HomeMy WebLinkAboutResolutions - 1984.08.09 - 15982•
Costing, Chairpers
Miscellaneous Resolution 84220 August 9, 1984
BY: HEALTH AND HUMAN RESOURCES COMMITTEE - Marilynn E. Gosling, Chairperson
IN RE: HEALTH DIVISION COST SHARING AGREEMENT - 1984 ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS under the cost sharing agreement between the State of Michigan
and the County of Oakland, 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 five (5) years; and
WHEREAS the agreement for 1984 specifies an amount of $2,217,715 or
17% of net allowable cost for required services and 15% of net allowable costs
for allowable services; and
WHEREAS estimated revenues from the cost sharing agreement have been
included in the 1984 adopted budget.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
authorize the Board Chairperson to sign cost sharing agreements and amendments
covering the period of January 1, 1984 through December 31, 1984 on 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 Headlee Amendment and Public Health Code.
Mr. Chairperson, on behalf of the Health and Human Resources Committee, I
move the adoption of the foregoing resolution.
HEALTH & HUMAN RESOURCES COMMITTEE
HEIM APPROVE r'7COLUTION
T. MureVid, CoUli
Urals
AGREEr.E1-!T CCEEN
Local Governing Entity
On Behalf of the
Dasistad-Saullty--H-faaab-
Local or District Health Department
and
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
for
REQUIRED AND ALLOWABLE HEALTH SERVICES
1. EURPOSE:
To prescribe the responsibil lties of the state and Oakland County Board
of Health (the "Local Governing Entity") to provide and pay for required
and al lowable health services for the people of this state In acco ,dance
with Public Act 368 of 1978, as amended. (The "Code".)
Ii. Q5JECTIVES:.
The objcctives to be accompl ished under this agreement are:
I. To establish the authority and responsibi I ity of fL?,,Ll_an_d_LQa.ty
_Health DepartTerit, the "Local Health Department", and the Michigan
Department of Public Health (KWH) relative to the eel iv Br/ dna
provision of required and al I owa'al e health services.
2. To move toward the provision of agreed upon elements of health
services so that with full implementation of Sections 2471-2498 of
the Code ("Cost Sharing"), a uniform foundation of services for al i
Michigan residents 14 ill be achieved.
3. To establ ish methods and sources of f inancing the required and
al owab e health serv ices.
III. PROGRAM BUDGET AND AGREPMFNT AMOUNT:
The total Local Health Department Annual Budget for Cost Shari no during
The NrIod covered by this agreement shall be $1 3.557.144 . The budget
shal i consist of a maximum of $.2217,11.5_ state prov ked funcs and
$11.669,ZLa2 tocal funding. State funds represent 17 $ of th -.1 not
al I cm abi e covt tol a 1 cost less t IGO Gxc fcr r cqu I rob
services and i:L9; of net al 1 owabi e cost for ;.111,7,-:;:ible SerV i COS provided
by or inrough the Local Health Department. 1..cal filnoine must not be
lesc thLn % of net al lcable cost for re(..i u ccd scvicms anal
of net clIcwab!c cost for aloo4t1D:,„ aq-vic- tt-;, tn e l oca l
otennce Cr ior rs4u;remen -:6 of IciL,,j1L.„`':;'1_. od t 1 un, S32.613
of FrvnTi v e in DlocK T'unis ir e refl cr r te trITLaJ Buc'net,
whi ch sha; I L J.,;ed by the loci : cq - new
support fu preventive health activities.
The Annual Budget reflecting al) The health services to be offered by or
through the Locai Health Depertment, regardless of funding source, shail
be attached and shall identify the state end loca: shares unaer Cost
Sharing.
Funding for state cost sharing of $2.2177_11. will be provided from
1983-84 ane 1984-85 state appropriations, subject to the availability of
funds. The state provided funds from 1983-84 shall be $1 4_463,2.a through
September 30, 1953 with a final adjustment based upon a statewide ratio
of available 1983-84 funds to actual net allowable local expenditures for
January 1 through September 30, 1984. The balance of state fundirg is
anticipated to come from 1984-85 appropriations. The stare share funding
from 1984-85 appropriations shall be at a variable rate which when
combined with funding from the 1983-84 state appropriations shall be
equal to a state cost sharing rate of J7 % for The required services
and 15 % for allowable services. The totel combined state share hall
not exceed $ 2217.715 for the agreement period. Preventive Health Block
funds of $32-613 wilt be solely provided from 1983-84 appropriations.
A deviation allowance changing the Cost Snaring 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
and approved in writing by all parties to this agreement before such
changes are implemented.
IV. RESPON$IMLITIES - LOCAL HEALTH DEPARTMENT,:
The Local Health Department shall:
1. Prepare a Program Statement and Cost-Sharing Service Proposals) as
the basis for this agreement which identify the current status of
the minimum elements of all required services, and tne required and
allowable services proposed for cost sharing during the agreement
period.
2. Provide those required and allowable services specified In the
Program Statement and Cost-Shared Service Proposal(s) hereby made
part of this agreement.
3. Develop and submit to MDPH an Annual Budeet as prescribed by this
agreement.
4. Recruit and maintain quaiified staff and comply with established
Merit System Standarde.
5. Assure the evailability and acceesibility of dil basic (required)
services provied by or through tne Local Health Department, respond
to irqulrles c,Dncerning the avallebility and accessibility of all
beslc services and disseminate information to the general public
regardire the eeliver ,f of b!l bas:c servicea.
*The bdclgeted service groups (1) Acjinizfr.71flon and Support Services,
C!I) Prevention zl-ffid O6(.trol or EPvironmal Healtn H,Lzards, (Ill) Family and
Othcr Servics, 5Decifze leeeuired se rvices bocgoted separately
within each appHcz.;tdo croup.
--s -
6. Provide documentation, atillzing standard reparting forms prescribed
by V,DFH, to verify at least that health services supporIee oy state
cost sharing funds budgeted unecr this agreement meet the objectives
described in the Cost-Shared Service Proposal(s). These proposals
are to reflect the minimum standards of scope, qualify and
administration estaaliehee in the State/Local Health Service
Anaiyses. All healte services reflected in this agreement will
comply with these mutually agreed upon standards by the time state
cost sharing reaches the 50% level.
7. Assure tnat its Local Governing Entity approves the Prograa
Statement and Cost-Shared Service Proposal(s) and the Local Health
Department Annual Budget prescribed by this agreement and Section
2483 of the Code.
8. Assure that all terms of the agreement wit! De appropriately adhered
to and, that records and documentation for the Cost Sharing Program
be maintained for a period of not less than three (3) years from the
date of tee submission of final expenditure report or until audit
findings have been resolved whichever is later. Fiscal reports and
records 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 new agreements for reallocated funds
(Reallocation Agreements) for the delivery of required and allewable
services, to M3PH within 30 days of execution in accordaace 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 ;;DPH poilcies
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 ell recores,
files and documentation related to this agreement.
11. Assure that all applicable federal and state lews, guidelines,
rules, and regulations will be compiled with in cerryng out the
terms of tais agreement including submission eA a copy of any audit
report related in whole or part to this program.
12. Assure that all procurement transactions, whether negot:afed or
advertised, shall be conducted in a manner eo as To prcavide meximum
open and free competition and that records suffieFent lo dceument
the significant history of a procurement are maintained icr all
procurements for a minimum of three years after the erd of the
agreement perioe.
•--4-
Y. RESPOWBILITO7 S - MICiel4N_aEFAPT'!FNT 0.F_RliaLIC_HEAL7M-
MDPH, under the terms of this agreement will:
1. Provide payment in accordance with the terms of this agreement net
to exceee SZeg50,328, subject to the availability of funds, based
upon appropriete reports, records and documentation eeveloped and
maintained by the Local Health Department. Such payment shall be
limited to ;he appropriate state share of reasonable and allowable
costs for The prescribed repeiree and ailewable services, and the
per capita distribution of Preventive Health Block funds Identified
In Section III of this agreement.
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, the Cost-Shared Service Proposal(s) and
the 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, 63SURANc.ES:
1. Th15 agreement shall be carried out in compliance sitn:
a) Title Vi of the Civil Rights Act of 1964, and the Regulatione cf
the U.S. Department of Health & Human Services issued thereuneer,
b) Section 504 of the Rehabilitation Act 94 1973, and
c) the Rules of the Michigan Civil Rights Commission.
The Agency assures that, in carrying out this progran, no persoe
shall he excluded for participation, denied any benefits, or
subjected to discrimination on the basis of race, creed, ace, color,
national origin or ancestry, religion, sex or marital etatus (except
where a bona fide occupational qualification exists.) This policy
of non-discrimination shall also apply to otherwise qualified
handicapped individuals.
VII. PAYMENT AND4--_PORTLNG PE:IC:TURFS;
MPH will reimberee the Local health Department, sebject to the
availability of funds, for the state share of reasoneble and allowable
costs for required and aliowable services an for the per capita
distribution of Preventive Xealth Slack funds in accordance with
proceduree of tee !,0F11. Payments will be on a menThiy baf;n ::, with Cost
Sharing furoz peiddunincl the full tael ,ie oii o.f this 2.-1.,:r.cment and
Prevenriv _flocn tun,Is paid in nine c.qual nsa11:-7.cnf Luring toe
firet nfn:; 71,:•n7t):; of 1hi5 cgrec;:zent, suojec:c to quarter !y fioancil
reportin9 ond cA.,st settloment.
s •
-5--
-Se•
Financial Status Reports shall be pre,red and submitted to MDPHIs Office
of Finance tea Goner -61 Services on a quarterly basis riot later than
thirty (30) days after the close of each calendar quarter. This report
must reflect total actual expeneituees for al! health programs regaraless
of the source of funds.
Based upon the approved funding allocation plan for this agreement,
prorated monthly payments shall be maee during the first calendar quarter
of this agreement. No monthly payments shall be made to the Local Health
Department after the March payment unless the 1384 Cost sharing agreement
has been fully executed, and the 1983 final Financial Status Report and
1983 Performance Report have been submittee to MDPH. Monthly interim
payments, based upon the approved agreement emount, will continue if the
above conditicns are met and upon timely submission of the 1984 quarterly
Financial Status Reports. If a quarterly Financial Status Report is not
submitted by the prescribed due date, subsequent monthly payments will be
discontinued until the report is received by VDPH. If actual reported
expenditures reflect amounts significantly below budget levels, MDPH may
proportionately adjust subsequent monthly payments accordingly. 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 of the agreement period
are less then the state portion of costs, roPH will provide final payment
for the ranaining state funding belance due the Local Health Department
up to the maximum aeount of this agreement. Any amount representing
funds or payments in excess of the state portion of costs, on hand at the
Local Health Depertment at the end of the agreement period, will be
returned to MDPH or treated In accordance with the instructions provided
by MDPH.
Cost Sharing reimbursements shall be suspended, pending a final
determination, whenever it appears that the Local Health Department is
not providing an adequate level or quality of service, or whenever the
Local Health Department has failca to camply with the program performance
reporting requirements, or if the Local Health Department is not meeting
the Cost Sharing maintenance of local effort requirement. Any such
suspensions resulting.frcm a final determination of nee-compliance shall
be subject to appeal processes (as provided by Section 2497 and 249d of
the Code).
VIII. AGREEMENT PERIOD'
This agreement is in full force and effect from 1P/84
through 12/31/e4 . This agreement may be terminated by either
party by Vying sixty (60) days written notice to the other party stating
the reasons for termination and effective date or, upon the failure of
elthr:r pry lo cL:rry out lho torrv; of tho ac,emerd, by olving ten 0)
days written notic,:. stating cause ana effective Cate. VDPH may also
terminate this agrecoent if The agency, or subcontractor, manufacturer,
or supplier of -the anonoy Is wbsciontly found to cnocc In vital).- jajor
prijcticcs. Ino :Alchifjon ric!;orTm,-.. of Labor pur:wont -;-o Section 2 of
Public Act 278 ot 7'2160 shall determine those epplcyers who are engaging
In unfair lEbor 7'ir4Ic1-rcc,s.
Signature Title Date
-6--
Upon any such termination, any funds not authorized for use shall be
returned to -;DFH.
Any changes to this agreoment will be valid only if made In writing and
accepted by all parties to This agreement.
IX. SPECIAL CERTIFICATION
The individual or officer signing this agreement certifies by his or her
signature that he or she is authorized to sign this agreement on behalf
of the responsible Local Governing Entity.
X. StGNATURES
LOCAL GOVERNING ENTITY:
MICHIGAN DEPARTMENT OF PUBLIC HEALTH:
Signature Title Date
Gloria R. Smith, Ph.D.
M.P.H., F.A.A.N.
Director
RECOMNENDED BY THE
MICHIGAN DEPARTMENT OF PUBLIC HEALTH -
OFFICE OF LOCAL HEALTH SERVICES
Signature Title Date
9th day of USt 19 84
ALLEN
. • ,
#84220 August 9, 1984
Moved by Gosling supported by Foley the resoluticn be adopted.
AYES: Perinoff, Pernick, Rewold, Wilcox, Aaron, Caddell, Calandro, Doyon,
FolEy, Fortino, Gosling, Hobart, Jackson, R. Kuhn, S. Kuhn, Lanni, Law, McConnell,
McDonald, McPherson, Moffitt, Olen, Page. (23)
NAYS: None. (0)
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
micxLellaneous Resolution #84220 adopted by the Oakland County Board of Commissioners
At thpir meet Inc held on Auaust 9. 1984
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
County Clerk/Register of Deeds
this