Agency. The fee schedule may not be exceeded using state or feaeral Title V MCH Block grant funds. Assure that funds allotted under the terms of this agreement will not be used for inpatient services. Depar ment Reguirements N/A T 1 MCPH/BCS 7/18/86 ATT,T REFUGEE HEALTH CC SPECIAL REQU Buacet and Acreement Rea u rements Submit a separate plan and budget in accordance with Department instructions, compl eting the Program audget Summary (FIN-110), Program Budget-Position Schedu I e (FIN-114) and the Proaram Budeet-Cost Detail Schedu I e (F I N-115) . Acencv Recuirements N/A Decar7menT ReauiremenTs N/A WIC CPBC SPECIAL REOU REI,AENTS Buacet and Acreement Reauirements Submit a separate plan and buccet in accordance with Department instructions, compi etinc the Program Budeet Summary (FIN-110), Program Sudget-Posi Ti on Schedule (F IN-114) and the Program Buacet-Cost Detail Schedule (FIN-1i5). Acency Recul rements Assure ttat a monthly average part i ci pati on level (ba.sea on the P11090 report) of 8406 is ma i ntai ned during The agreement per i od. The Department may requi re those acenci es whose average part; ci pat i on level is less than i ndi cated above to return admi ni strative funds to the Department for reallocation. (Mi cram - contract reads food package instead of casel °ea I evel . ) ae. pertinent Reaui rements Prov ice written and trai ni nc materials on subjects such as coupon redemption, participant abuse mul ti-i ngual outreach material s and others as needed or requested by agency. Prov ice monthly, The parti ci pat i on and enrol I ment information to agencies. I I I - 9 MDPI-VBCS Rev. 8/1/86 Infant Health Initiative Program (IHIP) 183,927 - 243,560 / 59,633 /59,892 59,892 6,000 2,000 120,450' 36,805 119,734 3,000 157,235 BUREAU OF COMMUNITY SERVICES 1986 Calendar Year Allocation For CPBC Programs January 1 - December 31, 1986 Oakland County Health Department Program 9 Month Maximum Estimated Allocation Alloc. Through Allocation* Total 9/30 10/1-12/31 Cost Sharing 1,661,031 553,677 2,214,708 Preventive Block 32,772 -0- 32,772 Hypertension Control 53,356 16,964 70,320' . , ,/ ,- Family Planning 186,500 62,166 248,666 WIC ., , 481,393 : 154,503 675,896 Dental Health Maternal & Infant Care (MIC) Maternal & Child Health Project (MCHP) Lead Paint Prenatal Post Partum (PPC) Sudden infant Death Syndrome (SIDS) Crippled Children LBS Primary Care Prenatal Demo TOTAL - *Subject to FY87 availability of funds ERD 6/3/86 STATE OF NlICHiGAN JAMES J. BLANCHARD, Governor DEPARTMENT OF PUBLIC HEALTH 3500 N. LOGAN P.O. BOX 30035, LANSING, MICHIGAN 48909 GLORIA R. SMITH, Ph.D., M.P.H., F,A.A.N., Director December 20, 1985 Robert Lacey, M.D., Health Officer Oakland County Health Department 1200 Telegraph Road Pontiac, MI 48053 Dear Dr. Locey: • • Your current transition period agreement and other applicable calendar year agreements will end on December 31, 1 .9,85. This letter authorizes the continuation of the terms and7.:cd-hditions of those agreements through June 30, 1986 in anticipation of the new CPBC agreement which will ultimately be effective for the entire 1986 calendar year. Anticipated funding for each program for the continuation period is shown on the attached schedule. This funding does not include any unexpended balances for the prior budget period October 1 through December 31, 1985. Any funds unexpended during the aforementioned agreement period may be applied to this 6 month calender year '86 continuation period. The new CPBC agreement will supersede this continuation letter as son Es it is f ,illy executed. REimbursement will be n_aintairod for the continuation period based upon the existing terms and conditions. Special funding, performance or other agreement requirements are noted on the attachments or will be dealt with separately as they arise. During this continuation period, no new equipment items, new positions, or new subcontracts can be added without prior written approval of the Department. Any questions should be addressed to this office. Sincerely, kiLd-dU: -fly Karen Schrock, Chief Eastern Regional Division Attachments 3 STATE OF MICHIGAN JAMES J BLANCHARD, Governor DEPARTMENT OF PUBLIC HEALTH 3500 N. LOGAN P.O. BOX 30035, LANSING, MICHIGAN 48909 GLORIA R. SMITH, PhD., M.P.H., F.A.A.N , Director August 8, 1986 Thomas J. Gordon, Ph.D. Health Officer Oakland County Health Department 1200 N. Telegraph Road Pontiac, Michigan 48053 Dear Tom: In order to follow the state requirements of 'executing all agreements using FY 85/86 funds by Sepfember 15, 1986, at is absolutely essential that we receive three signed copies of a CPBC agreement and all requested plan and budget materials from you by August 29, 1986. Failure to provide these materials to us will .jeopardize your receipt of reimbursement for January to September 1986: expenditures. We cannot guarantee full reimbursement unless we have signed agreements and completed plans and budgets by August 29th. In order to facilitate the process you may submit three signed copies of either the attached, revised CPBC agreement or the version provided at the May 13th CPBC training. We prefer the attached version but if you are already in the process of having the original agreement signed, submission of it is acceptable. Please note that the dollar amounts in the attached agreement are correct and should be typed onto the original version if you are using it. We appreciate the time constraints of this situation. However, receipt of the signed agreements and other material is critical to our ability to guarantee full obligation and reimbursement for appropriated dollars. Please be sure that your agency consultant has received these materials by August 29th. Specific questions should also be directed to your current consultant. Sincerely, 7Ktaren Schrock, Chief Eastern Regional Division Bureau of Community Services KS:LS/td Attachment Enc. et.,LZA C-11NA-r C Karen Schrock, Chief Eastern Regional Division Bureau of Community Services STATE OF MICHIGAN . ptstiV-4- JAMES J. BLANCHARD, Governor DEPARTMENT OF PUBLIC HEALTH 3500 N. LOGAN P.O. BOX 30035, LANSING, MICHIGAN 48909 GLORIA R. SMITH. Ph D M.P.H FA A.N., DIrector June 24, 1986 Thomas J. Cordon, Ph.D., Acting Manager Oakland County Health Division Dept. of Institutional and Human Services 1200 N. Telegraph Road Pontiac, MI 48053-1082 Dear Tom: This is in response to Bob Zigler's letter concerning the use of unexpended funds from the categorical grants during the period 10/1/85 through 12/31/85 into the 1986 CPBC allocation. The unexpended amounts from the categorical ,Trograms to be incoroporated into the 1986 CPBC amount are as follows: Program Hypertension Control WIC Infant Health Initiative Crippled Children, LBS Unexpended Amount $2,466 17,884 (IHIP) 5,028 10,033 The 1986 calendar year allocation schedule for CPBC Programs is enclosed. The nine month maximum allocation through September 30 includes the unexpended amounts listed above. This letter also authorizes your agency to continue all programs at the funding level listed on the attached schedule at the nine month maximum allocation through September 30, 1986. Continuation is predicated on your adherence to the terms and conditions of your previous agreements and subsequent correspondence concerning continuation of and adjustments to those agreements. Should you have questions, please contact Marian VanNierop, your local agency consultant at. (517) 335-8943. Sincerely, We6242 August 21, 1986 Moved by Caddell supported by Nelson the resolution be adopted. AYES: Rowland, Skarritt, Webb, Wilcox, Aaron, Caddell, Calandro, Doyon, Fortino, Gosling, Hassberger, Hobart, Richard Kuhn, Susan Kuhn, Lanni, McConnell, McDonald, McPherson, Moffitt, Nelson, Olsen, Page, Perinoff, Pernick, price, Rewold. (26) NAYS: None. (0) A sufficient majority having voted stherefor, the resolution was adotped. STATE OF M1c1i1GAN) COUNTY- OF OAKLAND) I-, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify. that I have compared the annexed copy of Miscellaneous Resolution adopted by the Oakland County Board of Commissioners at their meeting held on August 21, 1986 with the original 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 this 21st day of August 1986.