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HomeMy WebLinkAboutResolutions - 2003.09.18 - 27345MISCELLANEOUS RESOLUTION #03257 September 18, 2003 BY: General Government Committee, William R. Patterson, Chairperson IN RE: DEPARTMENT OF HUMAN SERVICES/HEALTH DIVISION - 2003/2004 COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) AGREEMENT ACCEPTANCE To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Michigan Department of Community Health (MDCH) has awarded the Oakland County Health Division funding in the amount of $7,044,863, which is a 3.8% ($278,356) decrease from the Fiscal Year 2002/2003 amended allocation of $7,323,219; and WHEREAS the budget detail for the various programs is a matter of negotiation between the Health Division and MDCH; amendments will be recommended to the FY 2004 Budget when details are finalized; and WHEREAS this agreement is for the period of October 1, 2003 through September 30, 2004; and WHEREAS the CPBC Agreement has been submitted through the County Executive Review Process, including Corporation Counsel and is recommended for approval. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby accepts the 2003/2004 Comprehensive Planning, Budgeting, and Contracting (CPBC) agreement for funding in the amount of $7,044,863 for the period of October 1, 2003 through September 30, 2004. BE IT FURTHER RESOLVED that the future level of service, including personnel, be contingent upon the level of funding for this program. BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute this agreement, any changes and extensions to the agreement not to exceed fifteen percent (15%), which is consistent with the agreement as originally approved. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners authorizes its Chairperson to execute this Agreement subject to the following additional condition: That the County's approval for entering into this Agreement is specifically conditioned and premised upon the acceptance, approval and execution of the Agreement containing Addendum A, by the Michigan Department of Community Health, and that the failure of the Michigan Department of Community Health to execute the Agreement as specified shall, without any further act of the Oakland County Board of Commissioners, automatically negate and void the County's approval and/or acceptance of this agreement as provided for in this resolution. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE General Government Committee Vote: Motion carried on a roll call vote with Hatchett absent. N.: CONTRACT REVIEW - Health Division GRANT NAME: FY 03-04 Comprehensive Planning, Budgeting, and Contracting Agreement FUNDING AGENCY: Michigan Department of Community Health DEPARTMENT CONTACT PERSON: Tom Fockler / 22151 STATUS: Application DATE: September 10, 2003 Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have completed internal contract review. Below are the comments returned by review departments. Department of Management and Budget: No comment, Personnel Department: No comment. Risk Management and Safety: Approval. - Gerald Mathews (9/5/2003) Corporation Counsel: I have reviewed this Agreement with the State of Michigan, and with the modifications to Addendum A that Tom Fockler has made, approve it for signature. - John Ross (9/9/2003) The captioned grant materials and grant acceptance package (which should include the Board of Commissioners' Liaison Committee Resolution, the grant agreement/contract, Finance Committee Fiscal Note, and this email containing grant review comments) may be requested to be placed on the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. Greg Givens, Supervisor Grants Administration Unit Fiscal Services Division COUNTY OF OAKLAND DEPARTMENT OF HUMAN SERVICES HEALTH DIVISION FY 2003/2004 COMPREHENSIVE PLANNING, BUDGETING, AND CONTRACTING AGREEMENT (CPBC) ACCEPTANCE • The Oakland County Health Division (OCHD) is accepting funding through the CPBC Agreement from the Michigan Department of Community Health (MDCH) in the total amount of $7,044,863. The Agreement is for the period October 1, 2003 through September 30, 2004. • The Agreement provides for categorical grant funding and partial reimbursement for services provided in accordance with the Public Health Code (P.A. 368 of 1978, as amended). Changes included in the FY 2003/04 Agreement include: • Funding for the Emergency Preparedness Specialist position continues through Fiscal Year 2003/04. • Other Bioterrorism-related funding includes $20,000 to defray the costs of housing the Regional Epidemiologist and SNS Planner, and $19,000 to enhance communication capabilities. • Funding in the amount of $155,992 has been awarded to equip and staff the laboratory to attain "Level B" status, which will allow the laboratory to examine potential bioterrorism-related materials. Contract #: Agreement Between Michigan Department of Community Health hereinafter referred to as the "Department" and Oakland County Health Division hereinafter referred to as the "Local Governing Entity" 1200 North Telegraph Road, Department 432 Pontiac, Michigan 48341-0432 Federal I.D.#: 38-6004876 hereinafter referred to as the "Contractor" for The Delivery of Public Health Services under the Comprehensive Planning, Budgeting and Contract (CPBC) Agreement Part I 1. Purpose: This agreement is entered into for the purpose of setting forth a joint and cooperative Contractor/Department relationship and basis for facilitating the delivery of public health services to the citizens of Michigan under their jurisdiction, as described in the attached Output Measures and Annual Budget, established Minimum Program Requirements, and all other applicable Federal, State and Local laws and regulations pertaining to the Contractor and the Department. Public health services to be delivered under this agreement include Local Public Health Operations (LPHO) and Categorical Programs as specified in the attachments to this agreement. „ 2. Period of Agreement: This Agreement shall commence on October 1, 2003 and continue through September 30, 2004. This agreement is full force and effect for the period specified. The Department has the option to assume no responsibility for costs incurred by the contractor prior to the signing of this agreement. 3. Program Budget and Agreement Amount A. Agreement Amount: In accordance with Attachment IV - Funding/Reimbursement Matrix, the total State budget and amount committed for this period for the program elements covered by this agreement shall be $7,044,863. B. Equipment Purchases and Title: Any equipment purchases supported in whole or in part by the Department with categorical funding must be specified in an attachment to the Program Budget Summary. Equipment means tangible, non-expendable, personal property having useful life of more than one (1) year and an acquisition cost of $5,000 or more per unit. Title to equipment having a unit acquisition cost of less than $5,000 shall vest with the Contractor upon acquisition. The Department reserves the right to retain or transfer the title to all items of equipment having a unit acquisition cost of $5,000 or more, to the extent that the Department's proportionate interest in such equipment supports such retention or transfer of title. C. Budget Transfers and Adjustments: 1. Transfers between categories within any program element budget supported in whole or in part by state/federal categorical sources of funding shall be limited to increases in an expenditure budget category by $10,000 or fifteen percent (15%) whichever is greater. This transfer authority does not authorize establishment of new budget categories, purchase of additional equipment items or new subcontracts with state/federal categorical funds without prior written approval of the Department. 2. Any transfers or adjustments involving State/Federal categorical funds, other than those covered by the above provisions, including any related adjustment to the total state amount of the budget, must be made in writing through a formal amendment executed by all parties to this agreement 1n accordance with Section VIII. A. of Part II. 3. The above provisions authorizing transfers or changes in local funds apply also to the Family Planning program, provided statewide local maintenance of effort is not diminished in total. Any statewide diminishing of total local effort for family planning and/or any related funding penalty experienced by the Department shall be recovered proportionately from each local - 1 Contractor that, during the course of the agreement period, chose to reduce or transfer local funds from the Family Planning program. 4. Agreement Attachments: A. The following documents are attachments to this Agreement Part I and Part II - General Provisions, which are hereby made part of this agreement through reference: 1. Attachment I - Annual Budget 2. Attachment II - Output Measures 3. Attachment III - Program Specific Assurances and Requirements 4. Attachment IV - Funding/Reimbursement Matrix 5. Addendum A B. The attachments are added into this Agreement as follows: 1. Original Agreement (Part I and Part II) - Attachment III, IV and Addendum A 2. First Amendment - Attachment I, II and IV (Revised) 5. Statement of Work: The Contractor agrees to undertake, perform and complete the services described in Attachment III - Program Specific Assurances and Requirements and the other applicable attachments to this agreement which are hereby made a part of this agreement through reference. 6. Method of Payments and Financial Reports: The payment procedures shall be followed as described in Part II and Attachment I - Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are hereby made a part of this agreement through reference. 7. Performance/Progress Report Requirements: The progress reporting methods, as applicable, shall be followed as described in Attachments II - Output Measures and IV- Funding/Reimbursement Matrix, which are hereby made a part of this agreement through reference. 8. General Provisions: The Contractor agrees to comply with the General Provisions outlined in Part II, which are hereby made part of this agreement through reference. 9. Administration of Agreement: The person acting for the Department in administering this Agreement . (hereinafter referred to as the Contract Consultant) will be: Richard McCubbin, CPBC Consultant, 517-241-2493 (Contract Consultant Name) Title Phone V 10. Special Conditions: A. This agreement is valid upon approval by the State Administrative Board as appropriate and approval and execution by the Department. B. The Department and Contractor, under the terms of this agreement shall, subject to availability of funding and other applicable conditions, provide resources and continuous services throughout the period of this agreement as shown in Attachment I - Annual Budget and in Attachment II - Output Measures. 11. 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 governing board, official or Contractor. 12. Signature Section: For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Peter L. Trezise, Chief Operating Officer Date For the LOCAL GOVERNING ENTITY/CONTRACTOR Name and Title Signature Date Part II General Provisions Responsibilities - Contractor The Contractor in accordance with the general purposes and objectives of this agreement will: A. Publication Rights Where activities supported by this agreement produce books, films, or other such copyrightable materials issued by the Contractor, the Contractor may copyright such but shall acknowledge that the Department reserves a royalty- free, non-exclusive and irrevocable license to reproduce, publish and use such materials and to authorize others to reproduce and use such materials. This cannot include service recipient information or personal identification data. Any copyrighted materials or modifications bearing acknowledgment of the Department's name must be approved by the Department prior to reproduction and use of such materials. The Contractor shall give recognition to the Department in any and all publication papers and presentations arising from the program and service contract herein; the Department will do likewise. B. Fees Make reasonable efforts to collect 1 st and 3rd party fees, where applicable, and report these as outlined by the Department's fiscal procedures. Any underrecoveries of otherwise available fees resulting from failure to bill for eligible services will be excluded from reimbursable expenditures. C. Program Operation Provide the necessary administrative, professional, and technical staff for operation of the program. D. Reporting Utilize all report forms and reporting formats required by the Department at the effective date of this agreement, and provide the Department with timely review and commentary on any new report forms and reporting formats proposed for issuance thereafter. E. Record Maintenance/Retention Maintain adequate program and fiscal records and files, including source documentation to support program activities and all expenditures made under the terms of this agreement, as required. MDCH/CMS 4/03 Page 5 of 22 Assure that all terms of the agreement will be appropriately adhered to; and, that records and detailed documentation for the project or program identified in this agreement will be maintained for a period of not less than three (3) years from the date of termination, the date of submission of the final expenditure report or until litigation or audit findings have been resolved. F. Authorized Access Permit upon reasonable notification and at reasonable times, access by authorized representatives of the Department, Federal Grantor Agency, Comptroller General of the United States and State Auditor General, or any of their duly authorized representatives, to records, files and documentation related to this agreement, to the extent authorized by applicable state or federal law, rule or regulation. G. Single Audit Comply with requirements of the Single Audit Act Amendments of 1996,31 USC 7501 et seq, and Section .320 of Office of Management and Budget (OMB) Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations", and provide the Department copies of any audits of the Contractor on any program elements covered by this agreement. The Contractor is required to file with the Department the Single Audit reporting package and management letter within nine months after the end of the contractor's fiscal year, even if there are no findings reported in the audit pertaining to Department programs. A contractor that expends less than $300,000 in federal awards and received less than $300,000 in total Department funding is required to file the Audit Status Notification Letter (attachment E). The Contractor must also assure that each of its subcontractors comply with the above audit requirements (i.e., subcontractors expending $300,000 or more in federal awards during the subcontractor's fiscal year are required to have audits performed in accordance with OMB Circular A-133, and should provide these to the Contractor). The Contractor must assure that the Schedule of Expenditures of Federal Awards includes expenditures for all federally-funded grants. A copy of the Single Audit reporting package should be forwarded to: Michigan Department of Community Health Office of Audit Quality Assurance and Review Section P.O. Box 30479 (Capital Commons Center, 400 S. Pine Street)* Lansing, Ml 48909-7979 MDCH/CMS 4/03 Page 6 of 22 H. Notification of Modifications Provide timely notification to the Department, in writing, of any action by the Contractor, its governing board or any other funding source which would require or result in significant modification in the provision of services, funding or compliance with operational procedures. Year 2000 Compatibility The Contractor must ensure year 2000 compatibility for any software purchases related to this agreement. This shall include, but is not limited to: data structures (databases, data files, etc.) that provide 4-digit date century; stored data that contain date century recognition, including but not limited to: data stored in databases and hardware device internal system dates; calculations and program logic (e.g., sort algorithms, calendar generation, event recognition, and all processing actions that use or produce date values) that accommodates same century and multi-century formulas and date values; interfaces that supply data to and receive data from other systems or organizations that prevent non-compliant dates and data from entering any State system; user interfaces (i.e., screens, reports, etc.) that accurately show 4-digit years; and assurance that the year 2000 shall be correctly treated as a leap year within all calculation and calendar logic. The Department actively worked to ensure that computer applications used by the contractor were Year 2000 compliant or operable by December 31, 1999. The applications include those that support the programs of Immunization; Medicaid; Women, Infants, and Children; Public Health Services; Maternal Health Services; Services to the Aging, and Substance Abuse Services. The Department followed the requirements of Executive Directive 1998-8 issued to the Executive Branch departments and agencies in order to address the Y2K issues. J. Human Subjects The Contractor agrees to submit all research involving human subjects, which is conducted in programs sponsored by the Department, or in programs which receive funding from or through the State of Michigan, to the Department's Human Subjects Committee for approval prior to the initiation of the research. K. Terms To abide by the terms of this agreement including all attachments. L. Minimum Program Requirements To comply with Minimum Program Requirements promulgated in accordance with Section 2472.3 of 1978 PA 368 as amended, MCL 333.2472.3, MSA 14.15 (2472.3), for each applicable program element funded under this agreement. MDCH/CMS 4/03 Page 7 of 22 M. Annual Budget and Plan Submission To submit an Annual Budget and Plan (Output Measures) request to the Department, in accordance with instructions established by the Department, to serve as the basis for completion of specific details for Attachments I, II, and IV of this agreement via Contractor/Department negotiated amendment(s). Failure to submit a complete Annual Budget and Plan by the due date will result in the deferral of Department payments until these documents are submitted. N. Maintenance of Effort All agencies shall comply with maintenance of effort requirements for LPHO as defined in current Department appropriation act, and Family Planning in accordance with federal requirements, except as noted in Section 3.C.3 of Part I. 0. Accreditation All agencies shall comply with the local public health accreditation standards and follow the accreditation process and schedule established by the Department to achieve full accreditation status. Agencies designated as "not accredited" may have their Department allocations reduced for costs incurred in the assurance of service delivery. Responsibilities - Department The Department in accordance with the general purposes and objectives of this agreement will: A. Payment Provide payment in accordance with the terms and conditions of this agreement based upon appropriate reports, records, and documentation maintained by the Contractor. B. Report Forms Provide any report forms and reporting formats required by the Department at the effective date of this agreement, and to provide the Contractor with any new report forms and reporting formats proposed for issuance thereafter at least ninety (90) days prior to required usage to afford the Contractor an opportunity for review and commentary. C. Terms Abide by the terms of this agreement including all attachments. D. Notification of Modifications To notify the Contractor in writing of modifications to Federal or State laws, rules and regulations affecting this agreement. MDC1-1/CMS 4/03 Page B of 22 E. Identification of Laws To identify for the Contractor relevant laws, rules, regulations, policies, procedures, guidelines and State and Federal manuals, and provide the Contractor with copies of these documents to the extent they are not otherwise available to the Contractor. F. Modification of Funding To notify the Contractor in writing within thirty (30) calendar days of becoming aware of the need for any modifications in agreement funding commitments made necessary by action of the Federal Government, the Governor, the Legislature or the Department of Management and Budget on behalf of the Governor or the Legislature. Implementation of the modifications will be determined jointly by the Contractor and the Department. G. Monitor Compliance To monitor compliance with all applicable provisions contained in federal grant awards and their attendant rules, regulations and requirements pertaining to program elements covered by this agreement. H. Reimbursement To reimburse local agencies for costs based upon timely, accurately completed Financial Status Reports in accordance with Section IV. I. Technical Assistance To make technical assistance available to the Contractor for the implementation of this agreement. J. Health Insurance Portability and Accountability Act The Department assures that it will be in compliance with the Health Insurance Portability and Accountability Act. Ill. Assurances The following assurances are hereby given to the Department: A. Compliance with Applicable Laws The Contractor will comply with applicable federal and state laws, guidelines, rules and regulations in carrying out the terms of this agreement. The Contractor will also comply with all applicable general administrative requirements such as OMB Circulars covering cost principles, grant/agreement principles, and audits in carrying out the terms of this agreement. B. Anti-Lobbying Act The Contractor will comply with the Anti-Lobbying Act, 31 USC 1352 as revised by the Lobbying Disclosure Act of 1995, 2 USC 1601 et seq, and Section 503 of the Departments of Labor, Health and Human Services and MDCH/CMS 4/03 Page 901 22 Education, and Related Agencies Appropriations Act (Public Law 104-208). Further, the Contractor shall require that the language of this assurance be included in the award documents of all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. C. Non-Discrimination 1. The Contractor agrees not to discriminate against any employee or applicant for employment or service delivery and access, with respect to their hire, tenure, terms, conditions or privileges of employment, programs and services provided or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height, weight, marital status, physical or mental disability unrelated to the individual=s ability to perform the duties of the particular job or position or to receive services. The Contractor further agrees that every subcontract entered into for the performance of any contract or purchase order resulting herefrom will contain a provision requiring non-discrimination in employment, service delivery and access, as herein specified binding upon each subcontractor. This covenant is required pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201 et seq, and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended, MCL 37.1101 et seq, and any breach thereof may be regarded as a material breach of the contract or purchase order. 2. Additionally, assurance is given to the Department that efforts will be made to identify and encourage the participation of minority owned and women owned businesses, and businesses owned by handicapped persons in contract solicitations. The Contractor shall incorporate language in all contracts awarded: (1) prohibiting discrimination against minority owned and women owned businesses and businesses owned by handicapped person in subcontracting; and (2) making discrimination a material breach of contract. D. Debarment and Suspension Assurance is hereby given to the Department that the Contractor will comply with Federal Regulation 45 CFR Part 76 and certifies to the best of its knowledge and belief that the Contractor's local health department or an official of the Contractor's local health department and the contractor's subcontractors: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or Contractor; 2. Have not within a three-year period preceding this agreement been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with MDCH/CNIS 4/03 Page 10 of 22 obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3. Are not presently indicted or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in section b, and; 4. Have not within a three-year period preceding this agreement had one or more public transactions (federal, state or local) terminated for cause or default. E. Federal Requirement: Pro-Children Act 1. Assurance is hereby given to the Department that the Contractor will comply with Public Law 103-227, also known as the Pro-Children Act of 1994, 20 USC 6081 et seq, which requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted by and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by federal programs either directly or through state or local governments, by federal grant, contract, loan or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such federal funds. The law does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable federal funds is Medicare or Medicaid; or facilities where Women, Infants, and Children (WIC) coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. The Contractor also assures that this language will be included in any subawards which contain provisions for children's services. 2. The Contractor also assures, in addition to compliance with Public Law 103-227, any service or activity funded in whole or in part through this agreement will be delivered in a smoke-free facility or environment. Smoking shall not be permitted anywhere in the facility, or those parts of the facility under the control of the Contractor. If activities or services are delivered in facilities or areas that are not under the control of the Contractor (e.g., a mall, restaurant or private work site), the activities or services shall be smoke-free. MDCH/CMS 4/03 Page 11 of 22 F. Hatch Political Activity Act and Intergovernmental Personnel Act The Contractor will comply with the Hatch Political Activity Act 5,USC 1501- 1508 and the Intergovernmental Personnel Act of 1970, as amended by Title VI of the Civil Service Reform Act, Public Law 95-454, Section 42 USC 4728. Federal funds cannot be used for partisan political purposes of any kind by any person or organization involved in the administration of federally-assisted programs. G. Home Health Services If the Contractor provides Home Health Services (as defined in Medicare Part B), the following requirements apply: 1. The Contractor shall not use State LPHO or categorical grant funds provided under this agreement to unfairly compete for home health services available from private providers of the same type of services in the Contractor's service area. 2. For purposes of this agreement, the term "unfair competition" shall be defined as offering of home health services at fees substantially less than those generally charged by private providers of the same type of services in the Contractor's area, except as allowed under Medicare customary charge regulations involving sliding fee scale discounts for low-income clients based upon their ability to pay. 3. If the Department finds that the Contractor is not in compliance with its assurance not to use state LPHO and categorical grant funds to unfairly compete, the Department shall follow the procedure required for failure by local health departments to adequately provide required services set forth in Sections 2497 and 2498 of 1978 PA 368 as amended (Public Health Code), MCL 333.2497 and 2498, MSA 14.15 (2497) and (2498). H. Subcontracts Assure for any subcontracted service, activity or product: 1. That a written subcontract is executed by all affected parties prior to the initiation of any new subcontract activity. Exceptions to this policy may be granted by the Department upon written request. 2. That any executed subcontract 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 provisions 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: a. Contains additional non-conflicting provisions not set forth in this agreement; or b. Restates provisions of this agreement to afford the Contractor the same or substantially the same rights and privileges as the Department; or MDCH/CMS 4/03 Page 12 of 22 c. Requires the subcontractor to perform duties and/or services in less time than that afforded the Contractor in this agreement. 3. That the subcontract does not affect the Contractor's accountability to the Department for the subcontracted activity. 4. That any billing or request for reimbursement for subcontract costs is supported by a valid subcontract and adequate source documentation on costs and services. 5. That the Contractor will submit a copy of the executed subcontract if requested by the Department. 6. That subcontracts in support of programs or elements utilizing funds provided by the Department, the State of Michigan or the federal government in excess of $10,000 shall contain provisions or conditions that will: a. Allow the Contractor or Department to seek administrative, contractual or legal remedies in instances in which the contractor violates or breaches contract terms, and provide for such remedial action as may be appropriate. b. Provide for termination by the Contractor, including the manner by which termination will be effected and the basis for settlement. 7. That all subcontracts in support of programs or elements utilizing funds provided by the Department, the State of Michigan or the federal government of amounts in excess of $100,000 shall contain a provision that requires compliance with all applicable standards, orders or regulations issued pursuant to the Clean Air Act of 1970 (42 USC 1857(h)), Section 508 of the Clean Water Act (33 USC 1368), Executive Order 11738 and Environmental Protection Agency regulations (40 CFR Part 15). 8. That all subcontracts and subgrants in support of programs or elements utilizing funds provided by the Department, the State of Michigan or the federal government in excess of $2,000 for construction or repair, awarded by the Contractor shall include a provision: a. For compliance with the Copeland "Anti-Kickback" Act (18 USC 874) as supplemented in Department of Labor regulations (29 CFR, Part 3). b. For compliance with the Davis-Bacon Act (40 USC 276a to a- 7) and as supplemented by Department of Labor regulations (29 CFR, Part 5) (if required by Federal Program Legislation). MDCH/CMS 4/03 Page 13 of 22 c. For compliance with Section 103 and 107 of the Contract Work Hours and Safety Standards Act (40 USC 327-330) as supplemented by Department of Labor regulations (29 CFR, Part 5). This provision also applies to all other contracts in excess of $2,500 that involve the employment of mechanics or laborers. Procurement Assure that all purchase transactions, whether negotiated or advertised, shall be conducted openly and competitively in accordance with the principles and requirements of OMB Circular A-102 (as revised), implemented through applicable portions of the associated "Common Rule" as promulgated by responsible federal Contractor(s), or OMB Circular A-110 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. J. Health Insurance Portability and Accountability Act To the extent that this act is pertinent to the services that the Contractor provides to the Department under this agreement, the Contractor assures that it is in compliance with the Health Insurance Portability and Accountability Act (HIPAA) requirements including the following: 1. The Contractor must not share any protected health data and information provided by the Department that falls within HIPAA requirements except to a subcontractor as appropriate under this agreement. 2. The Contractor must require the subcontractor not to share any protected health data and information from the Department that falls under HIPAA requirements in the terms and conditions of the subcontract. 3. The Contractor must only use the protected health data and information for the purposes of this agreement. 4. The Contractor must have written policies and procedures addressing the use of protected health data and information that falls under the HIPAA requirements. The policies and procedures must meet all applicable federal and state requirements including the HIPAA regulations. These policies and procedures must include restricting access to the protected health data and information by the Contractor's employees. • 5. The Contractor must have a policy and procedure to report to the Department unauthorized use or disclosure of protected health data and information that falls under the HIPAA requirements of which the Contractor becomes aware. 6. Failure to comply with any of these contractual requirements may result in the termination of this agreement in accordance with Part II, Section V. Termination. MDCH/CMS 4/03 Page 14 of 22 7. In accordance with HIPAA requirements, the Contractor is liable for any claim, loss or damage relating to unauthorized use or disclosure of protected health data and information received by the Contractor from the Department or any other source. IV. Payment and Reporting Procedures A. Operating Advance Under the new pre-payment reimbursement method, no additional operating advances will be issued. B. Comprehensive Planning and Budgeting Contract (CPBC) Prepayments The Department will make monthly prepayments equal to 1/12th of the agreement amount for each non-fee-for-service program contained in Attachment IV of this agreement. One single payment covering all non-fee- for-service programs will be made within the first week of each month. The Department will send to the Contractor a worksheet itemizing the individual program amounts included in the monthly prepayment within five working days of processing the monthly prepayment. Prepayments for the months of October thru January will be based upon the initial agreement amounts in Attachment IV. Subsequent monthly prepayments may be adjusted based upon agreement amendments and/or Contractor adjustment requests per Department approval. C. Prepayment Adjustments: If the sum of the prepayments do not equal at least 90% of the Contractor's expenditures for a quarter of the contract period, the Contractor may submit documentation for an adjustment to the monthly prepayment amount via the following process: 1. Submit a written request for the adjustment to the Department's Accounting Division, Expenditure Operations Section. 2. The adjustment request must be itemized by program and must list the amount received from the Department, the expenditure amount reported per the quarterly Financial Status Report (FSR), and the difference. The amount received from the Department and the expenditures must be for the same reporting quarterly FSR period. 3. The Department will review the requests and if an adjustment is approved, it will be included in the next scheduled monthly prepayment. 4. Adjustment requests will not be accepted prior to submission of the FSR for the quarter ending December 31. No adjustments will be made prior to the February monthly prepayment. MDCH/CMS 4/03 Page 15 of 22 5. The ability of the Department to approve adjustments may be limited by the quarterly allotments of spending authority in the Department's appropriation account mandated by the Office of the State Budget Director. The quarterly allotment limits the amount of each account (program) that the Department may expend during each fiscal quarter. D. Financial Status Report Submission A Financial Status Report (FSR) DCH-0411 must be submitted for all programs listed on Attachment IV. All FSR's must be prepared in accordance with the Department's FSR instructions and submitted not later than thirty (30) days after the close of the first three fiscal quarters. The reports are due 11301XX, 41301XX, and 7/301XX. All FSR's must be submitted to: Michigan Department of Community Health, Bureau of Finance, Accounting Division, P.O. Box 30720, Lansing, Michigan 48909-8220. FSR's must report total actual program expenditures regardless of the source of •funds. The Department will reimburse the Contractor for expenditures in accordance with the terms and conditions of this agreement. Failure to comply with the reporting due dates will result in the deferral of the Contractor's monthly prepayment. E. Reimbursement Method The Contractor will be reimbursed in accordance with the reimbursement mechanisms for applicable program elements described as follows: 1. Performance Reimbursement - A reimbursement mechanism by which local health departments are reimbursed based upon the understanding that a certain level of performance (measured by outputs) must be met in order to receive full reimbursement of costs (net of program income and other earmarked sources) up to the contracted amount of State funds. Any local funds used to support program elements operated under such provisions of this agreement may be transferred by the Contractor within, among, to or from the affected elements without Department approval, subject to applicable provisions of Sections 3.B. and 3.C.3 of Part I and Section XIV of Part II. If local health department performance falls short of the expectation by a factor greater than the allowed minimum performance percentage, the State maximum allocation will be reduced equivalent to actual performance in relation to the minimum performance. 2. Staffing Grant Reimbursement - A reimbursement mechanism by which local health departments are reimbursed based upon the understanding that State dollars will be paid up to total costs in relation to the State's share of the total costs and up to the total State allocation as agreed to in the approved budget. This reimbursement approach is not directly dependent upon whether a specified level of performance is met by the local health department. Department funding under this reimbursement mechanism is allocable as a source before any local funding requirement unless a specific local match condition exists. MDCH/CMS 4/03 Page 16 of 22 3. Fixed Unit Rate Reimbursement - A reimbursement mechanism by which local health departments are reimbursed a specific amount for each output actually delivered and reported. 4. LPHO - A reimbursement mechanism by which local health departments are reimbursed a share of reasonable and allowable costs incurred for required services, as noted in the current Appropriations Act. F. Unobliqated Funds Any unobligated balance of funds held by the Contractor at the end of the agreement period will be returned to the Department or treated in accordance with instructions provided by the Department. G. Fiscal Year-End Reporting A Preliminary Close Out Report is based on annual-guidelines and due date using the format provided by the Department. The Contractor must provide, by program, an estimate of total expenditures for the entire agreement period (October 1 through September 30). This report must represent the Contractor's best estimate of total program expenditures for the agreement period. The information on the report will be used to record the Department's year-end accounts payables and receivables by program for this Agreement. The report assists the Department in reserving sufficient funding to reimburse the final expenditures that will be reported on the Final FSR without materially overstating or understating the year-end obligations for this agreement. The Department compares the total estimated expenditures from this report to the total amount reimbursed to the Contractor in the monthly prepayments and quarterly fee-for-service payments to establish accounts payable and accounts receivable entries at fiscal year-end. The Department recognizes that based upon payment adjustments and timing of contract amendments, the Contractor may owe the Department funding for overpayment of a program and may be due funds from the Department for underpayment of a program at fiscal year-end. Within 120 days after the agreement fiscal year-end, the Contractor must liquidate any unpaid year-end commitments and obligations. Any obligation remaining unliquidated after 120 days from the end of the agreement period shall revert to the Department for disposition in accordance with applicable state and/or federal requirements, except as specifically authorized in writing by the Department. H. Final Total Contractor FSR and Output Measure Report: The final total contractor FSR and Output Measures report (H-977) is due January 31, after the agreement period end date. Upon receipt of the final FSR and output measures report including final actual service outputs, the Department will determine by program, if funds are owed to the Contractor or if the Contractor owes funds to the Department. If funds are owed to the Contractor, payment will be processed. However, if the Contractor underestimated their year-end obligations in the preliminary close out report MDCH/CMS 4/03 Page 17 of 22 as compared to the final FSR and the total reimbursement requested does not exceed the agreement amount that is due to the Contractor, the Department will make every effort to process full reimbursement to the Contractor per the Final FSR. Final payment may be delayed pending final disposition of the Department's year-end obligations. If funds are owed to the Department, it will generally not be necessary for Contractor to send in a payment. Instead the Department will make the necessary entries to offset other payments and as a result the Contractor will receive a net monthly prepayment. When this does occur, clarifying documentation will be provided to Contractor by the Department's Accounting Division. Penalties for Reporting Noncompliance For failure to submit the final total Contractor FSR and Output Measures report by January 31, after the agreement period end date, the Contractor will be penalized with a one-time reduction in their current LPHO allocation for noncompliance with the fiscal year-end reporting deadlines. Any penalty funds will be reallocated to other CPBC contractors (local health departments). Reductions will be one-time only and will not carryforward to the next fiscal year as an ongoing reduction to a Contractor's LPHO allocation. Penalties will be assessed based upon the postmark date of the mailing envelope: LPHO Penalties for Noncompliance with Reporting Requirements: a. 1% - 1 day to 30 days late; b. 2% - 31 days to 60 days late; c. 3% - over 60 days late with a maximum of 3% reduction in the Contractor's LPHO allocation V. Agreement Termination The Department may cancel this agreement without further liability or penalty to the Department for any of the following reasons: A. This agreement may be terminated by either party by giving thirty (30) days written notice to the other party stating the reasons for termination and the effective date. B. This agreement may also be terminated on thirty (30) days prior written notice upon the failure of either party to carry out the terms and conditions of this agreement, provided the alleged defaulting party is given notice of the alleged breach and fails to cure the default within the thirty (30) day period. C. This agreement may be terminated immediately if the Contractor's local health department, or an official of the Contractor's local health department, is convicted of any activity referenced in Part II, Section III.D, of this agreement during the term of this agreement or any extension thereof. MDCH/CMS 4/03 Page 18 of 22 VI. Final Reporting upon Termination Should this agreement be terminated by either party, within thirty (30) days after the termination, the Contractor shall provide the Department with all financial performance, and other reports required as a condition of the agreement. The Department will make payments to the Contractor for allowable reimbursable costs not covered by previous payments, other state or federal programs. The Contractor shall immediately refund to the Department funds not authorized for use and any payments advanced to the Contractor in excess of allowable reimbursable expenditures. Any dispute arising as a result of this agreement shall be resolved in the State of Michigan. VII. Severability If any provision of this agreement or any provision of any document attached to or incorporated by reference is waived or held to be invalid, such waiver or invalidity shall not affect other provisions of this agreement. VIII. Amendments Any changes to this agreement will be valid only if made in writing and accepted by all parties to this agreement. A. This agreement, including attachments, may be amended by mutual written consent of the Contractor and the Department. When submitting a proposed agreement/budget amendment, the Contractor must also revise or amend its related Output Measures (H-977) whenever the amendment results in a significant change of program scope, and as specifically required by the Department, and submit copies of the revised sheets and a summary description of the changes. B. In the event that circumstances occur that are not reasonably foreseeable, or are beyond the Contractor's or Department's control, which reduce or otherwise interfere with the Contractor's or Department's ability to provide or maintain specified services or operational procedures, immediate written notification must be provided to the other party and an amendment to this agreement negotiated. C. Amendments to this agreement shall be made as follows: 1. Any change proposed by the Contractor which would affect the State funding of any element funded in whole or in part by funds provided by the Department, subject to Part I, Section 3.C, of the agreement, must be submitted in writing to the Department immediately upon determining the need for such change. The proposed change may be implemented upon receipt of written notification from the Department. Within thirty (30) days after receipt of the proposed change, the Department shall advise the Contractor in writing of its determination. Subsequently the Department will initiate any necessary formal amendment to the agreement for execution by all parties to the agreement. MDCH/CMS 4/03 Page 19 of 22 Any changes proposed by the Department must be agreed to in writing by the Contractor and upon such written agreement, the Department shall initiate any necessary formal amendment as above. 2. Other amendments of a routine nature including applicable changes in budget categories, modified indirect rates, and similar conditions which do not modify the agreement scope, amount of funding to be provided by the Department or, the total amount of the budget may be submitted by the Contractor at any time prior to June 2nd. The Department will provide a written response within thirty (30) calendar days. All amendments must be submitted to the Department by June 2nd to assure the amendment can be executed prior to the end of the agreement period. IX. Liability A. All liability to third parties, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities, such as direct service delivery, to be carried out by the Contractor in the performance of this agreement shall be the responsibility of the Contractor, and not the responsibility of the Department, if the liability, loss, or damage is caused by, or arises out of, the actions or failure to act on the part of the Contractor, any subcontractor, anyone directly or indirectly employed by the Contractor, provided that nothing herein shall be construed as a waiver of any governmental immunity that has been provided to the Contractor or its employees by statute or court decisions. B. All liability to third parties, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities, such as the provision of policy and procedural direction, to be carried out by the Department in the performance of this agreement shall be the responsibility of the Department, and not the responsibility of the Contractor, if the liability, loss, or damage is caused by, or arises out of, the action or failure to act on the part of any Department employee or agent, provided that nothing herein shall be construed as a waiver of any governmental immunity by the State, its agencies (the Department) or employees as provided by statute or court decisions. C. In the event that liability to third parties, loss, or damage arises as a result of activities conducted jointly by the Contractor and the Department in fulfillment of their responsibilities under this agreement, such liability, loss, or damage shall be borne by the Contractor and the Department in relation to each party's responsibilities under these joint activities, provided that nothing herein shall be construed as a waiver of any governmental immunity by the Contractor, the State, its agencies (the Department) or their employees, respectively, as provided by statute or court decisions. MDCH/CMS 4/03 Page 20 of 22 X. Conflict of Interest The Contractor and the Department are subject to the provisions of 1968 PA 317, as amended, MCL 15.321 et seq, MSA 4.1700(51) et seq, and 1973 PA 196, as amended, MCL 15.341 et seq, MSA 4.1700(71) et seq. Xl. State of Michigan Agreement This is a State of Michigan Agreement and is governed by the laws of Michigan. Any dispute arising as a result of this agreement shall be resolved in the State of Michigan. XII. Confidentiality Both the Department and -the Contractor shall assure that medical services to and information contained in medical records of persons served under this agreement, or other such recorded information required to be held confidential by federal or state law, rule or regulation, in connection with the provision of services or other activity under this agreement shall be privileged communication, shall be held confidential, and shall not be divulged without the written consent of either the patient or a person responsible for the patient, except as may be otherwise required by applicable law or regulation. Such information may be disclosed in summary, statistical, or other form which does not directly or indirectly identify particular individuals. XIII. Waiver Any clause or condition of this agreement found to be an impediment to the intended and effective operation of this agreement may be waived in writing by the Department or the Contractor, upon presentation of written justification by the requesting party. Such waiver may be temporary or for the life of the agreement and may affect any or all program elements covered by this agreement. XIV. Funding A. State funding for this agreement shall be provided from the applicable and available Department appropriations for the current fiscal year. The Department provided funds shall be as stated in the approved Annual Budget - Attachment I, the Program Specific Assurances and Requirements - Attachment ill, and as outlined in the Funding/Reimbursement Matrix - Attachment IV. B. The funding provided through the Department for this agreement shall not exceed the amount shown for each federal and state categorical program element except as adjusted by amendment. The Contractor must advise the Department in writing by May 1 if the amount of Department funding may not be used in its entirety or appears to be insufficient for any program element. LPHO transfer requests between MDCH, MDA and MDEQ must also be requested in writing by May 1. All LPHO required services must be maintained throughout the entire period of the agreement. MDCH/CMS 4/03 Page 21 of 22 C. The Department may periodically redistribute funds between agencies during the agreement period in order to ensure that funds are expended to meet the varying needs for services. Such redistributions will be based upon projections obtained in consultation with the Contractor. Any redistributions will be effected through the established amendment process. MDCH/CMS 4/03 Page 22 of 22 ATTACHMENT III MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 03/04 CPBC AGREEMENT PROGRAM SPECIFIC ASSURANCES AND REQUIREMENTS Local health service program elements funded under this agreement will be administered by the Contractor and the Department in accordance with the Public Health Code (P.A. 368 of 1978, as amended), rules promulgated under the Code, minimum program requirements and all other applicable Federal, State and Local laws, rules and regulations. These requirements are fulfilled through the following approach: A. Development and issuance of minimum program requirements, further describing the objective criteria for meeting requirements of law, rule, regulation, or professionally accepted methods or practices for the purpose of ensuring the quality, availability and effectiveness of services and activities. B. Utilization of a Minimum Reporting Requirements Notebook listing specific reporting formats, source documentation, timeframes and utilization needs for required local data compilation and transmission on program elements funded under this agreement. C. Utilization of annual program and budget instructions describing special program performance and funding policies and requirements unique to each State fiscal year. D. Execution of an agreement setting forth the basic terms and conditions for administration and local service delivery of the program elements. E. Emphasis and reliance upon service definitions, minimum program requirements, local budgets and projected output measures reports, State/local agreements, and periodic department on-site program management evaluation and audits, while minimizing local program plan detail beyond that needed for input on the State budget process. Many program specific assurances and other requirements are defined within the referenced documents including Minimum Program Requirements established for the following program elements as of October 1, 2003: a. b. C. d. e. f. 9. h. AIDS/HIV Prevention Breast and Cervical Cancer Control Childhood Lead Childhood Immunization Registry Family Planning Food Service Sanitation General Communicable Disease Control Hearing Immunization — (Local Public Health Operations & Categorical) j. LHD/CSHCS Services k. Maternal and Infant Support I. Oral Health m. Primary Dental Care n. Sexually Transmitted Disease o. Vaccine Handling p. Vision q. WIC MDCH/CMS 6/03 Page 1 of 57 ATTACHMENT III For F/Y 03/04, special requirements are applicable for the remaining program elements and funding sources listed in the attached pages and checked below: 0- AIDS/HIV CARE 0- AIDS/HOPWA (Housing Opportunities for Persons Living with HIV/AIDS) 0- AIDS/HIV Pediatric EZ- AIDS/HIV Prevention 0- AIDS/HIV Provider Education tz- Bioterrorism (Focus A) — Coordinators Bioterrorism (Focus A) — SNS Planner Workspace Bioterrorism (Focus B) — Regional Epidemiology Workspace Z- Bioterrorism (Focus E) Information Technology CSHCS 21- Childhood Immunization Registry 0- Childhood Lead 0- Diabetes Outreach Network D- Family Planning/BCCCP Joint Project 0- Family Planning-Pregnancy Prevention 0- Fetal Alcohol Syndrome (FAS) Z- Immunization Action Plan 0- Immunization - Field Service Representatives IZ- Immunization VFC Provider Site Visit [Z- Immunization - Nurse Training Reimbursement EZ- Informed Consent [Z- Laboratory Services [Z- Lead Hazard Remediation Program Z- Local MCH [Z- Local Public Health Operations (LPHO) Ej- Local Tobacco Reduction 0- Michigan Abstinence Program (MAP) 0- Michigan Childhood Immunization Registry (MCIR) 0- Michigan Teen Outreach Program (MTOP) (Z- Minority Health 0- Nurse Family Partnership (NFP) 0- Primary Care Dental Special Project 0- Rape and Sexual Assault Prevention Education (RSAPE) [Z- SIDS [Z- TB Control (DOT) Ej- WIC Services 0- WIC Special Increased Participation 0- WI SEWOMAN FORMAT (PROGRAM/ELEMENT) SPECIAL REQUIREMENTS I. Budget and Agreement Requirements - Lists those special funding and agreement requirements applicable to the program/element as a whole. II. Contractor Requirements - Lists those special requirements applicable to all agencies administeiing the program element. Department Requirements - Lists those special requirements applicable to the Department. IV. Contractor Specific Requirements - Lists those unique requirements applicable only to the single Contractor covered by this agreement. MDCH/CMS ATTACHMENT III Page 2 of 57 6/03 AIDS/HIV CARE SPECIAL REQUIREMENTS (MARQUETTE COUNTY HEALTH DEPARTMENT, CITY OF DETROIT HEALTH DEPARTMENT AND DISTRICT HEALTH DEPARTMENT #10) Contractor Specific Requirements 1. Adhere to all Ryan White CARE Act Title II and MDCH/DHAS-HAPIS Continuum of Care Policies and Guidelines, as identified in the current CPBC "Applicable Laws, Rules, Regulations, Policies, Procedures and Manuals," or as issued by MDCH/DHAS-HAPIS during the current contract year. 2. Adhere to all federal and Michigan laws pertaining to HIV/AIDS treatment, disability accommodations, non-discrimination and confidentiality. 3. Assure Ryan White Title II and Michigan Health Initiative (MHI) resources are used as payor of last resort. 4. Participate in quality assurance, program evaluation, and contract monitoring activities conducted and/or facilitated by MDCH/DHAS-HAPIS. 5. Monitor annually, subcontracted agencies to assess compliance with the subcontract. Take primary responsibility to monitor follow-up and remediate in cases where the subcontracted entity is not in compliance with the contract. Report the results of all contract-monitoring activities to MDCH/DHAS- HAPIS. 6. Participate in oversight of all remediation efforts for subcontractors found in non-compliance with established MDCH/DHAS-HAPIS program and practice standards, policy directives and program guidance. 7. The following requirements must be included in all subcontracts with service providers: 1-4,8-23, and 33-39. 8. Establish written procedures for protecting client information kept electronically or in charts or other paper records. Protection of electronic client-level data will minimally include: a) regular back-up of client records with back-up files stored in a secure location; b) use of passwords to prevent unauthorized access to the computer or URS program; c) use of virus protection software to guard against computer viruses; and d) storage of desktop computers and laptop computers in a secure location, preferably a locked room or cabinet. 9. Provide immediate notification to the Department, in writing, of any formal grievance procedures initiated by a service recipient and subsequent resolution of that grievance. 10. Provide immediate notification to the Department, in writing, of any event occurring, or notice received by the contractor or subcontractor, that reasonably suggests that the contractor or subcontractor may be the subject of, or a defendant in, legal action. This includes, but is not limited to, events or notices related to grievances by service redipients or contractor or subcontractor employees. 11. Establish client-level outcome objectives for each service funded with Ryan White Title II and MHI resources and conduct outcome evaluation based on those objectives. 12. Assess client satisfaction annually and use methods, instruments and analysis that minimize bias and ensure confidentiality of responses. 13. Utilize results of client satisfaction assessments and other evaluation activities to inform program development and implement program level changes. 14. Demonstrate appropriate expenditure of funds consistent with the contract, HRSA regulations and MDCH/DHAS-HAPIS regulations and guidelines. 15. Attend all mandatory training sponsored by MDCH/DHAS-HAPIS. 16. Demonstrate that the agency provides opportunity and fiscally supports on-going staff development and training. 17. Collect and report client-level Uniform Reporting System (URS) data, documenting services delivered and describing the clients who received the services .. Submit URS data quarterly according to the MDCH/CMS 6/03 Page 3 of 57 ATTACHMENT III schedule below. Submit the CARE Act Report for the period of January 1 through December 31 by January 15th of each year, along with annual client-level URS data for the same time range. URS Data Report Range October — December, 2003 January — December, 2003 Date Due January 15, 2004 January 15, 2004 (CADR and Annual Client-Level Data) January — March, 2004 April 15, 2004 April — June, 2004 July 15, 2004 July— September, 2004 October 15, 2004 18. URS data belongs to MDCH/DHAS-HAPIS. In the event that services are no longer delivered under this agreement, arrangements must be made to return data to MDCH/DHAS-HAPIS. 19. Maintain appropriate relationships with entities in the area served that constitute key points of access to the health care system for individuals with HIV disease, in accordance with Section 2617 (b)(6)(G) of the CARE Act. Key points of access include, but are not limited to, emergency rooms, substance abuse treatment programs, STD clinics, HIV counseling and testing sites, mental health programs, homeless shelters and community health centers. 20. When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state (1) the percentage of the total costs of the program or project which will be financed with Federal money, (2) the dollar amount of Federal funds for the project or program, and (3) percentage and dollar amount of the total costs of the project or program that will be financed by non-governmental sources. 21. Assure that STD and HIV secondary prevention practices for the purposes of reducing risk of transmittal and re-infection are integrated into the delivery of HIV/AIDS care services. 22. Utilize sound accounting methods to distribute and monitor expenditures of funds for HIV Care services, ensuring expenditure of funds is in accordance with approved workplan and budget(s). 23. Submit separate budgets and financial status reports by funding sources. 24. Submit original FSRs to MDCH-Budget and Finance Administration, as detailed in Part II General Provisions, and submit one copy to MDCH/DHAS-HAPIS to the attention of Traci Goulding. 25. Submit the "Allocations and Expenditures by Service Category" Table to MDCH/DHAS-HAPIS on April 15, 2004 and October 15, 2004. 26. Submit program Progress Reports in accordance with the following dates and reporting format: Period Covered Due to MDCH/DHAS-HAPIS October 1 - December 31, 2003 January 15, 2004 January 1 - March 31, 2004 April 15, 2004 April 1 — June 30, 2004 July 15, 2004 July 1 — September 30, 2004 October 15, 2004 - Progress Report Format Submit quarterly progress reports that include all of the following components in the order listed: A. Fiscal Accountability and Contract Monitoring 1. Identify any cost saving efforts. 2. Summarize any subcontract monitoring and oversight activities conducted during the report period. Attach relevant findings. MDCH/CMS 6/03 Page 4 of 57 ATTACHMENT III 3. Provide updates on any remediation activities and/or corrective action plans initiated with subcontractors in this report period. 4. List and attach copies of any new or amended subcontracts and/or formal vendor agreements executed this report period. B. Program 1. Provide the following information for each funded service provider: agency name, address, telephone and fax number, name and title of contact person. 2. Identify any program level changes, including changes in staff, services, catchment area, etc. 3. Identify any new services provided during the report period, and/or new access points to existing services. 4. Describe the progress made towards achieving goals, objectives, and service outcomes as described in your workplan. 5. Discuss any issues at the agency level that impact ability to achieve stated goals and objectives. 6. Describe staff development and training activities related to client-level service provision. 7. Describe any technical assistance needs related to programmatic and fiscal administration. C. Submit Progress Reports electronically to SzweidaDmichigan.dov, cc: GouldinciTa,michician.00v. Materials that cannot be emailed should be sent to: Debra L. Szwejda, Manager HIV/AIDS Prevention and Intervention Section Division of HIV/AIDS-STD 2479 Woodlake Circle, Suite 300 Okemos, Michigan, 48864 27. Provide one copy of all fully-signed subcontracts to MDCH/DHAS-HAPIS by October 15,2003 or within 30 days of execution. Include a listing of the following information: A. Corporate name, address, telephone, fax numbers and project director of each organization. B. Amount awarded to each organization. C. Type of service and the amount budgeted for each service to be provided. D. Beginning and end dates of each contract and subcontract. E. Amount and source of other federal, state and local funds for the same service. F. Minority provider status. 28. By October 15, 2003 provide to MDCH/DHAS-HAP1S a programmatic, categorical budget and narrative justification (by funding source) for each contract and subcontract. Use these budget categories: Personnel, Fringe Benefits, Travel, Supplies, Equipment, Contractual, Other and Indirect. Base the budgets on the State Fiscal year. Budgets should be prepared on MDCH budget forms. In the case of unit cost reimbursement contracts, the narrative justification should describe how the unit cost was established, and the rationale for the number of clients proposed, unless the Medicaid rate is being applied. MDCH/DHAS-HAPIS will provide forms for unit cost budgets. 29. Document by October 15, 2003, in a format provided by MDCH/DHAS-HAPIS, that administrative expenditures have not exceeded the 10% cap authorized by HRSA for "first-line entities" receiving MDCH/CMS 6/03 Page 5 of 57 ATTACHMENT III Ryan White CARE Act Title II funds. If requested, document compliance with HRSA's "Issue Paper: Administrative Costs." 30. Implement goals and objectives as specified in a written workplan approved by MDCH/DHAS-HAPIS. 31. When issuing requests for proposals or bid solicitations, clearly state that the resources are open for availability to faith-based organizations. 32. Work in concert with MDCH/DHAS-HAPIS staff to develop appropriate outcome measures and tools. 33. Assist MDCH/DHAS-HAPIS in needs assessment activities, as appropriate. 34. Maintain a mechanism to obtain input about needed services from infected and affected persons. 35. Participate in MDCH/DHAS-HAPIS care-related conferences, as appropriate. 36. Document that clients receiving services are eligible beneficiaries of services (document HIV status). 37. Establish written client grievance procedures, and assure that those procedures are consistent with any guidance issued by HRSA or MDCH/DHAS-HAPIS, including following MDCH/DHAS-HAPIS' mediation process. 38. Maintain, for a minimum of three (3) years, program and fiscal records and files including documentation to support program activities and expenditures, under the terms of this agreement, for clients residing in the State of Michigan. 39. Assure that any subcontractors maintain the organizational, administrative and fiscal capacity necessary for provision of services supported under this agreement. At a minimum, the subcontractor shall: A. Establish and maintain appropriate organizational governance, guided by written by-laws. B. Convene and maintain a Board of Directors. Board members must possess expertise and experience appropriate and necessary to provide general oversight, develop organizational policy and work in partnership with the Executive Director to ensure achievement of its mission. C. Establish and main appropriate fiscal management of the agency consistent with generally accepted accounting principles. D. Establish and maintain written personnel policies and procedures. E. Ensure that all staff, including executive directors and program coordinators: I. Possess the knowledge, skills, abilities and credentials essential to assigned responsibilities; ii. Are hired or discharged through fair and objective processes which are appropriately documented. AIDS/HOPWA SPECIAL REQUIREMENTS (Housing Opportunities for Persons Living with HIV/AIDS) 1. Budget and Aqreement Requirements , A. HOPWA Eligibility An eligible person means a person with acquired immunodeficiency syndrome or related diseases who is below 80% median income. A family member regardless of income is eligible to receive " housing information services. Any person living in proximity to a community residence is eligible to participate in that residence's community outreach and educational activities regarding AIDS or related diseases. MDCH/CMS 6103 Page 6 of 57 ATTACHMENT III Within the population eligible for this program, nondiscrimination and equal opportunity regulations must be followed, including fair housing and affirmative outreach. A project sponsor and all contractors and subcontractors must adopt procedures to ensure that all persons who qualify for the assistance, regardless of their race, color, religion, sex, age, national origin, familial status, or handicap, know of the availability of the HOPWA program, including facilities and services accessible to persons with a handicap, and maintain evidence of implementation of the procedures. B. Allowable Use of Funds Funds may be used to assist all forms of housing designed to prevent homelessness. This includes emergency housing, shared housing arrangements, apartments, single room occupancy (SRO) dwellings, and community residences. It includes assistance to remain in current homes, whether owned or rented, and assistance in relocating to another home, whether owned or rented. The following activities may be carried out with HOP WA funds: 1. Housing information services including, but not limited to, counseling, information, and referral services to assist an eligible person to locate, acquire, finance and maintain housing. This may also include fair housing counseling for eligible persons who may encounter discrimination on the basis of race, color, religion, sex, age, national origin, familial status, or handicap. 2. Resource identification to establish, coordinate and develop housing assistance resources for eligible persons, including conducting preliminary research and making expenditures necessary to determine the feasibility of specific housing-related initiatives. 3. Permanent housing placement. 4. Acquisition, rehabilitation, conversion, lease, and repair of facilities to provide housing and services (repairs require prior authorization from Housing and Urban Development (HUD)). 5. New construction [for single room occupancy (SRO) dwellings and community residences only]. 6. Project- or tenant-based rental assistance, including assistance for shared housing arrangements. 7. Short-term rent, mortgage, and utility payments to prevent the homelessness of the tenant or mortgagor of a dwelling. 8. Operating costs for housing including maintenance, security, operation, insurance, utilities, furnishings, equipment, supplies, and other incidental costs. 9. Technical assistance in establishing and operating a community residence, including planning and other pre-development or preconstruction expenses and including, but not limited to, costs relating to community outreach and educational activities regarding AIDS or related diseases for persons residing in proximity to the community residence. 10. Supportive services including, but not limited to, health, mental health, assessment, drug and alcohol abuse treatment and counseling, day care, personal assistance, nutritional services, intensive care when required, and assistance in gaining access to local, State, and Federal government benefits and services, except that health services may only be provided to individuals with acquired immunodeficiency syndrome or related diseases and not to family members of these individuals. 11. Administrative expenses (general management, staff training, oversight, coordination, evaluation, and reporting on eligible activities). Such costs do not include costs directly related to carrying out eligible activities, since those costs are eligible as part of the activity delivery costs of such activities. Each project sponsor receiving amounts from grants made under this program may use not more than 7% of the amounts received for administrative costs. Fiduciaries who are not project sponsors may not use more than 3% for administrative costs. MDCH/CMS 6/03 Page 7 of 57 ATTACHMENT III 1. 2. 3. This information was taken from the HOP WA regulations (24 CFR 574). Please check the regulations for further information. C. HOPWA Certificate Program The Michigan Department of Community Health is offering a certificate program to support housing subsidies for eligible persons for up to two years. The purpose of the program is to promote housing permanency/stability through the development of a plan for moving the person from a homeless or emergency situation to a stable housing situation, or through maintaining an eligible person in their current housing. An eligible person is a person with Acquired Immunodeficiency Syndrome (AIDS) or related diseases who is below 80% median income and is currently, or at immediate risk of, homelessness. Funding for this program comes from unspent prior year federal allocations and is expected to be available for three years. The certificates are valued at up to $200 per month for up to 24 months per participant and are intended for specific participants for whom a housing plan has been developed and linkage to supportive services has been made. Additional funding will be made available for each region for housing information, resource identification services and development of a housing stabilization plan for participating individuals. Regions will be reimbursed $500 per plan developed, up to a total of $5,000 per fiscal year. The certificates are intended to be used for interim housing support until a PLWH/A (person living with HIV/AIDS) qualifies for Section 8 housing assistance, is able to afford their own housing through a return to work or other means, or requires more intensive services that preclude living independently. Certificates may be used to fund mortgage (up to 21 weeks per year) and utility payments to prevent the homelessness of the tenant or mortgagor of a dwelling, for tenant-based rental assistance, and for operating costs. The monthly mortgage assistance may be increased above $200 per month, but total payments per person may not exceed $2,400 in a 12- month period and $4,800 in a 24-month period. "Preventing homelessness" includes maintaining mortgage or rent payments while a person is experiencing episodic hospitalization. Certificates may not be used to fund supportive or administrative services (other than for reimbursement for plan development as outlined above), and certificate payments must be made directly to the vendor. Routine follow-up with each individual served by the program is required. The follow-up should be at least once a month and address the adequacy of the housing arrangement, ongoing participation in their supportive services plan, and a check with the landlord, if applicable, to determine any problems. Each region will be awarded at least 10 certificates annually as long as funding remains available and will be eligible to apply for additional certificates based upon available funding, demonstrated need and use ofthe current certificates. The value of unused certificates will lapse at the end of the contract year. Certificates will be awarded by allocation letter and reimbursement to the region will be made based on the submission of a Financial Status Report (FSR) including the number of PLWH/A's served. As supportive documentation, the provider must maintain the following for each PLWH/A served: Documentation of a supportive services plan (form included with allocation letter). Documentation of consideration of other funding sources (form included with allocation letter). A housing plan (form included with allocation letter). To protect recipient confidentiality, the region/service provider must provide a unique confidential client identification number for each participant when transmitting this information to MDCH. In addition to the FSR submission for reimbursement purposes, regions must also submit quarterly the data requirements specified in the contract. To apply for additional certificates, send a letter of request identifying the number of certificates requested and a completed housing plan, documentation of a supportive services plan and MDCH/CMS 6/03 Page 8 of '57 ATTACHMENT III documentation of consideration of other funding sources for each person for whom a certificate is being requested. Requests may be sent to: Community Living Division Michigan Department of Community Health 3423 North Martin Luther King, Jr. Boulevard, Room 303 Lansing, Michigan 48909 Attention: Sue Eby 2. Contractor Requirements In 2003, each region must submit to the department their annual plan for providing HOPWA services. The plan should cover the period October 1, 2003 through September 30, 2004 and include both the regular HOPWA allocation and the HOPWA Certificate Program. This plan, along with quarterly reports and the region's FSR, will provide MDCH with information to satisfy most federal reporting requirements, carry out monitoring activities, and assure that departmental goals for this program can be met. This plan is due September 21, 2003 and must be submitted to: Community Living Division Michigan Department of Community Health 3423 North Martin Luther King, Jr. Boulevard, Room 303 Lansing, Michigan 48909 Attention: Sue Eby The plan, as implemented and subject to the availability of funds and need, must assure that all persons living with HIV/AIDS (PLWH/A) have access to: A. Direct housing assistance (including rent, mortgage payments, and utilities). B. Housing advocacy staff assistance for: 1. Helping a person find and maintain housing, including permanent housing placement. 2. Creating links in the community for long-range housing solutions, such as participation in planning activities with continuum of care, public housing authorities, and housing coalitions. 3. Connecting persons with HIV/AIDS to generic sources of housing (such as Section 8 certificates), financial support (such as SSI), and service dollars (such as Medicaid). C. Supportive services, with HOPWA dollars, are limited to only those essential services which are not the responsibility of other funding sources or service providers. Funding priorities are in the order listed above. For those regions not yet at 75% for specific housing-related activities (priorities 1 and 2), the plan must reflect movement toward using 75% of the HOPWA allocation for direct housing assistance and housing advocacy. The utilization of resources within the 75% goal and the three activities identified above are at the discretion of the region and are expected to reflect local needs and priorities. 1. Plan Components The plan consists of five components. Generally a brief description of current year activities and the region's plan for FY 2003/2004 is required. a. Needs Describe the demographic characteristics of the population with HIV/AIDS in the region in comparison to the population served by the HOPWA program. Describe the service needs of the PLWH/A's in your region within the following three funding categories: 1. Direct housing assistance, - MDCH/CMS 6/03 Page 9 of 57 ATTACHMENT ID 2. Housing advocacy, and 3. Supportive services in relation to the population's ability to achieve and maintain a stable housing arrangement. This is a narrative component and should reflect the outcome of regional needs assessment activities and analysis of demographic information. Specifically describe any needs assessment activities carried out. b. Coordination Information about FY 2003 achievements and the current status of coordination between HOPWA-funded staff and other service providers within the regional HIV/AIDS network, Ryan White-funded HIV/AIDS related services including outreach to mothers and infants who are HIV positive, with the "generic" housing community, and with support service providers is requested as part of the plan. Describe the anticipated relationship between the HOPWA program and other agencies providing housing assistance and health care and supportive services in your catchment area. Describe your activities for coordinating HOPWA services with other programs and planned activities for improving coordination in FY 2003/2004 along with a brief description of FY 2002/2003 activities. Provide this information in the five categories identified below. 1. HOPWA-funded staff and their role in the regional service delivery system. Specifically address children, families and mothers/infants who are HIV positive and at risk of homelessness. 2. How eligible persons "connect" or obtain HOPWA-funded services, (i.e., are persons referred from other regional providers, do service providers routinely assess housing needs, etc.) 3. The working relationships between HOPWA-funded staff and case managers. 4. Within the generic housing community, describe the working relationship and the liaison roles of the HOPWA-funded staff; describe participation in the local continuum of care planning activities; etc. 5. Describe how the housing needs of persons living with HIV/AIDS are assessed and how linkages with support services will be made. c. Certificate Program Provide a concise description of the use of the certificate program in FY 2002/2003. Include the number of persons/families receiving assistance, nature of the assistance provided (i.e. mortgage, utilities, rent, etc.) and whether participants were renters or home-owners. To assist the Department in assessing the program, also provide: 1. The protocol, procedure or "working policy" the region implemented in order to determine when a certificate would be issued (include criteria for determining when to use certificate versus HOPWA formula funds). 2. Specification of the barriers and successes in accessing other community housing resources such as Section 8 vouchers, FIA emergency assistance, or other local housing-related funds. d. Services Indicate what services are planned to be provided in FY 2004 by the three funding categories. 1. Direct Housing Assistance. MDCH/CMS 6/03 Page 10 of 57 ATTACHMENT III 2. Housing Advocacy and Staff Assistance. 3. Supportive Services. With respect to housing advocacy such as linkages with the housing community, describe planned efforts. Indicate the number of individuals with HIV/AIDS to be assisted and their demographic characteristics. The plan must show that the PLWH/A's in all parts of the region have access to the direct housing assistance and housing advocacy staff assistance. Some regional networks are also the direct service providers. However, most contract for HOPWA-funded services. Provide a list of HOPWA-funded service providers, the type of services they provide (direct housing assistance, housing advocacy, and supportive services), and the geographic area that each provider serves in a chart. In addition describe all other regional funds planned to be used for direct housing assistance and housing advocacy (using the HOPWA definitions for this purpose). Provide estimated expenditures for FY 2003/2004 as well. Finally, describe how the use of these funds is "coordinated" or related to the use of HOPWA funds. e. Budget Plan On the form entitled "HOPWA FY 2003/2004 Plan" provided with your allocation letter, indicate how the funds allocated to the region will be allocated to each provider (including the region if services are provided directly) by the following categories: A. Administration A-1 Central A-2 Provider B. Direct Housing Assistance C. Housing Advocacy Assistance D. Supportive Services E. Certificate Program Also provide the planned number of persons to be served. Provide a brief narrative explanation as necessary. D. Reporting In addition to submitting monthly Financial Status Reports for reimbursement, reports of program activities must be submitted quarterly to the address below. The form entitled "HOPWA Quarterly Reporting Requirements" provided with your allocation letter must be used to submit this information. It's important that the quarterly reports reflect the breakdown of costs according to the categories listed above. Equally important is that a quarterly report reflect only the costs from the months that make up the quarter. It's important to understand that the contract year and calendar year do not coincide. The quarters that aggregate for the final contract reconciliation are not the same quarters that aggregate for the Annual Progress Report. The Annual Progress Report for calendar year 2003 must be submitted by February 1, 2004, and will include data from the quarterly report for the period 10/1/2003-12/31/2003. Quarterly Reports are due as follows: February 1 for the 10/1/2003 - 12/31/2003 quarter May 1 for the 1/1/2004 - 3/31/2004 quarter August 1 for the 4/1/2004 - 6/30/2004 quarter November 1 for the 7/1/2004 - 9/30/2004 quarter MDCH/CMS 6103 Page 11 of 57 ATTACHMENT HI All reports should be sent to: Community Living Division Michigan Department of Community Health 3423 North Martin Luther King, Jr. Boulevard, Room 303 Lansing, Michigan 48909 Attention: Sue Eby Contractor Requirements 1. All fiduciaries and project sponsors using grant funds to provide housing must adhere to the following standards: A. Ensure that qualified service providers in the area make available appropriate supportive services to the individuals assisted with housing under HOPWA. For any individual with acquired immunodeficiency syndrome or a related disease who requires more intensive care than can be provided in housing assisted under HOPWA, the project sponsor shall provide assistance in locating a care provider who can appropriately care for the individual and for referring the individual to the care provider. B. Ensure that grant funds will not be used to make payments for health services for any item or service to the extent that payment has been made, or can reasonably be expected to be made, with respect to that item or service: under any State compensation program; under an insurance policy; under any Federal or State health benefits program; or by an entity that provides health services. C. Operate the program in accordance with the provision of 24 CFR 574 and other applicable HUD regulations. Document the eligibility of each person receiving HOPWA benefits. D. Keep records and reports which are consistent with the information required by the Annual Progress Report (APR) for HOPWA (copy attached) by calendar year. Implement the Uniform Reporting System which includes data regarding HOPWA eligible persons and information needed for quarterly reports and the APR. Submit the annual progress report for calendar year 2003 by February 1, 2004. E. Participate with MDCH in facilitating and conducting site visits with the HOPWA project sponsors. F. Provide services in accordance with an approved plan and comply with reporting. Requirements as spelled out in Plan Guidance (provided with the allocation letter). 2. Provide Oversight A. Oversee process and performance for subcontracts for the provision of HIV related HOPWA services. Ensure a contractual requirement to adhere to all applicable state and federal laws and regulations for all subcontractors. B. Assure that contractors and subcontractors have developed and make available to service recipients both grievance and appeals processes. C. Determine/document the unit cost per service for each funded service. Retain data supporting the per unit cost and how it was determined. D. Assess client satisfaction of services provided. Assure the confidentiality of the name of any individual assisted and any other information regarding individuals receiving assistance. E. Assure that no fee, except tenant portion of rent, shall be charged to an eligible person for housing or services. F. Assure that contractors and subcontractors have the capacity to effectively carry out the activity and that they agree to maintain and make available to HUD for inspection financial records sufficient to ensure proper accounting and disbursing of amounts received. MDCH/CMS 6/03 Page 12 of 57 ATTACHMENT III G. Ensure, then issue statements, press releases, RFP, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal funds, clearly state 1) the percentage or total cost of the program or project which will be funded with Federal funds; 2) the amount of Federal funds for the project or program; and 3) percentage and dollar amount of the total costs of the project or program that will be financed by non-governmental resources. Provide to MDCH copies of statements and press releases issued by the Contractor. Retain copies of same on file for two (2) years. H. Ensure all services are available in the entire region. I. Ensure that all activities funded under the program will meet urgent needs that are not being met by available public and private sources. J. Send copy of all HOPWA required documents to: Community Living Division Michigan Department of Community Health 3423 North Martin Luther King, Jr. Boulevard, Room 303 Lansing, Michigan 48909 Attention: Sue Eby AIDS/HIV PEDIATRIC — DETROIT HEALTH DEPARTMENT Contractor Requirements 1. Provide 1.0 full-time Health Educator to the program with Ryan White Title IV funds. This person will provide health education services as outlined in the job description. 2. Provide 1.0 full-time Risk Reduction Counselor to the program with the division of Substance Abuse Quality and Planning funds. This person will provide risk reduction counseling and health education services at the Detroit Medical Center — Hutzel Hospital (obstetrics). Provide necessary training and technical support to the person to assure services are provided in a family-centered manner. 3. Actively participate and maintain management level representation on the Executive Committee established for project oversight, implementation, and evaluation of Title IV programming on the DMC campus. Participate in other Title IV activities across the service area through attendance at partner network meetings. 4. Obtain consumers' consent to collect and share person-based data with agencies receiving funding from the MDCH Ryan White Title IV program. 5. Support the coordination and comprehensiveness of the Ryan White Title IV program by requiring Title IV supported staff and others as appropriate to attend scheduled coordination meetings convened by the Program Coordinator and other related meetings as necessary to serve women, children, adolescents and families. 6. Submit quarterly narrative and statistical data reports as outlined in Attachment C, Performance/Progress Report Requirements. 7. Encourage consumer involvement in Title IV program activities. Department Requirements 1. Provide all administrative, professional, and technical staff for operation of the program at the grantees office. 2. Provide administrative direction, program coordination, and data management for statewide reporting of Title IV activities. 3. Support the development and support of a comprehensive infrastructure to provide coordinated, family- centered care under the Maternal Child HIV/AIDS program (Ryan White Title IV) at the Children's Hospital of Michigan Pediatrics and Adolescent Medicine, Hutzel Hospital HIV in Pregnancy Clinic, and University Health Center and AIDS Consortium of Southeast Michigan. MDCH/CMS 6/03 Page 13 of 57 ATTACHMENT III 4. Convene monthly a Ryan White Title IV Executive Committee for the purposes of program oversight and implementation. The board will consist of executive level staff from each of the Ryan White Title IV- funded agencies, and a consumer. 5. Convene quarterly, a Partner Network meeting to include all Ryan White Title IV-funded agencies and agencies who provide services to women, children, adolescents and families. 6. Use Ryan White Title IV dollars to fund 1.0 full-time Health Educator position. Provide funds from the Substance Abuse Quality and Planning for 1.0 full-time Risk Reduction Counselor position. Reporting Requirements 1. The Contractor shall submit reports on the following dates: Type of Report and timeframe Due Date 1st Quarterly Data Report (for period Jan 1 — March 31) April 15 2nd Quarterly Data Report (for period April 1 — June 30) July 15 3rd Quarterly Data Report (for period July 1 — September 30) October 15 Annual Data Report (for period January 1 — December 31) January 15 The Annual Data Report is an aggregate calendar year report. 2. Any such other information as specified in Attachment A shall be developed and submitted by the Contractor as required by the Contract Manager. 3. Reports and information shall be submitted to the Contract Manager at: Michigan Department of Community Health Division of Family and Community Health Maternal Child HIV/AIDS Program 3056 W. Grand Blvd., Suite 3-350 Detroit, MI 48202 4. The Contract Manager shall evaluate the reports submitted as described in Attachment C, items A. and B. for their completeness and adequacy. 5. The Contractor shall permit the Department or its designee to visit and to make an evaluation of the projects as determined by the Contract Manager. AIDS/HIV PREVENTION SPECIAL REQUIREMENTS Contractor Requirements 1. Promote reporting and follow-up of HIV infection and AIDS cases within jurisdiction. 2. Conduct prevention program activities in a manner consistent with applicable state and federal laws, program and quality assurance guidelines and standards issued by the Centers for Disease Control and Prevention and/or the Michigan Department of Community Health. Current laws, guidelines and standards include: A. Revised Guidelines for HIV Counseling, Testing and Referral, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, November, 2001. B. Revised Recommendations for HIV Screening of Pregnant Women, U.S. Department of Health and Human Services, November, 2001. C. Quality Assurance Standards for HIV Prevention Interventions. Michigan Department of Community Health, HIV/AIDS Prevention & Intervention Section, August 2002, May 2003, or subsequent revisions. D. Protocol for HIV Counseling and Testing Using Oral Mucosal Transudate Technology. Michigan Department of Community Health, HIV/AIDS Prevention & Intervention Section. March 1997. E. HIV Partner Counseling and Referral Services Guidance, Centers for Disease Control and Prevention, National Center for HIV, STD & TB Prevention, December 1998. MDCH/CMS 6/03 Page 14 of 57 ATTACHMENT IH F. Partner Notification Guidelines. Michigan Department of Community Health, HIV/AIDS Prevention and Intervention Section. Revised, January 2000 or subsequent revisions. G. Michigan Local Public Health Accreditation Program (Accreditation Standards), 2002. H. Strategies to Improve Client Failure Rate to Return for HIV Test Results. Michigan Department of Community Health, HIV/AIDS Prevention and Intervention Section, July 2002, or subsequent revisions. Michigan HIV Laws: How They Affect Physicians and Other Health Care Providers. Michigan Department of Community Health, HIV/ADS Prevention and Intervention Section. September 2002 or subsequent revisions. It is understood that the laws, guidelines and standards described above may be revised, supplemented or replaced at any time and that the Contractor will conduct prevention program activities in a manner consistent with the most current laws, guidelines and standards. 3. Participate in quality assurance activities conducted by and/or facilitated by MDCH/DHAS-HAPIS. 4. Participate in technical assistance consultations and/or skills-enhancement opportunities as directed by NIDCH/DHAS-HAPIS. 5. Participate/cooperate in program evaluation activities conducted and/or facilitated by MDCH/DHAS- HAPIS. 6. If health education and risk reduction activities are supported with formula funds the Contractor is to: A. Submit to HAPIS, within 90 days (by December 31, 2003), a description of the activities. This description is to include: 1. A description of the target population(s). 2. Specific, time phased and measurable process objectives. 3. The process and/or mechanisms used for obtaining the input of target populations in the design, implementation and evaluation of interventions. B. Submit within 15 days following the close of each month statistical data which detail progress toward meeting process and outcome objectives. Agencies are to utilize the CTR and PCRS modules of the HIV Event System. AIDS/HIV PROVIDER EDUCATION PROJECT SPECIAL REQUIREMENTS - KENT COUNTY HEALTH DEPARTMENT Contractor Requirements 1. Purpose In carrying out the terms of this agreement, the Contractor shall: A. Work in concert with MDCH/DHAS-HAPIS staff to develop appropriate program outcome measures and tools. B. Participate in contract monitoring and quality assurance activities conducted by and/or facilitated by MDCH/DHAS-HAP1S. C. Participate in technical assistance consultations and/or skills-enhancement opportunities as directed by MDCH/DHAS-HAPIS and/or as recommended by regional community planning groups (RCPGs) or consortia. D. Participate in program evaluation activities conducted and/or facilitated by MDCH/DHAS-HAPIS. MDCH/CMS 6/03 Page 15 of 57 ATTACHMENT III E. Submit all educational materials, manuals and training curricula (e.g. brochures, posters, pamphlets and videos) used in conjunction with HIV provider education activities to the MDCH Program Review Panel for review and approval prior to their use. Pursuant to federal law, all educational materials must contain current and scientifically accurate information. F. All subcontracts issued under this funding agreement are to include the above requirements [A- E] and are subject to prior approval by MDCH/DHAS-HAPIS. G. Submit a copy of the Financial Status Report (FSR, FIN-130) to MDCH/DHAS-HAPIS simultaneous to submission to Budget and Finance Administration. Copies of FSRs are to be addressed to the designated contract monitor. 2. Methodology and Program Content The following services are supported under this agreement: HIV/AIDS Provider Education. Program development, implementation and evaluation will be delivered according to the methods, time line, work plan and staffing plan approved by MDCH/DHAS-HAPIS. 3. Objectives A. Goal 1: Reduce HIV Risk Behaviors among residents of Kent County. 1. Outcome Objective 1: By September 20, 2004, 90% of training participants will report that they are better prepared to conduct HIV risk assessment and risk reduction education as a result of the program. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objective A: By September 30, 2004, conduct two (2) HIV trainings targeting 60 physicians in Kent County. Achievement of this objective will be measured by attendance sheets and training agenda. b. Process Objective B: By September 30, 2004, conduct four (4) HIV trainings targeting 120 nurses in Kent County. Achievement of this objective will be measured by attendance sheets and training agenda. c. Process Objective C: By September 30, 2004, conduct one training targeting 50 undergraduate nursing students enrolled at Calvin College. Achievement of this objective will be measured by attendance sheets and training agenda. d. Process Objective D: By September 30, 2004, conduct five (5) HIVE trainings targeting 300 undergraduate nursing students enrolled at GVSU. Achievement of this objective will be measured by attendance sheets and training agenda. e. Process Objective E: By September 30, 2004, conduct one HIV training targeting 85 graduate nursing students enrolled at GVSU. Achievement of this objective will be measured by attendance sheets and training agenda. f. Process Objective F: By September 30, 2004, conduct one HIV training targeting 60 physician assistant students enrolled at GVSU. Achievement of this objective will be measured by attendance sheets and training agenda. Process Objective G: By September 30, 2004, conduct one HIV training targeting 60 medical students in Kent County. Achievement of this objective will be measured by attendance sheets and training agenda. h. Process Objective H: By September 30, 2004, conduct one HIV training targeting 30 students fro.m a previously untargeted school. Achievement of this objective will be measured by attendance sheets and training agenda. g. MDCH/CMS 6/03 Page 16 of 57 ATTACHMENT HI 2. Outcome Objective 2: By September 30, 2004, 90% of healthcare providers who have completed an HIV training will indicate that they intend to encourage other providers in their clinic to discuss HIV prevention with patients and to conduct risk assessment and risk reduction activities. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A & B. 3. Outcome Objective 3: By September 30, 2004, 90% of providers who have completed HIV provider trainings will report that they plan to increase the number of risk assessments they perform on patients. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A & B. 4. Outcome Objective 4: By September 30, 2004, the number of training participants who report that they feel comfortable conducting a sexual history and discussing sexuality issues with patients will increase by 25% as a result of the training. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. 5. Outcome Objective 5: By September 30, 2004, six-week follow-up with providers who completed an HIV provider training will demonstrate a 25% increase in risk assessment and risk reduction activities and a 25% increase in the number of sexual histories performed. Achievement of this objective will be measured by a follow-up questionnaire. a. Process objective H: By September 30, 2004, follow-up surveys will be collected from 70% of physicians, nurses, nurse practitioners, midwives and physician assistances who attended an HIV provider training. Achievement of this objective will be measured by the number of surveys on file. B. Goal 2: Reduce the number of HIV positive individuals in Kent County who are diagnosed late in infection. 1. Outcome Objective 6: By September 30, 2004, 95% of training participants will report that they are more knowledgeable about the need to discuss HIV testing with patients as a result of the training. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. 2. Outcome Objective 7: By September 30, 2004, 90% of training participants will report that they intend to discuss the importance of conducting HIV testing and counseling with other clinicians in their practices. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A & B. 3. Outcome Objective 8: By September 30, 2004, 95% of training participants will report that they feel confidents in their ability to use their knowledge of a patient's risk factors as a basis for recommending HIV testing and counseling. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. - 4. Outcome Objective 9: By September 30, 2004, 95% of training participants will report increased knowledge of HIV testing and counseling resources in the community. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. 5. Process Objective 10: By September 30, 2004, six-week follow-up will demonstrate that 90% of providers who have completed a HIV training have increased the number of tests MDCH/CMS 6/03 Page 17 of 57 ATTACHMENT III they perform by 25%. Achievement of this objective will be measured by a follow-up questionnaire. a. Process Objective I: By September 30, 2004, follow-up surveys will be collected from 70% of physicians, nurses, nurse practitioners, midwives and physician assistants who attended a HIV provider training. Achievement of this objective will be measured by the number of surveys on file. C. Goal 3: Increase the number of Kent County residents who are knowledgeable about HIV transmission routes, the link between STI's and HIV infection, risk factors and effective prevention activities. 1. Outcome Objective 11: By September 30, 2004, 95% of training participants will report knowledge of HIV transmission routes, incidence and prevalence, risk factors and prevention activities increased as a result of the training. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. 2. Outcome Objective 12: By September 30, 2004, 90% of training participants will report that they intend to discuss HIV transmission, prevention and risk factors with an increased number of patients. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A through H. 3. Outcome Objective 13: By September 30, 2004, 90% of providers who have completed a HIV training will report that they intend to encourage other clinicians in their practices to discuss HIV transmission, prevention, and risk factors with patients. Achievement of this objective will be measured by administration of pre- and post-test questionnaires. a. Process Objectives: See process objectives A & B. 4. Outcome Objective 14: By September 20, 2004, six-week follow-up will demonstrate that 90% of providers who attend an HIV Provider Education Training will have increased by 25% the number of patients they counsel about HIV. Achievement of this objective will be measured by a follow-up questionnaire. a. Process Objectives: See process Objective I. 4. Progress Reports Submit quarterly reports to MDCH/DHAS-HAPIS in accordance with the following dates and reporting format: Quarter Covered October 1 - December 31, 2003 January 1 - March 31, 2004 April 1 - June 30, 2004 July 1 - September 30, 2004 Due to MDCH/DHAS-HAPIS January 15, 2004 April 15, 2004 July 15, 2004 October 15, 2004 Guidelines for narrative reports will be provided by HAPIS/DHAS. BIOTERRORISM — FOCUS AREA A Local Health Departments (LHD) Emergency Preparedness Coordinators (EPC) Contractor Requirements The EPC will serve as a point of contact within the health department jurisdiction during public health emergencies and develop protocols for the procedures to be followed in the event of a public health emergency, outbreak of infectious disease and/or terrorism incident. To ensure that local health department staff is appropriately trained and knowledgeable about local public health response to biological, chemical and/or radiological agents whether occurring naturally, accidentally, or as a result of a terrorism to assure rapid and effective public health response to such events. MDCH/CMS 6/03 Page 18 of 57 ATTACHMENT III 1. EPC will "develop a workplan and budget for the implementation of CDC Public Health Preparedness funds received by the LHD and submit to MDCH for approval." 2. Coordinate local health department emergency response to public health emergencies. 3. Coordinate OPHP assessments as required by CDC funding. 4. Update LHD capacities on MDCH/MPHI Interactive Assessment web site monthly. 5. Develop local health department public health emergency response plan. 6. Integrate local public health emergency response plan with local emergency management plans for LHD jurisdiction. 7. Maintain all pubic health emergency response plans to assure contact information, duties and responsibilities are current. 8. Provide trainings to other disciplines on the role of local public health in public health emergency response. 9. Provide training to LHD staff on the role of public health in a multi-disciplinary public health emergency response. 10. Develop protocols for coordination of epidemiology and law enforcement activities during criminal investigations affecting the health of the public and train LHD staff appropriately 11. Conduct a minimum of one internal tabletop exercise for Local Health Department staff. 12. Participate annually in a functional exercise in collaboration with local agencies and regional initiatives. 13. Actively participate in Strategic National Stockpile (SNS) planning and exercises. 14. Assist regional SNS planners in identifying sites for the receipt, storage, staging and dispensing of pharmaceuticals during mass medical emergencies within local health department jurisdiction. 15. Assess and report the training needs of the LHD staff based upon internal assessment of competencies and participate in the development and implementation of the MDCH Crisis Communication manual. 16. Actively participate and represent local public health interests in Regional Advisory Meetings. 17. Participate in at least 7 of the 9 teleconferences/monthly meetings with the OPHP BT Coordinator. 18. Attend 2 of the 3 conferences hosted by the OPHP BT Coordinator. 19. Attend at least 9 Regional Advisory Meetings. 20. Provide semi-annual progress reports to OPHP BT Coordinator. SNS Planner Workspace For those local health departments receiving additional funds to provide workspace for SNS Planners, the contractor must provide adequate office space, supplies and materials, telephone connections, and high-speed Internet access. The position must also have access to fax and photocopiers. Funding can be used to provide additional clerical support. BIOTERRORISM — FOCUS AREA B Regional Epidemiology Workspace - For those local health departments receiving additional funds to provide workspace for Regional Epidemiologists, the contractor must provide adequate office space, telephone connections, and high-speed Internet access. The position must also have access to fax and photocopiers. MDCH/CMS 6/03 Page 19 of 57 ATTACHMENT III BIOTERRORISM — FOCUS AREA E Michigan Health Alert Network - Communications & Information Technology The new Michigan Health Alert Network (MIHAN) can be accessed and its alerting functionally utilized through a slower Internet connection like that provided by the WAN or a phone line, dial-up ISP. However, the MIHAN will include a number of features like document sharing that will function much more efficiently with a higher speed connection to the Internet. Besides the MIHAN, MDCH will be implementing the Internet based Michigan Disease Surveillance System (MOSS) in the fall of 2003. Budget and Agreement Requirements: 1. LHDs that do not have high speed, broadband connections to the Internet must use their grants to upgrade their Internet connections. If the cost of upgrading the Internet connections and firewalls is less than the amount of the grant the remainder may be used for other IT and communications initiatives consistent with the Focus E grant funding and any guidance developed by the Health Alert Network Steering Committee. 2. LHDs already having high speed, broadband connections to the Internet can use funds for other IT and communication initiatives consistent with the Focus E grant funding and any guidance developed by the Health Alert Network Steering Committee. Contractor Specific Requirements: 1. The optimum solution will be obtaining service through an Internet Service Provider (1SP) that is capable of delivering a T1 circuit of 1.54Mbps or greater capacity. Examples of1SP providers that can meet this standard include Merit, SBC, MCI, Sprint, and Verizon. (LHDs should consider whether the costs of a Ti connection can be supported without Health Alert Network grant funding in future years.) 2. In multi-county LHDs, Internet connectivity solutions which provide more locations with high speed, broadband connections than a single Ti at one location should be carefully considered. LHDs who find 1SP's that provide high speed broadband connections other than T1 lines which meet their needs and can be funded in future years may use their grant monies for these connections. 3. A plan that describes the Internet connectivity solution and other IT and communication initiatives including the cost must be submitted to and approved by Bill Colville, Health Alert Network Coordinator, colvillebmichiqan.qov prior to expenditure of funds. 4. All LHDs should have a back-up connection to the Internet in case their primary connection fails in an emergency situation. This back-up Internet connection can be a reliable dial-up ISP who provides service in their health jurisdiction. 5. Purchase, install, configure and maintain an appropriate firewall based on the Internet connection at a particular location. Firewall description and cost should be part of the information submitted to Bill Colville. 6. Send an E-mail to E-helpdeskmichiqan.qov prior to beginning service with the ISP. The E-mail should detail when the local health department will be getting a connection to the Internet so that DIT can coordinate changing the health department's connection to the state network to the LGNET. CSHCS SPECIAL REQUIREMENTS I. CSHCS OUTREACH AND ADVOCACY REQUIREMENTS Contractor Requirements A. Program Representation and Advocacy I. Provide program representation which includes the provision of information regarding Children's Special Health Care Services (CSHCS) policy on diagnostic referrals, program eligibility, covered services, CSHCS Special Health Plan (SHPs), prior authorization, and the appeals process to providers, the community, other agencies and families. MDCH/CMS 6/03 Page 20 of 57 ATTACHMENT III 2. Inform families of their rights and responsibilities in the CSHCS program. 3. Describe special CSHCS programs to families which are outside the scope of covered services but unique to the program, such as the Children with Special Needs (CSN) Fund and the insurance premium payment program. 4. Provide information and referral or assist persons in making applications for other programs in the community for which the child and/or family may be eligible, for such as Early On, WIC, MI-Child, Healthy Kids and Medicaid. 5. Provide answers to any questions or concerns families might have and help families advocate on their own behalf if they are unable to perform this task. 6. Participate in community health assessments and community systems reform initiatives. Facilitate the direct participation of families in these processes. 7. Work collaboratively with the CSHCS SHPs to provide information to the local provider community and solicit participation in the health plan provider networks. B. Application and Renewal 1. Arrange for diagnostic evaluation referrals or obtain Release of Information form(s) for the purpose of securing medical reports for determining medical eligibility in new and renewal cases. 2. Assist any family who is referred by the CSHCS program or who comes to the local health department for assistance in applying to join the CSHCS program with completion of the CSHCS application form, including the financial assessment and third party liability forms. 3. Contact and provide information about the CSHCS program and assess family needs for those persons referred by the CSHCS program that enroll in the Basic Health Plan (BHP - previously known as Fee-For-Service). 4. Assist in locating individuals or families who do not return a CSHCS Application after being made medically eligible. 5. Assist in locating individuals or families who do not respond when requested to make a health plan choice. Support Services 1. Link families to the CSHCS Parent Participation Program, Family Phone Line or to the Family Support Network. 2. Link families to Michigan Enrolls for assistance in CSHCS health plan selection. 3. Link families to Special Health Plan member services offices for health plan questions. 4. Provide consultation and work collaboratively with the CSHCS Special Health Plans to identify and facilitate linkages and referrals to community-based agencies and resources. 5. Provide care coordination services. D. General Performance Requirements 1. All LHD/CSHCS staff should be conversant about the benefits of the CSHCS Special Health Plans versus the Basic Health Plan and should be able to explain these advantages to families. 2. LHD/CSHCS staff are expected to contact families when a referral is made or when the Customer Support Section initiates a "Notice of Action" request to locate or assist a family. MDCH/CMS 6/03 Page 21 of 57 ATTACHMENT III 2. Case Management Families eligible for case management services typically have complex medical care and/or complex psycho-social situations which require that intervention and direction be provided by an outside, independent professional. Eligible beneficiaries include but are not limited to the Private Duty Nursing (PDN) population. Case management requires the development of a comprehensive care/service plan meeting the minimum elements as determined by MDCH/CSHCS. All services must relate to objectives/goals documented in the comprehensive plan of care. For persons enrolled in a Special Health Plan (SHP), local health department staff must be authorized by the SHP to provide the services. Case management will be reimbursed through the CPBC/FSR system. Case management will be based on the "fixed unit rate" method. The fee for case management is $201.58 per service which requires that services be provided in the home setting (or other settings based on family preference), and be provided face-to-face. Case management service reimbursement includes the costs of travel, planning, documentation, completion of a Home Environment Needs Survey (see attached) and service coordination. Case management cannot be billed for beneficiaries also receiving Level I/IHCP or Level II Care Coordination services during the same billing period. To be reimbursed, costs associated with the services rendered must be included on the CSHCS Case Management and Care Coordination Supplemental Attachment to the CPBC FSR. Total costs for Case Management should be included on line 24 of the FSR as "CSHCS Case Management" and should reconcile with the costs detailed on the Supplemental Attachment for Case Management. Clients are eligible for a maximum of six (6) services per eligibility year. PDN clients must receive a minimum of four (4) services per eligibility year. Any services above six would require approval by MDCH by sending a detailed request including documentation and the rationale for additional services to: Michigan Department of Community Health Customer Support Services Section P.O. Box 30734 Lansing, MI 48909 Documentation of the types of activities, the staff involved and the resolution must be maintained in the client's case file. Local CSHCS offices must maintain documentation on a paper or computer log for all case management services. This documentation must include at a minimum: beneficiary name, CSHCS ID number, date(s) of service, date of the FSR and Supplemental Attachment on which the services were billed, and SHP name and authorization date for SHP enrollees. 3. Care Coordination Services Care coordination services are reimbursed as part of the CPBC contract as a "Fixed Unit Rate Reimbursement." Care coordination will be provided by qualified LHD/CSHCS staff who are registered nurses, social workers, or para-professionals, under the direction and supervision of registered nurses who are trained in the service needs of the CSHCS population and who demonstrate skill and sensitivity in communicating with children with special health care needs and their families. There are two levels of coordination services Level I Care Coordination Level II Care Coordination A. Level I Care Coordination consists of identification and documentation of a beneficiary's medical, social, educational, functional status and requirements to treat and support those needs through the development of a comprehensive plan of care or Individualized Health Care Plan (IHCP). IHCPs are developed or renewed on an annual basis. Care Coordination for beneficiaries in a SHP are authorized by the SHP of enrollment. MDCH/CMS 6/03 Page 22 of 57 ATTACHMENT III Level I Care Coordination activities are to be provided by qualified LHD/CSHCS staff when delivered through the LHD. The LHD/CSHCS local care coordinator (LCC), in collaboration with the beneficiary/family, health care and support service providers, develops and distributes the plan. The LCC provides the beneficiary/family with information and clarification regarding services and care coordination. The LCC assists with the arrangement and/or follow-up of IHCP identified services as appropriate, and to document and communicate to affected parties if circumstances have changed. The LCC also provides appropriate referrals and advocacy for other services as needed. Fixed unit reimbursement rates are as follows: Initial IHCP Long Form: Initial 1HCP Short Form: Renewal IHCP Long Form: Renewal IHCP Short Form: $200.00 $150.00 $100.00 $90.00 B. Level 11 Care Coordination consists of interaction with the beneficiary/family and others involved with care of the beneficiary by telephone, in person or in writing that meet Level II Care Coordination criteria. Level 11 Care Coordination activities include, but are not limited to, arranging for service delivery from CSHCS qualified providers, client advocacy, assisting with needed social, education, or other support services, facilitating transitional services to Medicaid Health Plan process for CSHCS/Medicaid beneficiaries at age 21 and processing CSN Fund applications. In addition, these services: 1) are non-routine; 2) involve multiple contacts; and 3) are substantive. Each CSHCS Special Health Plan is the authorizing agent for their enrollees. Level II Care Coordination is reimbursed at $30.00 per unit. A maximum of 10 units per beneficiary per eligibility year will be reimbursed. C. Authorization, Billing and Documentation Procedures for LevellandlICare Coordination The CSHCS Plan Division provides reimbursement through the CPBC-FSR process for both Level I and Level II Care Coordination when provided by LHD/CSHCS office staff for both BHP and SHP beneficiaries. A supplemental attachment to the FSR, as provided by the program, is required for reimbursement. Total costs for Care Coordination should be included on Line 24 of the FSR and labeled "CSHCS Care Coordination." Level II Care Coordination is specific to care coordination activities not involving the development of an Individualized Health Care Plan (IHCP). Local CSHCS offices must maintain documentation on a paper or computer log for all Care Coordination. This documentation must include: beneficiary name, CSHCS ID number, date(s) of service, date of the FSR and Supplemental Attachment on which the services were billed and the SHP name and authorization date for SHP enrollees. 4. Reporting Requirements A. CSHCS Outreach and Advocacy Plan Instructions Using the following format, please prepare a plan that reflects the requested information and submit by November 1, 2003 (address at end of document): 1. Describe as objectives the specific activities that will be carried out using the CSHCS Outreach and Advocacy fund, including at a minimum the efforts that will be made to involve other community-based organizations in identifying families with CSHCS-eligible children. 2. Describe strategies and resources to be used: a. to provide additional CSHCS Program information and information about other community resources to families who have chosen the Basic Health Plan (NOA 2-A) or families who live in a county without a health plan choice MDCH/CMS 6/03 Page 23 of 57 ATTACHMENT III b. to communicate with families who have not returned the CSHCS enrollment application (NOA 2-B) c. to provide follow-up to families enrolled in CSHCS who have not a health plan choice (NOA 2-C) d. to communicate with families the need to submit necessary medical or financial information for the purpose of renewing enrollment (NOA 2-D) B. CSHCS Outreach and Advocacy Annual Report An annual narrative report including information is due on October 30, 2004. (address at end of document) 1. Describe the Program Representation and Advocacy activities conducted with children eligible and/or enrolled in CSHCS as specified in the Contractor Requirement section of this document. Include actions taken to work collaboratively with agencies and provider networks. Describe successes, areas of need, and challenges experienced in carrying out this expectation. 2. Describe the Application and Renewal activities conducted as specified in the Contractor Requirement section of this document. Describe successes, areas of need, and challenges experienced in carrying out this expectation. 3. Describe the Support Services activities conducted as specified in the Contractor Requirement section of this document. Describe successes, areas of need, and challenges experienced in carrying out this expectation. 4. Describe the activities conducted under the General Performance Requirements section of this document. Describe successes, areas of need, and challenges experienced in carrying out the expectations. a. Include the percentage of contacts based on the number of referrals. The reporting of contacts means the number of people with whom the local CSHCS offices communicated. Please describe the methods of communication (phone contact, electronic or postal mail, face to face, etc). b. Describe the successful methods used to contact the families and any needs for technical assistance in contacting the families referred. Submit plan and report to: Sylvia Shepherd Michigan Department of Community Health CSHCS Plan Division 400 S. Pine Street — 7th Floor Lansing, MI 48933 CHILDHOOD IMMUNIZATION REGISTRY SPECIAL REQUIREMENTS Contractor Requirements The contractor assures that: 1. All immunizations administered by the Contractor, or by any agency or provider participating in any of the vaccine distribution programs on behalf of the Contractor, are reported to the MCIR for all children born after December 31, 1993. 2. All providers within their jurisdiction are registered through the MCIR and that all of their activities are coordinated with the regional contractor of the Department and operated within their guidelines. 3. Existing immunization records shall be submitted to the MCIR in accordance with the instructions from the Department's regional contractor. MDCH/CMS 6/03 Page 24 of 57 ATTACHMENT III CHILDHOOD LEAD SPECIAL REQUIREMENTS Contractor Requirements 1. Each funded entity will provide regional case management for a group of 58-60 children with blood lead levels of 20 mg/dL. Case management for each region will encompass a number of counties and health jurisdictions. 2. Each of three funded entities will provide primary prevention in the assigned regions. Primary prevention activities will include actions that will require certified Lead Inspector/Risk Assessor status. 3. All funded agencies/individuals in the program will be required to participate in program evaluation. 4. CDC reporting and state-based data exercises will be required of all funded entities. DIABETES OUTREACH NETWORK — BRANCH-HILLSDALE-ST. JOSEPH COMMUNITY HEALTH AGENCY Contractor Requirements 1. Maintain an independently located regional office as a non-competing, coordinating health care/education resource for the counties within the network region. The office shall be equipped with an "800" access telephone number, FAX, E-mail capability and computer equipment specified by the department and as needed to carry out network functions. 2. Support a competent, on-site, core staff meeting the qualifications specified by the department. The core staff will consist of a project director who manages the network program and budget, hires and trains staff, and supervises all employees and consultant staff. Remaining staff shall include at least an office manager, data analyst/manager and a diabetes educator. Additional staff may be hired by the director. All funded staff must be qualified to meet the established standards for the Diabetes Outreach Network. 3. Limit maximum of funding which may be retained by the fiduciary to the lesser of $15,000 or 5% of the contractual amount. 4. Maintain an interdisciplinary advisory council which represents the major diabetes interests in the network service region including consumers, and which will advise the project on goals, planning, policy, technical issues, evaluation and project implementation. 5. Coordinate participation in the network among local health departments, other department-funded diabetes projects and other agencies in the network service region. 6. By November 1, 2003, prepare and submit to the department for review and approval, the annual year program plan for FY 03-04 including measurable goals and objectives for program planning, implementation, and evaluation which are consistent with the Department's Federal grant and National Diabetes Objectives. 7. Utilizing model language provided by the Department, annually develop subcontracts or letters of agreement with providers for the purpose of providing quality diabetes care; providing diabetes in- services for all professional staff; collecting data on each diabetes client served and improving care based on the analysis of the collected data. 8. Provide each subcontract agency with a quarterly analysis of their client data. 9. Have DON representation at each MDON and MDON/MDCP meeting and on each MOON and MDON/MDCP conference call. 10. Educate consumers, communities, health care delivery agencies, health care providers and legislators on the importance of individual diabetes self-management, implementation of quality diabetes care and education into the practices of health care providers and of the need to have sufficient funding to sustain these network activities. MDCH/CMS 6/03 Page 25 of 57 ATTACHMENT III 11. Participate in the MDON/MDCP Michigan Nurses Association Continuing Education Approval Program to provide continuing education credits to Nurses and Dietitians. Conduct at least six MDON CEAP Educational presentations (EDI ) yearly and promote the use of the Independent Study Modules (ED2). 12. Collaborate and partner as needed with: National Kidney Foundation of Michigan, American Heart Association, American Diabetes Association, Michigan Association of Health Plans, Michigan Organization of Diabetes Educators, American Heart Association and other key partners. 13. Participate in National and State Initiatives including the CDC Flu/Pneumococcal Vaccination Campaign and the National Diabetes Education Program. 14. Develop collaborative partnerships with all the Community Health Centers (CHC) in the DON region by establishing contact with CHCs, promoting the MDON DCIP, and supporting participation in the national Health Disparities Collaborative if needed. 15. Participate in the Consumer Initiatives such as "Joining People with Diabetes" and/or lay health educator initiatives. 16. Develop strategies to work with: A. People (adults, children, adolescents) who are at risk for diabetes or have pre-diabetes (Impaired Glucose Tolerance) B. Children/adolescents who have type 2 diabetes C. Oral health and diabetes initiatives 17. Provide timely DON input and feedback on all department-initiated requests for MDON and MDCP materials (such as program guidelines, evaluation data, policies/procedures, etc.) 18. Follow MDON/DCP policies/procedures as provided in the MDON Orientation and Procedure manual, Strengthening Diabetes Care in Michigan, and/or other DCP directives. 19. Complete the Program Report Summary each quarter and submit to MDCH with quarterly reports. Provide examples as needed of consumer awareness activities, professional education, advocacy efforts and other pertinent activities. FAMILY PLANNING/BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP) JOINT PROJECT SPECIAL REQUIREMENTS Contractor Requirements The FP/BCCCP Demonstration Project is a joint program designed to provide diagnostic services to Title X (Family Planning) clients who have Pap tests indicating possible cervical cancer. Extensive data is required by the Center for Disease Control and Prevention (CDC) for each woman served by federal funds. Dates of service and results of testing are required prior to authorizing reimbursement to providers. Therefore, data about the abnormal Pap smear will have to be transmitted from the Family Planning program to the designated BCCCP agency prior to arranging diagnostic services. 1. Women eligible for this program will be Title X clients, under age 40, be uninsured or underinsured, and with income under 250% of poverty. A Family Planning client meeting these eligibility criteria will sign a release form to allow her data to be provided to the BCCCP. Forms will be provided to the Family Planning agencies for recording data required for referral to a BCCCP agency. All data required for enrollment in the BCCCP will be collected by the BCCCP agency. 2. Once the BCCCP agency accepts the Family Planning client in this project, she becomes the sole responsibility of the BCCCP agency, and the BCCCP agency must make every effort to ensure the woman receives proper services. 3. Dates and results of all diagnostic procedures must be recorded in the Michigan Breast and Cervical Cancer Information System (MBCIS) by the BCCCP agency before reimbursement can be approved. 4. The data must indicate the outcome of testing with a final-diagnosis of cancer/not cancer and, if cancer, the stage and date of treatment initiation. It is expected that there will be extensive communication MDCH/CMS 6/03 Page 26 of 57 ATTACHMENT III between the referring Title X agency and the BCCCP agency managing the diagnostic process, so that the woman will proceed seamlessly through the medical system(s). 5. The BCCCP agency must provide results of diagnostic evaluation to the referring Family Planning agency upon request, and upon completion of the diagnostic process. 6. If cancer is diagnosed the woman will have access to the BCCCP treatment network, and the BCCCP agency must make every effort to ensure the woman receives proper treatment. FAMILY PLANNING - PREGNANCY PREVENTION SPECIAL REQUIREMENTS Contractor Requirements 1. The funds appropriated in the current State Public Health Appropriations Act for pregnancy prevention programs shall not be used to provide abortion counseling, referrals or services. 2. All delegate agencies must serve a minimum of 95% of proposed users to access total amount of allocated funds. • FETAL ALCOHOL SYNDROME (FAS) COMMUNITY PROJECT (Delta-Menominee District Health Department, Kent County Health Department) Contractor Requirements (Delta-Menominee District Health Department Only) 1. In accordance with the general purposes and objectives of this agreement will: A. Maintain a FAS Advisory Committee to plan and help implement appropriate community services. B. Conduct activities to promote awareness and prevention of FAS, including distribution of materials and provision of educational activities and trainings. C. Conduct or facilitate outreach, prescreening and screening. Contractor Requirements (Kent County Only) 1. In accordance with the general purposes and objectives of this agreement will: A. Community Project: 1. Conduct activities to promote awareness and prevention of Fetal Alcohol Syndrome (FAS), including distributing materials to 75 individuals, providing educational presentations and trainings to 30 groups and coordinating a speakers' bureau for youth education. 2. Maintain the Kent County FAS advisory committee through monthly meetings and correspondence. The committee will plan and help implement appropriate community projects. 3. Information on the use of FAS pre-screening tool will be included in 20 of the 30 educational presentations with the Healthy Kent 2010 Infant Health Implementation Team Prenatal Care Core Concepts Subcommittee to initiate support for substance abuse screening among pregnant women. 4. Assist with conducting a support group for families affected by FAS through the provision of monthly meetings with childcare, continuing education opportunities for support group members and the coordination of "Parenting Differently" classes. " B. Consultant: 1. Convene and provide staffing to the statewide FAS Workgroup to building community capacity for FAS awareness and prevention initiatives. 2. Publish a quarterly newsletter for FAS Community Projects and Diagnostic Clinics. 3. Arrange and provide consultation for Community Projects and Diagnostic Clinics. MDCH/CMS 6/03 Page 27 of 57 ATTACHMENT III 4. Participate in the semi-annual National Taskforce on FAS/FAE meetings to maintain awareness of national FAS activities and support connections with the field's national leaders. Reporting Requirements (for both health departments) 1. Submit the following reports as required by the Contract Manager A. Financial Status Reports (FSRs) as required in the Contract. B. Six month progress report. C. Year-end report on the year's activities toward meeting the objectives. D. Notification by June 15 of anticipated under spending of grant monies. Financial Reports shall be submitted as directed by the contract. Other reports, including six month progress report, community presentation reports and year end report shall be submitted to: Cheryl Lauber Michigan Department of Community Health Division of Family and Community Health P.O. Box 30195 Lansing, Michigan 48909 2. Shall permit the Department or its designee to visit and to make an evaluation of the project. IMMUNIZATION ACTION PLAN SPECIAL REQUIREMENTS Contractor Requirements 1. Adhere to all federal and state appropriation laws pertaining to use of programmatic funds. 2. Adhere to requirements set forth in the Omnibus Budget Reconciliation Act of 1993 and other related documents pertaining to the Vaccines For Children (VFC) Program. A. The VFC "Basic" Program serves only eligible children who meet the following criteria: are enrolled in Medicaid, have no health insurance, are American Indian or Alaskan Native, are served at a Federally Qualified Health Center (FQHC), a Rural Health Center (RHC) or a public health clinic affiliated with a FQHC and are also under-insured. B. Ensure state-supplied vaccines (VFC Expanded coverage) provided to your jurisdiction are administered only to eligible children. This program allows for the immunization of children who are underinsured and not served at a FQHC, RHO, or a public health immunization clinic affiliated with a FQHC. C. Ensure that all providers receiving vaccine from the state screen children for VFC eligibility. 3. Adhere to all Federal and Michigan Laws pertaining to immunization administration and reporting including reporting to the MCIR. 4. Ensure that federally procured vaccine is administered to eligible children only. 5. Monitor any provider receiving federally procured vaccine at least once every 3 years, and preferable at least once every 2 years. 6. Ensure attendance at two (2) Immunization Action Plan (IAP) meetings each year. 7. Submit original FSR's to MDCH on a quarterly basis. 8. Develop, implement, and submit program IAP Reports to the MDCH Immunization Program in accordance with the following dates: MDCH/CMS 6/03 Page 28 of 57 ATTACHMENT III Period Covered 10/01/2003 — 03/31/2004 04/01/2004 — 09/30/2004 Date Due April 15, 2004 October 15, 2004 9. By February 15 of each year provide one copy of the provider enrollment and profile for each provider who receives vaccine from the state. One profile should also be submitted summarizing the entire population of children 18 years of age and younger by eligibility status for the health jurisdiction 10. By August 15, 2004 provide to MDCH/Immunization Program a budget and narrative justification for each component of the immunization program. This budget justification must contain the following information: personnel, fringe benefits, travel, supplies, equipment, contractual, and other incidental and/or indirect costs. 11. Michigan Childhood Immunization Registry (MCIR) responsibilities: A. Ensure that all immunizations administered to children born after December 31, 1993 by the state, or by any agency or provider participating in any of the vaccine distribution programs on behalf of the Contractor, are reported to the MCIR. B. Ensure that all providers within the Contractor's jurisdiction are registered through the MCIR and that all of their activities are coordinated with the regional contractor of the Department and operated within their guidelines. 12. The contractor implements Perinatal Hepatitis B program activities to prevent the spread of Hepatitis B Virus (HBV) from mother to newborn. A. Ensure that protocols for the Hepatitis B Perinatal activities are in place and adhered to through collaboration between communicable disease and immunization divisions. B. Report all Hepatitis B surface antigen (HBsAg) positive pregnant women to the state health department. C. Ensure that all susceptible infants, household and sexual contacts associated with women who are HBsAg + are given appropriate doses of Hepatitis B vaccine series in a timely manner, and they receive pre or post serology testing as recommended. D. Ensure that infants, household and sexual contacts associated to HBsAg+ women receive testing, vaccination, and support services. 13. Surveillance of vaccine preventable disease (VPD) activities: A. Ensure that all reportable diseases are reported to MDCH in the time specified in the public health code and appropriate case investigation is completed. B. Conduct active surveillance when indicated (i.e. during an outbreak) and contact hospitals, laboratories, and/or other providers on a regular basis. 14. School and Day Care Requirements: A. Ensure that 100% of the schools are reported to MDCH by December 15 th and March 15th of each year. B. Ensure that 100% of the licensed childcare centers are reported to MDCH by February 15 th of each year. 15. Adherence to accreditation standards is expected through the waived period for 2003. 16. Service Delivery: A. Collaborate with public and private sector organizations to promote adult immunization activities in the county: 1. Inform providers that pneumoccocal and influenza vaccine and their accompanying administrative costs are Medicare covered benefits. 2. Provide and implement strategies for addressing the immunization rates of special adult populations (i.e., college students, educator, health care workers, and child care employees). B. Assign an appropriate individual to serve as an immunization liaison for WIC. Department Requirements 1. The department will receive and review IAP reports. MDCH/CMS 6/03 Page 29 of 57 ATTACHMENT III 2. Provide program direction and definition of Immunization Action Plan coordinator responsibilities. . 3. Provide technical assistance in establishing and operating immunization action plans. 4. Provide supportive services and resource identification when needed. 5. Provide financial support for LHD and Community/ Migrant Health Centers for immunization in pocket of need (PON) areas. IMMUNIZATION — FIELD SERVICE REPRESENTATIVES SPECIAL REQUIREMENTS (District Health Department #10, Marquette County Health Department, Saginaw County Health Department, St. Clair County Health Department, VanBuren/Cass District Health Department) Contractor Requirements 1. Employ and supervise a full-time Immunization Field Representative for the Immunization Program who shall be acceptable to the Department and who shall be supported by this agreement. 2. Provide the Immunization Field Representative with permanent office space and supplies, including, but not limited to: a telephone, general office supplies, a computer with Pentium III processor or better, a printer, a modem, a cellular telephone and a use of vehicle or reimbursement mechanism for transportation unless otherwise arranged. 3. Make the Immunization Field Representative available to all local health departments in the assigned jurisdictions to provide Immunization Program activities equitable and at the direction of the Department. Refer to field representative responsibilities as defined and distributed to the contractor. 4. Provide for reimbursement for reasonable telephone charges incurred in the conduct of business by the Immunization Field Representative unless otherwise arranged. 5. Provide reasonable reimbursement for any travel and subsistence expenses incurred by the Immunization Field Representative necessary to the conduct of the Immunization Program. Travel will include the annual National Immunization Conference or other professional immunization related conferences, attendance at the MDCH Immunization staff meetings and trainings, and accreditation visits made in other areas of the state. Department Requirements 1. As financially feasible, provide necessary adjunct clerical services to the Immunization Field Representatives for the duplicating/printing of materials and the packaging and distribution of these materials. 2. Provide program direction and definition of Immunization Field Service Representative responsibilities. IMMUNIZATION VFC PROVIDER SITE VISIT SPECIAL REQUIREMENTS Budget and Agreement Requirements The rate of reimbursement is $150 per site visit, not to exceed the maximum set for each individual Contractor. Contractor Requirements 1. The goal is to visit each recipient of state-supplied and federally funded vaccine at least once every three years. More frequent visits are preferred. The minimum number of site visits to be performed each calendar year by each Contractor is: 20 for Contractors with more than 20 providers receiving federally funded vaccine and at least 80% of the total provider sites within jurisdictions with 20 or fewer providers receiving vaccine from the Contractor. 2. The format of the site visit will be based on the site visit questionnaire distributed at the most recent Fall IAP meeting and the guidance provided by the department. Completed site visit questionnaires will be submitted to the MDCH/Immunization Program on a continuous basis. 3. Data from the MDCH/Immunization Program regarding the number of site visits will be used to reconcile the request for reimbursement. The minimum number of site visits must be completed by March 31 to MDCH/CMS 6/03 Page 30 of 57 ATTACHMENT III qualify. For additional detail on the program requirements, refer to the Resource Book for VFC Providers and other guidance provided by the MDCH/Immunization Program in correspondence to Immunization Action Plan (IAP) and Immunization Coordinators. Department Requirements 1. The Department will provide payment annually based upon the fixed unit rate reimbursement mechanism upon completion and submission of the questionnaires. IMMUNIZATION — NURSE TRAINING REIMBURSEMENT SPECIAL REQUIREMENTS Budget and Agreement Requirements The rate of reimbursement is $100 per training session per day to the Contractor, upon completion and submission of Provider Contracts and Report Forms. Reimbursement can only be made for one training session per physician clinic site per year. Contractor Requirements 1. Ensure that all Immunization Nurse Educators are trained as required by the Department. 2. Ensure that the Provider Contract and Report Form is complete and submitted to MDCH/Immunization Program within 5 days after the presentation. Department Requirements The Department will provide payment annually based upon the fixed unit rate reimbursement mechanism upon completion and submission of the Provider Contracts and Report Forms. INFORMED CONSENT Contractor Requirements The following requirements apply to all local health departments, whether the health department operates a Family Planning Clinic or not: 1. When a woman states that she is seeking an abortion and is requesting services for that purpose the Contractor will provide: A pregnancy test with a determination of the probable gestational stage of a confirmed pregnancy. Note: The contractor must destroy the individual "informed consent" files containing identifying information (Name, Address, etc.) after 30 days. 2. When a woman seeks a pregnancy test and does not explicitly state that she is doing so for the purpose of obtaining an abortion, she should be directed to a family planning clinic or to her primary care provider for a pregnancy test. Services to comply with PA 345 of 2000 should not be provided to a woman in a Title X funded family planning clinic. Department Requirements The Department will provide funding, at the fixed rate of $50 per woman served, for each woman that expressly states that she is seeking a pregnancy test or confirmation of a pregnancy for the purpose of obtaining an abortion and is provided the services noted in item 1 above. The number of services, rate per service and total amount due must be noted as a funding source, under the element where the staff providing the services are funded, on the Comprehensive FSR. LABORATORY SERVICES SPECIAL REQUIREMENTS - DETROIT CITY Contractor Specific Requirements 1. Meet established standards of performance and objectives in the following areas: A. Perform testing for detection of foodbome disease outbreaks as specified in items 5 and 6. Perform HIV diagnostic testing using a test designated by the Department. Perform test for diagnosis of gonorrhea and chlamydia using commercial nucleic Acid Amplification Test for family planning clinic clients and other special populations designed by the Department. MDCH/CMS 6/03 Page 31 of 57 ATTACHMENT III B. Utilize standardized testing procedures, standards of quality assurance and quality control approved by the Department laboratory director. Assist the Department in Quality Assurance Assessment semi-annually or as determined by the Department (including test and report turn- around times, indeterminate rate). C. Maintain Clinical Laboratory Improvement Amendments of 1988 certification for high complexity testing. D. Test gonorrhea and chlamydia specimens from approved agencies within 1 working day of receipt of specimen. Perform HIV-1/2 screening tests for diagnostic specimens within one work day of receipt of specimen. Perform HIV-1 confirmatory tests for diagnostic specimens within three days of screening assay positive. Submit specimens for HIV-2 testing to Department within one day of HIV-1 testing completion. Establish Quality Assurance Monitor to investigate and correct situations when HIV testing is not complete within 10 working days. E. Send laboratory test reports to submitters within 1 day of completing testing via a system of delivery at least as expedient as the US Postal Service. Establish and maintain confidential fax for HIV-2 reports and other laboratory reports from Department laboratory. F. Establish testing personnel training program and maintain documentation of training of all testing personnel. G. Establish submission procedures for designated agencies/physicians for the timely transport of appropriate specimens to the laboratory. H. Maintain an adequate inventory of test kits and reagents purchased by the Department. Communicate shipment needs to manufacturer's representative if shipments supplementary to the routine shipments are needed. I. Make one FTE available to participate in training and exercises associated with Bioterrorism (BT); Train additional staff to perform Level A & B procedures. Maintain competency and proficiency for testing procedures described in LRN protocols. Temporarily reassign one FTE to MDCH or another Level B laboratory as surge capacity for emergency situations, if needed. Develop a plan to provide laboratory services 24 hours a day, seven days a week for a BT event. Provide secure facilities to store reagents, quality control organisms, and patient isolates. 2. Purchase and maintain adequate inventories of any supplies needed for testing and reporting, not specifically supplied by the Department in this agreement. 3. Provide the Bureau of Epidemiology, HIV/AIDS-STD Division and Bureau of Laboratories records and reports as required. For all testing services performed under contract by the Contractor for MDCH (e.g., HIV, foodborne disease, chlamydia, gonorrhea, BT, etc), all specimen submission data and reporting data will be entered and reported using EPIC software. The Contractor will designate one staff member as a liaison to the Bureau of Laboratories. Each Contractor must designate appropriate staff to take part in EPIC training activities. Training and purchase of modules for EPIC other than those modules provided by MDCH will be the responsibility of the Contractor. The Contractor is responsible for modules not directly related to testing performed under this agreement with the Bureau of Laboratories - Initial Purchase Price (paid to MDCH) - Monthly maintenance fees (paid to MDCH) - Use of modules purchased by an Contractor will be restricted to the Contractor purchasing the Module - Use of modules purchased by one Contractor can be negotiated (formulas for payment will be based upon the percentage of total specimens entered into the module). Modules purchased by any Contractor will become available to any participating Contractor at no cost after five years. However, each Contractor using the module will share in the maintenance fees. MDCH/CMS 6/03 Page 32 of 57 ATTACHMENT III 4. amplification specimens for chlamydia/gonorrhea will be performed. 5. Provide laboratory support (examination of food specimens) to investigate up to 12 foodborne disease outbreaks. Laboratory support includes providing test reports and food samples to the Bureau of Laboratories. Specimens will be processed within 36 hours of collection, except fish which will be processed within 6 hours of collection. 6. Provide laboratory support for examination of up to 100 stool specimens associated with foodborne disease outbreaks. Specimens will be processed within one hour of receipt if not in preservative or 24 hours if preserved. Department Requirements 1. Reimburse the Contractor for the examination of specimens related to foodborne disease outbreaks to the extent outlined in Items 5 & 6 above. Reimburse the Contractor at the fixed unit rate for each swab specimen and for each urine specimen for diagnosis of gonorrhea and chlamydia using a nucleic acid amplification assay. Reimburse the Contractor for performing HIV Diagnostic Testing. 2. Notification and explicit instruction for stop and start days to Contractor laboratory regarding this contractual arrangement prior to its implementation. 3. The Department will provide access to EPIC, support for EPIC hardware (UNIX server) and software, support and maintenance for one computer and one laser printer (excluding consumable supplies), user training for EPIC modules utilized for testing performed under contract, advanced training for EPIC liaisons for test master and Contractor specific data base support, and support for network communications between the Contractor and the EPIC server. The Department will maintain the sole contract with EPIC. Payment for additional modules and maintenance fees for those modules will be paid for by the Contractor(s) through MDCH. Tape backups and maintenance of all modules will be performed by MDCH staff. 4. Purchase and arrange for shipment of test kits and reagents from manufacturer. 5. Purchase specimen collection kits. Ship collection kits to designated agencies/physician submitters. Monitor specimen collection kit utilization. 6. Analyze data from reports submitted from Contractor. Supply timely feedback of statistical analysis and other data related to on-going program activities. 7. Assist in technical training of testing personnel and computer software utilization. 8. Provide technical consultation and assistance with program activities. Perform Quality Assurance Assessment for HIV testing semi-annually. 9. Supply Contractor with a copy of the contracts associated with this program. 10. Monitor monthly utilization reports. 11. Provide reagents and culture media for food and stool specimen examination related to foodborne disease outbreaks. The Department will provide funding for one FTE and provide training at MDCH for up to two individuals in Level A and Level B procedures. The Department will provide access to LRN protocols on a secure website and funding for supplies used to train for or to handle a potential BT event. The Department will provide proficiency testing materials on a semi-annual basis and funding for equipment necessary to perform Level B protocols. LABORATORY SERVICES SPECIAL REQUIREMENTS - KALAMAZOO COUNTY Contractor Specific Requirements 1. Meet established standards of performance and objectives in the following areas: MDCH/CMS 6/03 Page 33 of 57 ATTACHMENT III A. Perform tests for diagnosis of gonorrhea and chlamydia infections using a commercial nucleic acid amplification assay and perform testing for detection of foodborne disease outbreaks as specified in items 5 and 6. B. Utilize standardized testing procedures approved by the laboratory director and standards of quality assurance and quality control. Assist Department in quality assurance assessment of testing annually or as determined by Department. C. Maintain Clinical Laboratory Improvement Amendments of 1988 certification for high complexity testing. D. Test gonorrhea and chlamydia specimens from approved agencies/physicians within 1 working day of receipt of specimen. E. Send laboratory test reports to submitters within 1 day of completing testing via a system of delivery at least as expedient as the US Postal Service. F. Establish testing personnel training program and maintain documentation of training of all testing personnel. G. Establish submission procedures for designated agencies/physicians for the timely transport of appropriate specimens to the laboratory. H. Maintain an adequate inventory of test kits and reagents purchased by the Department. Communicate shipment needs to manufacturer's representative if shipments supplementary to the routine shipments are needed. Make one FTE available to participate in training and exercises associated with Bioterrorism (BT). Train additional staff to perform Level A & B procedures. Maintain competency and proficiency for testing procedures described in the LRN protocols. Temporarily reassign one FTE to MDCH or another Level B laboratory as surge capacity for emergency situations, if needed. Develop a plan to provide laboratory services 24 hours a day, seven days a week fora BT event. Provide secure facilities to store reagents, quality control organisms, and patient isolates. 2. Purchase and maintain adequate inventories of any supplies needed for testing and reporting, not specifically supplied by the Department in this agreement. 3. Provide the Bureau of Epidemiology, HIV/AIDS-STD Division and Bureau of Laboratories records and reports as required. For all testing services performed under contract by the Contractor for MDCH (e.g., HIV, foodborne disease, chlamydia, gonorrhea, BT, etc), all specimen submission data and reporting data will be entered and reported using EPIC software. The Contractor will designate one staff member as a liaison to the Bureau of Laboratories. Each Contractor must designate appropriate staff to take part in EPIC training activities. Training and purchase of modules for EPIC other than those modules provided by MDCH will be the responsibility of the Contractor. The Contractor is responsible for modules not directly related to testing performed under this agreement with the Bureau of Laboratories - - Initial Purchase Price (paid to MDCH) - Monthly maintenance fees (paid to MDCH) - Use of modules purchased by an Contractor will be restricted to the Contractor purchasing the module - Use of modules purchased by one Contractor can be negotiated (formulas for payment will be based upon the percentage of total specimens entered into the module). Modules purchased by any Contractor will become available to any participating Contractor at no cost after five years. However, each Contractor using the module will share in the maintenance fees. 4. Inform the Infectious Diseases Division by May 15, 20.04 if more than 11,428 nucleic acid amplification specimens will be performed. MDCH/CMS 6/03 Page 34 of 57 ATTACHMENT III 5. Provide laboratory support (examination of food specimens) to investigate up to 12 foodborne disease outbreaks. Laboratory support includes providing test reports and food samples to the Bureau of Laboratories. Specimens will be processed within 36 hours of collection, except fish which will be processed within 6 hours of collection. 6. Provide laboratory support for examination of up to 100 stool specimens associated with foodborne disease outbreaks. Specimens will be processed within one hour of receipt if not in preservative, or within 24 hours if preserved. 7. Administer the Region 3 in the Michigan Region Laboratory System. A. Provide a qualified (as defined by CL1A) Technical Consultant for their region. B. Technical Consultants will: 1. Assist the Laboratory Director in the administration of the operational needs of their region. 2. Meet with local personnel from health departments on a regular basis including onsite visits to major sites at least annually. 3. Act as a resource person to facilitate effective laboratory testing according to accepted procedures and quality assurance guidelines. 4. Supply the laboratory procedures to the local site and instruct personnel in their use. 5. Assist in planning and participate in training exercises related to Regional Laboratory procedures. 6. Review quality assurance procedures, quality control logs, assure adherence to adopted procedures and evaluate corrective actions. 7. Review and perform competency evaluations, as needed. 8. Review and collate internal proficiency testing results and report scores to submitting sites in a timely manner. C. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency regional laboratory, or nearest laboratory as determined by the Department. Department Requirements 1. Reimburse the Contractor for the examination of specimens related to foodborne disease outbreaks to the extent outlined in Items 5 & 6 above. Reimburse the Contractor at the fixed unit rate for each swab specimen and for each urine specimen for diagnosis of gonorrhea and chlamydia infections using a nucleic acid amplification assay. Reimburse the Contractor for administrative costs associated with operation of the CL1A umbrella certificate. 2. Notification and explicit instruction for stop and start days to Contractor laboratory regarding this contractual arrangement prior to its implementation. 3. The Department will provide access to EPIC, support for EPIC hardware (UNIX server) and software, support and maintenance for one computer and one laser printer (excluding consumable supplies), user training for EPIC modules utilized for testing performed under contract, advanced training for EPIC liaisons for test master and Contractor specific data base support, and support for network communications between the Contractor and the EPIC server. The Department will maintain the sole contract with EPIC. Payment for additional modules and maintenance fees for those modules will be paid for by the Contractor(s) through MDCH. Tape backups and maintenance of all modules will be performed by MDCH staff. 4. Purchase and arrange for shipment of test kits and reagents from manufacturer. MDCH/CMS 6/03 Page 35 of 57 ATTACHMENT III A. B. 5. Purchase specimen collection kits. Ship collection kits to designated agencies/physician submitters. Monitor specimen collection kit utilization. 6. Analyze data from reports submitted from Contractor. Supply timely feedback of statistical analysis and other data related to on-going program activities. 7. Assist in technical training of testing personnel and computer software utilization. 8. Provide technical consultation and assistance with program activities. 9. Supply Contractor with a copy of the contracts associated with this program. 10. Monitor monthly utilization reports. 11. Provide reagents and culture media for food and stool specimen examination related to foodborne disease outbreaks. 12. The Department will provide funding for one FTE and provide training at MDCH for up to two individuals in Level A and Level B procedures. The Department will provide access to LRN protocols on a secure website and funding for supplies used to train for or to handle a potential BT event. The Department will provide proficiency testing materials on a semi-annual basis and funding for equipment necessary to perform Level B protocols. 13. Michigan Department of Community Health (MDCH): Designate and assign personnel who meets the qualifications required as a high complexity laboratory director in CLIA '88. Laboratory Directors will: 1. Sign the appropriate CMS paperwork for CLIA certification for their region as needed. 2. Visit Agency Laboratory at least twice a year and participate in annual site coordinator's meeting. 3. Be available for consultation to the Agency laboratory by telephone, email, and other communication methods. 4. Provide laboratory guidelines, testing procedures, quality control methods and quality assurance in accordance with CLIA requirements. 5. Review Quality Assurance program with attention to effective quality control activity and corrective action. 6. Review and perform, as needed competency evaluations. 7. Review external proficiency testing results in a timely manner 8. Review and sign procedure manual(s) annually, and any new procedure prior to its • implementation. C. Notify Agency of funding changes for state supported testing initiatives D. Provide training for state-funded initiatives. E. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency laboratory, or nearest Regional laboratory as determined by the Department. LABORATORY SERVICES SPECIAL REQUIREMENTS - KENT COUNTY Contractor Specific Requirements 1. Meet established standards of performance and objectives in the following areas: A. Perform tests for diagnosis of gonorrhea and chlamydia infections using a commercial assay, perform testing for detection of foodborne disease outbreaks as specified in items 5 and 6, and MDCH/CMS 6/03 Page 36 of 57 ATTACHMENT III perform tests for diagnosis of HIV infection using a test designated by the Bureau of Laboratories, and perform tests for epidemiological assessment of HIV incidence as specified in item 7. B. Utilize standardized testing procedures, standards of quality assurance and quality control approved by the laboratory director. Assist Department in quality assurance assessment of testing semi-annually or as determined by the Department (including test and report turn-around times, indeterminate rate). C. Maintain Clinical Laboratory Improvement Amendments of 1988 certification for high complexity testing. D. Test gonorrhea and chlamydia specimens from approved agencies/physicians within one working day of receipt of specimen. Perform HIV-1/2 screening tests within one work day of receipt of specimen. Perform HIV confirmatory test within three days of screening assay positive results. Submit specimens for HIV-1 testing to Department within one day of HIV-1 testing completion. Establish Quality Assurance Monitor to investigate correct situations when HIV testing is not completed within 10 working days. E. Send laboratory test reports to submitters within one day of completing testing via a system of delivery at least as expedient as the US Postal Service. Establish and maintain confidential fax for HIV-2 and other laboratory reports from Department. F. Establish testing personnel training program and maintain documentation of training of all testing personnel. Arrange on-site training of personnel with test kit manufacturer's representative. G. Establish submission procedures for designated agencies/physicians for the timely transport of appropriate specimens to the laboratory. H. Maintain an adequate inventory of test kits and reagents purchased by the Department. Communicate shipment needs to manufacturer's representative if shipments supplementary to the routine shipments are needed. Make one FTE available to participate in training and exercises associated with Bioterrorism (BT). Train additional staff to perform Level A & B procedures. Maintain competency and proficiency for testing procedures described in the LRN protocols. Temporarily reassign one FTE to MDCH to another Level B laboratory as surge capacity for emergency situations, if needed. Develop a plan to provide laboratory services 24 hours a day, seven days a week for a BT event. Provide secure facilities to store reagents, quality control organisms, and patient isolates. 2. Purchase and maintain adequate inventories of any supplies needed for testing and reporting, not specifically supplied by the Department in this agreement. 3. Provide the Bureau of Laboratories, the Bureau of Epidemiology, and the Divisions of HIV-AIDS/STD records and reports as required. For all testing services performed under contract by the Contractor for MDCH (e.g., HIV, foodborne disease, chlamydia, gonorrhea, BT, etc), all specimen submission data and reporting data will be entered and reported using EPIC software. The Contractor will designate one staff member as a liaison to the Bureau of Laboratories. Each Contractor must designate appropriate staff to take part in EPIC training activities. Training and purchase of modules for EPIC other than those modules provided by MDCH will be the responsibility of the Contractor. The Contractor is responsible for modules not directly related to testing performed under this agreement with the Bureau of Laboratories - - Initial Purchase Price (paid to MDCH) - Monthly maintenance fees (paid to MDCH) MDCH/CMS 6/03 Page 37 of 57 ATTACHMENT III - Use of modules purchased by a Contractor will be restricted to the Contractor purchasing the module - Use of modules purchased by one Contractor can be negotiated (formulas for payment will be based upon the percentage of total specimens entered into the module). Modules purchased by any Contractor will become available to any participating Contractor at no cost after five years. However, each Contractor using the module will share in the maintenance fees. 4. Inform the Infectious Diseases Division by May 15, 2004, if more than 16,258 Nucleic Acid Amplification specimens will be performed. 5. Provide laboratory support (examination of food specimens) to investigate up to 12 foodborne disease outbreaks. Laboratory support includes providing test reports and food samples to the Bureau of Laboratories. Specimens will be processed within 36 hours of collection, except fish, which will be processed within 6 hours of collection. 6. Provide laboratory support for examination of up to 100 stool specimens associated with foodborne disease outbreaks. Specimens will be processed within one hour of receipt if not in preservative or within 24 hours if preserved. 7. Perform tests for epidemiological assessment of HIV incidence rates using a test designated by the Bureau of Laboratories. A. Utilize testing procedures, standards of quality assurance and quality control approved by the Centers for Disease Control and Prevention and the laboratory director. B. Test monthly up to 1,400 serum specimens previously tested by standard HIV diagnostic methods. Specimens to be tested will be determined by Bureau of Epidemiology or out-of-state public health agencies. C. Submit testing results and demographic information as designated by the Bureau of Epidemiology (weekly/monthly) electronically in a format compatible with Bureau of Epidemiology database. D. Hire and train two medical technologists/microbiologists and one laboratory technician to perform testing, quality control and quality assurance, enter demographic data and prepare electronic result transmission. Participate in training or meetings to be determined by the Bureau of Laboratories. E. Arrange for equipment shipment, installation and training as described in the approved methods. F. Coordinate and pay for shipment of specimens from laboratory of initial diagnosis. G. Purchase and maintain adequate inventory of test kits, supplies, and materials needed for testing and reporting. 8. Administer the Region 4 in the Michigan Region Laboratory System. A. Provide a qualified (as defined by CLIA) Technical Consultant for the region. B. Technical Consultants will: 1. Assist the Laboratory Director in administration of the operational needs of their region. 2. Meet with the local personnel from health departments on a regular basis including onsite visits to major sites at least annually. 3. Act as a resource person to facilitate effective laboratory testing according to accepted procedures and quality assurance guidelines. MDCH/CMS 6/03 Page 38 of 57 ATTACHMENT III 4. Supply the laboratory procedures to the local site and instruct personnel in their use. 5. Assist in planning and participate in training exercises related to Regional Laboratory procedures. 6. Review quality assurance procedures, quality control logs, assure adherence to adopted procedures and evaluate corrective actions. 7. Review and perform competency evaluations as needed. 8. Review and collate internal proficiency testing results and report scores to submitting sites in a timely manner. C. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency regional laboratory, or nearest laboratory as determined by the Department. Department Requirements 1. Reimburse the Contractor for the examination of specimens related to foodborne disease outbreaks to the extent outlined in items 5 & 6 above. Reimburse the Contractor at the fixed rate for each swab specimen and for each urine specimen for diagnosis of gonorrhea and chiamydia infection using a commercial nucleic acid assay. Reimburse Contractor for administrative costs associated with operation of the CLIA umbrella certification. 2. Notification and explicit instruction for stop and start days to Contractor laboratory regarding this contractual arrangement prior to its implementation. 3. The Department will provide access to EPIC, support for EPIC hardware (UNIX server) and software, support and maintenance for one computer and one laser printer (excluding consumable supplies), user training for EPIC modules utilized for testing performed under contract, advanced training for EPIC liaisons for test master and Contractor specific data base support, and support for network communications between the Contractor and the EPIC server. The Department will maintain the sole contract with EPIC. Payment for additional modules and maintenance fees for those modules will be paid for by the Contractor(s) through MDCH. Tape backups and maintenance of all modules will be performed by MDCH staff. 4. Purchase and arrange for shipment of test kits and reagents from manufacturer as outlined in items 1, 5 and 6. 5. Purchase specimen collection kits for diagnostic testing. Ship collection kits to designated agencies/physician submitters. Monitor specimen collection kit utilization. 6. Analyze data from reports submitted from Contractor. Supply timely feedback of statistical analysis and other data related to on-going program activities. 7. Assist in technical training of testing personnel and computer software utilization. 8. Provide technical consultation and assistance with program activities. Perform Quality Assurance Assessment for HIV testing semi-annually. 9. Supply Contractor with a copy of the contracts associated with this program. 10. Monitor monthly utilization reports. 11. Provide reagents and culture media for food and stool specimen examination related to foodborne disease outbreaks. 12. The Department will provide funding for one FTE and provide training at MDCH for up to two individuals in Level A and Level B procedures. The Department will provide access to LRN protocols on a secure website and funding for supplies used to train for or to handle a potential BT event. The Department will provide proficiency testing materials on a semi-annual basis and funding for equipment necessary to perform Level B protocols. MDCH/CMS 6/03 Page 39 of 57 ATTACHMENT III 13. Michigan Department of Community Health (MDCH): A. Designate and assign personnel who meet the qualifications required as a high complexity laboratory director in CLIA '88. B. Laboratory Directors will: 1. Sign the appropriate CMS paperwork for CLIA certification for their region as needed. 2. Visit Agency Laboratory at least twice a year and participate in annual site coordinator's meeting. 3. Be available for consultation to the Agency laboratory by telephone, email, and other communication methods. 4. Provide laboratory guidelines, testing procedures, quality control methods and quality assurance in accordance with CLIA requirements. 5. Review Quality Assurance program with attention to effective quality control activity and corrective action. 6. Review and perform, as needed competency evaluations. 7. Review external proficiency testing results in a timely manner. 8. Review and sign procedure manual(s) annually, and any new procedure prior to its implementation. C. Notify Agency of funding changes for state supported testing initiatives D. Provide training for state-funded initiatives. E. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency laboratory, or nearest Regional laboratory as determined by the Department. LABORATORY SERVICES SPECIAL REQUIREMENTS - SAGINAW COUNTY Contractor Specific Requirements 1. Meet established standards of performance and objectives in the following areas: A. Perform tests for diagnosis of gonorrhea and chlamydia infections using a commercial nucleic acid amplification assay and perform testing for detection of foodborne disease outbreaks as specified in items 5 and 6. B. Utilize standardized testing procedures approved by the laboratory director and standards of quality assurance and quality control. Assist Department in quality assurance assessments of testing annually or as determined by Department. C. Maintain Clinical Laboratory Improvement Amendments of 1988 certification for high complexity testing. D. Test gonorrhea and chlamydia specimens from approved agencies/physicians within 1 working day of receipt of specimen. E. Send laboratory test reports to submitters within 1 day of completing testing via a system of delivery at least as expedient as the US Postal Service. F. Establish testing personnel training program and maintain documentation of training of all testing personnel. MDCH/CMS 6/03 Page 40 of 57 ATTACHMENT III G. Establish submission procedures for designated agencies/physicians for the timely transport of appropriate specimens to the laboratory. H. Maintain an adequate inventory of test kits and reagents purchased by the Department. Communicate shipment needs to manufacturer's representative if shipments supplementary to the routine shipments are needed. Make one FTE available to participate in training and exercises associated with Bioterrorism (BT). Train additional staff to perform Level A & B procedures. Maintain competency and proficiency for testing procedures described in the LRN protocols. Temporarily reassign one FTE to MDCH or another Level B laboratory as surge capacity for emergency situations, if needed. Develop a plan to provide laboratory services 24 hours a day, seven days a week for a BT event. Provide secure facilities to store reagents, quality control organisms, and patient isolates. 2. Purchase and maintain adequate inventories of any supplies needed for testing and reporting, not specifically supplied by the Department in this agreement. 3. Provide the Bureau of Epidemiology, HIV/AIDS-STD Division and Bureau of Laboratories records and reports as required. For all testing services performed under contract by the Contractor for MDCH (e.g., HIV, foodborne disease, chlamydia, gonorrhea, BT, etc), all specimen submission data and reporting data will be entered and reported using EPIC software. The Contractor will designate one staff member as a liaison to the Bureau of Laboratories. Each Contractor must designate appropriate staff to take part in EPIC training activities. Training and purchase of modules for EPIC other than those modules provided by MDCH will be the responsibility of the Contractor. The Contractor is responsible for modules not directly related to testing performed under this agreement with the Bureau of Laboratories - - Initial Purchase Price (paid to MDCH) - Monthly maintenance fees (paid to MDCH) - Use of modules purchased by a Contractor will be restricted to the Contractor purchasing the module - Use of modules purchased by one Contractor can be negotiated (formulas for payment will be based upon the percentage of total specimens entered into the module). Modules purchased by any Contractor will become available to any participating Contractor at no cost after five years. However, each Contractor using the module will share in the maintenance fees. 4. Inform the Infectious Diseases Division by May 15, 2004 if more 14,859 nucleic acid amplification specimens will be performed. 5. Provide laboratory support (examination of food specimens) to investigate up to 12 foodborne disease outbreaks. Laboratory support includes providing test reports and food samples to the Bureau of Laboratories. Specimens will be processed within 36 hours of collection, except fish, which will be processed within 6 hours of collection. 6. Provide laboratory support for examination of up to 100 stool specimens associated with foodborne disease outbreaks. Specimens will be processed within one hour of receipt if not in preservative or within 24 hours if preserved. 7. Administer the Region 2 in the Michigan Laboratory System. A. Provide a qualified (as defined by CLIA) Technical Consultant for the region. B. Technical Consultant will: 1. Assist the Laboratory Director in the administration of the operational needs of their region. MDCH/CMS 6/03 Page 41 of 57 ATTACHMENT III 2. Meet with local personnel from health departments on a regular basis including onsite visits to major sites at least annually. 3. Act as a resource person to facilitate effective laboratory testing according to accepted procedures and quality assurance guidelines. 4. Supply the laboratory procedures to the local site and instruct personnel in their use. 5. Assist in planning and participate in training exercises related to Regional Laboratory procedures. 6. Review quality assurance procedures, quality control logs, assure adherence to adopted procedures and evaluate corrective actions. 7. Review and perform competency evaluations, as needed. 8. Review and collate internal proficiency testing results and report scores to submitting sites in a timely manner. C. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency regional laboratory, or nearest laboratory as determined by the Department. Department Requirements 1. Reimburse the Contractor for the examination of specimens related to foodborne disease outbreaks to the extent outlined in Items 5 & 6 above. Reimburse the Contractor at the fixed unit rate for each swab specimen and for each urine specimen for diagnosis of gonorrhea and chlamydia infections using a nucleic acid amplification assay. Reimburse the Contractor for administrative costs associated with operation of the CL1A umbrella certificate. 2. Notification and explicit instruction for stop and start days to Contractor laboratory regarding this contractual arrangement prior to its implementation. 3. The Department will provide access to EPIC, support for EPIC hardware (UNIX server) and software, support and maintenance for one computer and one laser printer (excluding consumable supplies), user training for EPIC modules utilized for testing performed under contract, advanced training for EPIC liaisons for test master and Contractor specific data base support, and support for network communications between the Contractor and the EPIC server. The Department will maintain the sole contract with EPIC. Payment for additional modules and maintenance fees for those modules will be paid for by the Contractor(s) through MDCH. Tape backups and maintenance of all modules will be performed by MDCH staff. 4. Purchase and arrange for shipment of test kits and reagents from manufacturer. 5. Purchase specimen collection kits. Ship collection kits to designated agencies/physician submitters. Monitor specimen collection kit utilization. 6. Analyze data from reports submitted from Contractor. Supply timely feedback of statistical analysis and other data related to on-going program activities. 7. Assist in technical training of testing personnel and computer software utilization. 8. Provide technical consultation and assistance with program activities. 9. Supply Contractor with a copy of the contracts associated with this program. 10. Monitor monthly utilization reports. 11. Provide reagents and culture media for food and stool specimen examination related to foodborne disease outbreaks. 12. The Department will provide funding for one FTE and provide training at MDCH for up to two individuals in Level A and Level B procedures. The Department will provide access to LRN protocols on a secure website and funding for supplies used to train for or to handle a potential BT MDCH/CMS 6103 Page 42 of 57 ATTACHMENT III event. The Department will provide proficiency testing materials on a semi-annual basis and funding for equipment necessary to perform Level B protocols. 13. Michigan Department of Community Health (MDCH): A. Designate and assign personnel who meet the qualifications required as a high complexity laboratory director in CLIA '88. B. Laboratory Directors will: 1. Sign the appropriate CMS paperwork for CLIA certification for their region as needed. 2. Visit Agency Laboratory at least twice a year and participate in annual site coordinator's meeting. 3. Be available for consultation to the Agency laboratory by telephone, email, and other communication methods. 4. Provide laboratory guidelines, testing procedures, quality control methods and quality assurance in accordance with CLIA requirements. 5. Review Quality Assurance program with attention to effective quality control activity and corrective action. 6. Review and perform, as needed competency evaluations. 7. Review external proficiency testing results in a timely manner. 8. Review and sign procedure manual(s) annually, and any new procedure prior to its implementation. C. Notify Agency of funding changes for state supported testing initiatives D. Provide training for state-funded initiatives. E. Provide information on specimen submission to local health jurisdictions to assure that specimens are submitted to Agency laboratory, or nearest Regional laboratory as determined by the Department. LEAD HAZARD REMED1ATION PROGRAM SPECIAL REQUIREMENTS Contractor Requirements Provide lead-based paint hazard control activities for eligible families residing in high-risk homes containing lead-based paint. Lead Hazard Remediation Program (LHRP) requirements are divided into the following categories: 1) Education and Outreach; 2) Identification of Candidate Housing Units; 3) Lead Hazard Control Activities; 4) Follow-up Activities; and 5) Post Remediation Client Surveys and Data Collection. These procedures are to be adhered to and should not be interpreted to be inclusive of all present and future program requirements. 1. Education and Outreach It is expected that each county will provide a minimum of 2 local presentations on lead poisoning paint issues per year. A. Develop new partnerships with other affiliated housing and non-profit agencies in the jurisdiction. - B. Assist LHRP in identifying and accessing private sector funding mechanisms for lead hazard control activities. C. Obtain and provide information on Healthy Homes issues. MDCH/CMS 6/03 Page 43 of 57 ATTACHMENT D. Conduct local education and outreach activities targeting remodelers, renovators, maintenance personnel, painters, rental property owners, and other segments of the population. E. Plan and implement local activities for Michigan's Lead Poisoning Prevention Week education campaign. F. Act as a local lead information liaison with Michigan State Housing Development Authority, local housing authorities, housing rehabilitation organizations, and rental property owners; especially regarding HUD 24 CFR part 35 requirements. G. Attend regularly scheduled Subgrantee meetings. 2. Identification of Candidate Housing Units A. Per the Lead Abatement Act, perform combination Lead Inspection/Risk Assessment to identify all present and potential lead-based paint hazards and document accordingly. Use this information to develop abatement specifications. B. Follow HUD Policy and Procedures Field Guide. C. Assist in lead hazard control activities. This includes field investigations, working with families (serve as household liaison for lead hazard control activities), and verifying program requirements. Submit to LHRP accurate and complete documentation on each unit. Field investigation reports must include digital photos of lead hazards found within the interior and exterior of the unit. D. Obtain and verify blood levels of children residing in units. E. Collaborate with local housing rehabilitation organizations, if necessary. F. Address historic preservation issues, if necessary. 3. Lead Hazard Control Activities A. Draft specifications in conjunction with the homeowner. The specification report should include all lead hazard control activities which are required to make the residence a lead-safe home using the most cost-effective measures. The specification report will also document the lead hazard control activities that are to be performed. B. Perform pre-bid walk-through on units. C. Process bid documents and addendums and provide to LHRP office. D. Ensure home and families are prepared for lead-hazard control activities. E. If necessary, assist the residents of the home in arranging for temporary lodging while lead hazard control work is being completed. F. Participates in project oversight. Spend a minimum of 50% of time for on-site supervision of lead abatement contractors that are new to the program in your county and 25% of time for on-site supervision of lead abatement contractors that are established within your county during lead hazard control work for each project to ensure that work is being done according to project specifications and in compliance with LHRP work standards. Documentation of oversight hours is required by LHRP. 4. Follow-up Activities A. Conduct a visual inspection and obtain clearance dust wipe samples of all work areas according to LHRP protocol and submit for analysis to MDCH Lead Laboratory. B. Upon achieving appropriate clearance sample levels, document the unit is ready to be re- occupied, and contact the residents and abatement contractor. MDCH/CMS 6/03 Page 44 of 57 ATTACHMENT III C. Develop a lead-based paint hazard control activities performance report and closeout documentation for submission to LHRP within 30 days of completion of work. D. Conduct a 6-month follow-up which includes a visual and dust wipes of all work areas. Address any contractor warranty issues. E. Conduct a 14-month visual certification to address contractor warranty issues. F. Perform proper maintenance on the XRF unit. 5. Post-Remediation Client Surveys and Data Collection A. Assist LHRP in monitoring the quality and cost effectiveness of lead hazard control projects. B. Assist LHRP in implementation of the Client Satisfaction Survey. C. Conduct ongoing data collection and quarterly reporting to LHRP. Budaet and Agreement Requirements As an established contractor (a contractor who has been awarded a Lead-Based Paint Hazard Control Grant before) agree to coordinate lead-based paint hazard control activities in approximately 35 homes for the period. Additionally, all contractors are required to appoint a full-time equivalent individual to provide all program requirements as stated in this contract. The contractor will provide a quarterly report in accordance with format and instructions from LHRP. The report must be submitted by the fifteenth of the month following the end of each quarter. In addition, monthly reports must be electronically submitted to LHRP prior to sub-grantee meetings. Reference Documents The following reference documents are essential to performing the stated requirements in this contract: LHRP quarterly report guidance HUD policy and procedure field guide CMI policy and procedure field guide HUD 2000 Grant Proposal Lead Abatement Act and corresponding rules XRF Performance Characteristics Sheets Lead Hazard Remediation Project Procession and accompanying MDCH form LOCAL CHILDREN'S SPECIAL HEALTH CARE SERVICES (CSHCS) AND MATERNAL AND CHILD HEALTH (MCH) PROGRAM SPECIAL REQUIREMENTS General Performance Requirements For fiscal year 2003, there are two separate components for the Local CSHCS and MCH Programs, those being: 1) Local CSHCS Outreach and Advocacy and 2) Local MCH. A separate allocation for each of these components is made to each local health department in Michigan. It is still necessary that the specific funds designated for each component be used to address the general purposes for which they are appropriated. 1. CSHCS OUTREACH AND ADVOCACY REQUIREMENTS For detailed instructions, general and performance requirements see "CSHCS Outreach and Advocacy" beginning on page 16 of this document. 2. LOCAL MATERNAL AND CHILD HEALTH Local MCH funds are intended to be flexible and available to local health departments to address locally identified needs related to the health of women and children in their jurisdictions. It is expected that each local health department will use a defined needs assessment process to determine and identify its MCH needs. MDCH/CMS 6/03 Page 45 of 57 ATTACHMENT III In addition, local health departments are asked to examine, (to the extent data is available) their status on each of 27 MCH related indicators. Eighteen of these indicators have been established by the MCH Bureau (MCHB) of the federal Department of Health and Human Services as mandated reporting requirements for all states. An additional 9 indicators have been selected as optional State indicators by MDCH for annual monitoring and reporting. It is important that local jurisdictions review these performance measures and assure that efforts are being made where there is significant negative variation from stated HP 2000 (or 2010 goals) or from State averages. It is left to local health departments to determine how Local MCH funds are to be used to address MCH needs. Contractor Requirements 1. Submit a Local Maternal and Child Health Community Plan for use of the funds allocated for Local MCH Programs. CSHCS Outreach and Advocacy Funds related to CSHCS outreach and advocacy shall be labeled as such under a column of the CPBC budget. These funds are restricted for use by the CSHCS local office at the local health department. Local MCH - Local MCH (previously M&IC and Local MCH funds) - funds are to be budgeted as a funding source under any appropriate program element(s) (i.e., CSHCS Outreach & Advocacy, Child Health, Family Planning, Immunization, Maternal & Infant Support, Healthy Kids Outreach & Advocacy, Oral Health, Prenatal Care Clinic Services and Primary Care). This funding source cannot be used under the WIC element except in extreme circumstances where a waiver is requested in advance of the expenditures and evidence is provided that the expenditures satisfy all funding requirements. Local MCH funds used to provide health care services (except Family Planning) to non-pregnant women should be budgeted under Primary Care. If funds are to be used for a program other than those outlined above, local health departments are asked to consult with the Division of Family and Community Health. Local MCH funds may not be used to supplant available/billable program income such as Medicaid fees or additional funding under the Medicaid Cost-Based Reimbursement process. Local effort for program elements supported by Local MCH funds must not be reduced in instances in which added Medicaid has been generated through enhanced collection of Medicaid fees and/or funding under the Medicaid Cost-Based Reimbursement process. LOCAL PUBLIC HEALTH OPERATIONS (LPHO) SPECIAL REQUIREMENTS Budget and Agreement Requirements 1. State funding for LPHO shall support and the agency shall provide for all of the following required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as amended, Part 24 and Act No. 336, of 1998 Section 909. Drinking Water Supply* Immunization Food Service Sanitation On-Site Sewage Treatment Management* General Communicable Disease Control Sexually Transmitted Disease Hearing Vision State funding for LPHO can support administrative cost for the eight required services including allowable indirect cost, or an agency's cost allocation plan. (*Services funded under a separate agreement with the Michigan Department of Environmental Quality.) 2. LPHO funding can also be used to fund other core health functions including: Community Health Assessment & Improvement, Public Policy Development, Health Services Administration, -Quality Assurance, Creating & Maintaining a Competent Work Force and Local Public Health Accreditation. These services could be budgeted separately as part of the Administrative Budget element. 3. Net allowable expenditures are the authorized actual/allowable expenditures (total costs less specified exclusions). Available funding is also limited by state appropriations. MDCH/CMS 6/03 Page 46 of 57 ATTACHMENT III 4. First and second party fees earned in each required service program may be used only in that required service program. 5. State LPHO funding is subject to local maintenance of effort compliance, in that full distribution of state LPHO funds shall only be made to agencies with total local general fund public health services spending in FY 99/00 of at least the amount expended in FY 92/93. To be eligible for any of the State funding increases from FY 94/95 through FY 99/00 the FY 92/93 Local Maintenance of Effort Level must be met. 6. A final statewide cost settlement will be performed to assure that all available LPHO funds are fully distributed and applied for required services. Contractor Requirements 1. Assure the availability and accessibility of services for the following basic health services: Prenatal Care; Immunizations; Communicable Disease Control; Venereal Disease Control; Tuberculosis Control; Health/Medical Annex of Emergency Preparedness Plan. 2. Fully comply with the Minimum Program Requirements for each of the required services. 3. Contractor will be held to accreditation standards and follow the accreditation process and schedule established by the Department for the required services to achieve full accreditation status. Agencies designated as "not accredited" may have their Department allocations reduced for Departmental costs incurred in the assurance of service delivery. The accreditation process is based upon the Minimum Program Standards and scheduled on a three-year cycle. The Minimum Program Standards include the majority of the required Department reviews. Some additional reviews, as mandated by the funding agency, may not be included in the Program Standards and may need to be scheduled at other times. Department Requirements 1. Whenever the Department delivers direct services within the Contractor's area, it shall give prior notification and provide summary reports of those activities upon the request of the local health officer. LOCAL TOBACCO REDUCTION SPECIAL REQUIREMENTS Budget and Agreement Requirements No funds may be expended for lobbying as defined in Act No. 472 of the Public Acts of 1978, being sections 4.411 to 4.431 of the Michigan Compiled Laws. Under this law, "lobbying, means communicating directly with an official in the executive branch of state government or an official in the legislative branch of state government for the purpose of influencing legislative or administrative action." Agency Requirements 1. Maintain a local tobacco reduction coalition to help mobilize community awareness and interest in addressing the problems of tobacco use. 2. Emphasize multi-cultural inclusiveness and outreach to diverse groups as appropriate within the community. 3. Undertake activities focusing on protecting non-smokers from secondhand smoke. 4. Prepare and implement an annual agency tobacco reduction work plan. 5. Submit triannual reports and other required program documentation to Tobacco Program Consultant on a timely basis. 6. Attend Department regional and statewide coalition coordinator training. MDCH/CMS 6/03 Page 47 of 57 ATTACHMENT III MICHIGAN ABSTINENCE PROGRAM (MAP) SPECIAL REQUIREMENTS —DISTRICT HEALTH DEPARTMENT #10 Contractor Requirements 1. Objectives A. The primary objectives under this agreement are outlined in the grant application submitted by the Contractor and on file at the Department with the MAP Community Health consultant at the Michigan Public Health Institute. 2. Conditions A. Will follow the criteria outlined in the current MDCH appropriation act governing abstinence education funding, and will work within the framework of the Michigan Abstinence Partnership (MAP) Program guidelines/requirements. B. No contraceptives may be distributed to minors and no safer sex message/information may be delivered within either state funding or the local matching dollars. C. The community selected abstinence education and parent education curricula must be prior approved by the MDCH/MAP to assure compliance with state and federal regulations. D. Funding 1. Funds will be released pending receipt/agreement of all required workplan revisions. E. Other Conditions 1. Project activities will comply with the abstinence education definition in Section 510 of Title V of the Social Security Act. 2. MDCH's appropriation boilerplate will be followed. 3. Federal funds will not be expended for sectarian instruction, worship, prayer or proselytization in project activities. If a grantee is a faith-based or religious organization and offers such activities, these activities shall be voluntary for the individuals receiving services and offered separately from MAP. 4. Any discussions of other forms of sexual conduct or provision of services will be conducted in a setting different from where and when the abstinence-only education is being conducted. 5. The Contractor will work with the MAP Evaluation consultant to develop effective evaluation tools including a required set of standardized questions to be supplied by MDCH/MAP. 3. Reimbursement Method The Contractor will be reimbursed in accordance with the performance reimbursement mechanism as follows: Must meet projected performance output measures in order to receive full reimbursement of costs (net of program income and other earmarked sources) as long as at least a 35% match (hard or soft) is met, up to the contracted amount of state funds. If performance falls short of the expectation, the state maximum allocation will be reduced equivalent to actual performance. Outputs are projected on designated MDCH form. 4. Submit the following reports as required: A. Prepared quarterly narrative Performance/Progress Reports. Unduplicated and duplicated counts must be submitted not later than fifteen (15) days after the close of each quarter. January 15, 2004, April 15, 2004, and July 15 2004. The year-end report, which includes both the last quarter and an annual summary is due October 30, 2004. Include a copy of the most recently submitted Financial Status Report (FSR). MDCH/CMS 6/03 Page 4B of 57 ATTACHMENT UI Submit to the Community Health Consultant at: Michigan Public Health Institute 2438 Woodlake Circle, Suite 240 Okemos, Michigan 48864 B. Final actual outputs are due no later than 120 days following the end of the fiscal year. Report on designated MDCH form. Submit to: MAP Coordinator Michigan Department of Community Health P.O. Box 30195 Lansing, Michigan 48909 MICHIGAN CHILDHOOD IMMUNIZATION REGISTRY (MCIR) REGIONAL SPECIAL REQUIREMENTS (Public Health Delta and Menominee Counties, District Health Department #10, Genesee County Health Department, Kalamazoo County Health Department, Mid-Michigan District Health Department, Muskegon County Health Department) Budget and Agreement Requirements None specified Contractor Requirements (Muskegon County Only) 1. Support the statewide scanner, fax server, and any other related systems that contain childhood immunization records. Collaborate with the scan form software support company, Teleform, on an as needed basis. 2. Provide ongoing development and technical assistance for statewide scan forms and Teleform software. 3. Provide data quality and data entry support staff for scan center services. 4. Provide monthly reports to regions and MDCH on doses entered per user. Contractor Requirements (All Others) 1. Conduct reminder/recall for all children in the Contractor's region that are not being recalled directly by a provider. The Contractor should work with the local health departments and providers in the Contractor's region to develop a reminder/recall schedule and generate notices per that schedule. 2. Support regional MCIR users by operating the regional help desk in accordance with Department approved procedures. 3. Develop strategies to encourage all providers to fully participate with the MCIR. 4. Duplicate and distribute MCIR materials to new MCIR users. 5. Process all user/usage agreements, according to Department approved procedures, to create user accounts. 6. Continue to implement and update marketing plans in support of increased provider and parent acceptance and use of the MCIR. 7. Keep regional users updated on MCIR status and system changes. 8. Ensure that records submitted via paper forms are entered in a timely fashion and according to Department approved procedures. 9. Conduct ad hoc reporting and querying on behalf of MCIR users. MDCH/CMS 6/03 Page 49 of 57 ATTACHMENT III 10. Monitor infant death announcements in the region that appropriately mark MCIR records. Develop a mechanism to ensure the records of children who have died in the region are appropriately flagged in the MCIR. 11. Conduct regular de-duplication activities to ensure that duplicate records are removed from the MCIR as quickly as possible. 12. Process user petitions to change MCIR data according to Department approved procedures. 13. Hold advisory group meetings on at least a quarterly basis to set regional policy and set regional implementation and maintenance priorities. 14. Monitor ongoing immunization data submission for all local health departments and private providers. 15. Conduct training functions as needed to ensure that local health department staff can provide assistance to providers on how to access and submit data into the MCIR. 16. Maintain a policy/procedure manual, approved by the regional advisory group and the department. 17. Process and file all "opt out" forms according to Department approved procedures. 18. Attend regular MCIR regional Contractor/coordination meetings. 19. Perform quality assurance checks on the MCIR data for the region as prescribed by the Department. 20. Assist local health departments and private providers with methodologies to "clean up" their data. 21. Conduct training functions as needed to ensure that staff in private provider offices receive education and training on how to access and submit data into MCIR. 22. The Contractor shall submit quarterly status reports on the progress of this program, as well as a quarterly report showing all in-kind expenditures for each of the counties within the region. Reports are due within 30 days of the end of each quarter. This report shall be submitted to: Robert Swanson, MPH Michigan Department of Community Health Division of Communicable Disease and Immunization P.O. Box 30195 Lansing, MI 48909 Phone: (517) 335-8159 23. The Contractor shall permit the Department or its designee to visit and to make an evaluation of the project as may be indicated or requested. MINORITY HEALTH SPECIAL REQUIREMENTS Contractor Requirements 1. Develop an evaluation tool which identifies the process and outcome indicators of the project. 2. Submit quarterly progress reports and a final report within 30 days of the completion of the project to the Office of Minority Health. 3. Submit completed Community Based Organization (CBO) Funded Projects Report within 30 days of the completion of the project to the Office of Minority Health. 4. Ensure delivery of services to all populations as applicable including African American, Arab/Chaldean, Asian and Pacific Islander, Hispanic, Native American, Eastern European and other multicultural refugee and rural populations. 5. Ensure that programs targeting multicultural populations are culturally competent. Cultural competency is defined as: MDCH/CMS 6/03 Page 50 of 57 ATTACHMENT III A set of academic and interpersonal skills that allow individuals to increase their understanding and appreciation of cultural differences and similarities within, among, and between groups. This requires a willingness and ability to draw on community-based values, traditions, and customs and to work with knowledgeable persons of and from the community in developing focused interventions, communications, and other supports. 6. Services provided are linguistically appropriate to meet the needs of the respective client population. 7. Data collected on clients served will reflect the multicultural racial and ethnic clients served consistent with the law and Department recommendations stated in Public Acts 88 and 89. 8. Health care providers should reflect the racial and ethnic groups served to the extent that such providers can be reasonably recruited and utilized. 9. The request for proposal (RFP) and the Contractor's technical proposal, as amended, is made a part of this agreement by reference. 10. The data collection form updated in 1997 and approved by the joint Local Health and MDCH Forms Committee can be collected quarterly for Contractor tracking purposes, but the year long data must be submitted with the final report to the Office of Minority Health. NOTE: Ten percent (10%) of the agreement amount will be deferred for payment pending the Department's receipt of the final report from the LHD which includes completed CBO Funded Projects Report and the required evaluation. Department Requirements 1. Provide technical assistance in the development of RFP's, if applicable. MICHIGAN TEEN OUTREACH PROGRAM (MTOP) — SHIAWASSEE COUNTY HEALTH DEPARTMENT Contractor Requirements 1. The primary objectives are outlined in the grant application on file at the Department with the MTOP Community Health and Evaluation Consultant. 2. No contraceptives may be distributed and no safer sex message/information maybe delivered. The community-selected abstinence education and parent education curricula must be prior-approved by MDCH/MTOP to assure compliance with state and federal regulations. The annual plan must include a projected total performance output target (number of unduplicated youth projected to be served by the program following MTOP guidelines). Projected performance output must be met to receive full reimbursement of costs, up to the contracted amount of state funds. 3. An annual workplan must be submitted to MDCH and shall follow MDCH/MTOP guidelines/requirements. Funds will be released pending receipt and approval of the workplan. Workplan revisions must receive prior approval by MDCH and must be submitted within 30 days of the effective date of change. 4. The Contractor must agree and abide by the following conditions: A. Project activities will comply with the abstinence education definition in Section 510 of Title V of the Social Security Act. B. MDCH's appropriation boilerplate must be followed. - C. Federal funds will not be expended for sectarian instruction, worship, prayer or proselytization in project activities. If a grantee is a faith-based or religious organization and offers such activities, these activities shall be voluntary for the individuals receiving services and offered separately from the MTOP, which is funded under the SPRANS Community-Based Abstinence Education project grant program. MDCH/CMS 6/03 Page 51 of 57 ATTACHMENT III D. Any discussion of other forms of sexual conduct or provision of services will be conducted in a setting different from where and when the abstinence-only education is being conducted. E. The Contract will work with MTOP Community Health and Evaluation Consultant to develop effective evaluation tools including a required set of standardized questions to be supplied by MDCH/MTOP. 5. Performance/Progress reports: submitted quarterly A. Quarterly reports submitted no later than January 15, April 15 and July 15. The year-end report is due October 30. B. Unduplicated and duplicated counts must be submitted no later than fifteen (15) days after the close of each quarter. These counts must be included on designated forms for an unduplicated and total encounters of clients serviced in MTOP. Year-End Performance Measure Tracking form must be completed for the year and submitted with the October 30 year-end report. C. Any other information as specified should be developed and submitted by the Contractor as required by the Community Health and Evaluation Consultant or the Adolescent Health Coordinator. D. Performance/Progress Data Reports described in #1 above should be submitted to the Adolescent Health Coordinator at the address below: Michigan Teen Outreach Program Michigan Department of Community Health Division of Family and Community Health P.O. Box 30195 Lansing, Michigan 48909 E. The Adolescent Health Coordinator and MTOP Community Health and Evaluation Consultant shall evaluate the reports submitted as described in a and b above for completeness and adequacy. F. The Department or its designee shall conduct annual site reviews and make an evaluation of the project as determined by the Program Coordinator. G. Final actual outputs are due on January 31 st following the end of the fiscal year. The final output reports shall be submitted to: Adolescent Health Coordinator Michigan Department of Community Health Division of Family and Community Health P.O. Box 30195 Lansing, Michigan 48909 NURSE FAMILY PARTNERSHIP (NFP) PROJECT — BERRIEN COUNTY HEALTH DEPARTMENT Contractor Requirements 1. Adhere to the Nurse Family Partnership (NFP) National Office program standards. 2. NFP services are to be targeted to African Americans/Benton Harbor, Michigan. 3. Nursing staff needs to reflect the community served. 4. Submit all required reports in accordance with the Michigan Department of Community Health reporting requirements. Reporting Requirements 1. The Contractor shall adhere to the National Family Partnership (NFP) National Office program reporting requirements and submit a copy to the Michigan Department of Community Health. MDCH/CMS 6/03 Page 52 of 57 ATTACHMENT IU 2. Reports and information shall be submitted to: Alethia Carr, Interim Director Division of Family and Community Health Michigan Department of Community Health P.O. Box 30195 Lansing, Michigan 48909 PRIMARY CARE DENTAL SPECIAL PROJECT Contractor Requirements 1. Carry out the intent of the Funding Announcement in accordance with the CPBC Minimum Program Requirements for the Primary Care Dental element. 2. Provide preventive and remedial dental services to persons not eligible for any other programs and with incomes under the 200% of the Federal Poverty Level. 3. Provide the services without supplanting existing funding or patients. 4. Submit the following reports as indicated: A. Monthly Billing Worksheet and FSR The Monthly billing Worksheet (to be provided by the Department) must be completed each month to report the numbers of each service provided. This will determine the reimbursement amount that is then submitted on the FSR for payment. A running total of unduplicated persons served will also be requested each month. B. Michigan Oral Data (MOD) Each funded agency must participate in the Michigan Oral Data (MOD) Project for all of the patients served in their clinic. Special forms will be provided by the Department to record the funding source for each patient so comparisons can be made between the disease patterns of the various population groups. The monthly forms will be submitted with the Billing Worksheet and FSR. The data will be compiled and analyzed by the Department. C. Final Report At the end of the grant period, each funded agency will be required to submit the following data: 1. Unduplicated number of patients served by age. 2. Average cost of providing dental care by age. 3. Impact of program - this could include studies with before and after pictures or may be anecdotal stories, e.g. patient was able to get a job or a better job after the dental work was complete, a child's grades improved because they weren't missing school because of dental pain. The intent of this requirement is to document what impact the program had and to evaluate the value of continuation. NOTE: agencies serving multiple counties shall indicate numbers from each county. Reports and information shall be submitted to: Denise Reinhart Michigan Department of Community Health P.O. Box 30195 3423 N. Martin Luther King, Jr., Blvd. Lansing, Michigan 48909 Telephone: (517) 335-8928 Fax: (517) 335-8294 reinhartd@michigan.gov MDCH/CMS 6/03 Page 53 of 57 ATTACHMENT VI The Contractor shall permit the Department or its designee to visit and to make an evaluation of the project as determined by Contract Manager. Department Requirements 1. Provide administrative direction and technical assistance. 2. Reimbursement for services provided to target population as stipulated in the Funding Announcement. 3. Provide master copies of the billing and MOD forms. 4. Evaluate the reports submitted as described above for their completeness and accuracy. RAPE AND SEXUAL ASSAULT PREVENTION EDUCATION SPECIAL REQUIREMENTS — KENT COUNTY HEALTH DEPARTMENT Contractor Requirements 1. Secure and forward subcontracts, if applicable (Oct-Jan.). A. Submit subcontracts for two (2) Hispanic facilitators. B. Submit subcontracts for nine (9) male facilitators. C. Submit subcontracts for six (6) male co-facilitators. 2. Access primary target population (youth ages 12— 18 years). A. Provide Project Respect at twelve (12) at-risk sites (Oct—June). B. Provide Project Respect at nine (9) male-specific sites (Oct.-June). C. Provide Project Respect at eight (8) Hispanic sites (Oct.-June). D. Provide Project Respect at two (2) faith-based sites (Oct.-June). 3. Access secondary target populations (parents, school staff, community members, etc.) A. Provide two (2) TOT workshops to FBO leaders, CB0 staff, community members, and parents (Oct.-June). B. Provide program updates to community trainers (Oct.-June). C. Provide technical assistance to community trainers (Ongoing). D. Provide four (4) presentations to parents and CB0 staff (Oct.-June). E. Provide training assistance and educational resources for policy development (Ongoing). 4. Implement survey and evaluation tools/techniques. 5. Analyze primary target population data (ongoing). Data will demonstrate: A. Statistically significant increase in sexual assault knowledge. B. Statistically significant increase in positive attitudes. C. 80% of participants will be satisfied with facilitators, content, and method of delivery. 6. Analyze secondary target population data (ongoing). Data will demonstrate: A. Trainers: statistically significant increase in knowledge. - B. Trainers: statistically significant increase in positive attitudes. C. Trainers: improved facilitation skills. D. Trainers: 80% will be satisfied with TOT facilitator(s), content and method of delivery. MDCH/CMS 6103 Page 54 of 57 ATTACHMENT III E. Presentation participants: statistically significant increase in knowledge. F. Presentation participants: 80% will be satisfied with facilitator(s), content and method of delivery. G. Policy Development: at least 50 school/FBO/CBO contacts will be offered (Oct-June). 7, Conduct project review using evaluation data (Sept.) 8. Provide evaluation report to MDCH project officer, partners & other interested parties by October 15, 2004. 9. Participate in one (1) grantee meeting (dates/locations to be determined). 10. Investigate options to ensure project viability after September 30, 2005. A. Disseminate project-related information and materials to FBOs and CBOs (Oct. —Dec.) B. Develop partnerships resulting from TOT workshops (Ongoing). Reporting Requirements 1. The Contractor shall submit the following reports on the following dates: Financial Status Report (FSR) Report 1 (Oct. 2003-Jan 2004) Report 2 (Feb. 2004 — May 2004) Comprehensive Final Report (Nov. 2003-Sept. 2004) Evaluation Report Monthly (Final FSR due -Nov. 30, 2004) February 15, 2004 June 15, 2004 October 15, 2004 October 15, 2004 2. Any such other information as specified in the Contract Requirements shall be developed and submitted by the Contractor as required by the Contract Manager. 3. Reports and information shall be submitted to the Contract Manager at: Grzywaczimichiqan.qov. 4. The Contract Manager shall evaluate the reports submitted for their completeness and adequacy. 5. The Contractor shall permit the Department or its designee to visit and to make an evaluation of the project as determined by Contract Manager. SIDS AND OTHER INFANT DEATH - SPECIAL REQUIREMENTS Contractor Requirements 1. LHD personnel will maintain current expertise in infant death research, bereavement counseling and surveillance techniques through educational in-service and/or personal professional development. 2. The LHD will update current curriculum and materials and child health programs to incorporate SIDS and other infant death risk reduction information. 3. Facilitate bereavement support services to families and other caretakers of infants experiencing an infant death. 4. Complete a referral to the Tomorrow's Child (formerly Michigan SIDS Alliance) for bereavement literature and information on program activities. 5. Encourage all infant deaths to be reviewed in the local Child Death Review team process or Fetal-Infant Mortality Review process (if available) to improve the consistency of death scene investigation, autopsy, death certificate documentation and accurate SIDS diagnosis. Department Requirements 1. Provide payment of $85 for each family support visit. A maximum of 6 visits is reimbursable per infant death. MDCH/CMS 6/03 Page 55 of 57 ATTACHMENT UI 2. Provide forms for referral to Tomorrow's Child (formerly Michigan SIDS Alliance) for documenting family support visits and for ordering risk reduction literature. 3. Provide training for certification of family support providers. 4. Provide technical assistance for bereavement support through Tomorrow's Child (formerly Michigan SIDS Alliance). TB CONTROL (DOT) SPECIAL REQUIREMENTS General Requirements Directly Observed Therapy (DOT) is defined by the Core Curriculum on Tuberculosis 2000 as: "a health care worker on another designated person watching the patient swallow each dose of TB medication". It is the most effective strategy to ensure patient adherence to treatment. DOT should be used with all intermittent regimens. Multi-drug resistant TB (MDR TB) should always be treated with a daily regimen and under direct observation. Requirements for eligibility in this program include providing DOT at least 5 days/weeks (excluding holidays) for daily regimens, and 2 or 3 days/week for intermittent regimens. Specific Requirements 1. Submit an enrollment form (DOT registration form) for each TB case (including cases transferred into the county) enrolled in DOT to the MDCH TB Program. 2. Submit evidence (i.e., DOT logs), for each patient enrolled in DOT, monthly to the MDCH TB Program indicating that DOT was accomplished. 3. Submit RVCT ll forms (Completion of Therapy), for each patient enrolled in DOT, to the MDCH DT Program upon completion or termination of therapy. 4. Achieve a minimum of 60% of TB cases enrolled annually in DOT (October 1 to September 30). 5. Achieve an 80% adherence rate for each DOT case enrolled. Patients will take at least 80% of their prescribed doses of medication. 6. Achieve >95% completion rate for treatment of all TB cases. WIC SPECIAL REQUIREMENTS Contractor Requirements 1. Provide for security of coupon stock stored in the local Contractor prior to issuance. The Contractor must notify the WIC Division in writing of any lost, stolen, inappropriately issued or otherwise unaccounted for coupons, immediately upon recognition of such condition. 2. Comply with the requirements of the WIC program as prescribed in the Code of Federal Regulations (7CFR, Part 246) including the following special provisions: A. If a local Contractor operates a WIC Program within a hospital or has a cooperative agreement with one or more hospitals, the hospital is required to advise the potentially eligible individuals that receive inpatient or outpatient prenatal, maternity, or postpartum services or accompany a child under age 5 years who receives well-child services, of the availability of WIC benefits [246.6(F)(1)]. 3. Maintain an inventory of all equipment purchased with WIC program funds and maintain such inventory at each WIC clinic location. 4. Assure each Contractor employee authorized for or requesting access to the automated WIC -system complete and sign a security agreement (Form MIS-176) which will then be returned to MDCH. MDCH/CMS 6/03 Page 56 of 57 ATTACHMENT WIC INCREASED PARTICIPATION SPECIAL REQUIREMENTS Budget and Agreement Requirements The funding described below for WIC Increased Participation is to be shown separately from WIC regular allocated funding under the WIC element and is to be designated as "Increased Participation Funds". The "Increased Participation Funds" are budgeted on a cumulative basis at a rate of $8.50 per month for each planned additional participant in excess of the "Allocated Base Caseload". This additional funding is contingent on the Contractor meeting the following conditions: 1. To earn and retain the entire additional "Increased Participation Funds", the Contractor must serve the entire "Net Over Base" caseload by September 30, And 2. The Contractor's actual, final WIC expenditures through September 30, must not be less than the amount of the regular WIC allocation plus the additional Increased Participation Funds and Computer Maintenance Funds. Any reduced level of participation and/or reduced level of actual expenditures would reduce final WIC "Increased Participation Funds" reimbursements accordingly. Contractor Requirements Include the amounts in and attach a "Local Contractor Participation Level Plan" to the Annual Comprehensive Budget. Department Requirements 1. Upon WIC Division approval, reimburse the Contractor based on the number of cumulative actual participants served in excess of the "Allocated Base Caseload" on a fixed unit rate basis, as reported by the Contractor on the Comprehensive Financial Status Report. 2. Perform year-end cost settlement to assure that the cumulative actual number of increased participants reported on the Comprehensive Financial Status Report is in agreement with the Department's Priority Status Participation by WIC Code Closeout Report (P16111). WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE NATION (WISEWOMAN) PROJECT SPECIAL REQUIREMENTS Contractor Requirements WISEWOMAN (Well-Integrated Screening and Evaluation for Women Across the Nation) is a program designed to screen women for cardiovascular disease risk factors, counsel them about lifestyle changes to reduce risk factors, and refer them for medical treatment of hypertension and/or hyperlipidemia. This program will be based within Michigan's Breast and Cervical Cancer Control Program. For specific WISEWOMAN Program requirements, refer to the WISEWOMAN Program Policies and Procedures Manual issued November 2002. Updates to be issued September 2003. MDCH/CMS 6/03 Page 57 of 57 ATTACHMENT III Oakland County Health Department FY 2003-2004 CPBC AGREEMENT MDCH Funding Allocations/Reimbursement Mechanisms Matrix Attachment IV Total (3) State (4) State Funded Minimum MDCH Funding Reimbursement Performance Target Perform. Funded Target Performance Percent Program Element/Funding Source (1) ' Source Amount Mechanism (2) Output Measurement Expect. Perform. Number(5) Program for Local MCH to be determined based on plan After Program approval, applicable Local MCH funding will be incorporated under the program elements selected in the plan, approval Local MCH $332,964 along with approved output performance measures, via amendment AIDS/HIV Prevention Reg. Alloc. $457,220 Performance # Persons Post-Test * 90% Counseled in Anonymous or Confidential Public Health Clinics Bioterrorism Emergency Preparedness Focus Area A Preparedness Coordinator - Reg. Alloc. $100,000 Staffing (9) N/A N/A N/A N/A N/A SNS Planner Work Space Reg. Alloc. $10,000 Staffing (9) N/A N/A N/A N/A N/A Focus Area B Regional Epid. Planner Work Space Reg. Alloc. $10,000 Staffing (9) N/A N/A N/A N/A N/A Focus Area E Information Technology Reg. Alloc. $19,000 Staffing (9) N/A N/A N/A N/A N/A CSHCS Care Coordination Calc. Amt. Various Fixed Unit Rate N/A N/A N/A N/A N/A (6),(10) CSHCS Outreach & Advocacy Reg. Alloc. $151,600 Staffing (9) N/A N/A N/A N/A N/A , Immunizations Immunization Action Plan Reg. Alloc. $516,439 Staffing (9) N/A N/A N/A N/A N/A Imm. Nurse Training Calc. Amt. $100/each Fixed Unit Rate N/A N/A N/A N/A N/A (10),(16) VFC Provider Site Visits Calc. Amt. $150/each Fixed Unit Rate N/A N/A N/A N/A N/A Vaccine Replacement/Handling Reg. Alloc. $100,381 Staffing (9) N/A N/A N/A N/A N/A — Informed Consent Cab. Amt. $50/each Fixed Unit Rate N/A N/A N/A N/A N/A (10),(16) Laboratory Services Focus Area C - Bioterrorism Lab Reg. Alloc. $155,992 Fixed Unit Rate N/A N/A N/A N/A N/A (10),(16) Lead Hazard Remediation Reg. Alloc. $80,000 Staffing (9) N/A N/A N/A N/A N/A Local Public Health Operations MDCH Reg. Alloc. $2,666,254 LPHO (7) N/A N/A N/A N/A N/A MDA Reg. Alloc. $853,593 Performance % of Food Service N/A 75% N/A N/A Licensees receiving required inspections , Minority Health Reg. Alloc. $48,495 Staffing (9) N/A N/A N/A N/A N/A ------ Sexually Transmitted Disease (STD) Control Reg. Alloc. $109,696 Performance # Persons Examined or * 90% investigated 1 TOTAL MDCH FUNDING $7,044,863 Oakland County Health Department FY 2003-2004 CPBC AGREEMENT MDCH Funding Allocations/Reimbursement Mechanisms Matrix Attachment IV Total (3) State (4) State Funded Minimum MDCH Funding Reimbursement Performance Target Perform. Funded Target Performance Percent Program Element/Funding Source (1) Source Amount Mechanism (2) Output Measurement Expect. Perform. Number(5) SIDS Calc. Amt. $85 each Fixed Unit Rate N/A N/A N/A N/A N/A (14),(16) TB Control (DOT) Reg. Alloc. $53,016 Performance #of Active TB Cases * 90% Completing Therapy — WIC Resident Services Reg. Alloc. $1,380,213 Performance (11) #Average Monthly N/A * 97% Participation *SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT (3) (4) FOOTNOTES: (1) Refer to Plan and Budget Framework for element definitions (2) Refer to master comprehensive agreement and program and budget instructions package for further explanation of applicability of these reimbursement mechanisms. Negotiated starting from the average of the past two complete years actual number where available. Calculated by multiplying the "Total Performance Expectation" column by the ratio of the elements total State funding (DCH 0410, Line 24) to "Total Expenditures" (DCH 0410, Line 17). Prior to calculation, adjustments will be made for unallowable cost, equipment funded by local funds, and MDCH reimbursement not performance based (i.e., fixed unit rate, staffing). (5) Calculated by multiplying the "State Funded Element Target Performance" column by the "Percent" column. (6) CSHCS Care Coordination 1. Case Management A. Maximum of six (6) services per year. B. PUN Clients must receive a minimum of four (4) services per eligibility year C. Reimbursement - $201.58 per service provided In the house setting and face-to-face, 2. LEVEL I CARE COORDINATION ' A. Initial 1HCP 1. Long Form $200 . 2. Short Form $150 B. Renewal 111CP 1. Long Form $100 2. Short Form $90 2. LEVEL It CARE COORDINATION A. Level II Care Coordination is reimbursed at $30.00 per unit. B. A maximum of 10 units per beneficiary per eligibility year will be reimbursed. (7) Funding Source (not a single element). (8) Subject to Statewide Maintenance of Effort requirement for Title X. (9) Stale funding is first source (after fees and other earmarked sources). (10) Fixed unit rate subject to actual costs. (11) Performance reimbursement target will be the base target caseload established by MDCH. (12) Subject to a match requirement (hard or in-kind) for $1 for each $4 of MDCH agreement funding. (13) Fixed unit rate limited to contract amount. (14) Up to six (6) visits per family (15) Subject to match requirement (hard or in-kind) of 35% of MDCH agreement funding (16) Reimbursement Chart for Fixed Rates Immunization Nurse $100 per session, upon completion and submission of Provider Contracts and Report Forms. Reimbursement limited to Training one training session per physician clinic site per year. Immunization VFC Provider Site Visits $150 per site visit, not to exceed the maximum set for each individual Contractor, Informed Consent $50 per woman served, for each woman that expressly states that she is seeking a pregnancy test or confirmation of a pregnancy for the purpose of obtaining an abortion and is provided the services. $2.45 for each swab specimen and $3.96 for each urine specimen for diagnosis of gonorrhea and chlaMydia infections using a nucleic acid amplification assay. Dental - Special Project Provide reimbursement for services provided to the target popiilation as stipulated in the Funding Announcement. SIDS .$85 for each family support visit. A maximum of six (6) visits per infant death is reimbursable. WIC Increased Participation $8.50 per month for each planned additional participant in excess of the "Allocated Base Caseload." NOTE: Some footnotes may not apply to this agency, Laboratory Services - STD & AIDS Version:CPBC MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 03/04 AGREEMENT ADDENDUM A 1. This addendum adds the following section to Part I and Renumbers existing 11 Special Certification to 12 and existing 12 Signature Section to 13: Part I 11. Agreement Exceptions and Limitations Notwithstanding any other term or condition in this Agreement including, but not limited to, any provisions related to any services as described in the Annual Action Plan, any Contractor (Oakland County) services provided pursuant to this Agreement, or any limitations upon any Department funding obligations herein, the Parties specifically intend and agree that the Contractor may discontinue, without any penalty or liability whatsoever, any Contractor services or performance obligations under this Agreement when and if it becomes apparent that State or Department funds for any such services will be no longer available. Notwithstanding any other term or condition in this Agreement, the Parties specifically understand and agree that no provision in this Agreement shall operate as a waiver, bar or limitation of any kind, on any legal claim or right the Contractor may have at any time under any Michigan constitutional provision or other legal basis (e.g., any Headlee Amendment limitations) to challenge any State or Department program funding obligations; and, the parties further agree that no term or condition in this Agreement is intended and no such provision shall be argued to state or imply that the Contractor voluntarily assumed or undertook to provide any services as described in the Annual Action Plan, and thereby, waived any rights the Contractor may have had under any legal theory, in law or equity, without regard to whether or not the Contractor continued to perform any services herein after any State or Department funding ends. Version:CPBC 2. This addendum modifies the following sections of Part II, General Provisions: Part II I. Responsibilities-Contractor I. Year 2000 Compatibility. This section will be deleted in its entirety and replaced with the following language: The Michigan Department of Community Health and the County of Oakland will work together to determine and avoid potential Year 2000 computer systems problems. III. Assurances A. Compliance with Applicable Laws. This first sentence of this paragraph will be stricken in its entirety and replace with the following language: The Contractor will comply with applicable Federal and State laws, and lawfully enacted administrative rules or regulations, in carrying out the terms of this agreement. VIII. Liability. Paragraph A. will be deleted in its entirety and replaced with the following language. A. Except as otherwise provided for in this Contract, all liability, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of the Contractor under this Contract shall be the responsibility of the Contractor and not the responsibility of the Department, if the liability, loss, or damage is caused by, or arises out to the actions or failure to act on the part of the Contractor, its employees, officers or agents. Nothing therein shall be construed as a waiver of any governmental immunity for the Contractor, its agencies, employees, or Oakland County, as provided by statute or modified by court decisions. Version:CPBC 1. This addendum modifies the following sections of Attachment III, Program Specific Assurances and Requirements: Attachment III. 1. CSHCS Outreach and Advocacy Requirements Contractor Requirements 4. General Performance Requirements The requirements that the County of Oakland enter into contracts with CSHCS Special Health Plans will be modified by the following language: The Director of the MDCH, CSHCS program has agreed to accept a Letter of Collaboration between Oakland County and each of the CSHCS Special Health Plans in lieu of a signed contractual agreement as currently required by Attachment III. 2. Care Coordination Services The obligation of Oakland County to continue providing care coordination services if CPBC funds for those services become depleted will be removed and the following language will apply: If funding for direct reimbursement to local health departments for care coordination services is depleted, in lieu of Oakland County obtaining the reimbursement from the CSHCS Special Health Plans, MDCH will make direct payments to Oakland County. 4. 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 governing board, official or Contractor. Version:CPBC 5. Signature Section: For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Peter L. Trezise, Chief Operating Officer Date For the CONTRACTOR Name and Title Signature Date Attachment I MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 03/04 CPBC Agreement INSTRUCTIONS FOR THE ANNUAL BUDGET MDCH/CMS 4/03 Page 1 of 18 INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH SERVICES TABLE OF CONTENTS Page I. INTRODUCTION 3 11. MINIMUM BUDGETING REQUIREMENTS 3 III. REIMBURSEMENT CRITERIA 4 IV. LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION PROCEDURES 8 V. FORM PREPARATION GENERAL 8 VI. FORM PREPARATION - EXPENDITURE CATEGORIES 9 VII. FORM PREPARATION - EXCLUSION ITEMS 10 VIII. FORM PREPARATION - NET ALLOWABLE EXPENDITURES FOR LOCALISTATE LPHO FUNDING 12 IX. SPECIAL BUDGET INSTRUCTIONS WIC 13 Family Planning 14 Breast and Cervical Cancer 15 CSHCS Outreach and Advocacy 17 Minority 17 Program Budget - Cost Detail Schedule (DCH-0387) Form Preparation - 17 r MDCH/CMS 4/03 Page 2 of 18 INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH SERVICES I. INTRODUCTION A new approach to comprehensive health services planning and budgeting was initiated by the Michigan Department of Public Health, in 1986. The intent was to consolidate many of the Department's existing categorical programs and state/local cost sharing (now LPHO funding) into a comprehensive agreement for local health departments. The Department's Plan and Budget Framework serves as a principal reference point for budget development. The Annual Budget for Local Health Services is to be completed on a state fiscal year basis, and is used to establish budgets for Local Public Health Operations (LPHO) and Categorical Grant Programs. II. MINIMUM BUDGETING REQUIREMENTS A. Cost Principles - Types or items of cost which will be considered for reimbursement are generally consistent with definitions contained in Federal OMB Circular A-87. B. Federal Block Grant Funds - Maternal & Child Health and Preventive Health Block Grant funds may not be used to: provide inpatient services; make cash payments to intended recipients of health services; purchase or improve land; purchase, contract or permanently improve (other than minor remodeling defined as work required to change the interior arrangements or other physical characteristics of any existing facility or installed equipment when the cost of the remodeling incident does not exceed $2,000) any building or other facility; or purchase major medical equipment (any item of medical equipment having a unit cost of over $10,000 and used in the diagnosis or treatment of patients, excluding equipment typically used in a laboratory); satisfy any requirement for the expenditure of non-federal funds as a condition for the receipt of Federal funds; or provide financial assistance to any entity other than a public or nonprofit private entity. C. Expenditure and Funding Source Breakdown - For purposes of development, analysis and negotiation activities must be budgeted at the individual expenditure and funding source category level on the Annual Budget for Local Health Services (DCH-0410). D. Special Budget Requirements for Certain Categorical Program Elements - In addition to the Annual Budget for Local Health Services (DCH-0410), a Program Budget-Cost Detail Schedule (DCH- 0387) must be submitted for all program elements (excluding Contractor Support). E. Local MCH (previously M&IC and Local MCH Funds) - Local MCH funds can be used for general Maternal Child Health (MCH) activity. These funds are to be budgeted as a funding source under any of the appropriate program element(s) (i.e., CSHCS Outreach and Advocacy, Child Health, Family Planning, Immunization, Maternal & Infant Support Services, SIDS, F1MR and Prenatal Smoking Cessation). If an agency wants to utilize this funding for another purpose, approval must be obtained from the Division of Family and Community Health. These funding sources cannot be used under the WIC element except in extreme circumstances where a waiver is requested in advance of expenditures, and evidence is provided that the expenditures satisfy all funding requirements. The MCH activities should address the priorities identified in the community health assessment and improvement process. MDCH/CMS 4/03 Page 3 of 18 III. REIMBURSEMENT CRITERIA Funding under the Comprehensive Agreement can generally be grouped under four (4) different mechanisms of reimbursement. These mechanisms are defined as follows: A. Performance Reimbursement - A reimbursement mechanism by which local agencies are reimbursed based upon the understanding that a certain level of performance (measured by outputs) must be met in order to receive full reimbursement of costs (net of program income and other earmarked sources) up to the contracted amount of state funds prior to any utilization of local funds. Performance targets are negotiated starting from the last year's negotiated target and the most recent year's actual numbers except for programs in which caseload targets are directly tied to funding formulas/annual allocations. Other considerations in setting performance targets include changes in state allocations from past years, local fiscal and programmatic factors requiring adjustment of caseloads, etc. Once total performance targets are negotiated, a minimum state funded performance target percentage is applied (typically 90% unless otherwise specified). If local Contractor actual performance falls short of the expectation by a factor greater than the allowed minimum performance percentage, the state maximum allocation for cost reimbursement will be reduced equivalent to actual performance in relation to the minimum performance. B. Fixed Unit Rate Reimbursement - A reimbursement mechanism by which local health departments are reimbursed a specific amount for each output actually delivered and reported. C. LPHO - A reimbursement mechanism by which local health departments are reimbursed a share of reasonable and allowable costs incurred for required services, as noted in the current Appropriations Act. D. Staffing Grant Reimbursement - A reimbursement mechanism by which local health departments are reimbursed based upon the understanding that State dollars will be paid up to total costs in relation to the State's share of the total costs and up to the total state allocation as agreed to in the approved budget. This reimbursement approach is not directly dependent upon whether a specified level of performance is met by the local health department. Department funding under this reimbursement mechanism is allocable and a source before any local funding requirements unless a special local match condition exists. The following chart notes elements/funding sources, applicable payment mechanisms, target levels and output measures for each program/element having a performance reimbursement option: MDCH/CMS 4/03 Page 4 of 18 REIMBURSEMENT CHART Performance Performance Program Element/ Reimbursement Level If Target Output Funding Source) Mechanism(2) Applicable (3) Measure AIDS/HIV Care MHI Staffing(6) N/A Ryan White Staffing(6) N/A AIDS/HIV HOPWA Staffing (6) N/A - AIDS/HIV Pediatric Staffing(6) N/A AIDS/HIV Prevention Performance 90% # Persons Post-Test Counseled in Anonymous or Confidential Public Health Clinics AIDS/HIV Provider Staffing N/A Education Bioterrorism (Focus areas A, B, E, F, and G) Staffing (6) N/A Breast & Cervical Cancer Control Coordination Performance) (9) 100% #Women Screened for Breast& Cervical Cancer CSHCS - Care Fixed Unit Rate) N/A Coordination CSHCS - Outreach & Advocacy Staffing (6) N/A Child Health Staffing(6) N/A - Childhood Lead - Service Delivery Staffing(6) N/A Diabetes Outreach Performance 90% #Unduplicated Persons Enrolled Network Family Planning Services General Services Performance) (8) 95% #Unduplicated Clinic Users Served _ Family Planning/BCCCP Joint Project Coordination Performance (9x9) 100% # Women receiving cervical cancer diagnostic services Fetal Alcohol Syndrome (FAS) Staffing (a) N/A - Immunization Field Service Reps Staffing(6) N/A IAP Staffing (6) N/A VFC Provider Site Fixed Unit Rate) N/A Visits Nurse Training Fixed Unit Rate) N/A MDCH/CMS 4103 Page 5 of 18 REIMBURSEMENT CHART Performance Performance Program Element/ Reimbursement Level If Target Output Funding Source ) Mechanism(2) Applicable Measure Informed Consent Fixed Unit Rate ) N/A Laboratory Svcs./Bioterrorism Staffing (8) N/A Lead Hazard Remediation Staffing Local Tobacco Reduction Staffing (6) N/A LPHO MDCH LPHO(4) N/A MDA Performance 75% Percentage of Food Service Licensees receiving required inspections Maternal and Infant Support Services (MSS/ISS) Staffing (6) N/A Michigan Abstinence Program (MAP) Performance(8) (12) N/A #Unduplicated users Michigan Childhood Immunization Registry (MCIR) Staffing(6) N/A Michigan Teen Outreach Program (MTOP) Performance(B) (12) N/A #Unduplicated users Minority Health Staffing(6) N/A Nurse Family Partnership Staffing(6) N/A Oral Health Promotion Performance 90% #Children Provided Dental Sealants Primary Care Medical Care Performance 90% #Unduplicated Persons Served Dental Care Performance 90% #Unduplicated Persons Served Special Projects Fixed Unit Rate)(1°) Rape and Sexual Assault ) Prevention Education (RSAPE) Staffing(6 N/A Sexually Transmitted Disease #Persons Examined or (STD) Control Performance 90% investigated SIDS Fixed Unit Rate (11) N/A TB Control Directly Observed Therapy Performance 90% Number of active TB cases (DOT) completing therapy Vaccine Replacement/Handling Staffing (6) N/A . W1SEWOMAN Project Performance (8) 90% #Women Screened for Coordination Cardiovascular Disease Risk Factors MDCH/CMS 4/03 Page 6 of 18 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Footnotes: Program element or funding source as applicable. Refer to the master comprehensive agreement and the program and budget instructions package for further explanation of applicability of these reimbursement mechanisms. Performance percent for applicable programs. Funding source (not a single element). Subject to statewide maintenance of effort requirement for Title X. State funding is first source (after fees and other earmarked sources). Fixed unit rate subject to actual costs. The performance reimbursement target will be the base target caseload established by MDCH. Subject to a match requirement (hard or in-kind) of $1 for each $4 of MDCH agreement funding. Fixed rate limited to contract amount. $85 per visit, up to 6 visits per family. Subject to match requirement (hard or in-kind) of 35% of MDCH agreement funding. MDCH/CMS 4/03 Page 7 of 18 IV. LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION PROCEDURES As in past years, no additional accounting system detail is being required beyond local uniform accounting procedures prescribed by the Michigan Department of Treasury, Local Financial - Management System requirements, documentation requirements of categorical program funding sources and any local requirements. Some agencies may already have separate cost centers in their accounting system to directly identify costs and related funding of required services, but such breakdowns are not essential to being able to meet minimum reporting requirements if proper allocation procedures are used and adequate documentation is maintained. All allocations must have clearly measurable bases that directly apply to the amounts being allocated, must be documented with work papers that will provide an adequate audit trail and must result in a representative reporting of costs and funding for affected programs. More specific guidance can be found in Federal OMB Circular A-87. V. FORM PREPARATION - GENERAL The Annual Budget for Comprehensive Local Health Services (DCH-0410) is utilized to provide a budget summary for each program element administered by the local Contractor. The form is designed to accommodate any number of local program elements including those unique to a particular local Contractor. The form is designed to accommodate four (4) programs or elements per page. Use as many pages as necessary to reflect all Contractor program elements and provide a grand total on the last page of the budget. The budget is to be prepared using the attached format. Agencies may produce their own computerized version of the budget provided it is an accurate facsimile of the attached format. Otherwise, it will not be accepted. Agencies producing facsimile budget formats should have no more than five columns per page. Each item of cost, revenue and exclusion is to be budgeted on an annual, state fiscal year basis. Form heading instructions follow. A. Page of - Enter the page number of this page and the total number of pages comprising the Annual Budget for Local Health Services. B. Local Contractor - Enter the name of the local Contractor. C. Prepared By - Enter the name of the person preparing the form. D. Date Prepared - Enter the date the form is prepared. E. Agreement Period - Enter the budget period. F. Approved By - The signature of the local health officer is to be entered in this space. G. Date Approved - Enter the date of the local health officer's review and approval. H. Program Element Columns - Enter the name of each program, project or service group using as many columns as necessary. MDCH/CMS 4/03 Page 8 of 18 VI. FORM PREPARATION - EXPENDITURE CATEGORIES Budgeted expenditures are to be entered for each program element, project or group of services by applicable major category. A. Salaries and Wages (Line 1) - This category includes the compensation budgeted for all permanent and part-time employees on the payroll of the Contractor and assigned directly to the program. This does not include contractual services, professional fees or personnel hired on a private contract basis. Consulting services, professional fees or personnel hired on a private contracting basis should be included in "Other Expenses." Contracts with secondary recipient organizations such as cooperating service delivery institutions or delegate agencies should be included in Contractual (Sub-contract) Expenses. B. Fringe Benefits (Line 2) - This category is to include, for at least the specified elements, all Contractor costs for social security, retirement, insurance and other similar benefits for all permanent and part-time employees assigned to the specified elements. C. Cap Exp for Equip & Fac (Line 3) - This category includes expenditures for budgeted stationary and movable equipment used in carrying out the objectives of each program element, project or service group. The cost of a single unit or piece of equipment includes necessary accessories, installation costs, freight and other applicable expenses associated with the purchase of the equipment. Only budgeted equipment items costing $5,000 or more may be reported under this category. Small equipment items costing less than $5,000 are properly classified as Other Expenses (Supplies and Materials). This category also includes capital outlay for purchase or renovation of facilities. D. Contractual (Sub-contracts) (Line 4) - Use for expenditures applicable to written contracts or agreements with secondary recipient organizations such as cooperating service delivery institutions or delegate agencies. Payments to individuals for consulting or contractual services, are to be included under Other Expenses. Specify subcontractor(s) address, amount by subcontractor and total of all subcontractors. E. Other Expenses (Line 5) - This category includes expenditures for other allowable costs incurred by the Contractor for the benefit of each program element. The category includes costs described as follows: 1. Supplies and Materials (Line 6) - Use for all consumable items and materials including equipment-type items costing less than $5,000 each. This includes office, printing, janitorial, postage and educational supplies; medical supplies; contraceptives and vaccines; tape and gauze; prescriptions and other appropriate drugs and chemicals. 2. Travel (Line 7) - Travel costs of permanent and part-time employees assigned to each program element. This includes costs of mileage, lodging and meals, and other approved travel costs incurred by the employee. Travel of private, non-employee consultants should be reported under Other Expenses. 3. Communication Costs (Line 8) - These are costs for telephone, internet, telegraph, data lines, etc., when related directly to the operation of the program element. 4. County/City Central Services (Line 9) - These are costs associated with central support activities of the local governing unit allocated to the local health department in accordance with Federal OMB Circular A-87. 5. Space Costs (Line 10) - These are costs of building space necessary for the operation of the program. MDCH/CMS 4/03 Page 9 of 18 6. All Others (Line 11) - These are costs for all other items purchased exclusively for the operation of the program element and not appropriately included in any of the other categories including items such as repairs, janitorial services, consultant services, equipment rental, depreciation on locally funded equipment, ADP systems, etc. F. Total Direct Expenditures (Line 12) - Used to enter the total of the direct expenditures budgeted for each program element, project or service grouping. G. Admin. 0/H Cost, Rate (Lines 13 and 14) - Used to distribute costs of general administrative operations that have not been directly charged to individual programs. The Indirect/ Administrative Overhead Cost Rate is used for distribution of administrative costs to each program element, project or service grouping. Two separate local rates may apply to the agreement period (i.e., one for each local fiscal year). Line 13 should be used for the rate applicable to the first part of the agreement period and line 14 for the latter part. The amount of Admin. 0/H should be allocated to all appropriate program columns with the total equivalent amount reflected as a credit or minus in the column(s) for Administration. H. Total Direct & Admin. Expenditures (Line 15) - Enter the totals for each program column. This would be the total of lines 12, 13 and 14. I. Other Cost Distributions (Line 16) - This line provides for allocation of various contributing activity costs to appropriate program areas based upon activity counts, time study supporting data or other reasonable and equitable means. An example of cost distribution may be nursing supervision. The distribution process permits costs reflected in a single program column to be subsequently distributed, perhaps only in part, to other programs or projects as appropriate. If an allocation is made, the charges must be reflected in the appropriate program columns and the offsetting credit reflected in the program column being distributed. There must be a documented, well-defined rationale and audit trail for any cost distribution or allocation based upon federal OMB Circular A-87 Cost principles. Total Expenditures (Line 17) - Enter the total of each column (i.e., net of lines 15 and 16) after all cost distributions have been made. VII. FORM PREPARATION - EXCLUSION ITEMS Budgeted exclusions are to be entered for each program element, project or group of services by applicable major category as follows: A. Fees & Collections - Fees 1 st & 2nd z Party (Line 18) - Enter (1 5t party) funds projected to be received from private payers, including patients, source users and any member of the general population receiving services. Also enter (2n d party) funds received from organizations, private or public, who might reimburse services for a group or under a special plan. B. Fees & Collections - 3rd Party (Line 19) - Third Party Fees - Funds projected to be received from private insurance, Medicaid, Medicare or other applicable titles of the Social Security Act directly related to the cost of providing patient care or other services (e.g., Includes EPSDT Screening, Family Planning and Medicaid Cost-based Reimbursement). J. MDCH/CMS 4/03 Page 10 of 18 C. Federal/State Funding (Non-MDCH) (Line 20) - Funds budgeted directly from the federal government and from any state Contractor other than MDCH (such as DEQ). This line would also be used to exclude state aid funds such as those provided through the Michigan Department of Treasury under P.A. 264 of 1987 (cigarette tax). In addition, this line would include any federal Title XIX participation (50%) of excess costs for eligible Medicaid administrative programs (such as CSHCS- Outreach & Advocacy). D. Local Non-LPHO (Line 21) - Local funds budgeted for the following expenditures: 1. Expenditures for services not designated as required and allowable for LPHO funding (e.g., medical examiner and inpatient maternity services); expenditures determined not to be reasonable; and, expenditures in excess of the maximum state share of funds available. 2. Any losses arising from uncollectible accounts and other related claims. Under-recovery of reimbursable expenditures from, or failure to bill, available funding sources that would otherwise result in exclusions from LPHO funding if recovered. However, no exclusion is required where the local jurisdiction has made and documented a decision to have local funds underwrite: a. the cost of uncollectible accounts or bad debts incurred in support of providing required or allowable health services. An example of this condition would be for services provided to indigents who are billed as a matter of procedure with little chance for receipt of payment. b. potential recoveries or under-recoveries from other sources for the principal purpose of providing required and allowable health services at free or reduced cost to the public served by the Contractor. An example would be keeping fees for services at a reduced level for the benefit of the people served by the Contractor while recognizing that to do so limits recovery from third parties for the same types of services. 3. Contributions to a contingency reserve or any similar provisions for unforeseen events. 4. Charitable contributions and donations. 5. Salaries and other incidental expenditures of the chief executive of a political subdivision (i.e., county executive and mayor). 6. Legislative expenditures; such as, salaries and other incidental expenditures of local governing bodies (i.e., county commissioners and city councils). Do not enter board of health expenses. 7. Expenditures for amusements, social activities and other incidental expenditures related thereto; such as, meals, beverages, lodging, rentals, transportation and gratuities. 8. Fines, penalties and interest on borrowings. 9. Expenditure (Local) to Match State/Federal Funds - Local funds applied to meet match requirements for state and federal funding (e.g., Substance Abuse, LHD Infrastructure/Administrative Services, and Title XIX match for eligible Medicaid administrative programs including Prenatal programs, EPSDT Outreach, CSHCS-LBS and Medicaid Cost-Based Reimbursed clinical programs). 10. Capital Expenditures - Local capital outlay for purchase of facilities and equipment (assets) are excluded from LPHO funding. Depreciation (expense) for such items, however, is allowable and to be reported on line 11, Other Expenses. MDCH/CMS 4/03 Page 11 of 18 E. Other Non-LPHO (Line 22) - Funds budgeted from sources other than state, federal and local appropriations to the extent that they are not eligible for LPHO (e.g., funding from local substance abuse coordinating Contractor, local area Contractor on aging). F. MDCH - NON-CPBC (Line 23) - Funds budgeted for services provided under separate MDCH agreements. Examples include: funding provided directly by the Community Services for Substance Abuse for community grants, etc. G. MDCH - CPBC (Line 24) - This section includes all funding projected to be due under the Comprehensive (CPBC) agreement. This funding is provided in multiple ways, some based upon a fixed unit rate of reimbursement for services such as Vaccine Replacement/Handling and others on a cost reimbursement basis. Examples: Program Name - # svcs x - Enter for each applicable service covered by a fee or rate for service, the program name, the number of services and the fixed unit rate per service with the result of the calculation showing in the appropriate program element column. Other CPBC - Enter other amounts due under the Comprehensive Agreement for each applicable program element. Each separate source must be identified. Each page of the report may reflect a different combination of funding sources on these lines, if needed. It is most important that each different source of funding for each element be consistently and completely identified. H. Total MDCH CPBC (Line 25) - Enter the total cumulative amount of the funding sources shown on line 24 for each program element under the Comprehensive (CPBC) Agreement. I. Total Exclusions (Line 261- Enter for each program element or column the total of lines 18 through 23 and line 25 to arrive at the total exclusions affecting LPHO funding. VIII. FORM PREPARATION - NET ALLOWABLE EXPENDITURES FOR LOCAL/STATE LPHO FUNDING A. Net Allowable Expenditures (Line 27) - Enter the difference between Total Expenditures (line 17) and Total Exclusions (line 26) for each column. B. State LPHO (Line 28) - Enter the total amount of state LPHO funds budgeted for each eligible program element applied to Net Allowable Expenditures. C. Local Funds-Other (Line 29) - Enter all local support in the appropriate element, project or service group column. This may include local property tax, and other local revenues (does not include fees). This amount is the difference between the State LPHO amount on line 28 and the Net Allowable Expenditures on line 27. THE LPHO REQUIRED SERVICE PROGRAMS CANNOT HAVE A NEGATIVE AMOUNT. IX. SPECIAL BUDGET INSTRUCTIONS Certain elements are supported by federal or other categorical program funds for which special budgeting requirements are placed upon grantees and subgrantees. These include: MDCH/CMS 4/03 Page 12 of 18 Element Federal or Other Funding Contractor WIC Family Planning Breast and Cervical Cancer CSHCS Outreach & Advocacy Minority Health U.S. Department of Agriculture, Food & Nutrition Service U.S. Department of Health & Human Services, Public Health Service U.S. Department of Health & Human Services, Centers for Disease Control Michigan Department of Community Health Michigan Department of Community Health In general, subgrantee budgets must provide sufficient budget detail to support grantee budget requests and be in a format consistent with grantor Contractor requirements. Certain types of costs also must receive approval of the federal grantor Contractor and/or the grantee prior to being incurred. A. WIC Special Budget Requirements 1. Cost/Funding Categories - The following local budget breakdowns are required to fulfill WIC grant application budget requirements each fiscal year: Salaries & Fringe Benefits Automated Management Systems Space Utilization Costs Equipment Supplies Communications & Travel All Other Direct Costs Indirect Costs All Funding Sources By Type The WIC cost/funding categories and supporting budget detail requirements are satisfied by completion of a Cost Detail Schedule (DCH-0387) with the master budget. General instructions for these forms are contained at the end of this section. Funding for increased participation should be computed using the "Local Contractor Participation Level Plan" worksheet. 2. Costs Allowable Only With Prior Approval - The following costs are allowable only with prior review/approval of the Michigan Department of Community Health as specified by the U.S. Department of Agriculture, Food and Nutrition Service (Ref.: 7 CFR Part 246, and USDA-WIC Administrative Cost Handbook 3/86). Prior approval is accomplished by providing appropriate detail in the budget request approved by MDCH or subsequently in a written request approved in writing by MDCH. A. Automated Information Systems - which are required by a local Contractor except for those used in general management and payroll, including acquisition of automated data processing hardware or software whether by outright purchase or rental-purchase agreement or other method of acquisition. B. Capital Expenditures of $2,500 or More - such as the cost of facilities, equipment, including medical equipment, other capital assets and any repairs that materially increase the value or useful life of capital assets. C. Management Studies - performed by agencies or departments other than the local Contractor or those performed by outside consultants under contract with the local Contractor. MDCH/CMS 4/03 Page 13 of 18 D. Accounting and Auditing Services - performed by private sector firms under professional service contracts for purposes of preparation or audit of program and financial records/reports. E. Other Professional Services - rendered by individuals or organizations, not a part of the local Contractor, such as: 1. Contractual private physician providing certification data. 2. Contractual organization providing laboratory data. 3. Contractual translators and interpreters at the local Contractor level. F. Training and Education - provided for employee development, which directly or indirectly benefits the grant program, to the extent that such training is contracted for or involves out-of-service training over extended periods of time. G. Building Space and Related Facilities - the cost to buy, lease or rent space in privately or publicly owned buildings for the benefit of the program. H. Non-Fringe Insurance and Indemnification Costs All charges to WIC must be necessary, reasonable, allowable and allocable for the proper and efficient administration of the program. Further information and cost standards are provided in federal instructions including OMB Circulars A-87, A-102 Common Rule, A-110 and 7 CFR Part 3015. B. Family Planning Special Budget Requirements 1. Cost/Funding Categories - The following local budget breakdowns are required to fulfill Family Planning grant application budget requirements each fiscal year: Salaries & Wages Fringe Benefits Travel Equipment Supplies Contractual Construction All Other Direct Costs Indirect Costs All Funding Sources By Type The Family Planning cost/funding categories and supporting budget detail requirements are satisfied by completion of a Cost Detail Schedule (DCH-0387) with the master budget. General instructions for these forms are contained at the end of this section. MDCH/CMS 4/03 Page 14 of 18 2. Costs Allowable Only With Prior Approval - The following costs are allowable only with prior review/approval of MDCH. Prior approval is accomplished by providing appropriate detail in the budget request approved by MDCH or subsequently in a written request approved in writing by MDCH. A. Alterations and Renovations - to change the interior arrangements or other physical characteristics of existing facilities or installed equipment, to the extent that such changes cost more than $1,000 each. B. Audiovisual Materials and Activities - acquired, produced, presented or disseminated to the general public. C. Consultant Contracts for General Support Services - including equipment and supplies, that will cost in excess of $25,000 or 10% of the total direct cost budget (whichever is greater). D. Equipment - including general purpose and special equipment (e.g., air conditioning) costing $5,000 or more per unit. E. Insurance - contributions to a reserve for a self-insurance program. F. Public Information Service Costs G. Publication and Printing Costs - for the cost of publications. H. Capital Expenditures - for land or buildings. I. Indemnification Against Third Parties Costs - insurance against potential liabilities. J. Mass Severance Pay - involving grant-supported personnel. K. Organization/Reorganization Costs - allocable to the program. L. Overtime Premium - involving grant-supported personnel. M. Patient Care Costs - rebudgeting out of or reduction in patient care costs (considered a change in scope). N. Professional Services - in connection with Patent/Copyright Infringement Litigation. 0. Trailers or Modular Units P. Transfers Between Construction and Nonconstruction - for approved construction funds. Q. Transfers Between Indirect and Direct Costs - for amounts awarded for indirect costs to absorb increases in direct costs. R. Transfers for Substantive Programmatic Work - to a third party, by contracting or any other means used for the actual performance of substantive programmatic work. All charges to Family Planning must be necessary, reasonable, allowable and allocable for the proper and efficient administration of the program. Further information and cost standards are provided in federal instructions including OMB Circulars A-87, A-102 Common Rule and A-110. MDCH/CMS 4/03 Page 15 of 18 C. Breast and Cervical Cancer Control Program Special Budget Requirements 1. Breast and Cervical Cancer Control Program (BCCCP) budget is to be developed in the following way: One budget column, titled "BCCCP Coordination" should be used to budget costs associated with coordination of the program. Only coordination expenses will be reimbursed through the CPBC agreement. All Direct Service claims including Case Management Reimbursement must be billed to the Third Party Administrator (TPA) contracted with the state for Direct Service claim processing. The Local Coordinating Agency (LCA) and/or direct service providers with contracts or letters of agreement with the LCA will be responsible for billing Direct Service claims to the TPA. No Direct Services or Case Management expenses will be reimbursed through the CPBC Agreement. The Coordination amount is $100 per woman based on a target caseload established by MDCH. Performance reimbursement will be based upon the understanding that a certain level of performance (measured by outputs) must be met. There is a 100% performance requirement for this program. In addition, supplemental budget information must be provided for required community match. For specific TPA billing requirements refer to the Provider Billing Instruction Manual issued in June 2002. For specific program requirements, including FY 200312004 Direct Service Reimbursement Rate's and documentation related to Case Management Reimbursement, refer to the FY 2003/2004 Special Budgeting and Other program instructions for the BCCCP and Family Planning/BCCCP Joint Project issued in August 2003. 2. The Family Planning (FP)/BCCCP Joint Project budget is to be developed in the following way: One budget column, titled "FP/BCCCP Coordination" should be used to budget costs associated with coordination of the program. Only coordination expenses will be reimbursed through the CPBC agreement. All Direct Service claims including Case Management Reimbursement must be billed to the Third Party Administrator (TPA) contracted with the sate for Direct Service claim processing. The Local Coordinating Agency (LCA) and/or direct service providers with contracts or letters of agreement with the LCA will be responsible for billing Direct Service claims to the TPA. No Direct Services or Case Management expenses will be reimbursed through the CPBC agreement. The Coordination amount is $50 per woman based on a target caseload established by MDCH. Performance reimbursement will be based upon the understanding that a certain level of performance (measured by outputs) must be met. There is a 100% performance requirement for this project. In addition, supplement budget information must be provided for required community match. For specific TPA billing requirements refer to the Provider Billing Instruction Manual issued in June 2002. For specific program requirements, including FY 2003/2004 Direct MDCH/CMS 4/03 Page 16 of 18 Service Reimbursement Rates and documentation related to Case Management Reimbursement, refer to the FY 2003/2004 Special Budget and Other Program Instructions for the BCCCP and Family Planning/BCCCP Joint Project issued in August 2003. 3. The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Project budget is to be developed in the following way: One budget column, titled "WISEWOMAN Coordination" should be used to budget costs associated with coordination of the program. Only coordination expenses will be reimbursed through the CPBC agreement. All Direct Service claims must be billed to the Third Party Administrator (TPA) contracted with the state for Direct Service claim processing. The Local Coordinating Agency (LCA) and/or direct service providers with contracts or letters of agreements with the LCA will be responsible for billing Direct Service claims to the TPA. No Direct Services expenses will be reimbursed through the CPBC agreement. The Coordination amount is $105 per woman based on a target caseload established by MDCH. Performance reimbursement will be based upon the understanding that a certain level of performance (measured by outputs) must be met. There is a 90% performance requirement for this project. There will be no match requirement for this project. For specific TPA billing requirements refer to the Provider Billing Instruction Manual issued in June 2002. For specific program requirements, including FY 2003/2004 Direct Service Reimbursement Rates and documentation related to Case Management Reimbursement, refer to the FY 2003/2004Special Budget and Other Program Instructions for the WISEWOMAN Project issued in August 2003. D. CSHCS Outreach and Advocacy - Funds related to CSHCS Outreach and Advocacy shall be reflected as such under one column of the CPBC package. E. Minority Health - Payments for Minority Health programs will require a hold back of 10% of grant funds until receipt of final report in order to adjust for a one-twelfth prepayment. Funding will be released upon the receipt and approval of the final report. F. Program Budget - Cost Detail Schedule (DCH-0387) Form Preparation Use the LHD - Program Budget - Cost Detail Schedule (DCH-0387) supplied by the Michigan Department of Community Health. An example of this form is attached (see Attachment A) for reference. 1. Program - Enter the title of the program. 2. Code - Enter a program code if applicable. 3. Budget Period - Enter the inclusive dates of the budget period. 4. Date Prepared - Enter the date prepared. 5. Page of - Enter the page number of this page and the total number of pages comprising the complete budget package. MDCH/CMS 4/03 Page 17 of 18 6. Local Contractor - Enter the name of the local Contractor. 7. Original or Amended - Check whether this is the original budget or an amended budget. If an amended budget, enter the number of the amendment to which the budget is to be attached. 8. Position Description - List all position titles or job descriptions required to staff the program. 9. Positions Required - Enter the number of positions required for the program corresponding to the specific position title or description. This entry may be expressed as a decimal when necessary. If other than a full-time position is budgeted, it is necessary to have a basis in terms of time reports to support time charged to the program. 10. Total Salary - Enter the total salary for the positions required. 11. Comments - Enter any explanatory information that is necessary for the position description. Include an explanation of the computation of Total Salary in those instances when the computation is not straightforward. 12. Totals - Enter a total in the Positions Required column and the Total Salary column. The total salary amount is transferred to the Program Budget Summary - Salaries & Wage category. If more than one page is required, sub-totals should be entered on the last line of each page. On the last page, enter the total amounts. 13. Fringe Benefits - Specify applicable ("X") for staff working in this program. Enter the composite fringe benefit rate and total amount of fringe benefit. 14. Equipment - Enter a description of the equipment being purchased (including number of units and the unit value), the total by type of equipment and total of all equipment. 15. Subcontracts - Specify subcontractor(s) working on this program, including the subcontractor(s) address, amount by subcontractor and total of all subcontractor(s). Multiple small subcontracts can be grouped (e.g., various worksite subcontracts). 16. Other Expenses - Enter amount by category and total for all categories. A specific description is required for any item which exceeds 10% of total expenditures. 17. Other Cost Distributions - Enter a description of the cost, percent distributed to this program and the amount being distributed. 18. Indirect Cost Calculation - Enter the base(s), rate(s) and amount(s). 19. Program Grand Total Exp. - Enter the total amount of all expenditures. Amount should equal the amount entered on line 17 of the Annual Budget for Comprehensive Local Health Services (DCH-0410). MDCH/CMS 4/03 Page 18 of 18 FISCAL NOTE BY: FINANCE COMMITTEE, CHUCK MOSS, CHAIRPERSON IN RE: DEPARTMENT OF HUMAN SERVICES/HEALTH DIVISION - 2003/2004 COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) AGREEMENT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced resolution and finds: 1. The Michigan Department of Community Health (MDCH) has awarded Oakland County Health Division funding in the amount of $7,044,863 for the period of October 1, 2003 through September 30, 2004. This award reflects a 3.8% ($278,356) decrease from the FY2002/2003 amended funding allocation of $7,323,219. 2. Changes from the previous award have been made by the MDCH including; i) Funding for the continuation of an Emergency Preparedness Specialist position in the amount of $100,000. ii) Related Bio-terrorism funding to defray the costs of housing the Regional Epidemiologist and SNS Planner, in the amount of $20,000. iii) An increase of $19,000 for Enhancement of communications capabilities. iv) Funding has been awarded to equip and staff the laboratory to attain " Level B" status, which will allow the laboratory to examine potential bio-terrorism related materials, an increase of $13,234. 3. Acceptance of this grant does not obligate the County to any future commitment. 4. The impact of this agreement was included in the FY 2004 Finance Committee Budget. Therefore, no amendments are required. FINANCE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote with Moffitt and Gregory absent. OAKLAND COUNTY HEALTH DIVISION CPBC AGREEMENT FUNDING ANALYSIS (9/10/03) • FY 2003/04 FY 02/03 Amended FY 03/04 FY 02/03 Fixed Unit Fixed Unit Amended FY 03/04 Rate Rate Increase/ PROGRAM ELEMENT Allocation Allocation Allocation Allocation Decrease Comprehensive Planning, Budgeting & Contracting Agreement (CPBC) AIDS/HIV Prevention $373,743.00 •$457,220.00 $83,477.00 Bioterrorism Focus Area A Bioterror Coordinator $129,104.00 $100,000.00 -$29,104.00 SNS Planner Workspace $0.00 $10,000.00 $10,000.00 Bioterrorism Focus Area B Reg Epi Planner Workspace $0.00 $10,000.00 $10,000.00 Bioterrorism Focus Area C Bioterror Lab $142,758.00 $155,992.00 $13,234.00 Bioterrorism Focus Area E Info Tech $0.00 $19,000.00 $19,000.00 Childhood Lead $40,000.00 $0.00 -$40,000.00 Community Health Assessment $19,279.00 $0.00 -$19,279.00 Family Planning Model Project $54,444.00 $0.00 -$54,444.00 Hepatitis B $9/each $0.00 Immunization Action Plan $514,475.00 $516,439.00 $1,964.00 Immunization Nurse Train $100/each $100/each Lead Hazard Remediation Program $80,000.00 $80,000.00 $0.00 „ FY 02/03 • Amended FY 03/04 FY 02/03 Fixed Unit Fixed Unit Amended FY 03/04 Rate Rate Increase/ PROGRAM ELEMENT Allocation Allocation Allocation Allocation Decrease _ Maternal & Child Health Block Grant (inc Maternal & Inf Supp Srv & Child Health Conference) $332,964.00 $332,964.00 $0,00 CSHCS Outreach & Advocacy $151,600.00 $151,600.00 $0.00 •CSHCS Care Coordination various various $0.00 Maternal & Child Outreach & Advocacy $58,656.00 $0.00 -$58,656.00 MINAS $151,338.00 $0.00 -$151,338.00 Minority Health $48,495.00 $48,495.00 $0.00 SIDS $70/each $85 each STD Control $109,696.00 $109,696.00 $0.00 TB Control $65,591.00 $53,016.00 -$12,575.00 Vaccine Replacement/Handling $103,789.00 $100,381.00 -$3,408.00 VFC Provider Site Visits $150/each $150/each Informed Consent $50/each $50/each West Nile Virus $34,151.00 $0.00 -$34,151.00 WIC $1,380,213.00 $1,380,213.00 $0.00 , Subtotal CPBC $3,790,296.00 $3,525,016.00 -$265,280.00 Local Public Health Operations (LPHO) •MDCH $2,676,159.00 $2,666,254.00 , -$9,905.00• MDA 1 $856,764.00 $853,593.00 -$3,171.00 _ Subtotal LPHO I $3,532,923.00 $3,519,847.00 _ -$13,076.00 I TOTAL CPBC & LPHO t$7,323,219.00 $7,044,863.00 _ -$278,356.00 Percent Increase Increase (Decrease) i -3.80% G. William Caddell, County Clerk Resolution #03257 September 18, 2003 Moved by Patterson supported by Knollenberg the resolution be adopted. AYES: Gregory, Hatchett, Jamian, Knollenberg, KowaII, Law, Long, McMillin, Middleton, Moffitt, Moss, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Webster, Wilson, Zack, Bullard, Coleman, Coulter, Crawford, Douglas. (25) NAYS: None. (0) A sufficient majority having voted therefore, the resolution was adopted. I IEREBY RESOLUTION ORA /111111n-- 7/24/D) STATE OF MICHIGAN) COUNTY-OF OAKLAND) I, G. William Caddell, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on September 18, 2003, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal ofothe County of Oakland at Pontiac, Michigan this 18th day of September, 2003.