HomeMy WebLinkAboutResolutions - 2020.10.21 - 33769MISCELLANEOUS RESOLUTION #20459 October 21, 2020
BY: Commissioner Penny Luebs, Chairperson, Health, Safety and Human Services Committee
IN RE: HEALTH AND HUMAN SERVICES/HEALTH DIVISION —FISCAL YEAR 2021 LOCAL HEALTH
DEPARTMENT (COMPREHENSIVE) AGREEMENT
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Health and Human Services (MDHHS) has awarded the Oakland
County Health Division funding through the Local Health Department (Comprehensive) Agreement
(formerly the Comprehensive Planning, Budgeting, and Contracting Agreement - CPBC) for the period
October 1, 2020, through September 30, 2021; and
WHEREAS the fiscal year (FY) 2020 CPBC Agreement included total funding of $11,211,113; and
WHEREAS the FY 2021 Local Health Department Agreement reflects grant funding in the amount of
$15,769,498, an increase of $4,558,385 from the previous year; and
WHEREAS $4,335,735 of the funding supports COVID response, testing, contact tracing, contact tracing
testing coordination, and laboratory equipment and furniture to meet appropriate Clinical Laboratory
Improvement Amendments (CLIA) certification level; and
WHEREAS the grant agreement and anticipated FY 2021 contract amendments includes sufficient funding
to continue the sixty-four (64) Special Revenue (SR) positions listed in Schedule B; and
WHEREAS the Local Health Department (Comprehensive) Agreement has completed the Grant Review
Process in accordance with the Board of Commissioners Grant Acceptance Procedures.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby accepts
the FY 2021 Local Health Department (Comprehensive) Agreement for funding in the amount of
$15,769,498 for the period of October 1, 2020, through September 30, 2021.
BE IT FURTHER RESOLVED to continue sixty-four (64) SR positions included in Schedule B.
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future
commitment, and continuation of the Special Revenue positions in the grant is contingent upon continued
future levels of grant funding.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute this agreement and to
approve any grant extensions or changes, within fifteen percent (15%) of the original award, which is
consistent with the agreement as originally approved.
BE IT FURTHER RESOLVED that the General Fund/General Purpose and Grant Fund Budgets are
amended per the attached Schedule A, to reflect the FY 2021 grant award of $15,769,498.
Chairperson, on behalf of the Health, Safety and Human Services Committee, I move the adoption of the
foregoing resolution.
v
Commissioner P nny Luebs, District #16
Chairperson, Ith, Safety and Human Services
Committee
HEALTH, SAFETY AND HUMAN SERVICES COMMITTEE VOTE:
Motion carried on a roll call vote with Miller absent.
FINANCE AND INFRASTRUCTURE COMMITTEE VOTE:
Motion carried on a roll call vote with Middleton absent.
GRANT REVIEW SIGN -OFF — Health & Human Services/Health Division
GRANT NAME: FY 2021 Local Health Department (Comprehensive) Agreement
FUNDING AGENCY: Michigan Department of Health & Human Services (MDHHS)
DEPARTMENT CONTACT PERSON: Stacey Smith / (248) 452-2151
STATUS: Acceptance (Greater than $10,000)
DATE: 09/30/20
Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments.
The Board of Commissioners' liaison committee resolution and grant acceptance package (which should include this sign -
off email and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of
the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved by M & B
The draft agreement appears to have a typo as to the date of the final FSR (shows 11 /15/20 and 11 /30/20 and
belief the year should be 2021 — see PDF pg 31). Also, the draft resolution will need the budget amendment
added (Schedule A). In addition, the draft resolution needs to be corrected to reference the appropriate BOC
Committee (last statement refers to the former Healthy Communities Committee). — Lynn Sonkiss (09/29/20)
Human Resources:
HR Approved — No HR Implications —Lori Taylor (09/28/20)
Risk Management:
Approved by Risk Management.
Note: While Part II I.T. allows for Governmental Self-insurance the County must ensure that all subcontractors
curry the insurance required by this section. — Robert Erlenbeek (09/28/20)
Corporation Counsel:
Approved by Corp. Counsel —Lisa Kavalhuna (09/30/20)
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09/24/2020
Agreement #:
Agreement Between
Michigan Department of Health and Human Services
hereinafter referred to as the "Department"
and
County of Oakland
hereinafter referred to as the "Local Governing Entity"
on Behalf of Health Department
Oakland County Department of Health and Human Services/ Health Division
1200 N. Telegraph Rd. 34 East
Pontiac MI 48341 0432
Federal I.D.#: 38-6004876, DUNS #: 136200362
hereinafter referred to as the "Grantee"
for
The Delivery of Public Health Services under
the Local Health Department Agreement
Part 1
1. Purpose
This agreement is entered into for the purpose of setting forth a joint and cooperative
Grantee/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 Annual Budget, established Minimum Program Requirements, and all other
applicable Federal, State and Local laws and regulations pertaining to the Grantee
and the Department. Public health services to be delivered under this agreement
include Essential Local Public Health Services (ELPHS) and Categorical Programs as
specified in the attachments to this agreement.
2. Period of Agreement:
This agreement shall commence on the date of the Grantee's signature or October 1,
2020 whichever is later and continue through September 30, 2021. Throughout the
Agreement, the date of the Grantee's signature or October 1, 2020, whichever is
later, shall be referred to as the start date. This Agreement is in full force and effect
for the period specified.
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 is $15,769,498.00.
Local Health Department - 2021, Date: 09/24/2020 Page: 1 of 197
09/24/2020
B. Equipment Purchases and Title
Any Grantee equipment purchases supported in whole or in part through this
Agreement must be listed in the supporting Equipment Inventory Schedule
which should be attached to the Final Financial Status Report. Equipment
means tangible, non -expendable, personal property having a useful life of
more than one year and an acquisition cost of $5,000 or more per unit. Title to
items having a unit acquisition cost of less than $5,000 shall vest with the
Grantee 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 15% whichever is greater. This transfer authority does
not authorize purchase of additional equipment items or new
subcontracts with state/federal categorical funds without prior written
approval of the Department.
2. Except as otherwise provided, any transfers or adjustments involving
state/federal categorical funds, other than those covered by C.1,
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 in accordance with Section IX. A. of Part II.
3. The CA and C.2 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 Grantee 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 part of this agreement:
1. Attachment I - Annual Budget
2. Attachment III - Program Specific Assurances and Requirements
3. Attachment IV - Funding/Reimbursement Matrix
4. Attachment V - FY 2021 Agreement Addendum A
B. The attachments are added into this agreement as follows:
1. Original Agreement (Part 1 and 2), Attachment I, III, IV, V
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5. Statement of Work
The Grantee 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 part of this agreement.
6. Financial Requirements
The financial requirements shall be followed as described in Part II and Attachment I -
Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part of
this agreement.
7. Performance/Progress Report Requirements
The progress reporting methods, as applicable, shall be followed as described in part
II and Attachment III, Program Specific Assurances and Requirements, which are part
of this agreement.
8. General Provisions
The Grantee agrees to comply with the General Provisions outlined in Part ll, which
are part of this agreement .
9. Administration of the Agreement
The person acting for the Department in administering this agreement (hereinafter
referred to as the Contract Consultant) is:
Name:
Carissa Reece
Title:
Department Analyst
Telephone No.:
517-335-0940
E-Mail Address ReeceC@michigan.gov
The person acting for the Grantee on the financial reporting for this agreement is:
TIFANNY KEYES-BOWIE
Name
KEYESBOWIET@OAKGOV.COM
E-Mail Address
Accountant
Title
(248) 858-0943
Telephone No.
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10. Special Conditions
A. This agreement is valid upon approval and execution by the Department which
may be contingent upon State Administrative Board and signature by the
Grantee.
B. This agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C. Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D. The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this agreement.
E. The Grantee is required by PA 533 of 2004 to receive payments by electronic
funds transfer.
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 Grantee.
12. Signature Section
For Oakland County Department of Health and Human Services/ Health Division
David T. Woodward
Name
County Commissioner
Title
For the Michigan Department of Health and Human Services
Christine H. Sanches
Christine H. Sanches, Director
Bureau of Grants and Purchasing
09/24/2020
Date
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Part 2
General Provisions
Responsibilities - Grantee
The Grantee, in accordance with the general purposes and objectives of this
Agreement shall:
A. Publication Rights
1. Copyright materials only when the Grantee exclusively develops books,
films or other such copyrightable materials through activities supported
by this Agreement. The copyrighted materials cannot include recipient
information or personal identification data. Grantee provides the
Department a royalty -free, non-exclusive and irrevocable license to
reproduce, publish and use such materials copyrighted by the Grantee
and authorizes others to reproduce and use such materials.
2. Obtain prior written authorization from the Department's Office of
Communications for any materials copyrighted by the Grantee or
modifications bearing acknowledgment of the Department's name prior
to reproduction and use of such materials. The state of Michigan may
modify the material copyrighted by the Grantee and may combine it with
other copyrightable intellectual property to form a derivative work. The
state of Michigan will own and hold all copyright and other intellectual
property rights, in any such derivative work, excluding any rights or
interest granted in this Agreement to the Grantee. If the Grantee ceases
to conduct business for any reason or ceases to support the
copyrightable materials developed under this Agreement, the state of
Michigan has the right to convert its licenses into transferable licenses
to the extent consistent with any applicable obligations the Grantee has.
3. Obtain written authorization, at least 14 days in advance, from the
Department's Office of Communications and give recognition to the
Department in any and all publications, papers and presentations
arising from the Agreement activities.
4. Notify the Department's Bureau of Grants and Purchasing 30 days
before applying to register a copyright with the U.S. Copyright Office.
The Grantee must submit an annual report for all copyrighted materials
developed by the Grantee through activities supported by this
Agreement and must submit a final invention statement and certification
within 60 days of the end of the Agreement period.
5. Not make any media releases related to this Agreement, without prior
written authorization from the Department's Office of Communications.
B. Fees
1. Guarantee that any claims made to the Department under this
Agreement shall not be financed by any sources other than the
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Department under the terms of this Agreement. If funding is received
through any other source, the Grantee agrees to budget the additional
source of funds and reflect the source of funding on the Financial Status
Report.
2. Make reasonable efforts to collect 1st and 3rd party fees, where
applicable, and report those collections on the Financial Status Report.
Any under recoveries of otherwise available fees resulting from failure to
bill for eligible activities will be excluded from reimbursable
expenditures.
C. Grant Program Operation
Provide the necessary administrative, professional and technical staff for
operation of the grant program. The Grantee must obtain and maintain all
necessary licenses, permits and insurances consistent with requirements
under Part 11.1.T. or other authorizations necessary for the performance of this
Agreement.
Use an accounting system that can identify and account for the funds received
from each separate grant, regardless of funding source, and assure that grant
funds are not commingled.
D. Reporting
Utilize all report forms and reporting formats required by the Department at the
start 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. The Grantee must assure that all
terms of the Agreement will be appropriately adhered to and that records and
detailed documentation for the grant project or grant program identified in this
Agreement will be maintained for a period of not less than four years from the
date of termination, the date of submission of the final expenditure report or
until litigation and audit findings have been resolved. This section applies to
the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
F. Authorized Access
1. Permit within 10 calendar days of providing notification and at
reasonable times, access by authorized representatives of the
Department, Federal Grantor Agency, Inspector Generals, Comptroller
General of the United States and State Auditor General, or any of their
duly authorized representatives, to records, papers, files, documentation
and personnel related to this Agreement, to the extent authorized by
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applicable state or federal law, rule or regulation.
2. Acknowledge the rights of access in this section are not limited to the
required retention period. The rights of access will last as long as the
records are retained.
3. Cooperate and provide reasonable assistance to authorized
representatives of the Department and others when those individuals
have access to the Grantee's grant records.
G. Audits
1. Single Audit
The Grantee must submit to the Department a Single Audit consistent
with the regulations set forth in Title 2 Code of Federal Regulations
(CFR) Part 200, Subpart F. The Single Audit reporting package must
include all components described in Title 2 Code of Federal
Regulations, Section 200.512 (c) including a Corrective Action Plan, and
management letter (if one is issued) with a response to the Department.
The Grantee must assure that the Schedule of Expenditures of Federal
Awards includes expenditures for all federally -funded grants.
2. Other Audits
The Department or federal agencies may also conduct or arrange for
agreed upon procedures or additional audits to meet their needs.
3. Due Date and Where to Send
The Single Audit reporting package, management letter (if one is
issued) with a'response and Corrective Action Plan shall be submitted
to the Department within nine months after the end of the Grantee's
fiscal year by e-mail at,MDHHS-AuditReports@michigan.gov. The
required submission must be assembled as one document in a PDF
file and compatible with Adobe Acrobat (read only). The subject line
must state the agency name and fiscal year end. The Department
reserves the right to request a hard copy of the audit materials if for
any reason the electronic submission process is not successful.
4. Penalty
a. Delinquent Single Audit or Financial Related Audit
If the Grantee does not submit the required Single Audit
reporting package, management letter (if one is issued) with a
response, and Corrective Action Plan within nine months after
the end of the Grantee's fiscal year and an extension has not
been approved by the cognizant or oversight agency for audit,
the Department may withhold from the current funding an
amount equal to five percent of the audit year's grant funding
(not to exceed $200,000) until the required filing is received by
the Department. The Department may retain the amount
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withheld if the Grantee is more than 120 days delinquent in
meeting the filing requirements and an extension has not been
approved by the cognizant or oversight agency for audit. The
Department may terminate the current grant if the Grantee is
more than 180 days delinquent in meeting the filing
requirements and an extension has not been approved by the
cognizant or oversight agency for audit.
b. Delinquent Audit Exemption Notice
Failure to submit the Audit Exemption Notice, when required,
may result in withholding payment from Department to Grantee
an amount equal to one percent of the audit year's grant
funding until the Audit Exemption Notice is received.
H. Subrecipient/Contractor Monitoring
1. When passing federal funds through to a subrecipient (if the Agreement
does not prohibit the passing of federal funds through to a subrecipient),
the Grantee must:
a. Ensure that every subaward is clearly identified to the
subrecipient as a subaward and includes the information
required by 2 CFR 200.331 (a).
b. Ensure the subrecipient complies with all the requirements of
this Agreement.
C. Evaluate each subrecipient's risk for noncompliance as required
by 2 CFR 200.331(b).
d. Monitor the activities of the subrecipient as necessary to ensure
that the subaward is used for authorized purposes, in
compliance with federal statutes, regulations and the terms and
conditions of the subawards; that subaward performance goals
are achieved; and that all monitoring requirements of 2 CFR
200.331(d) are met including reviewing financial and
programmatic reports, following up on corrective actions and
issuing management decisions for audit findings.
e. Verify that every subrecipient is audited as required by 2 CFR
200 Subpart F.
2. Develop a subrecipient monitoring plan that addresses the above
requirements and provides reasonable assurance that the subrecipient
administers federal awards in compliance with laws, regulations and the
provisions of this Agreement, and that performance goals are achieved.
The subrecipient monitoring plan should include a risk -based
assessment to determine the level of oversight and monitoring activities,
such as reviewing financial and performance reports, performing site
visits and maintaining regular contact with subrecipients.
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3. Establish requirements to ensure compliance for for -profit subrecipients
as required by 2 CFR 200.501(h), as applicable.
4. Ensure that transactions with subrecipients/contractors comply with
laws, regulations and provisions of contracts or grant agreements in
compliance with 2 CFR 200,501(h), as applicable.
Notification of Modifications
Provide timely notification to the Department, in writing, of any action by its
governing board or any other funding source that would require or result in
significant modification in the provision of activities, funding or compliance with
operational procedures.
J. Software Compliance
Ensure software compliance and compatibility with the Department's data
systems for activities provided under this Agreement, including but not limited
to stored data, databases and interfaces for the production of work products
and reports. All required data under this Agreement shall be provided in an
accurate and timely manner without interruption, failure or errors due to the
inaccuracy of the Grantee's business operations for processing data. All
information systems, electronic or hard copy, that contain state or federal data
must be protected from unauthorized access.
K. Human Subjects
Comply with Federal Policy for the Protection of Human Subjects, 45 CFR 46,
The Grantee agrees that prior to the initiation of the research, the Grantee will
submit Institutional Review Board (IRB) application material for 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 IRB for review and approval, or the IRB
application and approval materials for acceptance of the review of another
IRB. All such research must be approved by a federally assured IRB, but the
Department's IRB can only accept the review and approval of another
institution's IRB under a formally approved interdepartmental agreement. The
manner of the review will be agreed upon between the Department's IRB
Chairperson and the Grantee's authorized official.
L. Mandatory Disclosures
1. Disclose to the Department in writing within 14 days of receiving notice
of any litigation, investigation, arbitration or other proceeding
(collectively, "Proceeding") involving Grantee, a subcontractor or an
officer or director of Grantee or subcontractor that arises during the term
of this Agreement including:
a. All violations of federal and state criminal law involving fraud,
bribery, or gratuity violations potentially affecting the
agreement.
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b. A criminal Proceeding;
C. A parole or probation Proceeding;
d. A Proceeding under the Sarbanes-Oxley Act;
e. A civil Proceeding involving:
1. A claim that might reasonably be expected to
adversely affect Grantee's viability or financial stability;
or
2. A governmental or public entity's claim or written
allegation of fraud; or
f. A Proceeding involving any license that the Grantee is required
to possess in order to perform under this Agreement.
2. Notify the Department, at least 90 calendar days before the effective
date, of a change in Grantee's ownership and/or executive
management.
M. Minimum Program Requirements
Comply with Minimum Program Requirements established 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.
N. Annual Budget and Plan Submission
Submit an Annual Budget and Plan 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, III, and IV of this agreement
via Grantee/Department negotiated amendment(s). Failure to submit a
complete Annual Budget and Plan by the due date through MI E-Grants will
result in the deferral of Department payments until these documents are
submitted.
O. Maintenance of Effort
Comply with maintenance of effort requirements for Essential Local Public
Health Services (ELPHS), as defined in the current Department appropriation
act, and Family Planning in accordance with federal requirements, except as
noted in Section 3.C.3 of Part I.
P. Accreditation
Comply with the local public health accreditation standards and follow
the accreditation process and schedule established by the Department
to achieve full accreditation status.
a. Failure to meet all accreditation requirements or implement
corrective plans of action within the prescribed time period will
result in the status of "Not Accredited." Grantees designated as
"Not Accredited" may have their Department allocations
reduced for costs incurred in the assurance of service delivery.
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b. Submit a written request for inquiry to the Department should
the Grantee disagree with on -site review findings or their
accreditation status. The request must identify the
disagreement and resolution sought. The inquiry participants
will be comprised of Grantee staff, Department staff, the
Accreditation Commission Chair, and the Accreditation
Coordinator as needed. Participants will clarify facts, verify
information and seek resolution.
2. Consent Agreements/Administrative Compliance
Orders/Administrative Hearings for "Not Accredited" Grantees:
a. If designated as "Not Accredited", the Grantee will receive a
Consent Agreement Package from the Department. Grantees
and their local governing entities shall be given 75 days to
review the package, meet with the Department, and sign and
return the Consent Agreement.
b. Fulfillment of the terms and conditions of the Consent
Agreement will not affect accreditation status, but impacts the
Grantees' ability to fulfill its contractual obligations under the
Local Health Department Grant Agreement. Grantees
designated as "Not Accredited", will retain this designation until
the subsequent accreditation cycle.
C. Failure to fulfill the terms and conditions of the Consent
Agreement within the prescribed time period will result in the
issuance of an Administrative Compliance Order by the
Department.
d. Within 60 working days after receipt of an Administrative
Compliance Order and proposed compliance period, a local
governing entity may petition the Department for an
administrative hearing. If the local governing entity does not
petition the Department for a hearing within 60 days after
receipt of an Administrative Compliance Order, the order and
proposed compliance date shall be final. After a hearing, the
Department may reaffirm, modify, or revoke the order or modify
the time permitted for compliance.
e. If the local governing entity fails to correct a deficiency for which
a final order has been issued within the period permitted for
compliance, the Department may petition the appropriate circuit
court for a writ of mandamus to compel correction.
Q. Medicaid Outreach Activities Reimbursement
Report allowable costs and request reimbursement for the Medicaid Outreach
activities it provides in accordance with 2 CFR, Part 200 and the requirements
in Medicaid Bulletin number: MSA 05-29.
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Submit a Cost Allocation Plan Certification to the Department to bill for the
Medicaid Outreach Activities. The Cost Allocation Plan Certification is valid
until a change is made to the cost allocation plan or the Department
determines it is invalid.
Submit quarterly FSRs for the Medicaid Outreach activities and an annual FSR
for the Children with Special Health Care Services Medicaid Outreach
activities in accordance with the instructions contained in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, agree to target Medicaid
outreach effort toward Department established priorities. For fiscal year 2021,
the Department priorities are: lead testing, outreach and enrollment for the
Family Planning waiver, and outreach for pregnant women, mothers and
infants for the Maternal and Infant Health Program. The Grantee will submit a
report using the MDHHS Local Health Department Medicaid Outreach form
describing their outreach activities targeting the priorities 30 days after the end
of a fiscal year quarter and at the same time as the final FSR is due to the
Department. The Local Health Department Medicaid Outreach report are to
be sent through MI E-Grants as an attachment report to the Financial Status
Report.
R. Conflict of Interest and Code of Conduct Standards
1. Be subject to the provisions of 1968 PA 317, as amended, 1973 PA
196, as amended, and 2 CFR 200.318 (c)(1) and (2).
2. Uphold high ethical standards and be prohibited from the following:
a. Holding or acquiring an interest that would conflict with this
Agreement;
b. Doing anything that creates an appearance of impropriety with
respect to the award or performance of this Agreement;
C. Attempting to influence or appearing to influence any state
employee by the direct or indirect offer of anything of value; or
d. Paying or agreeing to pay any person, other than employees
and consultants working for Grantee, any consideration
contingent upon the award of this Agreement.
3. Immediately notify the Department of any violation or potential violation
of these standards. This section applies to Grantee, any parent, affiliate
or subsidiary organization of Grantee, and any subcontractor that
performs activities in connection with this Agreement.
S. Travel Costs
1. Be reimbursed for travel cost (including mileage, meals, and lodging)
budgeted and incurred related to services provided under this
agreement.
a. If the Grantee has a documented policy related to travel
reimbursement for employees and if the Grantee follows that
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documented policy, the Department will reimburse the Grantee
for travel costs at the Grantee's documented reimbursement
rate for employees. Otherwise, the State of Michigan travel
reimbursement rate applies.
b. State of Michigan travel rates may be found at the following
website: https://www.michigan.gov/dtmb/0,5552,7-358-
82548_13132---,00. html.
C. International travel must be preapproved by the Department
and itemized in the budget.
T. Insurance Requirements
1. Maintain at least a minimum of the insurances or governmental self -
insurances listed below and be responsible for all deductibles. All
required insurance or self-insurance must:
a. Protect the state of Michigan from claims that may arise out of,
are alleged to arise out of, or result from Grantee's or a
subcontractor's performance;
b. Be primary and non-contributing to any comparable liability
insurance (including self-insurance) carried by the state; and
C. Be provided by a company with an A.M. Best rating of "A" or
better and a financial size of VII or better.
2. Insurance Types
a. Commercial General Liability Insurance or Governmental Self -
Insurance: Except for Governmental Self -Insurance, policies
must be endorsed to add "the state of Michigan, its
departments, divisions, agencies, offices, commissions,
officers, employees, and agents" as additional insureds using
endorsement CG 20 10 11 85, or both CG 2010 07 04 and CG
2037 07 04.
If the Grantee will interact with children, schools, or the
cognitively impaired, the Grantee must maintain appropriate
insurance coverage related to sexual abuse and molestation
liability.
b. Workers' Compensation Insurance or Governmental Self -
Insurance: Coverage according to applicable laws governing
work activities. Policies must include waiver of subrogation,
except where waiver is prohibited by law.
C. Employers Liability Insurance or Governmental Self -Insurance
d. Privacy and Security Liability (Cyber Liability) Insurance: cover
information security and privacy liability, privacy notification
costs, regulatory defense and penalties, and website media
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content liability.
3. Require that subcontractors maintain the required insurances contained
in this Section.
4. This Section is not intended to and is not to be construed in any manner
as waiving, restricting or limiting the liability of the Grantee from any
obligations under this Agreement.
5. Each Party must promptly notify the other Party of any knowledge
regarding an occurrence which the notifying Party reasonably believes
may result in a claim against either Party. The Parties must cooperate
with each other regarding such claim.
U. Fiscal Questionnaire
1. Complete and upload the yearly fiscal questionnaire to the EGrAMS
agency profile within three months of the start of the agreement.
2. The fiscal questionnaire template can be found in EGrAMS documents.
V. Criminal Background Check
1. Conduct or cause to be conducted a search that reveals information
similar or substantially similar to information found on an Internet
Criminal History Access Tool (ICHAT) check and a national and state
sex offender registry check for each new employee, employee,
subcontractor, subcontractor employee, or volunteer who under this
Agreement works directly with clients or has access to client
information.
a. (CHAT: http://apps.michigan.gov/ichat
b. Michigan Public Sex Offender Registry:
http://www.mipsor.state.mi.us
C. National Sex Offender Registry: http://www,nsopw.gov
2. Conduct or cause to be conducted a Central Registry (CR) check for
each employee, subcontractor, subcontractor employee, or volunteer
who, under this Agreement works directly with children.
a. Central Registry: https://www.michigan.gov/mdhhsJ0,5885,7-
339-73971_7119_50648_48330-180331--,00.html
3. Require each new employee, employee, subcontractor, subcontractor
employee or volunteer who, under this Agreement, works directly with
clients or who has access to client information to notify the Grantee in
writing of criminal convictions (felony or misdemeanor), pending felony
charges, or placement on the Central Registry as a perpetrator, at hire
or within 10 days of the event after hiring.
4. Determine whether to prohibit any employee, subcontractor,
subcontractor employee, or volunteer from performing work directly with
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clients or accessing client information related to clients under this
Agreement, based on the results of a positive ICHAT response or
reported criminal felony conviction or perpetrator identification.
5. Determine whether to prohibit any employee, subcontractor,
subcontractor employee or volunteer from performing work directly with
children under this Agreement, based on the results of a positive CR
response or reported perpetrator identification.
6. Require any employee, subcontractor, subcontractor employee or
volunteer who may have access to any databases of information
maintained by the federal government that contain confidential or
personal information, including but not limited to federal tax information,
to have a fingerprint background check performed by the Michigan State
Police.
II. Responsibilities - Department
The Department in accordance with the general purposes and objectives of this
Agreement will:
A. Reimbursement
Provide reimbursement in accordance with the terms and conditions of this
agreement based upon appropriate reports, records, and documentation
maintained by the Grantee.
B. Report Forms
Provide any report forms and reporting formats required by the Department at
the start date of this Agreement, and provide to the Grantee any new report
forms and reporting formats proposed for issuance thereafter at least 90 days
prior to their required usage in order to afford the Grantee an opportunity to
review.
C. Notification of Modifications
Notify the Grantee in writing of modifications to federal or state laws, rules and
regulations affecting this agreement.
D. Identification of Laws
Identify for the Grantee relevant laws, rules, regulations, policies, procedures,
guidelines and state and federal manuals, and provide the Grantee with copies
of these documents to the extent they are not otherwise available to the
Grantee.
E. Modification of Funding
Notify the Grantee in writing within 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 Technology Management and Budget on behalf of the
governor or the legislature. Implementation of the modifications will be
determined jointly by the Grantee and the Department.
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F. Monitor Compliance
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.
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G. Technical Assistance
Make technical assistance available to the Grantee for the implementation of
this agreement.
H. Accreditation
Adhere to the accreditation requirements including the process for "Not
Accredited" Grantees. The process includes developing and monitoring
consent agreements, issuing and monitoring administrative compliance orders,
participating in administrative hearings and petitioning appropriate circuit
courts.
I. Medicaid Outreach Activities Reimbursement
Agrees to reimburse the Grantee for all allowable Medicaid Outreach activities
that meet the standards of the Medicaid Bulletin: MSA 05-29 including the cost
allocation plan certification and that, are billed in accordance with the
requirements in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, the Department will
identify each fiscal year the Medicaid Outreach priorities and establish a
reporting requirement for the Grantee.
III. Assurances
The following assurances are hereby given to the Department:
A. Compliance with Applicable Laws
The Grantee will comply with applicable federal and state laws, guidelines,
rules and regulations in carrying out the terms of this Agreement. The Grantee
will also comply with all applicable general administrative requirements, such
as 2 CFR 200, covering cost principles, grant/agreement principles and audits,
in carrying out the terms of this Agreement. The Grantee will comply with all
applicable requirements in the original grant awarded to the Department if the
Grantee is a subgrantee. The Department may determine that the Grantee has
not complied with applicable federal or state laws, guidelines, rules and
regulations in carrying out the terms of this Agreement and may then terminate
this Agreement under Part 2, Section V.
B. Anti -Lobbying Act
The Grantee will comply with the Anti -Lobbying Act (31 USC 1352) as revised
by the Lobbying Disclosure Act of 1995 (2 USC 1601 et seq.), Federal
Acquisition Regulations 52.203.11 and 52.203.12, and Section 503 of the
Departments of Labor, Health & Human Services and Education, and Related
Agencies section of the current FY Omnibus Consolidated Appropriations Act.
Further, the Grantee 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.
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C. Non -Discrimination
1. The Grantee must comply with the Department's non-discrimination
statement: The Michigan Department of Health and Human Services will
not discriminate against any individual or group because of race, sex,
religion, age, national origin, color, height, weight, marital status, gender
identification or expression, sexual orientation, partisan considerations,
or a disability or genetic information that is unrelated to the person's
ability to perform the duties of a particular job or position. The Grantee
further agrees that every subcontract entered into for the performance
of any contract or purchase order resulting therefrom, will contain a
provision requiring non-discrimination in employment, activity 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 37.2101 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
this Agreement.
2. The Grantee will comply with all federal statutes relating to
nondiscrimination. These include but are not limited to:
a. Title VI of the Civil Rights Act of 1964 (PL 88-352) which
prohibits discrimination based on race, color or national origin;
b. Title IX of the Education Amendments of 1972, as amended (20
USC 1681-1683, 1685-1686), which prohibits discrimination
based on sex;
C. Section 504 of the Rehabilitation Act of 1973, as amended (29
USC 794), which prohibits discrimination based on disabilities;
d. The Age Discrimination Act of 1975, as amended (42 USC
6101-6107), which prohibits discrimination based on age;
e. The Drug Abuse Office and Treatment Act of 1972 (PL 92-255),
as amended, relating to nondiscrimination based on drug
abuse;
f. The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (PL 91-616) as
amended, relating to nondiscrimination based on alcohol abuse
or alcoholism;
g. Sections 523 and 527 of the Public Health Service Act of 1944
(42 USC 290dd-2), as amended, relating to confidentiality of
alcohol and drug abuse patient records;
h. Any other nondiscrimination provisions in the specific statute(s)
under which application for federal assistance is being made;
and,
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i. The requirements of any other nondiscrimination statute(s)
which may apply to the application.
3. Additionally, assurance is given to the Department that proactive efforts
will be made to identify and encourage the participation of minority -
owned and women- owned businesses, and businesses owned by
persons with disabilities in contract solicitations. The Grantee shall
include language in all contracts awarded under this Agreement which
(1) prohibits discrimination against minority -owned and women -owned
businesses and businesses owned by persons with disabilities in
subcontracting; and (2) makes discrimination a material breach of
contract.
D. Debarment and Suspension
The Grantee will comply with federal regulation 2 CFR 180 and certifies to the
best of its knowledge and belief that it, its employees and its 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, five-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 obtaining,
attempting to obtain, or performing a public (federal, state, or local) or
private 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, tax evasion, receiving stolen property, making false claims,
or obstruction of justice;
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 2;
4. Have not within a five-year period preceding this Agreement had one or
more public transactions (federal, state or local) terminated for cause or
default; and
5. Have not committed an act of so serious or compelling a nature that it
affects the Grantee's present responsibilities.
E. Federal Requirement: Pro -Children Act
1. The Grantee will comply with the Pro -Children Act of 1994 (PL 103-227;
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 activities, education or library activities to
children under the age of 18, if the activities are funded by federal
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programs either directly or through state or local governments, by
federal grant, contract, loan or loan guarantee. The law also applies to
children's activities that are provided in indoor facilities that are
constructed, operated, or maintained with such federal funds. The law
does not apply to children's activities provided in private residences;
portions of facilities used for inpatient drug or alcohol treatment; activity
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 Grantee also assures that this
language will be included in any subawards which contain provisions for
children's activities.
2. The Grantee also assures, in addition to compliance with PL 103-227,
any activity 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 Grantee. If activities are delivered in facilities or
areas that are not under the control of the Grantee (e.g., a mall,
restaurant or private work site), the activities shall be smoke -free.
F. Hatch Act and Intergovernmental Personnel Act
The Grantee will comply with the Hatch Act (5 USC 1501-1508, 5 USC 7321-
7326), and the Intergovernmental Personnel Act of 1970 (PL 91-648) as
amended by Title VI of the Civil Service Reform Act of 1978 (PL 95-454).
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. Employee Whistleblower Protections
The Grantee will comply with 41 USC 4712 and shall insert this clause in all
subcontracts.
H. Clean Air Act and Federal Water Pollution Control Act
The Grantee will comply with the Clean Air Act (42 USC 7401-7671(q)) and
the Federal Water Pollution Control Act (33 USC 1251-1387), as amended.
1. This Agreement and anyone working on this Agreement will be subject
to the Clean Air Act and Federal Water Pollution Control Act and must
comply with all applicable standards, orders or regulations issued
pursuant to these Acts. Violations must be reported to the Department.
Victims of Trafficking and Violence Protection Act
The Grantee will comply with the Victims of Trafficking and Violence Protection
Act of 2000 (PL 106-386), as amended.
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1. This Agreement and anyone working on this Agreement will be subject
to PL 106-386 and must comply with all applicable standards, orders or
regulations issued pursuant to this Act. Violations must be reported to
the Department.
J. Procurement of Recovered Materials
The Grantee will comply with section 6002 of the Solid Waste Disposal Act of
1965 (PL 89-272), as amended.
1. This Agreement and anyone working on this Agreement will be subject
to section 6002 of PL 89-272, as amended, and must comply with all
applicable standards, orders or regulations issued pursuant to this act.
Violations must be reported to the Department.
K. Subcontracts
For any subcontracted service, activity or product, the Grantee will ensure:
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 if the Grantee asks the Department in
writing within 30 days of execution of the Agreement.
2. That any executed subcontract to this Agreement 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;
b. Restates provisions of this Agreement to afford the Grantee the
same or substantially the same rights and privileges as the
Department; or
c. Requires the subcontractor to perform duties and services in
less time than that afforded the Grantee in this agreement.
3. That the subcontract does not affect the Grantee'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 Grantee 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
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government in excess of $10,000 shall contain provisions or conditions
that will:
a. Allow the Grantee or Department to seek administrative,
contractual or legal remedies in instances in which the
subcontractor violates or breaches contract terms, and provide
for such remedial action as may be appropriate.
b. Provide for termination by the Grantee, 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 Grantee 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).
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.
L. Procurement
Grantee will ensure that all purchase transactions, whether negotiated or
advertised, shall be conducted openly and competitively in accordance with
the principles and requirements of Title 2 Code of Federal Regulations, Part
200. Funding from this agreement shall not be used for the purchase of
foreign goods or services or both. Records shall be sufficient to document the
significant history of all purchases are maintained for a minimum of three years
after the end of the agreement period.
M. Health Insurance Portability and Accountability Act
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To the extent that the Health Insurance Portability and Accountability Act
(HIPAA) is applicable to the Grantee under this Agreement, the Grantee
assures that it is in compliance with requirements of HIPAA including the
following:
1. The Grantee must not share any protected health information provided
by the Department that is covered by HIPAA except as permitted or
required by applicable law; or to a subcontractor as appropriate under
this Agreement.
2. The Grantee will ensure that any subcontractor will have the same
obligations as the Grantee 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 Grantee must only use the protected health data and information
for the purposes of this Agreement.
4. The Grantee 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 Grantee's employees.
5. The Grantee must have a policy and procedure to immediately report to
the Department any suspected or confirmed unauthorized use or
disclosure of protected health information that falls under the HIPAA
requirements of which the Grantee becomes aware. The Grantee will
work with the Department to mitigate the breach and will provide
assurances to the Department of corrective actions to prevent further
unauthorized uses or disclosures. The Department may demand
specific corrective actions and assurances and the Grantee must
provide the same to the Department.
6. Failure to comply with any of these contractual requirements may result
in the termination of this Agreement in accordance with Part 2, Section
V.
7. In accordance with HIPAA requirements, the Grantee is liable for any
claim, loss or damage relating to unauthorized use or disclosure of
protected health data and information, including without limitation the
Department's costs in responding to a breach, received by the Grantee
from the Department or any other source.
8. The Grantee will enter into a business associate agreement should the
Department determine such an agreement is required under HIPAA.
N. Home Health Services
If the Grantee provides Home Health Services (as defined in Medicare Part B),
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the following requirements apply:
1. The Grantee shall not use State ELPHS 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 Grantee'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 Grantee'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 Grantee is not in compliance with its
assurance not to use state ELPHS 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):
O. Website Incorporation
The Department is -not bound by any content on Grantee's website unless
expressly incorporated directly into this Agreement. The Department is not
bound by any end user license agreement or terms of use unless specifically
incorporated in this Agreement or any other agreement signed by the
Department. The Grantee may not refer to the Department on the Grantee's
website without the prior written approval of the Department.
P. Survival
The provisions of this Agreement that impose continuing obligations will
survive the expiration or termination of this Agreement.
Q. Non -Disclosure of Confidential Information
1. The Grantee agrees that it will use confidential information solely for the
purpose of this Agreement. The Grantee agrees to hold all confidential
information in strict confidence and not to copy, reproduce, sell, transfer
or otherwise dispose of, give or disclose such confidential information to
third parties other than employees, agents, or subcontractors of a party
who have a need to know in connection with this Agreement or to use
such confidential information for any purpose whatsoever other than the
performance of this Agreement. The Grantee must take all reasonable
precautions to safeguard the confidential information. These
precautions must be at least as great as the precautions the Grantee
takes to protect its own confidential or proprietary information.
2. Meaning of Confidential Information
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0912412020
For the purpose of this Agreement the term "confidential information"
means all information and documentation that:
a. Has been marked "confidential" or with words of similar
meaning, at the time of disclosure by such party;
b. If disclosed orally or not marked "confidential" or with words of
similar meaning, was subsequently summarized in writing by
the disclosing party and marked "confidential" or with words of
similar meaning;
C. Should reasonably be recognized as confidential information of
the disclosing party;
d. Is unpublished or not available to the general public; or
e. Is designated by law as confidential.
3. The term "confidential information" does not include any information or
documentation that was:
a. Subject to disclosure under the Michigan Freedom of
Information Act (FOIA);
b. Already in the possession of the receiving party without an
obligation of confidentiality;
C. Developed independently by the receiving party, as
demonstrated by the receiving party, without violating the
disclosing party's proprietary rights;
d. Obtained from a source other than the disclosing party without
an obligation of confidentiality; or
e. Publicly available when received or thereafter became publicly
available (other than through an unauthorized disclosure by,
through or on behalf of, the receiving party).
4. The Grantee must notify the Department within one business day after
discovering any unauthorized use or disclosure of Confidential
Information. The Grantee will cooperate with the Department in every
way possible to regain possession of the Confidential Information and
prevent further unauthorized use or disclosure.
R. Cap on Salaries
None of the funds awarded to the Grantee through this Agreement shall be
used to pay, either through a grant or other external mechanism, the salary of
an individual at a rate in excess of Executive Level II. The current rates of pay
for the Executive Schedule are located on the United States Office of
Personnel Management web site, http://www.opm.gov, by navigating to Policy
— Pay & Leave — Salaries & Wages. The salary rate limitation does not
restrict the salary that a Grantee may pay an individual under its employment;
rather, it merely limits the portion of that salary that may be paid with funds
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from this Agreement.
IV. Financial Requirements
A. Operating Advance
Under the pre -payment reimbursement method, no additional operating
advances will be issued.
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B. Payment Method
1. Prepayments
a. 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 Grantee
can view their monthly prepayment within the MI E-Grants
system.
b. 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 or Grantee adjustment requests.
C. If the sum of the prepayments does not equal at least 90% of
the Grantee's expenditures for a quarter of the contract period,
the Grantee may submit documentation for an adjustment to the
monthly prepayment amount via the following process:
i. Submit a written request for the adjustment to the
Department's Accounting Division, Expenditure Operations
Section.
ii. 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.
iii. The Department will review the requests and if an
adjustment is approved, it will be included in the next
scheduled monthly prepayment.
iv. 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.
v. 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.
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2. Fixed Fee Reimbursement
a. Quarterly reimbursement for fixed fee projects is based on
Attachment IV and approved quarterly Financial Status Reports.
C. Financial Status Report Submission
1. A Financial Status Report (FSR) must be submitted on a quarterly basis
no later than 30 days after the close of the calendar quarter for all
programs listed on Attachment IV and fee for services project budgeted.
Failure to meet financial reporting responsibilities as identified in this
agreement may result in withholding future payments.
2. FSR's must report total actual program expenditures regardless of the
source of funds. The Department will reimburse the Grantee 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 Grantee's monthly prepayment.
3. By submitting the FSR the individual is certifying to the best of their
knowledge and belief that the report is true, complete and accurate and
the expenditures, disbursements, and cash receipts are for the
purposes and objectives set forth in the terms and conditions of this
agreement. The individual submitting the FSR should be aware that
any false, fictitious, or fraudulent information, or the omission of any
material facts, may subject them to criminal, civil or administrative
penalties for fraud, false statements, false claims or otherwise.
4. The instructions for completing the FSR form are available on the
website http://egrams-mi.com/dch. Send FSR questions to
FSRMDHHS@michigan.gov.
D. Reimbursement Method
The Grantee will be reimbursed in accordance with the reimbursement
methods for applicable program elements described as follows:
1. Performance Reimbursement - A reimbursement method by which
Grantees 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 Grantee 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 Il. If Grantee's 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.
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2. Actual Cost Reimbursement - A reimbursement method by which
Grantees 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 method is allocable as a source before any local
funding requirement unless a specific local match condition exists.
3. Fixed Unit Rate Reimbursement - A reimbursement method by which
Grantee are reimbursed a specific amount for each output actually
delivered and reported.
4. Essential Local Public Health, Services (ELPHS) - A reimbursement
method by which Grantees are reimbursed a share of reasonable and
allowable costs incurred for required services, as noted in the current
Appropriations Act.
E. Reimbursement Mechanism
All Grantees must sign up through the on-line vendor registration process to
receive all State of Michigan payments as Electronic Funds Transfers
(EFT)/Direct Deposits. Vendor registration information is available through
the Department, of Technology, Management and Budget's web site:
http://www.michigan.gov/sigmayss
F. Unobligated Funds
Any unobligated balance of funds held by the Grantee at the end of the
agreement period will be returned to the Department or treated in accordance
with instructions provided by the Department.
G. Final Obligation Reporting Requirements
An Obligation Report, based on annual guidelines, must be submitted by the
due date using the format provided by the Department through MI E-Grants.
The Grantee must provide, by program, an estimate of total expenditures for
the entire agreement period (October 1 through September 30). This report
must represent the Grantee'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 Grantee in the monthly
prepayments and quarterly fee -for -service payments to establish accounts
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payable and accounts receivable entries at fiscal year-end. The Department
recognizes that based upon payment adjustments and timing of agreement
amendments, the Grantee 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 60 days after the agreement fiscal year-end, the Grantee must liquidate
any unpaid year-end commitments and obligations. Any obligation remaining
unliquidated after 60 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 Financial Status Reporting Requirements
Final FSRs are due on the following dates following the agreement period
end date:
Project Final FSR Due Date
Public Health Emergency Preparedness 11/15/2020
All Remaining Projects
11 /30/2020
Upon receipt of the final FSR electronically through MI E-Grants, the
Department will determine by program, if funds are owed to the Grantee or if
the Grantee owes funds to the Department. If funds are owed to the Grantee,
payment will be processed. However, if the Grantee underestimated their
year-end obligations in the Obligation Report as compared to the final FSR
and the total reimbursement requested does not exceed the agreement
amount that is due to the Grantee, the Department will make every effort to
process full reimbursement to the Grantee 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
Grantee to send in a payment. Instead the Department will make the
necessary entries to offset other payments and as a result the Grantee will
receive a net monthly prepayment. When this does occur, clarifying
documentation will be provided to the Grantee by the Department's Accounting
Division.
I. Penalties for Reporting Noncompliance
For failure to submit the final total Grantee FSR report by November 30,
through MI E-Grants after the agreement period end date, the Grantee may be
penalized with a one-time reduction in their current ELPHS allocation for
noncompliance with the fiscal year-end reporting deadlines. Any penalty funds
will be reallocated to other Local Health Department Grantees. Reductions will
be one-time only and will not carryforward to the next fiscal year as an ongoing
reduction to a Grantee's ELPHS allocation. Penalties will be assessed based
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upon the submitted date in MI E-Grants:
ELPHS Penalties for Noncompliance with Reporting Requirements:
1. 1 % - 1 day to 30 days late;
2. 2% - 31 days to 60 days late;
3. 3% - over 60 days late with a maximum of 3% reduction in the
Grantee's ELPHS allocation.
J. Indirect Costs and Cost Allocations/Distribution Plans
The Grantee is allowed to use approved federal indirect rate, 10% de minimis
indirect rate or cost allocation/distribution plans in their budget calculations.
1. Costs must be consistently charged as indirect, direct or cost allocated,
but may not be double charged or inconsistently charged.
2. If the Grantee does not have an existing approved federal indirect rate,
they may use a 10% de minimis rate in accordance with Title 2 Code of
Federal Regulations (CFR) Part 200 to recover their indirect costs.
3. Grantees using the cost allocation/distribution method must develop
certified plan in accordance with the requirements described in Title 2
CFR, Part 200 which includes detailed budget narratives and is retained
by the Grantee and subject to Department review.
4. There must be a documented, well-defined rationale and audit trail for
any cost distribution or allocation based upon Title 2 CFR, Part 200
Cost Principles and subject to Department review.
V. Agreement Termination
This Agreement may be terminated without further liability or penalty to the
Department for any of the following reasons:
A. By either party by giving 30 days written notice to the other party stating the
reasons for termination and the effective date.
B. By either party with 30 days 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 30-day period.
C. Immediately if the Grantee or an official of the Grantee or an owner is
convicted of any activity referenced in Part 2 Section III. D. of this Agreement
during the term of this Agreement or any extension thereof.
Further, this Agreement may be terminated or modified immediately upon a finding by
the Department in accordance with MCL 333.2235 that the Grantee local health
department for the delivery of public health services under this Agreement is unable or
unwilling to provide any or all of the services as provided in this Agreement, and the
Department may redirect funds as necessary to ensure that the public health services
are provided within the Grantee's jurisdiction.
VI. Stop Work Order
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The Department may suspend any or all activities under this Agreement at any time.
The Department will provide the Grantee with a written stop work order detailing the
suspension. Grantee must comply with the stop work order upon receipt. The
Department will not pay for activities, Grantee's incurred expenses or financial losses,
or any additional compensation during a stop work period.
VII. Final Reporting upon Termination
Should this Agreement be terminated by either party, within 30 days after the
termination, the Grantee shall provide the Department with all financial, performance
and other reports required as a condition of this Agreement. The Department will
make payments to the Grantee for allowable reimbursable costs not covered by
previous payments or other state or federal programs. The Grantee shall immediately
refund to the Department any funds not authorized for use and any payments or funds
advanced to the Grantee in excess of allowable reimbursable expenditures.
Vlll. Severability
If any part of this Agreement is held invalid or unenforceable by any court of
competent jurisdiction, that part will be deemed deleted from this Agreement and the
severed part will be replaced by agreed upon language that achieves the same or
similar objectives. The remaining parts of the Agreement will continue in full force and
effect.
IX. Amendments
A. Except as otherwise provided, any changes to this agreement will be valid only if
made in writing and accepted by all parties to this agreement.
In the event that circumstances occur that are not reasonably foreseeable, or are
beyond the Grantee's or Department's control, which reduce or otherwise interfere
with the Grantee's or Department's ability to provide or maintain specified services or
operational procedures, immediate written notification must be provided to the other
party. Any change proposed by the Grantee which would affect the state funding of
any project, in whole or in part as provided in Part I, Section 3.C. of the agreement,
must be submitted in writing to the Department for approval immediately upon
determining the need for such change. The proposed change may be implemented
upon receipt of written notification from the Department.
B. Except as otherwise provided, amendments to this agreement shall be made within
thirty days after receipt and approval of a change proposed by the Grantee.
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 Grantee at any time prior to May 15. The
Department will provide a written response within 30 calendar days.
All amendments must be submitted to the Department within three weeks of receipt
through MI E-Grants to assure the amendment can be executed prior to the end of the
agreement period.
Local Health Department - 2021, Date, 09/24/2020 Page33 of 197
09/24/2020
1. Any change proposed by the Grantee which would affect the state
funding of any element funded in whole or in part by funds provided by
the Department, subject to Part 1, 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 Grantee 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.
Any changes proposed by the Department must be agreed to in writing
by the Grantee 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 Grantee at any time prior to June 2. The Department will provide
a written response within 30 calendar days.
All amendments must be submitted to the Department by June 15
through MI E-Grants to assure the amendment can be executed prior to
the end of the agreement period.
X. Liability
The Grantee assumes all liability to third parties, loss, or damage as a result of claims,
demands, costs, or judgments arising out of activities, such as direct activity delivery,
to be carried out by the Grantee in the performance of this agreement, under the
following conditions:
A. The liability, loss, or damage is caused by, or arises out of, the actions of or
failure to act on the part of the Grantee, any of its subcontractors, or anyone
directly or indirectly employed by the Grantee.
B. Nothing herein shall be construed as a waiver of any governmental immunity
that has been provided to the Grantee or its employees by statue or court
decisions.
The Department is not liable for consequential, incidental, indirect or special damages,
regardless of the nature of the action.
XI. Waiver
Failure to enforce any provision of this Agreement will not constitute a waiver.
Local Health Department- 2021, Date 09/24/2020 Page: 34 of 197
09/24/2020
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 Grantee, 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.
XII. State of Michigan Agreement
This is a state of Michigan Agreement and must be exclusively governed by the laws
and construed by the laws of Michigan, excluding Michigan's choice -of -law principle.
All claims related to or arising out of this Agreement, or its breach, whether sounding
in contract, tort, or otherwise, must likewise be governed exclusively by the laws of
Michigan, excluding Michigan's choice -of -law principles. Any dispute as a result of
this Agreement shall be resolved in the state of Michigan.
XIII. 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 Instructions for the Annual Budget, Attachment III, Program
Specific Assurances and Requirements, and as outlined in Attachment IV,
Funding/Reimbursement Matrix.
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 Grantee 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.
ELPHS transfer requests between MDHHS, MDARD and MDEQ must also be
requested in writing by May 1. All ELPHS required services must be
maintained throughout the entire period of the agreement.
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.
Local Health Department-2021, Date 09/24/2020 Page: 35 of 197
09/24/2020
AA Attachments
Al Attachment I - Instructions for the Annual Budget
Attachment I - Instructions for the Annual Budget
A2 Attachment III - Program Specific Assurances and Requirements
Attachment III - Program Specific Assurances and Requirements
Local Health Department - 2021, Date: 09/24/2020 Page: 36 of 197
Program Element/Funding Source
(a)
Adolescent STD Screening
Body Art Fixed Fee
Children's Special Hlth Care
Services (CSHCS) Care
Coordination
Children's Special Hlth Care
Services (CSHCS) Outreach &
Advocacy
Contract# Date: 09/24/2020
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2021
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
MDHHS
Fed/St Funding Reimbursement
Performance
Total (c)
State (d)
State Funded Minimum Contractor /
Source
Amount Method
Target
Output
Perform
Expect
Funded
Target
Performance
Subrecepient
Percent (f)
(b)
Measurement
Perform
Number (a)
Reg. Alloc.
F 73,000 Actual Cost
N/A
N/A
N/A
N/A
NIA Subrecepient
Reimbursement
Calc. Amt.
250.00/Numb Fixed Unit Rate (2)
N/A
N/A
N/A
N/A
N/A Recepient
ers
Calc. Amt.
150.00/Vario Fixed Unit Rate (1),
NIA
N/A
N/A
N/A
N/A Subrecepient
us (7)
Reg. Alloc.
F 147,203 Actual Cost
N/A
N/A
NIA
N/A
N/A Subrecepient
Reimbursement
Reg. Alloc.
CRF Immunizations COVID
Reg. Alloc.
Response
CRF Local Health Department
Reg. Alloc.
Contact Tracing
CRF Local Health Department
Reg. Alloc.
Lab
CRF Local Health Department
Reg. Alloc.
Testing
CSHCS Medicaid Elevated Blood
Calc. Amt.
Lead Case Mgmt
EGLE Drinking Water and Onsite
Reg. Alloc-
Wastewater Management
ELC COVID-19 Contact Tracing
Reg. Alloc.
Testing Coordination
ELC COVID-19 Infection
Reg. Alloc.
Prevention
Emerging Threats - Hepatitis C
Reg Alloc.
Fetal Infant Mortality Review
Calc. Amt.
(FIMR) Case Abstraction
FIMR Interviews
Calc. Amt.
S 147,202
F 401,714 Actual Cost
N/A
Reimbursement
F 405,000 Actual Cost
N/A
Reimbursement
F 285,714 Actual Cost
N/A
Reimbursement
F 150,007 Actual Cost
N/A
Reimbursement
201.58/Vario Fixed Unit Rate (2)
N/A
us
S 985,042 ELPHS (3), (6)
NIA
F 2,755,800 Actual Cost
N/A
Reimbursement
F 337,500 Actual Cost
N/A
Reimbursement
S 76,221 Actual Cost
NIA
Reimbursement
270.00/Vario Fixed Unit Rate (2)
N/A
us
85.00/Numbe Fixed Unit Rate (2),
N/A
rs (11)
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
NIA
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
NIA
Subrecepient
Local Health Department- 2021, Date 09/24/2020 Page: 37 of 197
Contract# Date 09/24/2020
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2021
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
MDHHS
Fed/St
Funding Reimbursement
Method
Performance
Target
Total (c)
Perform
State (d)
Funded
State Funded Minimum Contractor
Subrecepient
(a)
Source
Amount
(b)
Output
Expect
Target
Performance
Percent (f)
Measurement
Perform
Numb^_r (e)
Food ELPHS
Reg. Alloc.
S
1,176,612 ELPHS (3), (4)
N/A
N/A
N/A
N/A
N/A Recepient
Gonococcal Isolate Surveillance
Reg. Alloc.
F
15,750 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Project
Reimbursement
Reg. Alloc.
S
47,250
Hearing ELPHS
Reg. Alloc.
L
253,969 ELPHS (3), (6)
N/A
N/A
N/A
N/A
N/A Recepent
HIV Data to Care
Reg. Alloc.
P
128,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Recepient
Reimbursement
HIV PrEP Clinic
Reg. Alloc.
F
118,800 Actual Cost
NIA
N/A
NIA
N/A
N/A Subrecepient
Reimbursement
Reg. Alloc.
S
1,200
HIV Prevention
Reg. Alloc.
F
130,789 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Reg. Alloc.
P
4,522 _
Reg. Alloc.
S
316,934
Immunization Action Plan (IAP)
Reg. Alloc.
F
501,895 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Immunization Fixed Fees
Calc. Amt.
300.00/1,lumb Fixed Unit Rate (2),
N/A
N/A
N/A
N/A
N/A Subrecepient
ers (7)
Immunization Vaccine Quality
Reg. Alloc.
S
105,347 Actual Cost
N/A
N/A
N/A
N/A
N/A Recepient
Assurance
Reimbursement
Infant Safe Sleep
Reg. Alloc.
F
2,250 Actual Cost
N/A
N/A
N/A
N/A
NIA Subrecepient
Reimbursement
Reg. Alloc.
S
20,250
Laboratory Services NO
Reg. Alloc.
F
15,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
MCH - All Other
Local MCH
S
321,457 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
MDHHS-Essential Local Public
Reg. Alloc.
S
2,557,216 ELPHS (3),(6)
NIA
N/A
N/A
N/A
N/A Recepient
Health Services (ELPHS)
MI Health and Wellness 4x4 Plan
Reg. Alloc.
S
73,084 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
- Implementation
.Reimbursement
Local Health Department - 2021, Date. 09/24/2020 Page: 38 of 197
Contract# Date: 09/24/2020
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2021
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
MDHHS
Fed/St
Funding Reimbursement
Performance
Total (c)
State (d)
State Funded Minimum Contractor /
(a)
Source
Amount Method
Target
Output
Perform
Expect
Funded
Target
Performance
Percent Subrecepient
(f)
(b)
Measurement
Perform
Number(e)
Nurse Family Partnership
Reg. Alloc.
F
385,524 Actual Cost
N/A -
N/A
N/A
N/A
N/A Subrecepient
Services
Reimbursement
Reg. Alloc.
S
257,016
Public Health Emergency
Reg. Alloc.
F
222,088 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Preparedness (PREP) 10/1 -6/30
Reimbursement
-
Public Health Emergency
Reg. Alloc.
F
151,699 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Preparedness (PHEP) CRI 1011 -
Reimbursement -
6/30
Sexually Transmitted Disease
Reg. Alloc.
F
34,121 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
(STD) Control
Reimbursement
Reg. Alloc.
S
36,144
Tuberculosis (TB) Control
Reg. Alloy
F
20,141 Actual Cost -
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Vector -Borne Surveillance &
Reg. Alloc.
S
9,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Recepient
Prevention
Reimbursement
Vision ELPHS
Reg. Alloc.
L
253,968 ELPHS (3), (6)
N/A
N/A
N/A
N/A
N/A Recepient
West Nile Virus Community
Reg. Alloc.
F
10,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Surveillance
Reimbursement
WIC Breastfeeding
Reg. Alloc.
F
219,199 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
WIC Resident Services
Reg. Alloc.
F
2,615,870 Performance (8)
# Average
N/A
N/A
97
0 Subrecepient
Monthly
Participation
TOTAL MDHHS FUNDING 15,769,498
'SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT
Attachment IV Notes
Attachment IV Notes
Local Health Department- 2021, Date: 09/24/2020 Page: 39 of 197
Contract # Date09/24/2020
Attachment V
Local Health Department-2021, Date 09/24/2020 Page' 40 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
(PROGRAM / PROJECT
DATE PREPARED
Local Health Department -2021 /Administration
9/24/2020
CONTRACTOR NAME
BUDGET PERIOD
l
1
Oakland County Department of Health and Human Services/
From : 10/1/2020 To 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
r Original r Amendment
0
34 East
CITY ATE ZIP CODE
IPontlac I4
FEDERAL NUMBER
MI341-0432
38-600 876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1�
1 Salary & Wages
5,966,328.00
5,966,328.00 I
2 Fringe Benefits
3,451,750.00
3,451,750001
3 Cap. Exp. for Equip & Fac.
0.00
0.001
4 Contractual
153,794.00
153,794.0011
5 Supplies and Materials
409,695.00
409,695.00 1
6 Travel
67,159.00
67,159.00111
7 Communication
110,544.00
110,544 00 I
8 County -City Central Services
0.00
0.00 1�
9 Space Costs
617,512.00
617,512.00 I
10 All Others (ADP, Con, Employees, Misc.)
1,881,879.00
1,881,879.00 1�
Total Program Expenses
12,658,661.00
12,658,661 00 11
TOTAL DIRECT EXPENSES
12,658,661 00
12,658,661.00 I
IINDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
707,607.00
707,607.00 1�
2 Cost Allocation Plan / Other
-10,837,795.00
-10,837,795.00 I
Total Indirect Costs
-10,130,188.00
-10,130,188.00
ITOTAL INDIRECT EXPENSES
-10,130,18800
-10,130,188001
TOTAL EXPENDITURES
2,528,473.00 I
2,528,473.00
Local Health Department- 2021, Date: 09/24/2020 Page41 of 197
Contract # Date: 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1 stand 2nd
523,950.00
0.00
523,950.00
0.00
Party
Fees and Collections - 3rd Party
156,000.00
0.00
156,000.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
000
0.001
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.001
1I1
Federally Provided Vaccines
0.00
0.00
0.00
0,00 1
Federal Medicaid Outreach
0.00
0.00
0.00
0.001
Required Match - Local
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00 �
Local Non-ELPHS
0.00
0.00
0.00
0.00tI
11
Local Non-ELPHS
0.00
0.00
0.00
0.00 1
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0,00
0.00
MDHHSComprehensive
0.00
0.00
0.00
0.00
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
1,848,523.00
0.00
1,848,523.00
0.001
Inkind Match
0.00
0.00
0.00
0.00 I
MDHHS Fixed Unit Rate
0.00
0.00
0.00
0.001
Total Source of Funds
2,528,473.00
0.00
2,528,473.00
0.001 1
Totals
2,528,473.00
0.00
2,528,473,00
0.001
Local Health Department- 2021, Date: 09/24/2020 Page: 42 of 197
Contract# Date. 09/24/2020
3 Program Budget - Cost Detail
Line Item
I Total
(DIRECT EXPENSES
Program Expenses
1�
1 Salary & Wages
5,966,328.001
2 Fringe Benefits
3,451,760.001
3 Cap. Exp. for Equip & Fee.
0,0011
4 Contractual
153,794.001
5 Supplies and Materials
409,695.001 1
6 Travel
67,159.001
7 Communication
110,544.00111
8 County -City Central Services
0.001
9 Space Costs
617,512.001
10 All Others (ADP, Con. Employees, Misc.)
1,881,879.001
(Total Program Expenses
12,658,661.0011
ITOTAL DIRECT EXPENSES
12,658,661.001
IINDIRECT EXPENSES
Ilndirect Costs
I
1 Indirect Costs
I 707,607.001
2 Cost Allocation Plan / Other
111
Other Cost Distributions -Other Inf Disease/CD
-1,566,219.00 1
Other Cost Distributions-Misc Distribution
-2,160,455.001I
1
(Other Cost Distributions -SIDS fee
-2,000.001 1
(Health Adm Distribution
-7,493,862.00r1
1
(Other Cost Distributions -Education
384,741.001
(Total for Cost Allocation Plan / Other
-10,837,795.001
(Total Indirect Costs
-10,130,188 001
ITOTAL INDIRECT EXPENSES
-10,130,188.001
(TOTAL EXPENDITURES
2,528,473.00111
Local Health Department- 2021, Date 09/24/2020 Page: 43 of 197
Contract# Date: 09/24/2020
1 Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Local Health Department - 20211 Administration -
9/24/2020
Environmental
CONTRACTOR NAME
BUDGET PERIOD
l
1
Oakland County Department of Health and Human Services/
From : 10/1/2020 To : 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
DGEOrigaAGR
AMENDMENT #
1200 N. Telegraph Rd.
B E` AmNT endment
34 East
IPontac IMICITATE ZIP CODE
I4
FEDERAL ID NUMBER
1
341-0432
38-6004876
I Total I
Amount
Category
DIRECT EXPENSES
1
Program Expenses
1�
1 Salary & Wages
5,531,988.00
5,531,988.00 11
2 Fringe Benefits
3,033,535.00
3,033,535.00 11
3 Cap. Exp. for Equip & Fac.
0.00
0.00 1II
4 Contractual
0.00
0.00
5 Supplies and Materials
- 61,300.00
61,300.00 11
6 Travel
192,362.00
192,362.0011
7 Communication
82,900.00
82,900.0011
8 County -City Central Services
0.00
0.00 11
9 Space Costs
139,420.00
139,420.00 I
10 All Others (ADP, Con, Employees, Misc.)
714,209.00
714,209.00
Total Program Expenses
9,755,714.00
9,755,714.00
TOTAL DIRECT EXPENSES
9,755,714.00
9,755,714.00 1
INDIRECT EXPENSES
1
Indirect Costs
1 Indirect Costs
I
656,094.00
656,094.00
2 Cost Allocation Plan / Other
-1,951,387.00
-1,951,387.00
Total Indirect Costs
-1,295,293.00
-1,295,293.00
TOTAL INDIRECT EXPENSES
-1,295,293.00
-1,295,293.00
TOTAL EXPENDITURES
8,460,421.00
8,460,421.00
Local Health Department - 2021, Date: 09/24/2020 Page: 44 of 197
Contract # Date09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
1,159,359.00
0.00
1,159,359.00
0.001
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
2,216,091.00
0.00
2,216,091.00
0.00 I
Federal Cost Based Reimbursement
0.00
0.00
0.00
0,00t 1
Federally Provided Vaccines
0.00
0.00
0.00
0.001 1
1
Federal Medicaid Outreach
0.00
0.00
000
000 1
Required Match - Local
0.00
0.00
0.00
0.001I1
1
Local Non-ELPHS
0.00
0.00
0.00
0.00 1
Local Non-ELPHS
0.00
0.00
0.00
0001
Local Non-ELPHS
0.00
0.00
0.00
0.00 1�
Other Non-ELPHS
0.00
0.00
000
0.00 I
MDHHS Non Comprehensive
000
0.00
0.00
0.001
1
MDHHS Comprehensive
0.00
000
0.00
0.00 1
MCH Funding
000
0.00
0.00
0.001
Local Funds - Other
5,084,971.00
000
5,084,971.00
0.00 1
Inkind Match
0.00
0.00
0.00
0.001
MDHHS Fixed Unit Rate
0.00
0.00
0.00
0.00 I
Total Source of Funds
8,460,421.00
0.00
8,460,421 00
0.001
Totals
8,460,421.00
0.00
8,460,421.00
0.00111
Local Health Department - 2021, Date: 09/24/2020 Page. 45 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
Line Item
I Total I
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
5,531,988.001
2 Fringe Benefits
3,033,535.00II
3 Cap. Exp. for Equip & Fac.
0001
4 Contractual
1
0.001
5 Supplies and Materials
61,300.001
6 Travel
192,362,001
7 Communication
82,900.001
8 County -City Central Services
0 0011
9 Space Costs
139,420.001
10 All Others (ADP, Con. Employees, Misc.)
714,209.0011
ITotalProgram Expenses
9,755,714.001
(TOTAL DIRECT EXPENSES
9,755,714. 001
(INDIRECT EXPENSES
Indirect Costs
1�
1 Indirect Costs
I 656,094.001
2 Cost Allocation Plan / Other
1
EH Adm Distribtions
4,986,388.0011
(Other Cost Distributions -Body Art Fees
-50,000.001
(Health Adm Distribution
3,045,912 0011
Other Cost Distributions-Misc
39,089,001
(Total for Cost Allocation Plan / Other
-1,951,387.001
(Total Indirect Costs
-1,295,293 001
(TOTAL INDIRECT EXPENSES
-1,295,293.001
(TOTAL EXPENDITURES
8,460,421.001,11
Local Health Department - 2021, Date 09/24/2020 Page: 46 of 197
Contract # Date. 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / Adolescent STD Screeninq
9/2412020
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From 10/1/2020 To : 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
ro Original (` Amendment
34 East
CIT(ZIP
IMIATE
CODE
I4
FEDERAL ID NUMBER
Pontiac
341-0432
38-6004876
Category
I Total
1 DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
1 3 Cap. Exp. for Equip & Fac.
4 Contractual
1 5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs _
1 10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
1 INDIRECT EXPENSES
Indirect Costs
1 1 Indirect Costs
2 1 Cost Allocation Plan / Other
1 Total Indirect Costs
TOTAL INDIRECT EXPENSES
1 TOTAL EXPENDITURES
42,158.00
15,868.00
0.00
0.00
6,134.00
71900
0.00
000
0.00
3,121.00
68,000.00
68,000.00
14,749 00
14,749.00
14,749.00
82,749.00
AMENDMENT#
0
I
Amount
1
1
42,158 00 1
15,868,001
0.00 1
0.001
6,134.00 1
719.00 1
0,001
0 00 1
ME
3,121.00
68,000.00
68, 000.00
0.00 1
14,749.00 1
14,749 00 1
14,749.001
82,749.00 1
Local Health Department - 2021, Date: 09/24/2020 Page: 47 of 197
Contract# Date: 09/24/2020
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
1 Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00 1�
Federal or State (Non MDHHS)
0.00
0.00
000
000 I
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.001
Federally Provided Vaccines
0.00
0.00
0.00
0.00 1
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
0.00
0.001
Local Non-ELPHS
0.00
0.00
0.00
000
1 Local Non-ELPHS
0.00
000
0.00
0.001
Local Non-ELPHS
0.00
0.00
000
0.00 I
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
000
000
MDHHS Comprehensive
73,000.00
73,000.00
0.00
000 �
1 MCH Funding
0.00
0.00
0.00
0.001
11
Local Funds - Other
9,74900
0.00
9,749.00
000 1
Inkind Match
0.00
0.00
0.00
0.001
MDHHS Fixed Unit Rate
1
Totals I
82,749.00 I
73,000 00 I
9,749.00 I
0.00 1
Local Health Department - 2021, Date'. 09/24/2020 Page: 48 of 197
Contract# Date: 09/2412020
3 Program Budget - Cost Detail
(Line Item I
Cityl
(DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
Public Health Nurse
0.1087
Notes : GFGP position - overtime
only
Public Health Nurse
0,1082
Notes : GFGP Position -overtime
only
(Technician
01231
(Assistant
0.2769
(Total -or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
Notes: FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Medical Supplies
Printing
Educational Supplies
(Total for Supplies and Materials
Rate UnitsIUOM
108271.000 0 000 FTE
103285 000 0.000 FTE
59734,000 0 000 FTE
42837,000 0.000 FTE
37,639 42158.000
0.0000
0 000
0,000
0.0000
0.000
0.000
0.0000
0.000
0 000
0.0000
0.000
0.000
Total
1
1
1
11,769.00
11,175 001
7,352.001
11,862 001
42,158,001
1
15,868.00
1
1
688.001
1,099.001
350.001
3,997.001
6,134,001
Local Health Department - 2021, Date. 09/24/2020 Page. 49 of 197
Contract #
Date. 09/24/2020
Line Item (
City l
Rate'
UnitsIUOM
Totall
6 Travel
Mileage
0.0000
0.000
0,000
719.O0
Notes 1,250 miles @ 75
7 Communication
I
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees,
Misc.)
Insurance
0.0000
0,000
0.000
97.001
Information Technology
0.0000
0.000
0.000
3,024.00I
(Total for All Others (ADP, Con. Employees, Misc.)
3,121.001
(Total Program Expenses
68,000.001
(TOTAL DIRECT EXPENSES
68,000.001111
INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
0.0000
0.000
0.000
5,000.00)
Notes: 12.29%
IHealth AdmDistribution
0.0000
0,000
0.000
8,022.001
INursing AdmDistribution
0.0000
0.000
0.000
1,727.00
(Total for Cost Allocation Plan / Other
14,749.001
(Total Indirect Costs
14,749 0011
TOTAL INDIRECT EXPENSES
14,749.001
(TOTAL EXPENDITURES
82,749.001
Local Health Department - 2021, Date 09/24/2020 Page: 50 of 197
Contract# Date. 09/24/2020
1 Program Budget Summary
PROGRAM/PROJECT
DATE PREPARED
Local Health Department - 2021 / Public Health Emergency
9/24/2020
Preparedness (PHEP) 10/1 - 6/30
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From 10/1/2020 To : 6/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
rOriginal 1— Amendment
34 East
( CITY
IMI
CODE
I4
876 NUMBER
Pontiac
341-0432
38-6004ZIP
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
1 I Indirect Costs
2 1 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
113,868.00
40,993.00
0.00
0.00
47,417.00
1,090.00
1,800.00
0.00
13,886.00
12,464 00
231,518.00
231.518.00
M
39,624.00
39,624.00
39,624.00
271,142.00
AMENDMENT#
0
Amount
113,868.00
40,993.00
0.00
000
47,417.00
1,090.00
1,800.00
0.00
13,886.00
12,464 00
231,518.00
231,518.00
0.00 1
39,624.001
39,624.001
39,624,00 11
1
271,142.00 1
Local Health Department- 2021, Date: 09/24/2020 Page 51 of 197
Contract # Date09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1 at and 2nd
000
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
000
0.00
0.00,
Federal or State (Non MDHHS)
0.00
0.00
000
000 1I
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00 11
Federally Provided Vaccines
0.00
0.00
0.00
0.00 1
Federal Medicaid Outreach
0.00
0.00
0.00
0.001
Required Match - Local
22,209.00
0.00
22,209.00
0.00 I
Local Non-ELPHS
0.00
0.00
000
0.00 1�
Local Non-ELPHS
0.00
0.00
0.00
0.00 I
Local Non-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00 1�
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00 11
MDHHS Comprehensive
222,088.00
222,088.00
0.00
0.00 I
MCH Funding
0.00
0.00
0 00
0.00 1
Local Funds - Other
26,845.00
0.00
26,845.00
0.00
InklndMatch
0.00
0.00
000
0.001
MDHHS Fixed Unit Rate
1
Totals I
271,142.00
222,08800I
49,054.00
0.00�
Local Health Department - 2021, Date 09/24/2020 Page: 52 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
I (Line Item I Qtyl Rate l UnitsIUOM
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
Coordinator
(Health Educator
Specialist
Health Educator
(Administrator
Notes: MATCH
(Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
Notes: MATCH $3,296.00
FICA
Unemp Ins
Retirement
Hospital Ins
Life Ins
Vision Ins
Short/Long Term Disability
Dental Ins
Work Comp
3 Cap. Exp. for Equip & Fee.
4 Contractual
5 Supplies and Materials
Office Supplies
Printing
Disaster Supplies
(Total for Supplies and Materials
6 Travel
Mileage
Notes : 1895 miles @ .575
7 Communication
Local Health Department - 2021, Dale09/24/2020
07500
61906.000
0 000
FTE
0.3750
62946.000
0.000
FTE
03750
56472.000
0,000
FTE
0,3750
44096,000
0.000
FTE
0.0601
101842.000
0.000
FTE
00000 36.000 113869.000
0,0000
0.000
0.0001
00000
0.000
0.000
0.0000
0.000
0.000
0 0001
Total
I
1
1
46,430.001
23,605.001
21,177.001
i
16,536.00
6,120.00
113,868.00
40,993 00
1
1
2,500.001
2,000.0011
42,917.001
47,417,001
1
1,090 001
1
Page 53 of 197
Contract#
Date: 09/24/2020
Line Item
City
Rate
Units UOM
Total
Telephone Communications
00000
0.000
0.000
1,800.00
8 County -City Central Services
9 Space Costs
Building Space Rental
0.0000
0.000
0,000
13,886 00
Notes: MATCH $13,886
10 All Others (ADP, Con. Employees,
Misc.)
Insurance
0.0000
0 000
0.000
270 001
Copier
0,0000
0,000
0.000
1,400.001
IT Operations
0.0000
0.000
0.000
10,794 00
Notes: MATCH $1,056
(Total for All Others (ADP, Con. Employees, Misc.)
12,464.001
(Total Program Expenses
231,518.001
ITOTAL DIRECT EXPENSES
231,518.001
(INDIRECT EXPENSES
(indirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Allocation Plan
0,0000
0.000
0.000
12,779.00
Notes 12.29%
Health Adm Distribution
00000
0 000
0.000
26,845.001
(Total for Cost Allocation Plan / Other
39,624 001
(Total Indirect Costs
39,624 001
ITOTAL INDIRECT EXPENSES
39,624.001
ITOTAL EXPENDITURES
271,142.001
Local Health Department - 2021, Date: 09/24/2020 Page: 54 of 197
Contract # Date. 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / Body Art Fixed Fee
9/24/2020
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2020 To : 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd
ry, Original 1" Amendment
34 East
IMIATE
CDE
I48341O0432
876 NUMBER
Pontiac
386004ZIP
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
2 Fringe Benefits
0.00
3 Cap. Exp. for Equip & Fac.
0.00
4 Contractual
0.00
5 Supplies and Materials
0.00
1 6 Travel -
0.00
7 Communication
0.00
1 8 County -City Central Services
0.00
9 Space Costs
000
1 10 All Others (ADP, Con. Employees, Misc.)
0.00
INDIRECT EXPENSES
1 Indirect Costs
1
Indirect Costs
0.00
1 2
Cost Allocation Plan / Other
50,000.00
Total Indirect Costs
50,000.00
1 TOTAL INDIRECT EXPENSES
50,000.00
TOTAL EXPENDITURES
50,000.00
AMENDMENT#
0
1
Amount
0.00 1i
000
i
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 1
50,000.00 1
50,000.001
50,000.001
50,000.001
Local Health Department - 2021, Date: 09/24/2020
Page 55 of 197
Contract# Date: 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
7 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
1
Fees and Collections - 3rd Party
0.00
000
0.00
000 I
Federal or State (Non MDHHS)
0.00
0.00
0.00
0001
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
000
000
Federal Medicaid Outreach
0.00
000
0.00
0.00 1
Required Match - Local
0.00
0.00
000
0 00 I
Local Non-ELPHS
0.00
0.00
0.00
0,001 1
Local Non-ELPHS
0.00
0.00
0.00
0.001
Local Non-ELPHS
0.00
0.00
000
0,00111
Other Non-ELPHS
0.00
0.00
0.00
0.001
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
0.00
0.00
0.00
0,001
MCH Funding
0.00
0.00
0.00
0.00 11
Local Funds - Other
0.00
0.00
0.00
0.00I 11
Inkind Match
0.00
0.00
0.00
0.00 I
MDHHS Fixed Unit Rate
1�
Body Art Fee
I
50,000.00
50,000.00
0 00
0.00 1
Totals
50,000.00I
50,000.00
0.00I
0.001.
Local Health Department - 2021, Dale 09/24/2020 Page56 of 197
Contract# Date 09/24/2020
3 Program Budget - Cost Detail
(Line Item City l Rate l UnitsIUOM
I Total
(DIRECT EXPENSES
IProgr^m Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Distributions for Fees -from I 0.0000 0,000 0,000
50,000.001
Environmental Administration
(Total Indirect Costs
1I
50,000.00
(TOTAL INDIRECT EXPENSES
50,000 00111
ITOTAL EXPENDITURES
50,000.001,
Local Health Department - 2021, Dale 09/24/2020 Page: 57 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / Children's Special Hlth
9/24/2020
Care Services (CSHCS) Care Coordination
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2020 To 9/30/2021
Health Division
.
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
0
34 East
r Original f— Amendment
CITZIP CODE
(MIATE I4
FEDERAL NUMBER
Pontiac 341-0432
38-6004876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
0.00
2 Fringe Benefits
0.00
0.00
3 Cap. Exp for Equip & Fee.
0.00
0.00
4 Contractual
0.00
0.00
5 Supplies and Materials
000
0.00
6 Travel
0.00
0.00
7 Communication
0.00
000
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
000
0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
0.00
0.00
2 Cost Allocation Plan / Other
205,872.00
205,872.00
Total Indirect Costs
205,872.00
205,872.00
TOTAL INDIRECT EXPENSES
205,872.00
205,872.00
TOTAL EXPENDITURES
206,872.00
205,872.00
Local Health Department - 2021, Date: 09/24/2020 Page: 58 of 197
Contract# Date. 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inkind Match
MDHHS Fixed Unit Rate
CSHCS Care Coordination
1 Totals
Total I Amount I Cash I Inkind
0.00 000 0.00 0.00
0.00
0.00
0.00
0.00 1
0.00
0.00
0.00
000
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
000
0.00
0.00
000 1
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.001
0.00
0.00
0.00
000 1
0.00
0.00
0.00
0.001
0.00
0.00
0.00
0.001
0.00
0.00
000
0.00 1
0.00
0.00
0.00
0.001
0.00
0.00
0.00
0 00 1
000
0.00
0.00
0.00 l
1
205,87200 (
205,872.00 I
0.00 I
0.001
205,872.00
205,872.00
0.00
0.00
Local Health Department - 2021, Dale: 09/24/2020
Page: 59 of 197
Contract # Dale. 09/24/2020
3 Program Budget - Cost Detail
(Line Item I OtYI
(DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
1 10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
(indirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
0.00001
Cost Distributions for Fees -from
CSHCS Outreach & Advoc
(Total Indirect Costs
TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Rate
0.0001
UnitsIUOM
r rrr
Total
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
205,872.00
205,872.001
205,872.001
206,872.001
Local Health Department- 2021, Date: 09/24/2020 Page: 60 of 197
Contract # Date: 09/24/2020
Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Local Health Department - 2021 / CSHCS Medicaid
9/24/2020
Outreach
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2020 To . 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
I
1200 N Telegraph Rd.
r Original r Amendment
0
34 East
CITY ZIP CODE
ATE I4
FEDERAL ID NUMBER
Pontiac MI 341-0432
38-6004876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
000 I
2 Fringe Benefits
000
000 tI�
3 Cap. Exp. for Equip & Fac.
0.00
0.00 III
4 Contractual
0.00
0.0011
5 Supplies and Materials
0.00
0.00 I
6 Travel
0.00
0.00
7 Communication
0.00
0.0011
8 County -City Central Services
0.00
0.00 I
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
000
0.001
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
I
0.00
000
2 Cost Allocation Plan / Other
333,863.00
1�
333,863.00 I
Total Indirect Costs
333,863.00
333,863 00
TOTAL INDIRECT EXPENSES
333,863.00
1�
333,863.00 I
TOTAL EXPENDITURES
333,863.00
333,863.00
Local Health Department- 2021, Date 09/24/2020 Page: 61 of 197
Contract# Date: 09124/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00 l
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00 I
Federal or State (Non MDHHS)
0.00
0.00
000
0.001
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.001
Federally Provided Vaccines
0.00
0.00
0.00
0.00 I
Federal Medicaid Outreach
116,134.00
116,13400
0.00
0.001
Required Match - Local
116,134.00
0.00
116,134 00
0.00
Local Non-ELPHS
0.00
000
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00 )
Local Non-ELPHS
0,00
0.00
000
0.001I
Other Non-ELPHS
0.00
0.00
0.00
0.00 11
1
MDHHS Non Comprehensive
0.00
000
0.00
0.00 1
MDHHS Comprehensive
000
0.00
0.00
0.001 1
MCH Funding
0.00
0.00
0.00
0001
Local Funds - Other -
101,595 00
000
101,595.00
0,001
Inkind Match
0.00
0.00
0.00
0.001
MDHHS Fixed Unit Rate
Totals I
333, 863.00
116,134.00 I
217,729.00 I
0.00 1
Local Health Department - 2021, Date 09/24/2020 Page: 62 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
l lLine Item l Cityl
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3
Cap. Exp. for Equip & Fee.
4
Contractual
5
Supplies and Materials
6
Travel
7 Communication
8 County -City Central Services
8 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IINDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Distributions for Medicaid
Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTALEXPENDITURES
I 1r
Rate UnitslUOM I Totall
1
1
1
1
I
1
0,0001 00001 333,863.001
333,863.0011
333,863 001
333,863.0011
Local Health Department - 2021, Date: 09/24/2020 Page: 63 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT DATE PREPARED
Local Health Department -2021 / CSHCS Medicaid Elevated 9/24/2020
Blood Lead Case Mqmt
CONTRACTOR NAME BUDGET PERIOD
Oakland County Department of Health and Human Services/ From : 10/l/2020 To 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
C� Originalr Amendment
0
34 East
(CITY ATE ZIP CODE
IMII48341-0432
FEDERAL ID NUMBER
Pontiac
8
38-600 76
Category
I Total I
Amount
DIRECT EXPENSES
1
Program Expenses
1�
1 Salary & Wages
0.00
0.00
11
2 Fringe Benefits
0.00
0.00 1
3 Cap. Exp. for Equip & Fee.
0.00
0,001
4 Contractual
0.00
0.001
5 Supplies and Materials
000
0001
6 Travel
0.00
0.001
7 Communication
0.00
000111
8 County -City Central Services
0.00
0.00 1
9 Space Costs
000
0001
10 All Others (ADP, Con. Employees, Misc.)
0.00
0 00 1
INDIRECT EXPENSES
Indirect Costs
1�
1 Indirect Costs
I
0.00
0.00 I
2 Cost Allocation Plan / Other
25,000.00
25,000.001
Total Indirect Costs
25,000.00
25,000.00 1
TOTAL INDIRECT EXPENSES
25,000.00
25,000.001
TOTAL EXPENDITURES
25,000.00
25,000.001
Local Health Department - 2021, Date: 09/24/2020 Page: 64 of 197
Contract # Date. 09/24/2020
2 Program Budget - Source of Funds
SOUICE OF FUNDS
Category
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1 st and 2nd
0.00
000
000
000
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
000
0.00
0.00
000
Federally Provided Vaccines
0.00
0.00
0,00
0.00
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
000
000
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
000
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
000
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
000
0.00
0.00
000
MDHHS Comprehensive
0.00
000
0.00
0.00I
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
0.00
000
0.00
0.00
Inkind Match
0.00
0.00
0.00
0.00
MDHHS Fixed Unit Rate
CSHCS Medicaid Elevated Blood Lead
25,000.00
25,000.00
000
0.00
Case
Totals
25,000.00
25,000 00
0.00
0.00
Local Health Department - 2021, Date: 09/24/2020 Page: 65 of 197
Contract# Date. 09/24/2020
3 Program Budget - Cost Detail
(Line Item I Qtyl
(DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan/Other
Cost Distributions for Fees -Fees I 0.0000
for Lead Case Mgt
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Ratel UnitslUOM
0.000
r err
Total l
25,000.00
25,000.001
25,000 001
25,000.001
Local Health Department - 2021, Dale; 09/24/2020 Page: 66 of 197
Contract # Date. 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / ELC COVID-19 Infection
9/24/2020
Prevention
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2020 To. 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N Telegraph Rd.
C✓ Original (` Amendment
34 East
(L
IMIATE
CODE
I48341-0432
ID
876 NUMBER
Pontiac
38-600ZIP
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp for Equip & Fee.
4 Contractual
5
Supplies and Materials
6
Travel
7
Communication
8
County -City Central Services
9
Space Costs
10 All Others (ADP, Con. Employees, Misc )
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
1 I Indirect Costs
2 1 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
320,628.00
16,872.00
0.00
0.00
0.00
000
0.00
000
0.00
0.00
337,500.00
337,500 00
M rr
34,451.00
34,451.00
34,451.00
371,951.00
AMENDMENT#
0
Amount
320,628.00
16,872.00
0.00
0.00
0.00
000
0.00
000
0.00
000
337,500.00
337,500.00
000 i
34,451.00
34,451.001
34,451.001
371,951.001
Local Health Department-2021, Date: 09/24/2020 Page: 67 of 197
Contract# Date09/24/2020
2 Program Budget - Source of Funds
SOU 2CE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
7 Source of Funds
Fees and Collections - 1st and 2nd
0.00
000
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
000
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00 �
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00111
Federally Provided Vaccines
0.00
0.00
0.00
0.00 11
Federal Medicaid Outreach
0.00
0.00
0.00
0.00 I
Required Match - Local
O.OQ
0.00
0.00
0.001
1
Local Non-ELPHS
0.00
0.00
000
0.00
Local Non-ELPHS
0.00
000
0.00
0.00111
Local Non-ELPHS
0.00
0.00
000
0.00 1
Other Non-ELPHS
0.00
000
0.00
0.001
MDHHS Non Comprehensive
000
0.00
0.00
0.00
MDHHS Comprehensive
337,500.00
337,500.00
000
0.00
MCH Funding
000
0.00
0.00
000
Local Funds - Other
34,451.00
0.00
34,451 00
0.00
Inklnd Match
000
0.00
0.00
0.00 I
MDHHS Fixed Unit Rate
1
1
Totals I
371,951.00 I
337,50000 I
34,451.00 I
0.00 f
Local Health Department - 2021, Date. 09/24/2020 Page: 68 of 197
Contract # Date09124/2020
3 Program Budget - Cost Detail
(Line Item I Cityl
DIRECT EXPENSES
IProgmm Expenses
1 Salary & Wages
VARIOUS I 14.00001
2 Fringe Benefits
All Composite Rate 00000
Notes: FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTAL INS
WORKCOMP
SHORT AND LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution 1 0.00001
Total Indirect Costs
Rate l UnitsIUOM I Toted
22902.0001
0.0001
FTE
I 320,628.001
5.262
320628.000
16,872.00
1
1
1
1
337,500,001
337,500.001
1
1
1
0.0001 0.0001 34,451.001
34,451.001�
Local Health Department - 2021, Dale: 09/24/2020
Page: 69 of 197
Contract# Date 09/24/2020
(Line Item I City l Ratel UnitsIUOM Total
(TOTAL INDIRECT EXPENSES 34,451 001
(TOTAL EXPENDITURES 371,951.00;
Local Health Department - 2021, Date: 09/24/2020 Page: 70 of 197
Contract # Date. 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2021 / Public Health Emergency
PREPARED
DATE DATE020
Preparedness (PREP) CRI 10/1 -6/30
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PER
PERIOD
BUDGET PER20
Health Division
From : To : 6/30/2021
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East
fo Original r Amendment
CITY
(STATE
(ZIP CODE
FEDERAL ID NUMBER
Pontiac
MI
48341-0432
38-6004876
' I Category
I Total I
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3
Cap Exp. for Equip & Fac.
4
Contractual
5
Supplies and Materials
6
Travel
7
Communication
8
County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 ( Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
76, 802.00 II
27,649.00
0.00 I+
0.00
37,201.00
1,160.00
2,205.00
0.00
8,244.00
5,103 00
158,364.00
158,364 00
+ 0.00 1
I 26, 842.00
26, 842.00
26,842.00
186,206.00
(AMENDMENT#
I0
Amount
l
1
76,802.00,
27,649.00
0.00
0.00'
37,201.001
1,160.00
2,205 00
WIN
8,244.00
5,103.00
158,364.00
158, 364.00
1
0.00 1
26,842,00
26,842.00
26,842.00
185,206.00
Lccal Health Department-2021, Date: 09/24/2020 Page: 71 of 197
Contract #
Date: 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00 �
Federal or State (Non MDHHS)
000
0.00
0.00
0.001
Federal Cost Based Reimbursement
0.00
0.00
000
0.00
Federally Provided Vaccines
0.00
0.00
0.00
000
Federal Medicaid Outreach
0.00
0.00
0.00
0.001
1
Required Match - Local
15,170 00
0.00
15,170.00
000 1
Local Non-ELPHS
0,00
0.00
0.00
0.001 1
1
Local Non-ELPHS
000
0.00
0.00
000
11
Local Non-ELPHS
0.00
0.00
0.00
0,00 1
Other Non-ELPHS
0.00
0.00
000
0.00,
MDHHS Non Comprehensive
0.00
000
0.00
0.00
MDHHS Comprehensive
151,699.00
151,699.00
0.00
0,001
MCH Funding
0.00
0.00
0.00
0.001
Local Funds - Other
18,337.00
0.00
18,337.00
0.00 11
Inklnd Match
0.00
0.00
0.00
0.00 I
MDHHS Fixed Unit Rate
Totals I
185,20600I
151,699.00
33,507.00
0.00I
Local Health Department - 2021, Dale: 09/24/2020 Page72 of 197
3 Program Budget - Cost Detail
(Line Item I
Qtyl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Specialist
0.3750
Notes : PH Emer Prep Specialist
(Health Educator
0.3750
: PH Educator 1
(Notes
(Health Educator
0.2404
(Notes . Tech Assistant
lSpecialist
0.3750
Notes: Office Leader
lAdministrator
0.0500
Notes: MATCH SALARIES
Total for Salary & Wages
2 Fringe Benefits
All Composite Rate
0,0000
Notes. MATCH $7204
FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
3 Cap. Exp, for Equip & Fac.
4 Contractual
5 Supplies and Materials
Disaster Supplies
Printing
Office Supplies
Total for Supplies and Materials
Contract # Dale. 09/24/2020
Rate Unit%jUOM I Total
56472.0001
0.000
FTE
21,177,001
44096,000
0.000
FTE
16,536.O0
43232.000�
0.000
FTE
10,39200
62946.000
0.000
FTE
23,605.00
101842,0001
0,000
FTE
I 5,092.O0
1 76,802.001
1
36
000
76802.000
27,649,00
0.0000
0,000
0.000
0.0000
0.000
0 000
0.0000
0.000
0.000
1
J
35,201.001
1,000ml
1,000.001
37,201.001
Local Health Department - 2021, Dale. 09/24/2020 Page 73 of 197
Line Item I
Cityl
6 Travel
Mileage
00000
Notes: 2,017 miles @ 575
7 Communication
Telephone I
0.00001
I8 County -City Central Services
I9 Space Costs
Space/Rental Costs
I
0.0000
Notes: MATCH $8,244
10 All Others (ADP, Con. Employees,
Misc.)
Insurance
0.0000
IT Operations
0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
ITotalProgramExpenses
ITOTAL DIRECT EXPENSES
( INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
I
00000
Health Adm Distribution
0.0000
(Total for Cost Allocation Plan / Other
Total Indirect Costs
(TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract# Date: 09/24/2020
Rate UnitsIUOM I Total
0.000 0.000 I 1,16000
0.0001 0,0001 1 2,205.00
0.0001 0.0001 I 8,244.00
0 000
0.000
207.001
0,000
0.000
4,896.00I
5,103.O01
158,364,001
158,364.001
I
I
0.000
0,000
I
I
8,505.001
0.000
0.000
18,337.001
26,842.00
26, 842.00
26, 842.00
185,206.00
Local Health Department - 2021, Date 09/24/2020 Page: 74 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2021 / Children's Special Hlth
DATE PREPARED
Care Services (CSHCS) Outreach & Advocacy
g/24/2020
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PERI
IOD
OD
PER20
Health Division
From : 1To : 9/30/2021
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd,
34 East
r Original r Amendment
ICITY
IMIATE
ZIP CDE
I48341O0432
FEDERAL ID
I38-6004876 NUMBER
Pontiac
I Category I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 1 Cap. Exp. for Equip & Fac.
4 I Contractual
5 Ij Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 I All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
1 TOTAL DIRECT EXPENSES
1 INDIRECT EXPENSES
Indirect Costs
1 1 Indirect Costs
1 2 I Cost Allocation Plan / Other
1 Total Indirect Costs
1 TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
283,524.00
107, 579 00
0.00
000
750.00
1,29500
4,535.00
0.00
20,493.00 1
48,475.00
466,651.00 1
466,651.00
000 1
-172,246.00 1
-172,246 00
-172,246.00 1
294,405.00
AMENDMENT#
0
Amount I
1
283,524.00
107,579.00 1
0 00 1
75000
1,295.00
4,535.00
0.00 1
20,493.00
48,475 00 1
466,651.00 1
466,651.00 1
1
1
0.00 I
-172,246.0D
-172,246.00 1
-172,246.00
294,405.00
Local Health Department - 2021, Date 09/24/2020 Page. 75 of 197
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
I(Federal Cost Based Reimbursement
IFederally Provided Vaccines
(Federal Medicaid Outreach
I(Required Match - Local Ij
I ((Local Non-ELPHS
Local Non-ELPHS
ILocal Non-ELPHS
I(Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
IIMCH Funding
ILocal Funds - Other
Ilnkind Match
Ilj IMDHHS Fixed Unit Rate
Contract # Date: 09/24/2020
Total I Amount I Cash
0.00 1 000 1 000
0.00
294,405.00
I 0.00 I
0.00 I
0.00
I 0.00 I
0.001
0.001
0.00 I
000
0.00
I 0.00 I
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
I 0.00
0.00
0.00
I 0.00 I
000
0.00
0.00
0.00
0.00
0.00
000
0.00
I 0.00 I
0.00
I
294,405.00
0.00
0.00 Ij
000
0.00
0.00 I
0.00 I
000
000 I
0.00 I
0.00
IITotals I 294,405.00 I 294,405.00 I
E
Inkind
l
000
0.00 I
0.00
000
000 I
0.00
0.00
0.00
000
0.00
0.00
0.00 I
000
0.00
0.00
0.00
=I
Local Health Department-2021, Dale: 09/24/2020 Page: 76 of 197
Contract # Date: 09/24/2020
3 Program Budget -Cost Detail
(Line Item I City l Rate l UnitsIUOM
DIRECT EXPENSES
Program Expenses
1 (Salary & Wages
Supervisor
(Public Health Nurse
Public Health Nurse
(Outreach Worker
(Assistant
(Assistant
(Assistant
IAsslstant
(OVERTIME
IStudent
Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
Notes: FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Postage
Local Health Department- 2021, Dale 09/24/2020
1 0000
90910.000
0.000
FTE
0,4808
60934
000
0.000
FTE
0.4808
57642.000
0.000
FTE
0.4808
45100
000
0.000
FTE
1.0000
31187.000
0.000
FTE
1.0000
42834.000
0.000
FTE
0.4808
36895.000
0.000
FTE
0.4808
38786,000
0.000
FTE
00385
52300.000
0 000
0.0481
31224.000
0.000
37.944 283520 000
0.000 0 000
0.000 0.000
Total I
90,910,001
29,297 001
27,713.001
21,683.001
31,187,001
42,834.001
17,738.0011
18,647.001
2,014.001
1,501 001
283,524.001
1
107,579.00
1
1
250.001
250.001
Page: 77 of 197
Line Item
Qty
Printing
0.0000
(Total for Supplies and Materials
I6 Travel
Mileage
0.0000
Notes . 435 miles @.575
(Conferences
0.0000
(client transportation
0.0000
ITotalforTravel
I7 Communication
I Telephone
I
0.00001
I8 County -City Central Services
I9 Space Costs
IBuilding Space Rental
I
0,00001
I10 All Others (ADP, Con. Employees,
Misc.)
Convenience Copier
0.0000
(Insurance
0.0000
IIT Operations
0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Other Cost Distributions-CSHCS
0.0000
Care Coor Fees
Health Adm Distribution
0.0000
Other Cost Distributions -Nursing
00000
Staff
(Nursing Adm Distribution
0,0000
Other Cost Distributions-CSHCS
0.0000
- Medicaid Outreach
Contract # Date 09/24/2020
Rate Units UOM Totall
0.000 0.000 250.00I
750.O01
0.000 0,000 250.00
0.000 0.000 300.001
0.000 0.000 745 001
1,295.001
I
0,0001 0.0001 I 4,535.001
0.000I 0.000I I 20, 493.00
0.000
0,000
3,400.001
0 000
0.000
379.001
0.000
0,000
44,696001
48,475.00I
466,651 001
466,651.00I
0.000
0.000
-205,872.00I
0.000
0.000
55,049,001
0.000
0.000
266,978.00I
0.000 0.000 11,836.00
0.000 0,000-333,86300
Local Health Department - 2021, Date. 09/24/2020 Page: 78 of 197
Contract # Date 09/24/2020
Line Item Qry Rate Units UOM Totals
Cost Allocation Plan 0.0000 0.000 0.000 33,626.00
Notes: 12.29%
(Total for Cost Allocation Plan / Other-172,246.00
(Total Indirect Costs-172,246 001
(TOTAL INDIRECT EXPENSES-172,246.001
(TOTAL EXPENDITURES 294,405.001
Local Health Department- 2021, Dale: 09/24/2020 Page: 79 of 197
Contract # Date. 09/24/2020
Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / ELC COVID-19 Contact
9/24/2020
Tracing Testing Coordination
CONTRACTOR NAME
BUDGET PERIOD
1
Oakland County Department of Health and Human Services/
From : 6/1/2021 To 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N Telegraph Rd.
r Original f Amendment
0
34 East
(ZIP CDE
ATE I48341O0432
FEDERAL ID NUMBER
Pontiac MI
386004876
Category
Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary &Wages
1,182,147.00
1,182,147.001
2 Fringe Benefits
62,180.00
62,180.00 1I�
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
1,276,733.00
11
1,276,733.0011
5 Supplies and Materials
000
0,00 I
6 Travel
0.00
0.00
7 Communication
162,313.00
162,313.00 tI1
8 County -City Central Services
0.00
0.00 1
9 Space Costs
0,00
0.001 1
10 All Others (ADP, Con. Employees, Misc)
72,427.00
1
72,427,0011I
Total Program Expenses
2,755,800.00
2,755,800.00
1I1
TOTAL DIRECT EXPENSES
2,755,800.00
2,755,800.00 1
INDIRECT EXPENSES
Indirect Costs
1�
1 Indirect Costs
I
0.00
0.00 I
2 Cost Allocation Plan / Other
281,308 00
281,308.00
Total Indirect Costs
281,308.00
281,308 00
TOTAL INDIRECT EXPENSES
281,308.00
281,308.00
TOTAL EXPENDITURES
3,037,108.00
3,037,108.00
Local Health Department-2021, Date: 09/24/2020 Page. 80 of 197
Contract # Date. 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount (
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
000
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
0.00
000
0.00
Federally Provided Vaccines
0.00
0.00
0.00
000
Federal Medicaid Outreach
0.00
0.00
000
0.00
Required Match - Local
0.00
0.00
0.00
0.00
Local Non-ELPHS
0,00
0.00
0.00
0.00
Local Non-ELPHS
0.00
000
0.00
000
Local Non-ELPHS
0.00
000
0.00
0.00
Other Non-ELPHS
0.00
0.00
000
0.00
MDHHS Non Comprehensive
000
0.00
0.00
0.00
MDHHS Comprehensive
2,755,80000
2,755,800.00
0.00
lI
0.001
MCH Funding
0.00
000
0.00
0001
Local Funds - Other
281,308.00
0.00
281,308.00
0.00 f
Inkind Match
0.00
0.00
0.00
0.00
MDHHS Fixed Unit Rate
Totals I
3,037,108.001
2,755,80000I
281,308.00
0.001
Local Health Department - 2021, Dale: 09/24/2020 Page: 81 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
(Line Item I Qtyl
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
VARIOUS I 1 00001
2 Fringe Benefits
All Composite Rate 0.0000
Notes: FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTALINS
WORKCOMP
SHORT AND LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
4 Contractual
TEMP AGENCY 0.0000
Notes: TEMP AGENCY
5 Supplies and Materials
6 Travel
7 Communication
TELEPHONE 0.0000
COMMUNICATIONS
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
PROFESSIONAL SERVICES I 0.00001
(Total Program Expenses
ITOTAL DIRECT EXPENSES
IINDIRECT EXPENSES
Ilndirect Costs
Local Health Department - 2021, Date 09/24/2020
Rate Unitsf UOM
1182147.0001 0.0001FTE
5.260 1182135.00
0
Total
1,182,147.00
62,180.00
I
0.000 0000 1,276,733.00
0 000 0.000 162,313.00
0.0001 0.0001
72,427.00
2,755,800.00
2,755,800 00
Page. 82 of 197
Contract # Date: 09/24/2020
Line Item I Cityl Ratel UnitsIUOM I Total
1 Indirect Costs
2 Cost Allocation Plan / Other 1�
Health Adm Distribution I 0.00001 0,0001 0.0001 281,308.00
(Total Indirect Costs 281,308.00111
TTOTAL INDIRECT EXPENSES 281,308 001
(TOTAL EXPENDITURES 3,037,108.001
Local Health Department - 2021, Dale: 09/24/2020 Page: 83 of 197
Contract # Date09/24/2020
1 Program Budget Summary
PROGRAM/PROJECT
DATE PREPARED
Local Health Department - 2021 / Emerging Threats -
9/24/2020
Hepatitis C
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From 10/1/2020 To 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd
fJ Original (` Amendment
34 East
CITY
(STATE
(ZIP CODE
FEDERAL ID NUMBER
Pontiac
MI
48341-0432
38-6004876
Category I Total I
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
1 INDIRECT EXPENSES
Indirect Costs
1 1 I Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
35,310.00
1,858.00
0.00
0.00
8,30500
2,725.00
312.00
0.00
0.00
23,523.00
72,033.00
72,033.00
K rr
12,564.00
12,564.00
12,564.00
84,597.00
AMENDMENT#
0
1
Amount
1
1
35,310.00 11
1,858.00 I
0.00
0,001
8,305.00 1
2,72500 1
312.00
0.00
0.00
23,523.00
72, 033.00
72,033.00
0.00 1
12,564.001
12,564.00 1
12,564,001
84,597.00 1
Local Health Department-2021, Dale' 09/24/2020 Page: 84 of 197
Contract # Date. 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
000
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
000
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.001
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00 1
Federally Provided Vaccines
0.00
0.00
0.00
0 00 1
Federal Medicaid Outreach
0.00
0.00
000
0.00 1
Required Match - Local
0.00
0.00
0.00
0.001
Local Non-ELPHS
'0,00
0.00
000
0.001
Local Non-ELPHS
0.00 _
0.00
0.00
0.001
Local Non-ELPHS
0.00
0.00
0.00
0.001
Other Non-ELPHS
0.00
0.00
0.00
0 00 1
MDHHS Non Comprehensive
0.00
0.00
0.00
0.001
MDHHS Comprehensive
76,221.00
76,221.00
0.00
0001
MCH Funding
0.00
0.00
0.00
0.001
Local Funds - Other
8,376.00
000
8,376.00
0.001
Inkind Match
0.00
0.00
000
0.001
MDHHS Fixed Unit Rate
1j
Totals I
84,597.00 I
76,221.00 I
8,376.00 I
0001
Local Health Department - 2021, Date09/24/2020 Page: 85 of 197
Contract # Date 09/24/2020
3 Program Budget- Cost Detail
(Line Item I City l Rate UnitsIUOM
DIRECT EXPENSES
(Program Expenses
1 (Salary & Wages
Outreach Worker
(Outreach Worker
1Total for Salary & Wages
2 Fringe Benefits
All Composite Rate
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
Work Comp
ShorULong Term Disability
3 Cap. Exp. for Equip & Fac.
1 4 Contractual
5 Supplies and Materials
Postage
Office Supplies
Printing
Educational Supplies
Incentives
Total for Supplies and Materials
6 Travel
Mileage
Notes : 3,000 miles @ .575 per
mile
(Conferences
ITotalfor Travel
1 7 I Communication
0.4808 36722.0001
0.4808 36722.0001
0.000 FTE
0.000
0.0000 5,261 35310.000
0.0000
0.000
0.000
0.0000
0 000
0.000
0,0000
0.000
0.000
0.0000
0.000
0.000
0.0000
0,000
0.000
0.0000 0.000 0 000
0,0000 0,000 0.000
Total I
1
17,655.001
17,655.001
35,310,001
1
1,858.00
1
1
1
830.001
1,475 001
2,500.001
2,500.001
1,000.001
8,305 001
1
1,725.00
1,000,001
2,725.001
1
Local Health Department - 2021, Date 09/24/2020
Page: 86 of 197
Contract #
Date: 09/24/2020
Line Item
I
Qty
Rate
Units UOM
Total
Telephone Communications
0,0000
0.000
0000
312,001
8 County -City Central Services
I9 Space Costs
10 All Others (ADP, Con. Employees,
Misc.)
1
IT Operations
0,0000
0 000
0.000
3,172.001
Ilnsurance
00000
0.000
0 000
101.001
Interpretation Fees
0.0000
0 000
0.000
250 001
(Advertising
0.0000
0.000
0.000
20,000.001
Total for All Others (ADP, Con. Employees, Misc.)
23,523.001
(Total Program Expenses
72,033.001
(TOTAL DIRECT EXPENSES
72,033.001
1INDIRECT EXPENSES
Ilndirect Costs
1
1 Indirect Costs
1
2 Cost Allocation Plan / Other
Cost Allocation Plan
0.0000
0.000
0.000
4,188 001
Notes. 12.29%
Health Adm Distribution
0.0000
0,000
0.000
8,376.001
(Total for Cost Allocation Plan I Other
12,564.001
(Total Indirect Costs
12,564,001
ITOTAL INDIRECT EXPENSES
12,564.001
(TOTAL EXPENDITURES
84,597.00
Local Health Department- 2021, Date. 09/24/2020 Page: 87 of 197
Contract# Date: 09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department -2021 / Fetal Infant Mortality
9/24/2020
Review (FIMR) Case Abstraction
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2020 To.
9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
' Original r Amendment
34 East
CITY (Pontiac
CODE
I4
FEDEAL NUMBER
Mi
341-0432
38-600R876ZIP
Category
I
Total
1 DIRECT EXPENSES
Program Expenses
1 1 Salary & Wages
000
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 1 Indirect Costs
2 Cost Allocation Plan / Other
1 Total Indirect Costs
TOTAL INDIRECT EXPENSES
1 TOTAL EXPENDITURES
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
M
6,48000
6,480.00
6,480.00
6,480.00
AMENDMENT#
0
Amount
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 1
6,480001
6,480.00 1
6,480.001
6,480.00 1
Local Health Department - 2021, Date, 09/24/2020 Page: 88 of 197
Contract# Dale: 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
000
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
000
0.00
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
000
0.00
0.00
000
Local Non-ELPHS
0.00
0.00
000
0.00
Local Non-ELPHS
0.00
0.00
0.00
000
Local Non-ELPHS
0.00
0.00
0.00
000
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
0.00
0.00
0.00
0.00
MCH Funding
0.00
0.00
000
0.00
Local Funds - Other
0.00
0.00
0.00
0.00
Inkind Match
0.00
0.00
000
000
MDHHS Fixed Unit Rate
Fetal Infant Mortality Review
6,480.00 I
6,480.00
0.00
0.00
Totals
6,480.00
6,480.00
0.00
000
Local Health Department - 2021, Date: 09/24/2020 Page89 of 197
Contract # Date 09/24/2020
3 Program Budget - Cost Detail
(Line Item I Cityl
(DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Distributions for Fees-FIMR 0,0000
Cases
Notes . Cost Distribution for
FIMR fees from Community
Nursing
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Rate UnitsIUOM
0 000 0.000
Total l
1
6,480.00
6,480.001
6,480.001
6,480.001
Local Health Department - 2021, Date 09/24/2020
Page: 90 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
PROGRAM/PROJECT
DATEPREPARED
Local Health Department - 2021 / Food ELPHS
9/24/2020
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From . 10/1/2020 To : 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N Telegraph Rd.
ry Original (— Amendment
34 East
(Pontiac
IMIATE
ZIP CODE
I4
FEDERAL ID NUMBER
341-0432
386004876
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
2 Fringe Benefits
0.00
3 Cap. Exp. for Equip & Fac.
0.00
4 Contractual
0.00
5 Supplies and Materials
0.00
6 Travel
0.00
7 Communication
0.00
8 County -City Central Services
0.00
9 Space Costs -
0.00
10 All Others (ADP, Con. Employees, Misc.)
0.00
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
0.00
2
Cost Allocation Plan / Other
4,190,861.00
Total Indirect Costs
4,190,861 00
TOTAL INDIRECT EXPENSES
4,190,861.00
TOTAL EXPENDITURES
4,190,861.00
AMENDMENT#
0
Amount
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 11
4,190,861.00 I
4,190,861.00
4,190,861.00 1�
4,190,861.00 I
Local Health Department - 2021, Date: 09/24/2020
Page 91 of 197
Contract# Date: 09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd 1,
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive 1
MCH Funding
Local Funds - Other 1
Inkind Match
MDHHS Fixed Unit Rate
Totals
Total I Amount
Cash
595,710.00
0.00
1,595,710.00
0.00
000
0.00
0.00
0.00
0.00
000
000
000
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
,176,612.00
1,176,612.00
0.00
0.00
0.00
000
,418,539.00
0.00
1,418,539.00
0.00
0.00
000
4,190, 861.00 I 1,176,612.00 I 3,014,249 00
Inkind
rr
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
MA
Local Health Department- 2021, Date 09/24/2020
Page92 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
I Line Item City l
(DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Environmental Hlth Adm 0.0000
Distribution
Health Adm Distribution 0.0000
Total for Cost Allocation Plan / Other
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Rate UnitsIUOM
0 000 0.000
0 000 0.000
Total I
1
1
3, 051, 903.00
1,138, 958.00�
4,190,861.001
4,190, 861.00�
4,190,861, 00
4,190,861.001
Local Health Department - 2021, Dale: 09/24/2020 Page. 93 of 197
Contract # Date09/24/2020
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2021 / Gonococcal Isolate
9/24/2020
Surveillance Project
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From * 10/1/2020 To: 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N Telegraph Rd,
Original (" Amendment
34 East
CITY (Pontiac
P CODE
I4
876D NUMBER
Mi
341-0432
38-600R
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp for Equip & Fee.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
1 Total Program Expenses
1 TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
1 Indirect Costs
1 ( Indirect Costs
2 1 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
32,218.00
20,648.00
0.00
0.00
929.00
5,30000
0.00
000
0.00
84.00
59,179.00
59,179.00
r ��
12,234.00
12,234.00
12,234.00
71,413.00
AMENDMENT#
0
1
Amount
1
1
32,218 00 1
20,648.001
0 00 1
0,001
929.00 1
5,300.001
0 00 1
0.001
0,001
84.001
59,179.00 1
69,179,001
1
0.001
12,234.00 1
12,234.001
12,234.00 1
71,413.00 1j
Local Health Department - 2021, Dale 09/24/2020 Page' 94 of 197
Contract # Date09/24/2020
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
000
Federal or State (Non MDHHS)
0.00
000
0.00
000
Federal Cost Based Reimbursement
0,00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
0.00
0.00
Federal Medicaid Outreach
000
0.00
0.00
0.00
Required Match - Local
0.00
0,00
0.00
000
Local Non-ELPHS
0.00
000
0.00
000
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0.00
000
0.00
MDHHS Non Comprehensive
0.00
000
0.00
0.00
MDHHS Comprehensive
63,000.00
63,000.00
0.00
0.00 1I
MCH Funding
000
0.00
0.00
0.00
Local Funds - Other
8,413.00
0.00
8,413.00
lI
0.00 I
Inkind Match
0.00
000
0.00
0.00
MDHHS Fixed Unit Rate
1II
Totals I
71,413.00 I
63,000,00 I
8,41300 I
0.00 1
Local Health Department-2021, Date: 09/24/2020 Page: 95 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
Line Item I
Otyl
1DIRECT EXPENSES
(Program Expenses
1
(Salary & Wages
Public Health Nurse
0.2231
IPublic Health Nurse
02231
(Total for Salary & Wages
1 2 Fringe Benefits
All Composite Rate
0,0000
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
1 3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Lab Supplies I
0.00001
6 Travel
Conferences I
0,00001
7 Communication
1 8 County -City Central Services
9 Space Costs
1 10 All Others (ADP, Con. Employees, Misc.)
Insurance I
0.00001
ITotalProgramExpenses
(TOTAL DIRECT EXPENSES
IINDIRECT EXPENSES
Indirect Costs
Local Health Department - 202 1, Date: 09/24/2020
Rate UnitsIUOM
72205,000 0.000
72205.000 0,000
64 088 32218,000
0,0001 0.0001 1
0.0001 0.0001
0.0001 00001
Total l
1
1
1
16,109 001
16,109.00111
32,218 001
1
20,648.00
1
l�
I
929.001
1
5,300.001
1
1
1
1
84.001
59,179.001
59,179.001
1
l
Page: 96 of 197
Contract #
Date09/24/2020
Line Item I
City l
Ratel
UnitsIUOM I
Totall
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Allocation Plan
0.0000
0,000
0.000
3,821.00�
Notes: 12.29%
Health Adm Distribution
0.0000
0.000
0,000
6,923.00�
Nursing Adm Distribution
0,0000
0.000
0,000
1,490,00
(Total for Cost Allocation Plan I Other
12,234.001 1
(Total Indirect Costs
12,234.001 1
ITOTAL INDIRECT EXPENSES
12,234.001
ITOTAL EXPENDITURES
71,413.001,11
Local Health Department-2021, Date: 09/24/2020 Page. 97 of 197
Contract # Date: 09/24/2020
1 Program Budget Summary
PROGRAM/PROJECT
DATEPREPARED
Local Health Department - 2021 / Hearinq ELPHS
9/24/2020
CONTRACTOR NAME
BUDGET PERIOD
I
Oakland County Department of Health and Human Services/
From 10/1/2020 To 9/30/2021
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N.Telegraph Rd.
!� Original r Amendment
0
34 East
(ZIP
IMICITATE
CODE
I4
FEDERAL ID NUMBER
I
Pontiac
341 0432
38-600 876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
298,489.00
298,489 00
2 Fringe Benefits
91,121.00
91,121.00
3 Cap. Exp. for Equip & Fac.
000
0.00
4 Contractual
0.00
0.001�
5 Supplies and Materials -
10,208.00
10,208.00 11
6 Travel
6,600.00
6,60000 1
7 Communication
89500
895,0011
1
8 County -City Central Services
0.00
0.00
9 Space Costs
15,371.00
15,371.0011
11
10 All Others (ADP, Con. Employees, Misc.)
7,569.00
7,569.00 I
Total Program Expenses
430,253.00
430,253 00 1�
TOTAL DIRECT EXPENSES
430,253.00
430,253.00 I
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
0.00
0.00 1�
2
Cost Allocation Plan / Other
347,741.00
347,741.00 1
Total Indirect Costs
347,741.00
347,741.00 1
TOTAL INDIRECT EXPENSES
347,741.00
347,741.00 11
TOTAL EXPENDITURES
777,994.00
777,994.00 I
Local Health Department - 2021, Date. 09/24/2020 Page: 98 of 197
Contract # Date: 09/24/2020
2 Program Budget - Source of Funds
SOU ICE OF FUNDS
Category I
Total I
Amount I
Cash (
Inkind 1I
1 Source of Funds
I
Fees and Collections - 1 stand 2nd
0.00
0.00
0.00
0.00
Party
1
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00 1II
Federal or State (Non MDHHS)
000
0.00
0.00
0.00 I
Federal Cost Based Reimbursement
000
0.00
0.00
0 00 1
Federally Provided Vaccines
000
000
000
000 I
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
0,00
0 001
Local Non-ELPHS
0,00
0.00
0.00
0.00 1111
Local Non-ELPHS
000
0.00
0.00
0.00 I
Local Non-ELPHS
0.00
000
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
l�
0.00 11
MDHHS Comprehensive
253,969.00
253,969.00
0.00
0.00 1
MCH Funding
0.00
0.00
000
0.001
Local Funds - Other
524,025 00
0.00
524,025.00
0.00 I
Inkind Match
0.00
000
0.00
0.001
MDHHS Fixed Unit Rate
1
Totals I
777,994.001
253,96900I
524,025.00
0.001,
Local Health Department - 2021, Dale: 09/24/2020 Page: 99 of 197
Contract # Date: 09/24/2020
3 Program Budget - Cost Detail
(Line Item I Qtyl Rate l UnitsIUOM
DIRECT EXPENSES
Program Expenses
1 (Salary & Wages
Supervisor
(Technician
(Technician
Technician
(Technician
(Technician
(Technician
(Technician
(Technician
(Technician
(Technician
(Technician
(Coordinator
IAuxillary Health Worker
(Assistant
Total for Salary & Wages
2 Fringe Benefits
All Composite Rate
Notes: FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTALINS
WORKCOMP
SHORT/LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
1,0000
52213.000
0.000
FTE
0.4808
36722.000
0.000
FTE
0.2404
34630,000
0.000
FTE
0.3365
34630.000
0.000
FTE
0,3966
34630.000
0 000
FTE
0.3365
34630,000
0.000
FTE
0.4087
34630.000
0.000
FTE
0.4808
36722.000
0.000
FTE
0.4808
40912.000
0.000
FTE
0.4808
40912.000
0.000
FTE
0.4808
34630.000
0.000
FTE
0.4808
34299.000
0.000
FTE
0,5000
76147.000
0.000
FTE
0.5000
43004 000
0 000
FTE
0.5000
38786.000
0.000
FTE
0.0000 34 393 264940 000
Total I
52,213.001
17,655.0011
8,325.001
11,654.001
13,735 00�
11,654,00
14,152.001
17,655.001
19,669.001
19,669 001
16,649.001
16,490.001
38,074.001
21,502.001
19,393,001
298,489.001
1
91,121.00
Local Health Department - 2021, Date: 09/24/2020 Page100 of 197
Line Item I
Qtyl
Rate
UnitsIUOM
4 Contractual
5 Supplies and Materials
Medical Supplies
0.0000
0.000
0 000
Office Supplies
0.0000
0.000
0 000
(Printing
0.0000
0000
0.000
Postage
0.0000
0.000
0 000
(Total for Supplies and Materials
6 Travel
Personal Mileage
00000
0.000
0.000
Notes 11478.48 miles @ .575
7 Communication
Telephone I
0.00001
0.0001
0.0001
8 County -City Central Services
9 Space Costs
Space/Rental Costs I
000001
0.0001
00001
10 All Others (ADP, Con. Employees,
Misc.)
Copier
0.0000
0.000
0.000
Insurance
0.0000
0.000
0.000
Equipment Repair
0,0000
0.000
0.000
StaffTraining0.0000
0.000
0.000
Interpreter Fees
0,0000
0 000
0 000
(Total for All Others (ADP, Con. Employees, Misc.)
ITotalProgramExpenses
(TOTAL DIRECT EXPENSES
IINDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Allocation Plan
0.0000
0 000
0.000
Notes 12.29%
Health Adm Distribution
00000
0.000
0.000
lOther Cost Distributions-Misc
0.0000
0.000
0.000
Local Health Department - 2021, Date. 09/24/2020
Contract# Date: 09/24/2020
Totall
1
748.001
880.001
2,200 001
6,380.001
10,208.O01
895.00
15,371.00
281 00
2,294.00
2,464.00
2,420.00
110.00
7,569.00
430,253.00
430,253.00
35,401.00
51,169 001
261,171,001
Page. 101 of 197
Contract # Date: 09/24/2020
Line Item I City Ratel UnitsIUOM Totall
Distributions
Total for Cost Allocation Plan / Other 347,741.00
Total Indirect Costs 347,741.00
TOTAL INDIRECT EXPENSES 347,741 00
TOTAL EXPENDITURES 777,994.001
Local Health Department - 2021, Date: 09/24/2020 Page: 102 of 197