HomeMy WebLinkAboutResolutions - 1982.09.09 - 13948-Mari yrin GosTirrig, Chairperson - • ••••----
Miscellaneous Resolution September 9, 1982
BY: HEALTH & HUMAN RESOURCES C.C.)MM1TTEE -Marilynn E. Gosling, Chairperson
RE: PUBLIC HEALTH COST SHARING AGREEMENT - 1982 -
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr, Chairperson, Ladies and Gentlemen:
WHEREAS, under the cost shoring agreement between the State of Michigan and the
County of Oal-,!and, the State is to share in the cost of providing certain required and
allowable public health services; and
WHEREAS, such cost sharing agreement is specified by the Public Health Code and
has been in effect for three years; and
WH[REAS, due to ongoing financial pressures on the State of Michigan the agreement
has not been funded at the level called for by the code for the lost several years; and
WHEREAS, the agreement for 1982 specified an original amount of $2,236,155 or
17.4% of total allowable cost; and
WHEREAS, before the agreement could be approved and signed, the amount was
reduced by the .Statet $2,025,587 or aporoximotely 16% of total allowable cost; and
WHEREAS, estimated revenues from the cost slaring agreementhove been included
in the 1932 adopted budget.
NOW T!-1EREFORE 3E IT RESOLVED that the Oakland County Board of Commissioners
authorize the Board Chairperson to sign cost sharing ogs -e,,,,ments and amendments covering
the period of January 1, 1982 through December 31, 1982 c;ri behalf of the local governing entity,
BE IT FURTHER RESOLVED that the signing of this agreement does not waive any rights of
the County of Oakland as to its rights and remedies under the Head lee Amendment and Public
Health Code.
Mr. Chairperson, on behalf of the Health and Human Resources Committee, 1 move the
adoption of the foregoing resolution.
HEALTH -& HUMAN RESOURCES COMMITTEE
SinEtre - Authorized Official Title Date
Signature Title Date
Required and Allewable eaith S ,rvices
EDGET AN:D AGREENiNT
For the Period 1/1/82 through 12/31/82
• BETE1-711
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
AND
Oakland County Health Department
-= AMENT.',FNT PURPOSE AND JUSTIFICATION
The purpose of this amendment is as follows:
To decrease the state share of this agreement from a maximum of $2,236.155
to a maxim ,,,1 of S 2,025.,587 and provide state funding to reimburse for
reasonable and allowable costs for agreed upon eligible services at an
estimated 15.0 level from January 1, 1982 through December 31, 1932.
This amendment chances the total amount of the agreement from S12 S51.463
to $ 12-540.'74n . -All other conditions Of the agreement remain the same.
• The signing of this agreement does riot waive any rights of the County of Oakland as to its
rights and remedies under the Head lee Amendment and Public Health Code. _
- i -;1 :RT NENT O F PU8LII ri
Approved:
Director or Authorized Representative:
Pecoonded
,ign,!tur Date
AGREEMENT BETJUN
.Oakland County Board of Health
Local Governing Entity
On. Behalf of The
Oakland County Health Department
Local or District Health Department
and
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
for
REQUIRED AND ALLOWABLE HEALTH SERVICES
'I PUPPOBE:
To prescribe the responsibilities of the state and Oakland County
Bo;:irr? of Health (the "Local Governing Entity") to provide and pay for
raquired and allowable health services for the people of this state in
accordance with Public Act 368 of 1978,i as amended. (The "Code".)
1M--- objectives to be accomplished lunder this agreement are:
1. To Establish the authority and responsibility of Oakland County
Haalh apartment, the "Local Health Department", and the Nicnican
D .:-DarIT.E-t of Public Health (MDPH) relative to the delivery and provision
oF r.-=.T 4,red and allowable health services,
2. To Move toward the provision Of agreed upon elements of health
e.=rn..c.--s so that with full implementation of Sections 2471-2498 of the Code
("Gas - Sharing"), a uniform foundatiol of services for all Michigan residents
will be achieved.
3. To establish methods and sources of financing the required and
allowable health services.
PROG RAM BUDGET AND AGREEMENT AMOUNT:
The total Local Health Department Annual Budget for the period covered
by this agreement shall be $12,851,468 The budget shall consist of a
maximum of $ 2,236,155 state provided funds (except to the extent that a
statewide adjustment could result in a change in accordance with other
terms of this section) and $10,615,313 local funding. State funds represent
17.4% of the total allowable cost (total cost less specified exclusions)
for required and allowable services provided by or through the local health
department. Local funds must not be Tess than82.6% of total allowable cost
and is subject to the local maintenance of effort requirements of $8,111,22
T'r
- 2 -
The Annual Budget reflecting all the health services to be offered by or
throueh the Local Health Department, regardless of fund i ng source, shall
be attached and rshall identify the state and local shares under Cost-Sharing
Funding for the state share of $2,236,155 will be provided from 1931-82
and 1982-83 state appropriations, subject to the availability of funds.
The state provided funds from 1931-82 shall be $1,677,116 through
September 30,. 1932 with a final adjustment based upon a statewide ratio of
available 1981-82 funds to actual allowable local expenditures for January 1
through September 30, 1982. The balance of state funding is anticipated to
come from 1982-83 appropriations. The MDPH will notify the local health
department of the availability of funds for the period October 1 through
December 31, 1932 when 1932-83 appropriations are finalized.
•
A deviation allowance changing the Cost-Sharing allocation for a
service group* up to $ 375,000 is permissible without the prior
written approval of MDPH. Any increase in the Cost-Sharing allocation for
a service group must be offset by decreases in other service groups. Any
request for modification or deviation in excess of the provisions described
above and any adjustment to the total amount of this agreement, must be
made in writing and approved in writing by all parties to this agreement
before such changes are implemented.
IV. RESPONSIBILITIES - LOCAL HEALTH DEPARTMET:
The Local Health Department shall:
1. Prepare a Program Statement and, Cost-Shared Service Proposal(s) as
the basis far this agreement which identifies the current status of the
mnmum elements of all required services, and the required and allowable
services proposed for cost-sharing during the agreement period.
2. Provide those required and allowable services specified in the
Precram Sf-..ateent and Cost-Shared Service Proposal(s) attached and made
part ofthis agreement.
3. Develop and submit to MDPH an Annual Budget as prescribed by this
agree7ent,
4. Recruit and maintain qualified staff and comply with established
Xerit Svstem Standards.
5. Assure the availability and accessibility of all basic (required)
services provided by or through the Local Health Department, respond to
ina:uiries concerning the availability an accessibility of all basic
services and disseminate information to the general public regarding the
delivery of all basic services.
- 6. Provide documentation, utilizing standard reporting forms prescribed
by XDPH, to verify that at least health services supported by state Cost-
Sharing funds budgeted under this agreement meet the objectives described
in the Cost-Shared Service Proposal(s). These proposals are to reflect the
minimum standards of scope, quality and ladministration established in the
State/Local Health Service Analyses. All health services reflected in this
agreement will comply with these mutually agreed upon standards by the time
Cost -Sharing reaches the 502 level.
bud(jeted service groups are: (I) Agency Support, (II) EnvircniTennl
HPalt FamilY, Heatth 5ervices, (JVA
3-
7. Assure that its Local Governing Entity approves the Program State-
ment and Cost-Shared Service Proposal(s) and the Local Health Department
Annual Budget prescribed by this agreement and Section 2483 of the Code.
S. Maintain adequate program and fiscal records and files including
source documentation to support program activity and expenditures made
under the terms of this agreement. Fiscal records and reports will be
maintained and prepared in accordance with instructions contained in the
Uniform Accounting Procedures Manual for Local Health Departments, the .
Financial Management System for Local Health Departments, and applicable
instructions for Cost-Sharing.
9. Submit copies of all agreements for reallocated funds (Reallocation
Agreements) for the delivery of required and allowable services to MDPH
within 30 days of execution in accordance with Section 2477(2) of the Code.
Reallocation agreements must be fully executed prior to the end of this
cost-shared agreement period. Any reallocation agreements must be
consistent with MDPH policies establiShed for Cost-Sharing and the terms
and conditions of this agreement.
10. Provide access during normal • working hours to authorized
representatives of MDPH and other authorized federal and state officials
or their duly authorized representatives to all records, files and
documentation related to this agreement. -
Advise the MDPH, Office of Finance and General Services of any
auditz performed by any agencies or individuals which relate to the services
performed under this agreement. Copies of these audits must be maintained
and be available upon request.
V. tr-7SRN3IRILITIE5 - MICHIGAN DEPARTMENT OF PUBLIC HEALTH:
under the terms of this agreement will:
1. Provide payment in accordance with the terms of this agreement not
to e;ceed $ 2,235,155 , subject to the availability of funds, based
upoh eppropriate reports, records and documentation developed and maintained
by toe Local Health Department. Such, payment shall be limited to the
appropriate state share of reasonablel and allowable costs for the
prescribed required and allowable services.
2. Provide program, administrative and financial consultation,
assistance and training to the Local Health Department in the development,
implementation and evaluation of required and allowable services.
3. Monitor the services provided under this agreement in accordance
with the Program Statement and Cost-Shared Service Proposal(s) and Annual
Budget.
4. Whenever MDPH delivers direct services within the Local Health
Department area, it shall provide summary reports of those activities to
the Local Health Department upon the 'request_ of the local health officer
pursuant to. Section 2235(4) of the Code.
'VI. ASST,ANCES:
1. This agreement shall be carried out in compliance with:
Title VI of the Civil Rights ,Act of -1964, Section 504
the Rehabilitation Act of 1973, and the regulatiorls of
the U.S. Department ofHealth, Education, and Welfare
issued thereunder, and I
(b) The Rules of the Michigan Civil Rights Commission, and
(c) The Federal laws prohibiting discrimination and with all
requirements imposed by or pursuant to regulations of the
U.S. Department of Heal :th. Education, and Welfare, the
applicant 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 qualification exists). This policy of
nondiscrimination shall also apply to otherwise qualified
handicapped individuals •
2. The Local Health Department Shall assure that all procurement
t7T-ansactions whether negotiated or adertised shall be conducted in a
manner so as to provide maximum open and free competition.
2_
MPH and the Local Health Department shall take appropriate
affirmative action to promote equal employment opportunity and promote .
equal
access to governmental financed health services to all individuals
in the state in need of service_
v*T
- :REPO RTIREPORTING pporitnp27 , ,• p,
VDPwill reimburse the Local Health Department, subject to the
availability of funds, for the state share of reasonable and allowable
costs for required and allo wable services in accordance with procedures
of the
Financial reports shall be prepared and submitted to MDPH's Office of
Finonce and General Services on a quarterly basis not later than 20 days
after th e close of each calendar quarter. This repot must reflect total
actual expPnditures for all health programs regardless of the source of
Monthly payments will be based upon a proration of the state's share
of this agreement. If actual reported expenditures reflect amounts
significantly below budget levels, MDFH may proportionately adjust the
monthly payments as quarterly expenditure reports are received_ Payment
modifications can be made if special needs arise based upon a justified
request by the Local Health Department.
In the event that funds outstanding at the end or the agreement period
are less than the state share of costs, r1-)Pi will provide final payment
for the remaining state share balance: due the Local Health Department up to
the maximum amount of this agreement.! Any amount representing funds or
payments in excess of the state share, of costs, on hand at the Local Health
Department at the end of the agreement period, will be returned to rDPH or
treated in accordance with the instructions provided by NDPH.
(a)
5
Cost-sharing reimbursements shall be suspended, pending a final
determination, whenever it appears that the Local Health Department is not'
providing an adequate level of quality of service or whenever the Local
Health Department has failed to comply 1 with the program performance or -
reporting requirements, or if the Local Health Department is not meeting
the maintenance of effort requirement.; Any such suspensions resulting
from a final determination of non-ompliance shall be subject to appeal
processes (as provided by Section 2497 and 2498 of the Code).
VIII. AGREEMENT PERIOD:
This agreement is in full force and effect from 1-1-82
through 12-31-87 . This agreement may be terminated by either.
party by giving 90- days written notice to the other party stating the
reasons for termination and effective !date or upon the failure of either
party to carry out the terms of the agreement by giving 30 days written
notice stating the cause and effective date. Upon any such termination,
any funds not authorized for use shall be returned to MDPH in accordance
with their instructions.
Any changes to this agreement will be valid only if made in writing
and signed by all parties to this agreement.
IX. SPECIAL CERTIFICATION:
The individuals or officers signing this agreement certify by their
signatures that they are authorized to sign the agreement on behalf of the
re-zponsible Local Governing Entity; that all provisions of Sections 2471
through 2493 of Pubiic Act 368 of I978, as amended, and all terms of this
agr-e7',:e:-.1t will be adhered to; and, that records and detailed documentation
for the servlces and activities identjfied in this anreement will be main-
tained for a period of not less than three (3) years after the end of the
agreement period or until final audit findings have been resolved, which-
ever is Later.
A
Loral Governing Entity Michigan Department of Public Health
nature Signature
Title Title
Date Date
RECOMENDED BY:
Michigan Department of Public Health
Office of Local Health Services
Sirmature
MDPH/OLHS n
• #82274 September 9, 1982
Moved by Gosling supported by Gabler the resolution be adopted.
Discussion followed,
AYES: Caddell, Cagney, Doyon, Fortino, Gabler, Geary, Gosling, Hobart, McDonald,
Moffitt, Moore, Olsen, Page, Perinoff, Pernick, Price, Wilcox, Aaron. (18)
NAYS: Calandro, Jackson, Lanni, Montante, Whitlock. (5)
A sufficient majority having voted therefor, the resolution was adopted,
STATE OF MICHIGAN)
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 #82274 adopted by the Oakland County Board of Commissioners
at their meeting held on September 9, 1982
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 havel hereunto set my hand and affixed the
seal of said County at Pontibc, Michigan
Ail Sept mber 19 82 _
IIV 44.4.;ra_ NAM tr
LIIP #. ALLEN Coun y Clerk/Register of Deeds
this 9th day o