HomeMy WebLinkAboutResolutions - 2020.12.07 - 339662. Activities are to be data driven, to the extent possible, and culturally relevant to at -
risk, high -risk families in the community and reflect diversity in terms of race,
ethnicity, language, and socioeconomic status. In addition, activities should support
families and encourage open and nonjudgmental conversations with families about
infant sleep practices.
3. Grantee must participate in and/or coordinate a local advisory team or regional
group (such as the county's Regional Perinatal Quality Collaborative) to coordinate
efforts to promote infant safe sleep and reduce infant deaths related to unsafe
sleep environments.
4. Activities of the grantee must align with the Mother Infant Health and Equity
Improvement Plan to address preventable infant deaths and disparities through
evidence -based infant safe sleep program activities.
5. Funds may be used for the purchase of demonstration and/or educational items,
however, grantee is encouraged to use department -provided educational materials
when possible. Additionally, a maximum of 15% of the funding may be used for
giveaway items that are directly related to infant safe sleep such as cribs, pack -
and -plays, and/or sleep sacks. A maximum of 15% of the funding may be used for
advertising, including billboards, bus signage and the purchase of radio, TV,
and/or print media.
6. Grantee must adhere to the approved work plan. Deviations to the work plan must
be approved by the Program Coordinator.
Program Coordinator
Colleen Nelson
Washington Square Building
109 Michigan Avenue
3rd floor
P.O. Box 30195
Lansing, Michigan 48909
nelsonc7(dnichioanxiov
517-335-1954
PROJECT: Informed Consent
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
The Department will provide funding, at the fixed rate of $50 per woman served, for each
woman that expressly states that she is seeking a pregnancy test or confirmation of a
pregnancy for the purpose of obtaining an abortion and is provided a pregnancy test with
a determination of the probable gestational stage of a confirmed pregnancy.
Reporting Requirements (if different than contract language)
The number of services, rate per service and total amount due must be noted as a funding
source, under the element where the staff providing the services are funded, on the FSR
through the MI E-Grants system.
Any additional requirements (if applicable)
The following requirements apply to all Grantees, whether the Grantee operates a Family
Planning Clinic or not:
When a woman states that she is seeking an abortion and is requesting services
for that purpose the Grantee will provide:
o A pregnancy test with a determination of the probable gestational stage of a
confirmed pregnancy.
Note: The Grantee must destroy the individual "informed consent" files
containing identifying information (Name, Address, etc.) after 30 days.
When a woman seeks a pregnancy test and does not explicitly state that she is
doing so for the purpose of obtaining an abortion, she should be directed to a family
planning clinic or to her primary care provider for a pregnancy test. Services to
comply with PA 345 of 2000 should not be provided to a woman in a Title X funded
family planning clinic.
PROJECT: Laboratory Services Bio
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
Reporting Requirements (if different than contract language)
Provide the Bureau of Laboratories records and reports as required.
Any additional requirements (if applicable)
The Department will provide notifications and explicit instruction for stop and
start days to Grantee laboratory regarding this contractual arrangement prior to
its implementation.
• The Department will provide access to LIMS, support for LIMS hardware and
software, user training for LIMS utilized for testing performed under contract,
advanced training for LIMS liaisons for test master and Grantee specific data. The
Department will maintain the sole contract with LIMS vendor. Backups and
maintenance of all module(s)/customization(s) will be performed by the
Department staff.
• Analyze data from reports submitted from Grantee. Supply timely feedback of
statistical analysis and other data related to ongoing program activities.
Assist in technical training of personnel and computer software utilization.
Supply Grantee with a copy of the contracts associated with this program.
• Meet established standards of performance and objectives in the following areas:
Public Health Emergency Preparedness:
• Maintain a current list of contact information for local community hospital
laboratories to facilitate communication.
• Facilitate response with local community hospital laboratories in preparation for and
during public health threats.
Coordinate and facilitate specimen collection and transport with facilities within
jurisdiction. This may include specimen packaging and shipping and coordination
with the courier service.
• Provide 24/7 contact information to hospital partners and BOL.
• Participate in and provide support for Department PHEP exercises with community
hospital laboratories within jurisdiction.
• The Grantee will designate one staff member as a liaison to the Bureau of
Laboratories. Each Grantee must designate appropriate staff to take part in LIMS
training activities.
• Provide information on specimen submission to local health jurisdictions to assure
that specimens are submitted to the BOL LRN laboratory, or other appropriate LRN
laboratory as determined by the Department.
PROJECT: Local Health Department Sharing
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
Local health departments participating in the project will utilize funds to support activities
pertinent to the exploration, preparation, planning, implementing, and improving sharing
of local health department services, programs or personnel.
Reporting Requirements (if different than contract language)
Grantees will receive notification of reports along with reporting templates. Reporting is
twice per year based on reporting dates required by the CDC.
Any additional requirements (if applicable)
Local health departments must submit a continuation workplan and budget for
continuation funding of the project "Local Health Department Collaboration and
Exploration of Shared Approach to Delivery of Services,"
Eligible Activities:
• Meeting activities, including time and travel costs
• Cost of research activities
• Supplies and presentation materials
• Legal fees and other professional services related to the project
• IT cost related to service sharing (grant funds may not be used to reimburse
equipment costs)
PROJECT TITLE: Local Maternal Child Health (LMCH)
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis: Local Maternal Child Health (LMCH)
LMCH funding is made available to local health departments to support the health of
women, children, and families in communities across Michigan. Funding addresses one
or more Title V Maternal and Child Health Block Grant national and state priority areas
and/or a local MCH priority need identified through a needs assessment process. Local
health departments complete an annual LMCH plan, and a year end report. Target
populations are women of childbearing age, infants, and children aged 1-21 years and
their families, with a special focus on those who are low income. The LMCH allocated
funds are to be budgeted as a funding source in two project categories for FY 21
LMCH
Local Maternal and Child Health (MCH)
ESCMCH MCH - Children
OTHERMCHV MCH—All Other
Reporting Requirements (if different than agreement language):
1. The LMCH Plan submission and due date will be communicated through a
notification mailing. The department will provide the format for the LMCH Plan.
The LMCH Plan, approved by the department, is to be uploaded with the budget
application into EGrAMS. The Plan and Plan amendments, if needed, need to be
approved in advance of the budget application and budget amendment.
2. The FY 21 LMCH Year -End Report submission and due date will be
communicated through a notification mailing. The department will provide the
format for the LMCH Year -End Report. The Local MCH Year -End Report,
approved by the department, is to be uploaded in EGrAMS with the final FSR. The
Year -End Report must be approved in advance of the final FSR.
Any additional requirements (if applicable):
• Local MCH funding must be used to address the unmet needs of the maternal
child health population and based on data and need(s) identified through the
Local Health Department community health assessment process.
• Activities and programs supported with Local MCH funds must be evidence-
based/informed. Exceptions must be submitted in writing and pre -approved by
MDHHS.
• Local MCH funding cannot be used under the WIC element, except in extreme
circumstances where a waiver is requested in advance of the expenditures and
evidence is provided that the expenditures satisfy all funding requirements.
• Local MCH funds may not be used to supplant available/billable program income
such as Medicaid or Healthy Michigan Plan fees or additional funding under the
Medicaid Cost -Based Reimbursement process.
Local Health Departments should leverage all other funding sources, especially
third -party payers (Medicaid, private insurers) before utilizing LMCH MCH block
grant funds. LMCH funds are to be used for those services that cannot be paid for
through other sources or for gap filling services. Third party fees should be listed
in other funding sources. If no 3rd party fees are listed, an explanation must be
noted.
• The approved LMCH Plan allocation table and the budget application MCH
source of funds must match. If an agency needs to move funds between projects,
an amended LMCH Plan must be approved in advance of the budget amendment
request period. Any specified expenditure in the LMCH Plan must be detailed in
the budget (e.g, incentives).
The LMCH program follows the same principle on budget transfers and
adjustments outlined in the comprehensive agreement. The comprehensive
agreement allows for budget transfers and adjustments of $10,000 or 15%,
whichever is greater. However, if the transfer or adjustment is greater than the
$10,000 or 15%, OR there are any changes made to any of the children
performance measures an amended LMCH Work Plan and budget will be
required.
• LMCH is unable to accept cost distributions from MDHHS-ELPHS due to the
nature of the block grant and LMCH reporting requirements. LMCH will continue
to accept other cost distributions as in the past (such as Family Planning, CSHCS
Outreach and Advocacy, VQA, IAP, and Lead Prevention).
• LMCH has adopted Title 2 Code of Federal Regulations 200 Cost principles.
PROJECT TITLE: MATERNAL, INFANT AND EARLY CHILDHOOD HOME
VISITING INITIATIVE LOCAL HOME VISITING LEADERSHIP GROUP
(MIECHVLLG)
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The purpose of the Local Leadership Group (LLG) is to support the development of a
local home visiting system that leads to improvement and coordination of home visiting
programs at the community or regional level.
Reporting Requirements (if different than agreement language):
The LLG shall submit all required reports in accordance with the Department reporting
requirements.
Staffing Changes: Within 10 days of a staffing change, notify the ECIC contractor
via e-mail and incorporate the change(s) into the budget and facesheet during the
next amendment cycle as appropriate. The facesheet identifies the agency
contacts and their assigned permissions related to the tasks they can perform in
E-GrAMS. The assigned Project Director in E-GrAMS can make the facesheet
changes once the agreement is available to be amended.
b. LLG Work Plan: Due annually on June 30 for preapproval. Seethe MDHHS Home
Visiting Guidance Manual for requirements related to Work Plan development and
reporting.
c. Work Plan Reports: Must be submitted within 30 days of the end of each quarter
(January 30, April 30, July 30, and October 30).
Any such other information as specified in the Work Plan shall be
developed and submitted by the Grantee as required by the Contract
Manager.
d. See the MDHHS Home Visiting Guidance Manual for specific CQI reporting
requirements which include monthly data tracking and PDSA cycle updates (due
the 15th of each month) and Story Board and Team Charter submissions.
e. The Contract Manager shall evaluate the reports submitted as described for their
completeness and adequacy.
f. The Grantee shall permit the Department or its designee to visit and make an
evaluation of the project as determined by the Contract Manager.
All reports and/or information (a-f), unless stated otherwise, shall be submitted
electronically to the Home Visiting mailbox at MDHHS-HVlnitiative(a)michioan.aov.
Any additional requirements (if applicable):
Comply with MDHHS Home Visiting Program Requirements:,
The Grantee shall operate the program with fidelity to the requirements of the MDHHS as
outlined in the MDHHS Home Visiting Guidance Manual.
1. The LLG will work with the MDHHS contractors: Early Childhood Investment
Corporation (ECIC) and the Michigan Public Health Institute (MPHI). See the
MDHHS Home Visiting Guidance Manual for details related to working with ECIC
and MPHI.
2. The LLG will continue the following efforts started in previous years:
a. Ensure recruitment and participation of both required and strongly
encouraged LLG representatives.
b. Integrate parent leaders as active members of the LLG. Membership on
the LLG CQI team must include a parent leader. This includes their
attendance at local CQI meetings and the three LLG Grantee meetings.
c. Implement one strategy from the respective community's local Home
Visiting Continuum of Models Project Plan.
d. Participate in the LLG Quality Improvement Learning Collaborative to
identify strategies and activities for the purposes of improving outreach and
enrollment in evidence -based home visiting.
e. Implement the community's Sustainability Plan.
See the MDHHS Home Visiting Guidance Manual for requirements related to LLG
membership/participation, development of CQI strategies, as well as the implementation
of Continuum and Sustainability Plans.
Fundina Requirements:
The funding can be used to:
a. Enable the LLG to pay for staff support.
b. Financially support LLG parent leaders to attend the Michigan Home
Visiting Conference.
c. Financially support LLG members, including parent leaders, to be part of
the LLG and CQI efforts.
d. Carry out MDHHS Home Visiting Unit activities as specified in this
agreement.
Promotional Materials
If the LLG wishes to produce any marketing, advertising, or educational materials using
grant agreement funds, they must follow the requirements as outlined in the MDHHS
Home Visiting Guidance Manual.
PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD
HOME VISITING INITIATIVE RURAL LOCAL HOME VISITING
LEADERSHIP GROUP (MHVRLH)
and
MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING
INITIATIVE RURAL LOCAL HOME VISITING GROUP 3 (MHVRLH3)
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The purpose of the Local Leadership Group (LLG) is to support the development of a
local home visiting system that leads to improvement and coordination of home visiting
programs at the community or regional level.
Reporting Requirements (if different than agreement language):
The Grantee shall submit the following reports:
Staffing Changes: Within 10 days of a staffing change, notify the ECIC contractor
via e-mail and incorporate the change(s) into the budget and facesheet during the
next amendment cycle as appropriate. The facesheet identifies the agency
contacts and their assigned permissions related to the tasks they can perform in
E-GrAMS. The assigned Project Director in E-GrAMS can make the facesheet
changes once the agreement is available to be amended.
b. LLG Work Plan: Due annually on June 30 for preapproval. See the MDHHS
Home Visiting Guidance Manual for requirements related to Work Plan
development and reporting.
c. Work Plan Reports: Must be submitted within 30 days of the end of each quarter
(January 30, April 30, July 30, and October 30).
Any such other information as specified in the Work Plan shall be developed and
submitted by the Grantee as required by the Contract Manager.
d. See the MDHHS Home Visiting Guidance Manual for specific CQI reporting
requirements which include monthly data tracking and PDSA cycle updates (due
the 15th of each month) and Story Board and Team Charter submissions.
e. The Contract Manager shall evaluate the reports submitted as described for their
completeness and adequacy.
f. The Grantee shall permit the Department or its designee to visit and make an
evaluation of the project as determined by the Contract Manager.
All reports and/or information (a-f), unless stated otherwise, shall be submitted
electronically to the Home Visiting mailbox at MDHHS-HVlnitiative(d).michigan.00v.
Any additional requirements (if applicable):
ComDly with MDHHS Home Visiting Proaram Reauirements:
The Grantee shall operate the program with fidelity to the requirements of the MDHHS as
outlined in the MDHHS Home Visiting Guidance Manual.
The LLG will work with the MDHHS contractors: Early Childhood Investment
Corporation (ECIC) and the Michigan Public Health Institute (MPHI). See the
MDHHS Home Visiting Guidance Manual for details related to working with ECIC
and MPHI.
2. The LLG will continue the following efforts started in previous years:
a. Ensure recruitment and participation of both required and strongly
encouraged LLG representatives.
b. Integrate parent leaders as active members of the LLG. Membership on
the LLG CQI team must include a parent leader. This includes their
attendance at local CQI meetings and the three LLG Grantee meetings.
c. Implement one strategy from the respective community's local Home
Visiting Continuum of Models Project Plan.
d. Participate in the LLG Quality Improvement Learning Collaborative to
identify strategies and activities for the purposes of improving outreach and
enrollment in evidence -based home visiting.
e. Implement the community's Sustainability Plan.
See the MDHHS Home Visiting Guidance Manual for requirements related to LLG
membership/participation, development of CQI strategies, as well as the implementation
of Continuum and Sustainability Plans.
Funding Reauirements:
The funding can be used to:
a. Enable the LLG to pay for staff support.
b. Financially support LLG parent leaders to attend the Michigan Home
Visiting Conference.
c. Financially support LLG members, including parent leaders, to be part of
the LLG and CQI efforts.
d. Carry out MDHHS Home Visiting activities as specified in this agreement.
Promotional Materials
If the LLG wishes to produce any marketing, advertising, or educational materials using
grant agreement funds, they must follow the requirements as outlined in the MDHHS
Home Visiting Guidance Manual.
PROJECT: Medicaid Outreach
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
Medicaid Outreach activities are performed to inform Medicaid beneficiaries or potential
beneficiaries about Medicaid, enroll individuals in Medicaid and improve access and
utilization of Medicaid covered services. All outreach activities must be specific to
Medicaid. Reference bulletin: MSA 18-41
Additional instructions can be found in Attachment I.
Reporting Requirements (if different than contract language)
• Submit quarterly reports no later than 1 month after the end of the quarter. The
exception is the 4th quarter report which is due at the time as the final FSR. If the report
due date falls on a weekend or holiday, the report the next business day.
Quarter
Reportina Period
1st
October 1 — December 31
2nd
January 1 — March 31
3rd
April 1 —June 30
4th
July 1 — September 30
Due Date
January 31
April 30
July 31
no later than December 15
• Quarterly reports must be attached/uploaded on the Source of Funds/Federal Medicaid
Outreach line on the FSR in EGrAMS.
• Reimbursements occur based on actual expenditures reported on Financial Status
Reports (FSR) using the reporting format and deadlines as required by the Department
through EGrAMS.
Any additional requirements (if applicable)
• All claimable outreach activities must be in support of the Medicaid program.
Activities that are part of a direct service are not claimable as Medicaid Outreach.
• Must maintain documentation in support of administrative claims which are
sufficiently detailed to allow determination of whether the activities were necessary
for the proper and efficient administration of the Medicaid State Plan.
Must maintain a system to appropriately identify the activities and costs in
accordance with federal requirements.
Must provide quarterly summary reports of Medicaid outreach activities conducted
during the quarter. The following reporting elements must be included in the
quarterly report:
o Name of Health Department
o Name and contact information of the individual completing the report
o Time period the report covers (e.g., FY 21: 1st quarter, or October -December
2020)
o Types of services provided during the quarter (Note: the types of services
provided do not have to include every single activity the LHD conducted during
the quarter. Rather, simply include examples of the types of services provided.
The Grantee can include as much or as little detail as they chose.)
o Number of clients served
o Amount of funds expended during the quarter and total expenditures
o Number of FTEs who provided these activities
Successes/Challenges
This is not a reporting requirement but provides an opportunity for the LHD to
share successes during the quarter (e.g., For the first time, someone from the
school board attended the Infant Mortality Reduction Coalition meeting) or to
describe any challenges encountered during the quarter (e.g., the health advocate
quit and the lactation consultant went on maternity leave, so we are down 2 staff)
PROJECT: MI Health and Wellness 44 Plan - Implementation
Beginning Date: 10/1/2020
End Date: 09/30/2021
Project Synopsis
Michigan Health & Wellness fund recipients are working on the implementation of
population -based approaches to prevent obesity through the implementation of healthy
eating and physical activity interventions with an emphasis on decreasing health
disparities. Strategies include: implement existing master/community plans and land use
interventions by connecting sidewalks, paths, bicycle routes, public transit with homes,
early care and education, schools, worksites, parks, or recreation centers; establish new
or improved pedestrian, bicycle, or transit transportation systems that are combined with
new or improved land use or environmental design; implement food service guidelines
(FSG) in worksites and in community settings in multiple venues to increase the
availability of healthy foods.
Reporting Requirements (if different than contract language)
The Contractor will submit quarterly progress report to the project evaluator as prescribed in the
evaluation plan.
Period Covered
October 1 — December 31
January 1 — March 30
April 1 — June 30
July 1 —September 30
Report Due Dates
January 15
April 15
July 15
November 15 (Final)
Any additional requirements (if applicable)
Develop, submit and implement an approved work plan and budget which will be
maintained on file at MDHHS.
• Develop and implement an evaluation process, as appropriate and approved by
MDHHS staff. A copy of all evaluation reports and data collection must be
provided to the MDHHS consultant.
• Maintain an active coalition that systematically aligns organizational outcomes and
shared decision -making and resources associated with the intervention. Coalition
membership should also be representative of the community it serves.
• Advance strategies to increase access to social determinants of health such as
healthy food, quality housing, access to quality care, quality education, and safe
neighborhoods
Attend required meetings, including conferences, partner meetings and progress
updates.
The Contractor shall collaborate with the program consultant to schedule and
participate in site visits (as required).
Provide interventions and strategies to support physical activity or healthy eating
and include a community wide public awareness campaign that incorporates the
4x4 health messages and recognizes the grant support of MDHHS and the MI
Health and Wellness 44 Plan.
Performance will be measured based on the progress towards meeting work plan
objectives. Activities in your work plan, the expenditures, reports, site visits,
success stories and evaluation outcomes will also be used to assess progress and
level of impact.
Each Health Department will have a 25% required match.
Failure to comply with these requirements may result in punitive consequences
including but not limited to reimbursement of activities that were not performed,
denial of future funding and/or other consequences as appropriate.
PROJECT TITLE: MI HOME VISITING INITIATIVE RURAL EXPANSION
GRANT (MHVIRE)
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The Healthy Families America (HFA) program was designed by Prevent Child Abuse
America and is built on the tenants of trauma -informed care. The program is designed to
promote positive parent -child relationships and healthy attachment. It is a strengths -
based and family -centered approach.
Reporting Requirements (if different than agreement language):
The Local Implementing Agency (LIA) shall submit all required reports in accordance with
the Department reporting requirements. See the Michigan Department of Health and
Human Services' (MDHHS) Home Visiting Guidance Manual for details about what must
be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HFA model
consultant via e-mail and incorporate the change(s) into the budget and facesheet
during the next amendment cycle as appropriate. The facesheet identifies the
agency contacts and their assigned permissions related to the tasks they can
perform in E-GrAMS. The assigned Project Director in E-GrAMS can make the
facesheet changes once the agreement is available to be amended.
b. Family Stories: At a minimum, one home visiting experience, as told from the
perspective of a currently enrolled family, due within 30 days of the end of the
fourth quarter (October 30).
c. HFA Work Plan: Due annually on June 30 for preapproval. See the MDHHS Home
Visiting Guidance Manual for requirements related to Work Plan development and
reporting.
d. Work Plan Reports: Must be submitted within 30 days of the end of each quarter
(January 30, April 30, July 30 and October 30).
All reports and/or information (a-d), unless stated otherwise, shall be submitted
electronically to the MDHHS Home Visiting mailbox at MDHHS-
HVlnitiativeO.michioan.gov.
e. Implementation Monitoring Date and HRSA data collection requirements on the 5th
business day of each month.
f. Continuous Quality Improvement reporting for the Learning Collaborative due on
the 15th of each month from February to September.
g. Continuous quality Improvement reporting for LIA specific projects due by the 15th
of the next month following the end of the quarter (January 15, April 15, July 15
and October 15).
All reports and/or information (e-g) shall be submitted to the MPH mailbox as designated
in the MDHHS Guidance Manual.
Any additional requirements (if applicable):
The LIA shall serve the target population approved by the Michigan Department of Health
and Human Services (MDHHS), which supports the findings of their community's Needs
Assessment.
a. The Health Department of NWMI HFA Program (Region 2) will serve the
applicable number of families with children at high risk per section d. below.
b. The Health Department of NWMI HFA Program (Region 3) will serve the
applicable number of families with children at high risk per section d. below.
c. The Luce-Mackinac-Alger-Schoolcraft Health Department HFA Program
(Region 1) will serve the applicable number of families with children at high risk
per section d. below.
d. In general, across all regions, the home visitor -to -family ratio should agree with
the following:
a. 16 families per 1.0 FTE serving one county
b. 15 families per 1.0 FTE serving two counties
c. 14 families per 1.0 FTE serving three or more counties
See the MDHHS Home Visiting Guidance Manual for requirements related to the
development of a Work Plan and the timeframe for reaching full caseloads.
Maintain Fidelity to the Model
The LIA shall adhere to the Healthy Families America (HFA) Best Practice Standards. In
addition, all Healthy Families America affiliates shall comply with the requirements of the
Central Administration for the Multi -site State System (also known as "The State Office")
housed within the Michigan Public Health Institute. All HFA model required training will be
accessed through the Center as available.
P.A. 291
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Guidance Manual for requirements related to PA 291.
Staffing
The LIA's HFA home visiting staff will reflect the community served.
The LIA will provide documentation to demonstrate due diligence if unable to fully meet
this requirement within 90 days of a MDHHS site visit in which this was a finding.
See the MDHHS Home Visiting Guidance Manual for requirements related to program
staffing.
ComDIV with MDHHS Program Requirements
The LIA shall operate the program with fidelity to the requirements of the MDHHS as
outlined in the MDHHS Home Visiting Guidance Manual.
Proaram Monitorina. Assessment. Support and Technical Assistance ITA)
The LIA shall fully participate with the Department and the Michigan Public Health
Institute (MPHI) with regards to program development and monitoring (including annual
site visits), training, support and technical assistance services. See the MDHHS Home
Visiting Guidance Manual for requirements related to program monitoring, assessment,
support and TA.
Professional Development and Traininq
All of the LTA's HFA program staff associated with this funding will participate in
professional development and training activities, as required by both HFA and the
Department. All LIA HFA
program staff must receive HFA-specific training from a Michigan -based approved HFA
training entity.
See the MDHHS Home Visiting Guidance Manual for requirements related to
professional development and training activities.
Supervision
The LIA shall adhere to the HFA supervision requirements of weekly 1.5 - 2 hour
individual supervision per 1.0 FTE and pro -rated as allowed by the Best Practice
Standards. Written policies and procedures shall specify how Reflective Supervision is
included in, or added to, that
time to ensure provision for each home visitor at a minimum of 1.0 hour per month.
Enaaae and Coordinate with Communitv Stakeholders
The LIA shall assure that there is a broad -based community advisory committee that is
providing oversight for HFA.
The LIA shall build upon and maintain diverse community and target population
collaboration and support.
The LIA shall participate in the Local Leadership Group (LLG) (if not the HFA community
advisory committee) or, if none, the Great Start Collaborative.
See the MDHHS Home Visiting Guidance Manual for requirements related to
engagement and coordination with community stakeholders.
Data Collection
The LIA shall comply with all HFA and MDHHS data training, collection, entry and
submission requirements. See the MDHHS Home Visiting Guidance Manual for
requirements related to data collection.
Continuous Qualitv Improvement (CQI).
The LIA shall participate in all HFA quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all State and local Home Visiting CQI activities as required by
MDHHS. Required activities include, but are not limited to:
a. QI team participating in one Quality Improvement (QI) Learning Collaborative per
fiscal year, with all required training, reporting requirements and deliverables.
b. Conducting and completing two LIA-specific PDSA cycles per fiscal year.
c. With prior approval from the MDHHS Model Consultant, a national, regional, or
other quality improvement project can replace one or both individual LIA QI cycles.
See the MDHHS Home Visiting Guidance Manual for requirements related to CQI.
Work Plan Requirements
By June 30, 2020, the LIA must submit a Work Plan to the MDHHS Home Visiting mailbox
(MDHHS-HVlnitiativea,michican.00vl for preapproval. See the MDHHS Home Visiting Guidance
Manual for requirements related to Work Plan development and reporting.
Promotional Materials
If the LIA wishes to produce any marketing, advertising or educational materials, using
contract funds, they must follow the requirements outlined in the MDHHS Home Visiting
Guidance Manual.
PROJECT TITLE: Michigan Adolescent Pregnancy and Parenting Program
(MI-APPP)
Start Date: 10/1/2020
End Date: 9/31/2021
Project Synopsis:
The goal of MI-APPP is to create an integrated system of care, including linkages to
support services, for pregnant and parenting adolescents 15-19 years of age, the fathers,
and their families. MI-APPP grantees implement the Adolescent Family Life Program -
Positive Youth Development (AFLP-PYD; a California model), an evidence -informed case
management curriculum designed to elicit strengths, address various risk behaviors, the
impact of trauma, and provide a connection to health care and community services. In
addition, MI-APPP grantees engage communities through locally driven steering
committees, a comprehensive needs assessment, and creation of support services to
ensure the program is responsive to the needs of pregnant and parenting teens.
MI-APPP aims to:
1. Reduce repeat, unintended pregnancies,
2. Strengthen access to and completion of secondary education,
3. Improve parental and child health outcomes, and
4. Strengthen familial connections between adolescents and their support networks
Reporting Requirements (if different than agreement language):
Tit»e::Rer)txd'°, I)ueDate I;Subimlt.To
October 1- December 31, 2020 January 15, 2021
Program January 1-March 31, 2021 April 15, 2021 Program
Narrative April 1-June 30, 2021 July 15, 2021 Coordinator
July 1-September 30, 2021 October 15, 2021
Evaluation/Data Submit the 7th of
Submission Monthly every month REDcap
Any additional requirements (if applicable):
Information provided must be medically accurate, age -appropriate, culturally
relevant, and up to date.
Pregnancy prevention education must be delivered separate and apart from
any religious education or promotion. MI-APPP funding cannot not be used to
support inherently religious activities including, but not limited to, religious
instruction, worship, prayer, or proselytizing (45 CFR Part 87).
Family planning drugs and/or devices cannot be prescribed, dispensed, or
otherwise distributed on school property as part of the pregnancy prevention
education funded by MI-APPP as mandated in the Michigan School Code.
Abortion services, counseling and/or referrals for abortion services cannot be
provided as part of the pregnancy prevention education funded under MI-
APPP.
f Must adhere to the Minimum Program Requirements for MI-APPP.
MI-APPP funding cannot be used to supplant funding for an existing program
supported with another source of funds.
PROJECT TITLE: MATERNAL INFANT CHILDHOOD HOME VISITING
PROGRAM (MIECHVP) HEALTHY FAMILIES AMERICA EXPANSION
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The Healthy Families America (HFA) program was designed by Prevent Child Abuse
America and is built on the tenants of trauma -informed care. The program is designed to
promote positive parent -child relationships and healthy attachment. It is a strengths -
based and family -centered approach.
Reporting Requirements (if different than agreement language):
The Local Implementing Agency (LIA) shall submit all required reports in accordance with
the Department reporting requirements. See the Michigan Department of Health and
Human Services' (MDHHS) Home Visiting Guidance Manual for details about what must
be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HFA model
consultant via e-mail and incorporate the change(s) into the budget and facesheet
during the next amendment cycle as appropriate. The facesheet identifies the
agency contacts and their assigned permissions related to the tasks they can
perform in E-GrAMS. The assigned Project Director in E-GrAMS can make the
facesheet changes once the agreement is available to be amended.
b. Family Stories: At a minimum, one home visiting experience, as told from the
perspective of a currently enrolled family, due within 30 days of the end of the
fourth quarter (October 30).
c. HFA Work Plan: Due annually on June 30 for preapproval. Seethe MDHHS Home
Visiting Guidance Manual for requirements related to Work Plan development and
reporting.
d. Work Plan Reports: Must be submitted within 30 days of the end of each quarter
(January 30, April 30, July 30 and October 30).
All reports and/or information (a-d), unless stated otherwise, shall be submitted
electronically to the MDHHS Home Visiting mailbox at MDHHS-
HVlnitiativea,michigan.gov.
e. Implementation Monitoring Data and HRSA data collection requirements on the 5th
business day of each month.
f. Continuous Quality Improvement reporting for the Learning Collaborative due on
the 15th of each month from February to September.
g. Continuous Quality Improvement reporting for LIA-specific projects due by the 15t"
of the month following the end of the quarter (January 15, April 15, July 15 and
October 15).
All reports and/or information (e-g) shall be submitted to the MPHI mailbox as designated
in the MDHHS Home Visiting Guidance Manual.
Work Plan Reauirements:
By June 30, 2020, the LIA must submit a Work Plan to the MDHHS Home Visiting mailbox
(MDHHS-HVlnitiative(a,michigan.gov) for preapproval. See the MDHHS Home Visiting Guidance
Manual for requirements related to Work Plan development and reporting.
Any additional requirements (if applicable):
Grantee Specific Reauirements:
The LIA shall serve the target population approved by the Michigan Department of Health
and Human Services (MDHHS), which supports the findings of their community's Needs
Assessment.
a. The Kalamazoo County Health and Community Services Dept. HFA program
will serve 48 families with children who are at high risk in the areas of
Comstock Township, City of Kalamazoo -Arcadia, Vine, Eastside
neighborhoods, Richland Township, City of Portage, Texas Township,
Oshtemo and Galesburg.
b. The Wayne County Babies HFA program will serve 32 families who are young
parents, through age 24,
living in the cities of Hamtramck, Highland Park, Redford, Inkster, Taylor,
Romulus, Van Buren Township and Westland.
See the MDHHS Home Visiting Guidance Manual for requirements related to the
development of a Work Plan and the timeframe for reaching full caseloads.
Maintain Fidelitv to the Model
The Local Implementing Agency (LIA) shall adhere to the Healthy Families America
(HFA) Best Practice Standards. In addition, all Healthy Families America affiliates shall
comply with the requirements of the Central Administration for the Multi -site State System
(also known as "The State Office") housed within the Michigan Public Health Institute. All
HFA model required training will be accessed through the Central Administration as
available. Contact HFA State Office for details.
P.A. 291
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Guidance Manual for requirements related to PA 291.
Staffing
The LTA's HFA home visiting staff will reflect the community served.
The LIA will provide documentation to demonstrate due diligence if unable to fully meet
this requirement within 90 days of a MDHHS site visit in which this was a finding.
See the MDHHS Home Visiting Guidance Manual for requirements related to program
staffing.
Comply with MDHHS Proaram Reauirements
The LIA shall operate the program with fidelity to the requirements of the MDHHS as
outlined in the MDHHS Home Visiting Guidance Manual.
Proaram Monitorina, Assessment, Support and Technical Assistance ITA):
The LIA shall fully participate with the Department and the Michigan Public Health
Institute (MPH]) with regards to program development and monitoring (including annual
site visits), training, support and technical assistance services. See the MDHHS Home
Visiting Guidance Manual for requirements related to program monitoring, assessment,
support and TA.
Professional Development and Training:
All of the LTA's HFA program staff associated with this funding will participate in
professional development and training activities as required by both HFA and the
Department. All LIA HFA program staff must receive HFA-specific training from a
Michigan -based approved HFA training entity.
See the MDHHS Home Visiting Guidance Manual for requirements related to
professional development and training activities.
Suoervision:
The LIA shall adhere to the HFA supervision requirements of weekly 1.5 - 2 hour
individual supervision per 1.0 FTE and pro -rated as allowed by the Best Practice
Standards. Written policies and procedures shall specify how Reflective Supervision is
included in, or added to, that time to ensure provision for each home visitor at a minimum
of 1.0 hour per month.
Enaaae and Coordinate with Communitv Stakeholders:
The LIA shall assure that there is a broad -based community advisory committee that is
providing oversight for HFA.
The LIA shall build upon and maintain diverse community and target population
collaboration and support.
The LIA shall participate in the Local Leadership Group (LLG) (if not the HFA community
advisory committee) or, if none, the Great Start Collaborative.
See the MDHHS Home Visiting Guidance Manual for requirements related to
engagement and coordination with community stakeholders.
Data Collection:
The LIA shall comply with all HFA and MDHHS data training, collection, entry and
submission requirements. See the MDHHS Home Visiting Guidance Manual for
requirements related to data collection.
Continuous Qualitv Improvement (CQI):
The LIA shall participate in all HFA quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all State and local Home Visiting CQI activities as required by
MDHHS. Required activities include, but are not limited to:
a. QI team participating in one Quality Improvement (QI) Learning Collaborative per
fiscal year, with all required training, reporting requirements and deliverables.
b. Conducting and completing two LIA-specific PDSA cycles per fiscal year.
c. With prior approval from the MDHHS Model Consultant, a national, regional, or
other quality improvement project can replace one or both individual LIA QI cycles.
See the MDHHS Home Visiting Guidance Manual for requirements related to CQI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials, using
contract funds, they must follow the requirements outlined in the MDHHS Home Visiting
Guidance Manual.
PROJECT TITLE: NURSE FAMILY PARNERSHIP (NFP) SERVICES
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The Nurse Family Partnership (NFP) program offers families one-on-one home visits with
a registered nurse. The model is grounded in human attachment, human ecology, and
self -efficacy theories. Home visitors use model -specific resources to build on a parent's
own interests to attain the model goals.
Reporting Requirements (if different than agreement language):
The Local Implementing Agency (LIA) shall submit all required reports in accordance with
the Department reporting requirements. See the Michigan Department of Health and
Human Services' (MDHHS) Home Visiting Guidance Manual for details about what must
be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the NFP model
consultant via e-mail and incorporate the change(s) into the budget and facesheet
during the next amendment cycle as appropriate. The facesheet identifies the
agency contacts and their assigned permissions related to the tasks they can
perform in E-GrAMS. The assigned Project Director in E-GrAMS can make the
facesheet changes once the agreement is available to be amended.
b. Family Stories: At a minimum, one home visiting experience, as told from the
perspective of a currently enrolled family, due within 30 days of the end of the
fourth quarter (October 30).
c. Medicaid Outreach Report (Berrien, Calhoun, Kalamazoo and Kent only): Due
within 30 days of the end of each quarter.
d. NFP Work Plan: Due annually on June 30 for preapproval. Seethe MDHHS Home
Visiting Guidance Manual for requirements related to Work Plan development and
reporting.
e. Work Plan Reports: Must be submitted within 30 days of the end of each quarter
(January 30, April 30, July 30 and October 30).
All reports and/or information (a-e), unless stated otherwise, shall be submitted
electronically to the MDHHS Home Visiting mailbox at MDHHS-
HVlnitiativea-michioan.gov .
f. Implementation Monitoring Data and HRSA data collection requirements on the 5th
business day of each month.
g. Continuous Quality Improvement reporting for the Learning Collaborative due the
15th of each month from February to September.
h. Continuous Quality Improvement reporting for LIA-specific projects due by the 15'h
of the month following the end of the quarter (January 15, April 15, July 15 and
October 15).
All reports and/or information (f-h) shall be submitted to the MPH] mailbox as designated
in the MDHHS Home Visiting Guidance Manual.
Any additional requirements (if applicable):
Maintain Fidelitv to the Model:
The LIA shall adhere to the Nurse Family Partnership National Service Office (NSO)
program standards and operate the program with fidelity to the NSO Application Review
Team's approved Implementation Plan.
P.A.291:
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Guidance Manual for requirements related to PA 291.
ComDiv with MDHHS Proaram Reauirements:
The LIA shall operate the program with fidelity to the requirements of the MDHHS as
outlined in the MDHHS Home Visiting Guidance Manual.
Staffina:
The LTA's NFP home visiting staff will reflect the community served. The LIA will provide
documentation to demonstrate due diligence if unable to fully meet this requirement,
within 90 days of a MDHHS site visit in which this was a finding. See the MDHHS Home
Visiting Guidance Manual for requirements related to program staffing.
Target Population:
Michigan is using NFP as a specialized home visiting service strategy for low income,
first-time mothers whose population group contributes to the community's excess pre -
term births (based on the Kitagawa analysis provided by MDHHS). This specialized
service strategy is a focused way of using limited resources, directing them to the most
at -risk populations. The LIA will conduct outreach activities to the population group
identified in their Kitagawa analysis, in order to enroll families from those outreach efforts.
The MDHHS expects LIAs to maintain a caseload capacity of 25 families per 1.0 FTE.
See the MDHHS Home Visiting Guidance Manual for requirements related to the
development of a Work Plan and timeframe for reaching full caseloads.
Proaram Monitorina. Qualitv Assessment. Support and Technical Assistance ITA►:
The LIA shall fully participate with the NFP NSO, the Department, and the Michigan
Public Health Institute (MPHI) with regards to program monitoring (including annual site
visits), assessment, support and technical assistance services. See the MDHHS Home
Visiting Guidance Manual for requirements related to program monitoring, quality
assessment, support and TA.
Professional Development and Traininq:
All of the LTA's NFP staff associated with this funding will participate in professional
development and training activities, as required by both NFP and the Department. See
the MDHHS Home Visiting Guidance Manual for requirements related to professional
development and training activities.
Supervision:
The LIA shall adhere to the NFP supervision requirements
Enaaae and Coordinate with Communitv Stakeholders:
The LIA shall assure that there is a broad -based community advisory committee that is
providing oversight and feedback for NFP.
The LIA shall build upon and maintain diverse community and target population
collaboration and support.
The LIA shall participate in the Local Leadership Group (LLG) (if not the NFP community
advisory body) or, if none, the Great Start Collaborative.
See the MDHHS Home Visiting Guidance Manual for requirements related to
engagement and coordination with community stakeholders.
Data collection:
The LIA shall comply with all NFP and MDHHS data training, collection and entry, and
submission requirements. See the MDHHS Home Visiting Guidance Manual for
requirements related to data collection.
Continuous Qualitv Improvement (CQI):,
The LIA shall participate in all NFP quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all State and local Home Visiting CQI activities, as required by
MDHHS. Required activities include, but are not limited to:
• QI team participates in one Quality Improvement (QI) Learning Collaborative per
fiscal year, with all required training, reporting requirements and deliverables.
• Conduct and complete two LIA-specific PDSA cycles per fiscal year.
• With prior approval from the MDHHS Model Consultant, a national, regional, or
other quality improvement project can replace one or both individual LIA QI cycles.
See the MDHHS Home Visiting Guidance Manual for requirements related to CQI.
Work Plan Reauirements:
The LIA must submit a Work Plan by June 30 2020, to the MDHHS Home Visiting
mailbox at MDHHS-HVlnitiative(a)michioan.aov. See the MDHHS Guidance Manual for
requirements related to Work Plan development and reporting.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials, using
contract funds, they must follow the requirements outlined in the MDHHS Home Visiting
Guidance Manual.
PROJECT: PHEP COVID-19 Response
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
The expenses will be used by the local health department to provide resources to
prevent, prepare, and to respond to COVID-19. The expenses will include surge staffing,
activities and various supplies eligible to help with the response coordination. They
expenses will be necessary to carry out surveillance, infection control, communications,
and other preparedness and response activities.
Reporting Requirements (if different than contract language)
Quarterly FSR's- all same as contract language
A monthly spend plan is due on the 15th of each month.
Any additional requirements (if applicable)
PROJECT: Public Health Emergency Preparedness
9 Month Project
Beginning Date: 10/1/2020
End Date: 6/30/2021
3 Month Project
Beginning Date: 7/1/2021
End Date : 9/30/2021
Project Synopsis
As a Grantee of funding provided through the Centers for Disease Control and
Prevention (CDC) National Bioterrorism Hospital Preparedness Program (HPP) and
Public Health Emergency Preparedness (PHEP) Cooperative Agreement, each Grantee
shall conduct activities to build preparedness and response capacity and capability.
These activities shall be conducted in accordance with the HPP/PHEP Cooperative
Agreement guidance for 2020-2021 plus any and all related guidance from the CDC and
the Department that is issued for the purpose of clarifying or interpreting overall program
requirements.
Reporting Requirements (if different than contract language)
Recipients are required to submit a 9-month (October 1 to June 30) budget
and a 3-month (July 1 to Sept 30) for both Base PHEP and CRI funding,
including the 10% MATCH for those periods (see below for detail regarding
Match). Submitted to MDHHS-BETP-DEPI:-PI-IEP(oi ITIichigan.gov by May
1, 2020.
Recipients provide the required 10% MATCH for July 1, 2020 through
September 30, 2020 and October 1, 2020 through June 30, 2021.
Recipients are required to submit a letter (on agency letterhead) stating the
source, calculation and narrative description of how the match was
achieved, unless said match is met using local dollars. This was due with
the narrative budget submission to the Division of Emergency
Preparedness and Response-DEPR.
ALL activities funded through the PHEP cooperative agreement must be
completed between July 1, and June 30, and all BP2 funding must be
obligated by June 30, 2021 and activity completed by the August 15, 2021
FSR submission deadline.
The final Financial Status for funding period ending June 30 reports MUST
be submitted in the MI E-Grants system for this funding source no later
than August 15, 2021.
Recipients must submit required PHEP program data and reports by the
stated deadlines. This includes, but is not limited to, progress reports,
performance measure data reports, National Incident Management System
(NIMS) compliance reports, updated emergency plans, budget narratives,
Financial Status Reports (FSR), etc. Failure to do so will constitute a
benchmark failure. All deliverables must be submitted by the designated
due date in the Grantee BP2 work plan.
Recipients must maintain National Incident Management System (NIMS)
compliance as detailed in the LHD work plan and submit annually to the
Department — DEPR per the LHD BP2 work plan.
Each subrecipient Grantee must retain program -related documentation for
activities and expenditures consistent with Title 2 CFR Part 200; Uniform
Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, to the standards that will pass the scrutiny of audit.
Any additional requirements (if applicable)
All Grantee activities shall be consistent with all approved Budget Period 2 1 (BP2) work
plan(s) and budget(s) on file with the Department through the MI E-Grants system. In
addition to these broad requirements, the Grantee will comply with the following:
One (1) full time equivalent (FTE) emergency preparedness coordinator (EPC), as
a point of contact. In addition to the Grantee health officer, the EPC shall
participate in collaborative capacity building activities of the PHEP Cooperative
Agreement, all required reporting and exercise requirements and in regional
Healthcare Coalition (HCC) initiatives. Anv chances to this staffina model must be
aoaroved by the Public Health Emeraencv Preparedness Proaram Manager at the
Division of Emeraencv Preparedness and Response (517-335-8150).
• Under the PREP cooperative agreements, Grantee's must continue to partner
with the Regional Healthcare Coalition (HCC) and support HCC initiatives to
ensure that healthcare organizations receive resources to meet medical surge
demands. Working well together during a crisis is facilitated by meeting on a
regular basis. To this end, EPCs, supported by CDC PHEP are required to
participate in and support regional HCC initiatives. In addition, the EPC or
designee is required to attend regional HCC planning or advisory board meetings.
The intent is for LHD's that cross regional boundaries to align with one regional
coalition.
There are a number of special initiatives, projects, and/or supplemental funding
opportunities that are facilitated under this cooperative agreement. For example,
the Cities Readiness Initiative (CRI) performance and evaluation initiatives. Each
Grantee that is designated to participate in any of these types of supplemental
opportunities is required to comply with all CDC and the Department — Division of
Emergency Preparedness and Response (DEPR) guidance, and all
accompanying work plan and budgeting requirements implemented for the
purpose of subrecipient monitoring and accountability. Some or all supplemental
opportunities may require separate recordkeeping of expenditures. If so, this
separate accounting will be identified in separate project budgets in the MI E-
Grants system. These supplemental opportunities may also require additional
reporting and exercise activities.
All budget amendments must be submitted to the Division of Emergency
Preparedness and Response (DEPR) for review prior to submitting them in the MI
E-Grants system. Budget amendments that contain line items deviating more than
15% or $10,000 (whichever is greater) from the original budgeted line item must
be approved by DEPR prior to implementation via email to IVIDI-II IS DETP-DEPP-_
Phil=l'(g7rnchjJ(an.y_gv_._
Supplantation is the replacement of non-federal funds with federal funds to
support the same activities. The Public Health Service Act, Title I, Section 319(c)
specifically states, "SUPPLEMENT NOT SUPPLANT. — Funds appropriated under
this section shall be used to supplement - not supplant - other federal, state, and
local public funds provided for activities under this section." This law strictly and
expressly prohibits using cooperative agreement funds to supplant any current
state or local expenditures.
In response to repeated communications from CDC strongly urging states to
ensure all funds are spent each year a threshold has been established to limit the
amount of unspent funds. A maximum of 2% of the Grantee allocation or $3,000
(whichever is greater) of unspent funds is allowable each budget period. Failure to
meet this requirement, or misuse of funds, will affect the amount that is allocated
in subsequent budget periods.
Unallowable Costs
• Recipients may not use funds for research.
• Recipients may not use funds for clinic care except as allowed by law.
• Recipients may use funds only for reasonable program purposes including
personnel, travel, supplies and services.
• Generally, recipients may not use funds to purchase furniture or equipment. Any
such proposed spending must be clearly identified in the budget.
• Reimbursement of pre -award costs generally is not allowed, unless the CDC
provides written approval to the recipient.
• Other than for normal and recognized executive -legislative relationships, no funds
may be used for:
o Publicity or propaganda purposes, for the preparation, distribution, or use of
any material designed to support or defeat the enactment of legislation
before any legislative body.
o The salary or expenses of any grant or contract recipient, or agent acting
for such recipient related to any activity designed to influence the
enactment of legislation, appropriations regulation, administrative action, or
Executive order proposed or pending before any legislative body.
• Lobbying is prohibited
• The direct and primary recipient in a cooperative agreement must perform a
substantial role in carrying out project outcomes and not merely serve as a conduit
for an award to another party or provider who is ineligible.
• Recipients may not use funds to purchase vehicles to be used as means of
transportation for carrying people or goods, e.g., passenger cars or trucks,
electrical or gas -driven motorized carts.
• Payment or reimbursement of backfilling costs for staff is not allowed.
• No clothing may be purchased with these funds.
• Items considered as give away such as first aid kits, flashlights, shirts etc., are not
allowable
• None of the funds awarded to these programs may be used to pay the salary
of an individual at a rate in excess of Executive Level II or $181,500 per year.
0 Recipients may not use funds for research.
• Recipients may not use funds for clinical care.
• Recipients may only expend funds for reasonable program purposes, including
personnel, travel, supplies, and services, such as contractual.
• Recipients may not generally use HHS/CDC/ATSDR funding for the purchase of
furniture or equipment. Any such proposed spending must be identified in the
budget.
• The direct and primary recipient in a cooperative agreement program must
perform a substantial role in carrying out project objectives and not merely sere
as a conduit for an award to another party or provider who is ineligible.
• Other than for normal and recognized executive -legislative relationships, no funds
may be used for: publicity or propaganda purposes, the preparation, distribution,
or use of any material designed to support or defeat the enactment of legislation
before any legislative body the salary or expenses of any grant or contract
recipient, or agent acting for such recipient, related to any activity designed to
influence the enactment of legislation, appropriations, regulation, administrative
action, or Executive order proposed or pending before any legislative body.
• The direct and primary recipient in a cooperative agreement program must
perform a substantial role in carrying out project outcomes and not merely serve
as a conduit for an award to another party or provider who is ineligible.
• Recipients may not use funds for construction or major renovations.
• Recipients may supplement but not supplant existing state or federal funds for
activities described in the budget.
• Payment or reimbursement of backfilling costs for staff is not allowed.
• None of the funds awarded to these programs may be used to pay the salary of an
individual at a rate in excess of Executive Level II or $187,000 per year.
• Recipients may use funds only for reasonable program purposes, including travel,
supplies, and services.
• Recipients may purchase basic (non -motorized) trailers with prior approval from
the CDC OGS.
• HPP and PHEP funds may not be used to purchase clothing such as jeans, cargo
pants, polo shirts, jumpsuits, sweatshirts, or T-shirts. Purchase of items that can
be reissued, such as vests, may be allowable.
• HPP and PHEP funds may not be used to purchase or support (feed) animals for
labs, including mice. Any requests for such must receive prior approval of
protocols from the Animal Control Office within CDC and subsequent approval
from the CDC OGS as to the allowable of costs.
• Recipients may not use funds to purchase a house or other living quarter for those
under quarantine.
• HPP and PHEP recipients may (with prior approval) use funds for overtime for
individuals directly associated (listed in personnel costs) with the award.
• PHEP recipients cannot use funds to purchase vehicles to be used as means of
transportation for carrying people or goods, such as passenger cars or trucks and
electrical or gas -driven motorized carts.
• PHEP recipients can (with prior approval) use funds to lease vehicles to be used
as means of transportation for carrying people or goods, e.g., passenger cars or
trucks and electrical or gas -driven motorized carts.
• PHEP recipients can (with prior approval) use funds to purchase material -handling
equipment (MHE) such as industrial or warehouse -use trucks to be used to move
materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type
not licensed to travel on public roads.
PHEP recipients can use funds to purchase caches of medical or non -medical
Counter measures for use by public health first responders and their families to
ensure the health and safety of the public health workforce.
PHEP recipients can use funds to support appropriate accreditation activities that
meet the Public Health Accreditation Board's preparedness -related standards.10.
Audit Requirement
A grantee may use its Single Audit to comply with 42 USC 247d — 3a(j)(2) if at least once
every two years the awardee obtains an audit in accordance with the Single Audit Act (31
USC 7501 — 7507) and Title 2 CFR, Part 200 Subpart F; submits that audit to and has the
audit accepted by the Federal Audit Clearinghouse; and ensures that applicable PHEP
CFDA number 93.069 are listed on the Schedule of Expenditures of Federal Awards
(SEFA) contained in that audit.
Administrative preparedness
During BP1S, Recipients must continue to strengthen and test its administrative
preparedness plan, to include written policies, procedures, and/or protocols that address
the following:
1. Expedited procedures for receiving emergency funds during a real incident or
exercise
2. Expedited processes for reducing the cycle time for contracting and/ or
procurement during a real emergency or exercise
3. Internal controls related to subrecipient monitoring and any negative audit findings
resulting from suboptimal internal controls;
4. Emergency authorities and mechanisms to reduce the cycle time for hiring and/ or
reassignment of staff (workforce surge).
"All administrative preparedness planning activities should be considered in coordination
with healthcare systems, law enforcement, and other relevant stakeholders as
appropriate.
Pandemic and All Hazards Preparedness and Advancing Innovation Act of 2018
Requires the withholding of amounts from entities that fail to achieve PHEP benchmarks.
The following PHEP benchmarks have been identified by CDC and MDHHS-DEPR for
the Fiscal Year:
Demonstrated adherence to all PHEP application and reoortino deadlines.
Grantees must submit required PHEP program data and reports by the stated
deadlines. This includes, but is not limited to, progress reports, performance
measure data reports, National Incident Management System (NIMS) compliance
reports, updated emergency plans, budget narratives, Financial Status Reports
(FSR), etc. Failure to do so will constitute a benchmark failure. All deliverables
must be submitted by the designated due date in the LHD BP2-2020 work plan.
Demonstrated capability to receive, stage, store, distribute, and dispense medical
countermeasures (MCM) I during a public health emergency, per the BP 2-2020
LHD Work Plan.
Further guidance related to pandemic preparedness will be included in the LHD
workplan.
Pandemic Influenza Preparedness plans
Further guidance will be included in the Grantee PHEP Work Plan.
Benchmark Failure
Awardees are expected to "substantially meet' the PAHPRA benchmarks. Per the
Cooperative Agreement, failure to do so constitutes a benchmark failure, which carries an
allowable penalty withholding of funds. Failure to meet any one of the two benchmarks
and/or the spending threshold is considered a single benchmark failure. Any awardee (or
sub-awardee) that does not meet a benchmark, and/or the spending threshold will have
an opportunity to correct the deficiency during a probationary period. If the deficiency is
not corrected during this period, the awardee is subject to a 10% withholding of funds the
following budget period. Failure to meet the pandemic influenza plan requirement
constitutes a separate benchmark failure and is also subject to a 10% withholding. The
total potential withholding allowable is 20% the first year. If the deficiency is not
corrected, the allowable penalty withholding increases to 30% in year two and 40% in
year three.
Regional Epidemiology Support:
For those Recipients receiving additional funds to provide workspace for Regional
Epidemiologists, the grantee must provide adequate office space, telephone connections,
and high-speed Internet access. The position must also have access to fax and
photocopiers.
PROJECT TITLE: Regional Perinatal Care System
Start Date: 10/01/2020
End Date: 09/30/2021
Project Synopsis:
The aim of the Regional Perinatal Quality Collaboratives (RQPCs) is to develop data -
driven innovative strategies and efforts that are tailored to the strengths and challenges
of each region to improve maternal, infant and family outcomes; especially looking at
preterm birth, very low birth weight infants, low birth weight infants, and maternal health.
Furthermore, RPQCs ensure statewide alignment with the strategies and goals outlined
in the Michigan Mother Infant Health and Equity Improvement Plan (MIHEIP) and are
tasked with addressing disparities in birth outcomes and health inequities. Each RPQC
engages cross -sector, diverse stakeholders and implements evidence -based, or
promising practice, interventions utilizing quality improvement methodology.
Reporting Requirements (if different than agreement language):
The Grantee shall submit the following reports on a quarterly basis:
• Report on Aim statement, measures and corresponding outcomes, as identified by
the grantee and MDHHS, through submission of quarterly progress reports
• RPQCs will submit quarterly narrative reports summarizing efforts of member
agency activities, including participation and status of other MDHHS initiatives and
the composition and number of attendees at each Collaborative meeting. This
report will be submitted with the quarterly progress report to the Contract Manager,
Emily Goerge, via email at: GoeroeE(7G.michician.gov. A template for the narrative
report will be provided.
• RPQCs will be required to report on the number of participants with 'active
membership' in their quarterly progress reports. See definitions below for what
qualifies as 'active membership'.
Any such other information as specified above shall be developed and submitted by the
Grantee as required by the Contract Manager.
Any additional requirements (if applicable):
• In alignment with the Regional Perinatal Quality Collaborative's (RPQC) role of
authentically engaging families and convening diverse stakeholders, the
Collaborative must be comprised of a multi -stakeholder and diverse membership;
ensuring to recruit families, faith -based organizations, clinicians, Medicaid Health
Plans, community -based organizations, business partners, and etcetera.
MDHHS stresses the importance of garnering the input and feedback of families
most impacted by adverse birth outcomes. Therefore, continuing in fiscal year
2021, there must be family representation in the RPQC's membership
o Family engagement is essential to the success of the RPQCs and can be
fostered via various avenues, for example: family groups through Great
Start Collaborative and Children Special Health Care Services, community
centers, local churches, focus groups, parent panel and etcetera
RPQCs are expected to convene periodic (with frequency of at least quarterly)
collaborative meetings, inclusive of diverse regional partners, to garner feedback
and discussion, including but not limited to, regional maternal and infant vitality
concerns, review of data, analysis of gaps in care and birth outcomes, quality
improvement efforts, alignment with the Mother Infant Health and Equity
Improvement Plan and etcetera
o The collaborative meetings are to be in addition to any leadership or
steering team meetings that the RPQC may choose to convene as
oversight for the RPQC
Definitions
Active membership is defined as attending a minimum of two (2) Collaborative
meetings, participating in RPQC quality improvement efforts, reporting out on their
respective agency's efforts related to maternal and infant mortality, and etcetera
Family active membership is defined as a family presence at a minimum of 2
Collaborative meetings and/or garnering family input at least twice per fiscal year
o Family and community presence should comprise 10% of the RPQC's
active membership
Membership must include:
• Families
• Clinicians
• Community -based organizations
• Local public health
• Medicaid health plans
• Faith -based organizations
• Business partners
• Others
• To ensure regional stakeholders are aligned with the Mother Infant Health and
Equity Improvement Plan (MIHEIP), RPQCs will need to infuse maternal and infant
Statewide initiatives into their Collaborative (example: MMMS, FIMR, MI AIM,
CDR, etc.)
o Each Collaborative should have dedicated time during meetings for
members to share updates, as well as time for reporting out on
participation in other Statewide initiatives
o Beginning in fiscal year 2021, RPQCs will specifically be required to:
• Invite MI -AIM leads to share region -specific MI -AIM efforts at
two (2) fiscal year 2021 collaborative meetings. A list of MI -
AIM leads in the region can be obtained from your assigned
State consultant
• Know the MI -AIM designation status of the birthing hospitals
in their respective region
• The names and titles of the RPQC leadership, and the Quality Improvement
project team leads, for fiscal year 2021, must be identified on the work plans
submitted to the Contract Manager via email, GoeraeEa-michigan.00v
• Selected quality improvement objective(s), and corresponding evidence -based or
promising practices intervention(s), must align with the MIHEIP.
All quality improvement efforts must:
• Be inclusive of addressing health inequities, the social
determinants of health and actively address disparate
outcomes
• Utilize quality improvement methodology
• Be data -driven
• Utilize evidence -based and/or promising practices
interventions that address improving outcomes for mothers,
infants and families
• As the RPQCs area conduit to the community, the region must provide
representation at MIHEIP-related MDHHS meetings, such as the Mother Infant
Health and Equity Collaborative (MIHEC) meeting and the State Perinatal Quality
Collaborative meetings (i.e., RPQC Leadership meetings)
• In -person attendance is required, unless prior approval
received from State consultant
For MIHEC meetings, each RPQC should have two
attendees present, with at least one representing the
leadership team
For the bi-annual State Perinatal Quality Collaborative
meetings, at least two members of the RPQC
leadership team are required to attend
• Each region will be required to report on their efforts,
challenges, successes and etcetera at one of the quarterly
MIHEC meetings
• Regional collaborative leadership is expected to work collectively with assigned
State consultant and other members of the MIHEIP team
Budget Allowances
To ensure most of the awarded funding is funneled into the community for quality
improvement efforts:
• Budgets line items for external consultants must be capped at 25% for
contractors/consultants who have been hired as subject matter experts
• Budgets must be capped at 75% for contractors hired to carry out the
quality improvement tasks of the collaborative
PROJECT: SEAL! Michigan Dental Sealant
Beginning Date: 10/01/2020
End Date: 09/30/2021
Project Synopsis:
SEAL! MI is the School Based Dental Sealant Program, providing oral health prevention
to students in Michigan schools.
Reporting Requirements (if different than contract language)
Quarterly Report Dental Sealant Tracking Form's at the end of each quarter
to the Michigan Department of Health and Human Services Oral Health
Program.
Submit completed copies of the SEAL! MI MDHHS Student Data and Event
Data forms within two weeks of the end of the fiscal year and upon request.
Reports and information shall be submitted to the Contract Manager:
Jill Moore RDH, BSDH, MHA, EdD
School Oral Health Consultant
Division of Child and Family Programs
P.O. Box 30195
Lansing, MI 48909
517-241-1502
MooreJ 14na.michioan.00v
The Contract Manager shall evaluate the reports submitted for their completeness
and adequacy.
The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by Contract Manger.
Any additional requirements (if applicable)
All program staff (paid and unpaid) must attend the annual SEAL! MI
Training via webinar.
o At least one person from program must attend the SEAL! MI Annual
Workshop, in person, all day.
All monies collected from insurance billing from dental sealants must be
allocated back into the SEAL! MI program (equipment, staff, supplies,
travel, incentives etc.).
There must be one EXTRA complete treatment set up available for program
use in the event of equipment failure (including: portable dental unit, curing
light, Isolite other isolation system, patient chair, operator light and operator
chair).
O Patient privacy screens must be available for use
PROJECT TITLE: Sexually Transmitted Disease (STD) Control
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
Sexually Transmitted Diseases (STDs) result in excessive morbidity, mortality, and health
care cost. Women, especially those of child-bearing age, and adolescents are particularly
at risk for negative health outcomes. Local health STD programs ensure prompt reporting
of cases, provide screening and treatment services for Michigan's citizens, and respond to
critical morbidity increases in their jurisdiction.
Reporting Requirements (if different than agreement language):
Report
STD 340E Tracking Report
How to
Period Due Date(s) Submit
Report
Email to:
Quarterly 10 days after the end MDHHS-
of the quarter HIVSTDoperation
s@michigan.gov
Any additional requirements (if applicable):
Grant Program Operation
For medical providers that identify 5% or more of the County's gonorrhea,
chlamydia, and/or syphilis morbidity, the local STD program will contact them at
least annually to review provider screening, reporting, treatment, and partner
management methods.
2. Participate in technical assistance/capacity development, quality assurance, and
program evaluation activities as directed by Division of HIV and STD
Programs/Sexually Transmitted Disease (DHSP/STD).
3. Implement program standards and practices to ensure the delivery of culturally,
linguistically, and developmentally appropriate services. Standards and practices
must address sexual minorities.
For gonorrhea and chlamydia cases in the Michigan Disease Surveillance System,
50% shall be completed within 30 days and 60% within 60 days from the date of
specimen collection.
5. For gonorrhea and chlamydia cases, develop plans to respond to issues in quality,
completeness, and timeliness.
Mandatory Disclosures
1. Inform DHSP/STD at least two weeks prior to changes in clinic operation (hours,
scope of service, etc.).
PROJECT: SOS Evaluation
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
The purpose of this project is to fund four Local Health Departments (LHD), Detroit,
Washtenaw, Kent and Muskegon. The LHD are to use the funds to track data and
outcomes from the System for Opioid Overdose Surveillance (SOS) system as well as
fund the University of Michigan through a subaward.
Reporting Requirements (if different than contract language)
The LHD will create a subaward with the University of Michigan and submit a statement
of work. The statement of work will need to be attached to the first quarter FSR. Payment
will not be approved without this attachment.
MDHHS will send statement of work templates and details to each LHD. These templates
should be used to create the statement of work. MDHHS will work with LHD to create the
final report template and will send no later than June 30,2021. The final FSR will not be
approved for payment without receipt of final report.
For questions regarding the template please contact Rita Seith (SeithR@michigan.gov)
Any additional requirements (if applicable)
Funding Distribution as follows:
• Detroit: $10,000
o (no subaward to U of M required)
Washtenaw: $70,000,
o subaward to U of M required: $50,000
• Kent: $60,000,
o subaward to U of M required: $50,000
• Muskegon: $60,000,
o subaward to U of M required: $50,000
PROJECT TITLE: Sexually Transmitted Disease (STD) Specialty Services
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
Sexually Transmitted Diseases (STDs) result in excessive morbidity, mortality, and health
care cost. Women, especially those of child-bearing age, and adolescents are
particularly at risk for negative health outcomes. Local health STD programs ensure
prompt reporting of cases, provide screening and treatment services for Michigan's
citizens, and respond to critical morbidity increases in their jurisdiction. In addition, the
purpose of this project is to provide specialty STD clinical service with a focus on the
LGBTQ+ community.
Reporting Requirements (if different than agreement language):
How to
Report Period Due Date(s) Submit
Report
30 days after the end Email to
Quarterly Progress Report Quarterly of the quarter MDHHS
contract liaison
Any additional requirements (if applicable):
Mandatory Disclosures
Inform DHSP/STD at least two weeks prior to changes in clinic operation (key
staff, hours of operation, scope of service, etc.).
PROJECT: Tuberculosis Control
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
Each Grantee as a sub -recipient of the CDC Tuberculosis Elimination Cooperative
Agreement shall conduct activities for the purposes of tuberculosis control and
elimination.
Funds may be used to support personnel, purchase equipment and supplies, and
provide services directly related to core TB control front-line activities, with a
priority emphasis on DOT (Directly Observed Therapy) and electronic DOT, case
management, completion of treatment and contact investigations.
Funds may also be used to support incentive or enabler offerings to mitigate
barriers for patients to complete treatment.
Disallowed Costs: Federal (CDC) guidelines prohibit the use of these funds to
purchase anti -tuberculosis medications or to pay for inpatient services.
• Examples of appropriate incentive/enabler offerings include retail coupons, public
transit tickets, food, non-alcoholic beverages, or other goods/services that may be
desirable or critical to a particular patient.
For more information and suggested uses of incentive/enabler options, refer to CDC's
Self -Study Module #9, Enhancing Adherence to Tuberculosis Treatment at
hftp://www.cdc.gov/tb/education/ssmodules/modu le9/ss9reading3.htm.
Reporting Requirements (if different than contract language)
DOT Logs are maintained on site and available if needed. All other data must be entered
into MDSS as stipulated in contract specific requirements.
Ensure that confidential public health data is maintained and transmitted to the
Department in compliance with applicable standards defined in the "CDC Data Security
and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted
Diseases, and Tuberculosis Programs"
httD://www.cdc.aov/nchhstp/i)roaraminteoration/docs/PCSIDataSecuritvGuidelines.i)df
Any additional requirements (if applicable)
Utilize DOT as the standard of care to achieve at minimum 80% of TB cases enrolled
in DOT or electronic DOT (Jan 1- Dec 31).
Document in Michigan Disease Surveillance System (MDSS) all changes to
treatment regimen using the Report of Verified Case of Tuberculosis (RVCT)
comments field (pg. 12), and completion of therapy using RVCT Follow -Up 2 (pg.
7).
• Maintain evidence of monthly DOT logs on site (to be made available if
needed). Monthly submission of DOT logs is no longer required.
• Achieve at least 94% completion of treatment within 12 months for eligible TB
cases. The determination of treatment completion is based on the total number of
doses taken, not solely on the duration of therapy. Consult the most current ATS
document Treatment of Tuberculosis for guidance in the number of doses needed
and the length of treatment required following any interruptions in therapy.
Maintain appropriate documentation on site (to be made available if needed).
Document the appropriate use of expenditures for incentive and enablers for
clients to best meet their needs to complete appropriate therapy.
• Ensure >90% completion of RVCT pages 1 - 6 in MDSS within one month of
diagnosis.
Unallowable Costs per federal guidelines
• Funds cannot be used for procurement of anti -tuberculosis medications.
• Funds cannot be used for research.
• Funds cannot be used for inpatient services
PROJECT: Vector -Borne Disease Surveillance
Beginning Date: 4/1/2021
End Date:9/30/2021
Project Synopsis
This agreement is intended to support the development of vector -borne disease
surveillance and control capacity at the local health department level. Funds may be used
to support a low-cost surveillance system for endemic mosquito and tick species,
endemic vector -borne pathogens, and/or the early detection of invasive vector species or
pathogens at the community level. This information can be utilized by participating local
health departments to notify its citizens of any local transmission risk using education
campaigns, and to potentially work with local municipalities to conduct vector control
activities such as drain management, scrap -tire campaigns, breeding site removal,
landscape modifications, or pesticide application. Requirements for participation in this
program include providing for the placement of a minimum number of mosquito traps
and/or a minimum number of field collections of ticks, identifying ticks and mosquitoes,
and weekly reporting to MDHHS of surveillance results.
Reporting Requirements (if different than contract language)
Quarterly financial status reports (FSR's) will be required for this new project. Due dates
and periods covered are listed below:
Activitv Period: FSR Due:
Jan 1 — March 31 April 15
April 1 — June 30 July 15
July 1 — Sept 30 October 15
The subrecipient shall submit weekly tables of surveillance data (template provided)
documenting trap rates and disease detections to Emily Dinh (dinheamichioan.aov) Kim
Signs (signsk@michigan.gov) at the MDHHS EZID Section.
Any additional requirements (if applicable)
• Mosquito and/or Tick Surveillance
• Minimum recommended mosquito and tick surveillance effort according to the
point formula in Table 1 (below) over a period of 16 weeks.
Provide weekly reporting of surveillance results to MDHHS EZID Section (see
contact information below).
• Use surveillance data to notify the public of risks related to vector borne disease in
mosquitoes or ticks in the jurisdiction.
• The total funds allocated for this project to participating local health departments
must be utilized prior to September 30, 2021.
Each local health department as a sub -recipient of the State of Michigan Emerging
Public Health Funds shall conduct activities for the purposes of mosquito and tick
surveillance in their jurisdiction. For mosquito surveillance, funds may be used to
support personnel, to purchase equipment and supplies related to conducting
mosquito surveillance in areas of historically high incidence of WNV, and to
produce and/or distribute educational and other materials related to mosquito -
borne disease prevention and control. For tick surveillance, funds may be used to
support personnel, to purchase equipment and supplies, and to produce and/or
distribute educational and other materials related to tick -borne disease prevention
and control.
Activities can be conducted according to the needs of the local jurisdiction but
must conform to the point allocation formula in the table below. Each activity listed
is awarded 2 points and a local jurisdiction must accumulate at least 64 points
during the funded timeframe (April 1-Sept.30). Mosquito surveillance and tick
surveillance have required minimum efforts totaling 34 points. The remainder of
the required points (30 points) may be accomplished according to the needs of the
local health department. For instance, if mosquitoes are more of a concern in the
jurisdiction, the funded LHD can focus its efforts on mosquito surveillance,
educational activities, etc. If ticks are more of a concern in the jurisdiction, the
funded LHD can focus its efforts on tick surveillance, educational activities, etc.
Table 1. Local Health Department VBD Surveillance Project, Point Allocation Formula
Activity
Points Required
Total Points
Metric Evaluation
Points / Weeks
Method
5 BG-2 mosquito traps placed
2 20/10
At least 20
Report to
for 24-hour period
MosquitoNET
(CDC)
2 BG-2 mosquito traps placed
2 2/4
At least 8
Report to
for 24 hour period in August
MosquitoNET
(CDC)
1,000 meter tick drag 000
2 412
At least 4
Report to MDHHS
Educational outreach activity /
event
Press release
Coordination of control efforts
with local municipalities / other
prevention efforts
2 Report to MDHHS
2 Report to MDHHS
2 Report to MDHHS
Total Points: Must equal at
least 64
PROJECT: WEST NILE VIRUS COMMUNITY SURVEILLANCE
Beginning Date: 5/1/2021
End Date: 9/30/2021
Project Synopsis
This agreement is intended to support the development of a low-cost surveillance
system for the early detection of West Nile virus in mosquitoes at the community level,
for the purpose of educating the public and healthcare providers and preventing
outbreaks. This information can be utilized by participating local health departments to
notify its citizens and healthcare providers of any local transmission risk using education
campaigns, press -releases and other means, and to potentially work with local
municipalities to conduct mosquito population mitigation activities such as drain
management, scrap -tire campaigns, breeding site removal, larviciding, and adulticiding.
Requirements for participation in this program include providing for the placement of a
minimum number of mosquito traps, operating for at least two "trap nights" per week,
identifying mosquitoes, and weekly reporting to the Department of surveillance results.
Reporting Requirements (if different than contract language)
The Grantee shall submit weekly tables of surveillance data (template provided)
documenting trap rates and disease detections to Emily Dinh (din he@michigan.gov),
and Kim Signs (signsk@michigan.gov) at the MDHHS EZID Section.
Any additional requirements (if applicable)
Each Grantee as a sub -recipient of the Centers for Disease Control and Prevention
(CDC) Epidemiology and Laboratory Capacity Cooperative Agreement shall conduct
activities for the purposes of West Nile virus (WNV) surveillance among mosquito
populations in their jurisdiction. Funds may be used to support personnel and travel, to
purchase equipment and supplies related to conducting mosquito surveillance in areas
of historically high incidence of WNV, and to produce and/or distribute educational and
other materials related to West Nile virus prevention and control.
Mosquito Surveillance:
• Minimum recommended mosquito traps for this project is 5 traps utilized per
county, operating 2 nights per week for a total of 10 "trap nights" per week for
approximately 16 weeks.
• Provide weekly reporting of surveillance results to the Department EZID Section
(see contact information below).
• Use surveillance data to notify the public and healthcare providers of any risk
related to West Nile Virus in mosquitoes in the jurisdiction.
• The total funds allocated for this project to participating local health departments
must be utilized prior to September 30.
The Department's Emerging & Zoonotic Infectious Diseases (EZID) Section will provide
the Grantee with the following support:
• Training for staff associated with the project (Spring 2021)
• Trapping equipment necessary to collect mosquitoes (traps, batteries, chargers)
• VecTOR test kits for the rapid, field detection of West Nile Virus
• Entomologic and epidemiologic support to guide trapping efforts
PROJECT TITLE: WISEWOMAN
Start Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis:
WISEWOMAN (Well -Integrated Screening and Evaluation for Women Across the Nation)
is a program designed to screen women for chronic disease risk factors, counsel them
about lifestyle changes to reduce risk factors, and refer them for medical treatment of
hypertension, hyperlipidemia, and/or diabetes mellitus.
Reporting Requirements (if different than agreement language):
Any additional requirements (if applicable):
A statewide database called MBCIS is maintained by MDHHS and the Cancer Prevention
and Control Section (CPCS). Instructions for contractor use of MBCIS are provided in
manuals for programs that contribute data to this database. The CPCS will exchange
relevant program reports with appropriate contractors through a secure file transfer
system, as noted in the same program manuals.
For specific WISEWOMAN Program requirements, refer to the most current
WISEWOMAN Program Policies and Procedures Manual.
WISEWOMAN Entrepreneurial Gardening Program North Region Coordinator
Project Synopsis:
The Entrepreneurial Gardening Program North Region Coordinator will coordinate the
Entrepreneurial Gardening Program in the Northern Lower Peninsula WISEWOMAN
Counties, train participants in gardening skills and garden design, assist in the purchase
of garden materials and supplies based on appropriated project budget, and coordinate
trainings that strengthen participants understanding of sales and marketing skills at area
farm markets for greatest impact.
Reporting Requirements (if different than agreement language):
The Entrepreneurial Gardening Program North Region Coordinator will provide updates
on monthly Gardening Coordinator Conference Calls.
Any additional requirements (if applicable):
The WISEWOMAN Entrepreneurial Gardening Program North Region Coordinator funds
will not be subject to the caseload performance requirement. Therefore, these funds will
not be included in the settlement that may be required if screening levels do not meet the
caseload performance requirement.
WISEWOMAN Entrepreneurial Gardening Program
Project Synopsis:
The WISEWOMAN Entrepreneurial Gardening Program will work with current
entrepreneurial gardeners to plan for the coming year and will recruit new participants
into the program. The program will train participants in gardening skills and garden
design, assist in the purchase of garden materials and supplies based on appropriated
project budget, and coordinate trainings that strengthen participants understanding of
sales and marking skills at area farm markets for greatest impact.
Reporting Requirements (if different than agreement language):
The local Gardening Coordinator will provide updates on monthly Gardening Coordinator
Conference Calls.
Any additional requirements (if applicable):
The WISEWOMAN Entrepreneurial Gardening Project will be subject to a 100%
performance requirement. The Department will only reimburse for clients enrolled and
participating in the Gardening Project. Any unused funds will be returned to the
Department.
PROJECT: Women Infant Children (WIC)
WIC Breastfeeding
WIC Migrant
WIC Resident
Beginning Date: 10/1/2020
End Date: 9/30/2021
Project Synopsis
Reporting Requirements (if different than contract language)
A Financial Status Report (FSR) must be submitted to the Department on a
quarterly basis by deadlines as defined by MDHHS Expenditure Operations.
Grantees shall (when requested) annually report expenditures on a supplemental
form, if needed and required, to be provided by the Department and attached to the
final Financial Status Report (FSR) which is due on November 30 after the end of the
fiscal year through theMl E-Grants system.
As part of the Breastfeeding Peer Counseling Grant, the Grantee must submit
quarterly progress reports to the State Breastfeeding Peer Counselor
Coordinator (or designee) by the 15th of the month following end of quarter.
Funds allocated for the Breastfeeding Peer Counseling Program are exempt
from the WIC Nutrition Education and Breastfeeding Time Study.
Additional Requirements
The Grantee is required to comply with all applicable WIC federal regulations,
policy and guidance.
The Grantee is required to comply with all State WIC Policies.
The Grantee is required to complete the NE and BF Time Study as instructed by the
MDHHS WIC Program. Breastfeeding Peer Counseling grant, if supported with
funds allocated through the WIC funding formula, must report as time study data.
The Grantee must follow the allowable expense guidelines provided by USDA
FNS for the Peer Counselor Grant.
The primarypurpose of these funds is to provide breastfeeding support services
through peer counseling to WIC participants. The Grantee must follow the
staffing requirements as set forth in the Loving Support Model and through
signed allocation letter for the Breastfeeding Peer Counseling Grant.
Comply with the requirements of the WIC program as prescribed in the
Code of Federal Regulations (7 CFR, Part 246) including the following special
provisions from Part 246.6 (f)(1)(2):
(f) Outreach/Certification In Hospitals. The State agency shall ensure that
each local agency operating the program within a hospital and/or that has
a cooperative arrangement with a hospital:
(1) Advises potentially eligible individuals that receive inpatient or
outpatient prenatal, maternity, or postpartum services, or that accompany
a child under the age of 5 who receives well -child services, of the
availability of program services; and
(2) To the extent feasible, provides an opportunity for individuals who may
be eligible to be certified within the hospital for participation in the WIC
Program. [246.6(F)(1)].
The Grantee in accordance with the general purposes and objectives of this
agreement, will comply with the federal regulations requiring that any individual
that embezzles, willfully misapplies, steals or obtains by fraud, any funds,
assets or property provided, whether received directly or indirectly from the
USDA, that are of a value of $100 or more, shall be subject to a fine of not more
than $25,000.
The Grantee is required to operate the Project FRESH Program within the
guidelines as laid out in the "WIC Project FRESH Local Agency Guidebook".
The Grantee is required to abide by the Dissemination License Agreement
between Michigan State University and Michigan Department of Health and
Human Services for "Mothers in Motion." Any use of these licensed materials in
the provision of program related services is subject to the terms and conditions
outlined in the licensure agreement, which is included in Addendum 1, as
reference.
WIC Resident Services/Migrant/Breastfeeding Peer Counseling Grant Training and
Education Requirements:
The Grantee is required to comply with MI -WIC Policy 1.07L Staff Training Plan as
detailed for applicable staff as it pertains to all State WIC training opportunities.
Dissemination License Agreementfor'Mothers in Motion"
Between
Michigan State University
And
Michigan Departmentof Health and Human Services
This License Agreement (Agreement"), effective as of October 16, 2015 ("Effective Date'), is made by and
between Michigan State University, having offices at 325 E. Grand River, Suite 350, East Lansing, MI
48823 ("Licensor") and State of Michigan Department of Health and Human Services Women, Infants
and Children, having offices at320S. Walnut, Lansing, M148913 ("Licensee") (individually a "Party" and
collectively, the "Parties").
WHEREAS, Licensor has created the "Mothers in Motion" materials (herein, "Physical Materials"), MSU
reference number TEC2015-0036 utilizing funds from a grant from the National Institutes of Health (NIH),
grant number 1 RI8-DK083934-01A2 ("Grant').
WHEREAS, Licensor istheownerof certain rights, titleand interest in the Physical Materials and has the
right to grant licenses thereunder.
WHEREAS, Licensee wishes to license the Physical Materials for dissemination purposes and Licensor, in
orderto meet its obligations underthe NIH grant, desires to grant such license to Licensee on the terms
and conditions herein.
WHEREAS, Licensee wishes to obtain this Agreement in orderto carry outthe intent of their master
agreement between Licensee and Licensor with an effective date of FY 2015-2016.
NOW THEREFORE, the parties agree as follows:
I. Definitions.
a. 'Physical Materials" shall mean all physical items listed in ScheduleA.
b. "Sublicenseable Materials" shall mean one electronic copy of the Physical Materials.
c. 'Materials Modification Guide" shall mean the specifications outlined in Schedule B.
d. "Derivative Works" means all works developed by Licensee or Sublicensee which would be
characterized as derivative works of the Physical Materials and/or Sublicenseable Materials under the
United States Copyright Act of 1976, or subsequent revisions thereof, specifically including, but not limited
to, translations, abridgments, condensations, recastings, transformations, or adaptations thereof, or works
consisting of editorial revisions, annotations, elaborations, or other modifications thereof. The term
"Derivative Work" shall not include those derivative works which are developed by Licensor.
e. "Sublicense" means an agreement which maytakethe form of, but is not limited to, a sublicense
agreement, memorandum of understanding, or special provisions added as an amendment to an existing
agreement between Licensee and a Sublicensee in which Licensee grants or otherwise transfers any of
the rights licensed to Licensee hereunder or other rights thatare relevantto using theSublicenseable
Materials.
AG R2015-01 146
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f. "Sublicensee" means any entity to which a Sublicense is granted.
1. Grant of License
1.1 Subject to the terms and conditions of this Agreement, to the extent that Licensee's rights to
Physical Materials as a result of Licensor's grant of rights to the Federal Government in accordance
with the terms and conditions of the Grant are insufficient for Licensee's activities hereunder,
Licensor hereby grants to Licensee a nonexclusive, nontransferable, worldwide, license to use,
perform, reproduce, publically display and create Derivative Works (as outlined in the Physical
Materials Modification Guide) of the Physical Materials. Notwithstanding the foregoing, Licensee
may only distribute the Physical Materials within Licensee managed locations within the state of
Michigan. Licensee is not permitted to sell or receive consideration for any of the Physical Materials
or reproductions of the Physical Materials.
1.2. Licensor grants Licensee the right to grant Sublicenses of its rights under Section 1.1 of
the Sublicensable Materials to Sublicensee for the sole purpose of placing the content contained
in the Sublicenseable Materials on a website that is controlled by Sublicensee and that is
access limited, password protected. Any Sublicense shall be in accordance with Article 3 below.
Sublicensee may be granted the right to create Derivative Works of the Sublicenseable Materials
limited to that which is described in the Materials Modification Guide and only to ensure that the
Sublicenseable Materials meet - technical specifications necessary to place the content contained
in the Sublicenseable Materials on Sublicensee's controlled website. Notwithstanding the
foregoing, Sublicensee may create split-up lessons (meaning placing the content of a full-length
lesson into multiple videos) of the full-length lessons contained in the DVD portion of the
Sublicenseable Materials only in order to conform to the technical format of Sublicensee's
website platform; the content, however, shall not be modified. Sublicensee is not permitted to
sell or receive consideration for the Sublicenseable Materials in any format. Any content created
solely by Sublicensee that supports the implementation of the Sublicensable Materials shall be
owned by Sublicensee. If Derivative Work is created by Sublicensee, Sublicensee shall own their
creative contribution to the Derivative Work and Licensor retain all copyright rights to the original
Sublicensable Materials contained in such Derivative Work. Licensee and Sublicensee may address
ownership of Sublicensee's creative contribution to Derivative Works in the Sublicense
agreement.
1.3 In such incidences where, for financial reasons, Licensee is not able to reproduce the
label displayed on the original master copy of the DVD portion of the Physical Materials,
Licensee must ensure that the entire content of the DVD portion of the Physical Materials are
reproduced in its entirety so that the inclusion of the copyright notice, Licensor owned logos
(including wordmark), grant number information, title of each lesson, and acknowledgements are
maintained.
1.4 Except as provided in Section 1.2 and 1.3, Licensee will refrain, and shall require
Sublicensees to refrain, from using the name of the Licensor in publicity or advertising without
the prior written
approval of Licensor. Notwithstanding the foregoing, Licensee may, without prior approval from
Licensor, use Licensor's name in a manner that is (a) informational in nature (i.e. describes
the existence, scope and/or nature of the relationship of the Parties and/or the fact that the
Physical Materials were developed by Licensor), (b) does not suggest Licensor's endorsement of
Licensee or its goods or services, (c) does not create the appearance that the source of the
communication is Licensor or any party other than Licensee, and (d) otherwise consistent with the
terms of the Agreement.
AG R2015-01 146 2
TEC2015-0036
Except as described in Section 1.2 and 1.3 and this Section 1.4, the use of the name of the Licensor
does not extend to any trademark, logo, or other name or unit of Licensor.
1.5 Licensor shall provide Physical Materials to Licensee by October 31, 2015. Licensor assumes
no responsibility for distributing Physical Materials to the state of Michigan Licensee locations.
2. Licensor's Rights
2.1 Notwithstanding the rights granted in Article I hereof, Licensee acknowledges that all right,
title and interest in the Physical Materials, including any copyright applicable thereto, shall
remain the property of Licensor and/or the third party rights holders. With the exception of the
portion contributed by Licensee or Sublicensee in a Derivative Work of the Physical Materials,
Licensee or Sublicensee shall have no right, title or interest in the Physical Materials, including any
copyright applicable thereto, except as expressly set forth in this Agreement.
2.2 Any rights not granted hereunder are reserved by Licensor and/or the third party rights holders.
2.3 As of Licensor's present knowledge, MSU Extension (which is a unit within Licensor) is the
copyright holder of the pizza recipe included in the Physical Materials. If Licensor is notified that
a third party is the copyright holder to the pizza recipe, Licensor will in good faith attempt to secure
the copyright rights from the third party rights holder in order for Licensor, Licensee and
Sublicensee to maintain using the Physical Materials as described in the Agreement herein. In the
event Licensor is unable to secure such rights, Licensor will use reasonable efforts to identify a
replacement for such third party material.
3. Sublicense
3.1 (a) Any Sublicense entered into hereunder (i) shall contain terms no less protective of
Licensor's rights than those set forth in this Agreement, (ii) shall not be in conflict with this
Agreement, and (iii) shall identify Licensor as an intended third party beneficiary of the Sublicense.
Licensee shall provide Licensor with a complete electronic or paper copy of each Sublicense within
thirty (30) days after execution of the Sublicense. Licensee shall provide Licensor with a copy of
each report received by Licensee pertinent to any data produced by Sublicensee that would pertain
to the report due under Section 4. Licensee shall be fully responsible to Licensor for any breach of
the terms of this Agreement by a Sublicensee. Licensee and Sublicensee may address ownership of
Sublicensee's creative contribution to Derivative Works in the Sublicense agreement.
(b) Upon termination of this Agreement for any reason, all Sublicenses shall terminate. If
a Sublicensee was in compliance with the terms of its Sublicense in effect on the date of
termination, Licensor may grant such Sublicensee that so requests, a license with terms and use _
rights as are acceptable to Licensor. In no event shall Licensor have any obligations of any
nature whatsoever with respect to (i) any past, current or future obligations that Licensee may have
had, or may in the future have, for the payment of any amounts owing to any Sublicensee,
(ii) any past obligations whatsoever, and (iii)any future obligations to any Sublicensee beyond
those set forth in the new license between Licensor and such Sublicensee.
AG R2015-01146 3
TEC2015-0036
4. Consideration
In consideration of the rights granted herein, Licensee will provide to Licensor two effectiveness and
utilization data reports based on the use of the Physical Materials. One data report shall include:
a) number of clients who access the Physical Materials lessons; h) number of times specific lessons
are completed; c) number of unique users; d) client perceptions for useful ness and helpfulness of
lessons; and e) client beliefs in relation to ability to make changes based on lesson completion and
shall be due to Licensor two years from the Effective Date and one data report containing the
same data as described above shall be due thirty (30) days after the end of the five (5) year term.
The reports shall be sent to Mci-Wei.Chang@.ht.msu.edu and msulagrr@msu.edu.
5. Diligence
Licensee shall use its reasonable efforts to disseminate the Physical Materials in a fashion that
Licensee determines aliens with its mission in order to provide public benefit.
6. Term and Termination
6.1 This Agreement shall commence as of the Effective Date and shall extend for a period of five
(5) years unless earlier terminated in accordance with paragraph 6.2 hereof.
6.2. Inthe event that either Party believes that the other has materially breached any obligation
under this Agreement, such Party shall so notify the breaching Party in writing. The breaching
Party shall have thirty (30) days from the receipt of notice to cure the alleged breach and to notify
the non -breaching Party in writing that said cure has been affected. Ifthe breach is not cured
within said period, the non- breaching Party shall have the right to terminate the Agreement without
further notice.
1.3 Effect of Termination.
6.3.1 Upon termination, Licensee shall cease using, distributing and displaying the Physical
Materials, and shall confirm in writing to Licensor that the Physical Materials have either been
returned to Licensor or have been destroyed (in Licensor's sole discretion). All Sublicenses shall
terminate upon termination of this Agreement pursuant to Section 3(b).
6.3.2 Upon termination, thefollowing provisions shall survive and remain in effect; 2.1; 4; 6.3; 8.
7. Representations and Warranties
7.1 Licensor and third parties hereby represent that it has. full right, power and authority to enter
into this Agreement and to provide the license of rights granted under this Agreement.
7.2 LICENSOR, INCLUDING ITS TRUSTEES, OFFICERS AND EMPLOYEES, MAKES NO
REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE PHYSICAL
MATERIALS AND SUBLICENSEABLE MATERIALS AND HEREBY DISCLAIMS ALL
REPRESENTATIONS AND WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT
LIMITATION, ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE OR NONINFRINGEMENT. LICENSEE ASSUMES THE ENTIRE RISK
AGR2015-01 146
TEC1015-0036
0
AND RESPONSIBILITY FOR THE SAFETY, EFFICACY, PERFORMANCE, DESIGN,
MARKETABILITY AND QUALITY OF THE PHYSICAL MATERIALS AND SUBLICENSEABLE MATERIALS.
WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE PARTIES, INCLUDING THEIR
OFFICERS AND EMPLOYEES, ACKNOWLEDGE THAT (A) THE PHYSICAL MATERIALS AND
SUBLICENSEABLE MATERIALS AND DERIVATIVE WORKS ARE PROVIDED "AS IS";(B) NEITHER THE
PHYSICAL MATERIALS NOR SUBLICENSEABLE MATERIALS MAY BE FUNCTIONAL ON EVERY
MACHINE OR IN EVERY ENVIRONMENT; AND (C) THE PHYSICAL MATERIALS AND SUBLICENSEABLE
MATERIALS ARE PROVIDED WITHOUT ANY WARRANTIES THAT IT IS ERROR -FREE OR THAT
LICENSOR IS UNDER ANY OBLIGATION TO CORRECT SUCH ERRORS.
& Limitation of Liability
8.1 Each Party acknowledges and represents that it will be responsible for any claim for
personal injury or property damage asserted by a third party and arising out of or related to its acts or
omissions in the performance of its obligations hereunder to the extent that a court of competent
jurisdiction determines such Party to be at fault or otherwise legally responsible for such claim.
8.2 In no event shall either Party be liable to the other Party or to any third party, whether
under theory of contract, tort or otherwise, for any indirect, incidental, punitive, consequential, or
special damages, whether foreseeable or not and whether such Party is advised of the
possibility of such damages.
9. Assignment and Transfer
Neither Party may assign, directly or indirectly, all or part of its rights or delegate its obligations under
this Agreement withoutthe prior written consent of the other Party.
10. Dispute Resolution
10.1 In the event of any dispute or controversy arising out of or relating to this Agreement or
the subject matter hereof, the Parties shall use their best efforts to resolve the dispute as soon as
possible. The Parties shall, without delay, continue to perform their respective obligations under this
Agreement which are not affected by the dispute.
10.2 This Agreement and any disputes arising out of or relating to this Agreement shall be governed
by and construed in accordance with the laws of the State of Michigan without regard to the conflicts of
law provisions thereof. In any action to enforce this Agreement, the prevailing Party will be entitled to
recover reasonable costs and attorneys' fees.
III. Force Majeure
Neither Party shall be liable for damages or subject to injunctive or other relief, or have the right to
terminate this Agreement, for any delay or default in performance hereunder if such delay or default is
caused by conditions beyond its control including, but not limited to, Acts of God or force majeure,
government restrictions (including the denial or cancellation of any necessary license), wars,
insurrections and/or any other cause beyond the reasonable control of the Party whose performance
is affected.
AG R2015-01 146
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12. Entire Agreement
This Agreement constitutes the entire agreement of the Parties and supersedes all prior communications,
understandings and agreements relating to the subject matter hereof, whether oratorwritten.
13 Amendment
No modification or claimed waiver of any provision of this Agreement shall be valid except by written
amendment signed by authorized representatives of Licensor and Licensee.
14 Severability
If any provision of this Agreement is determined to be invalid or unenforceable under applicable law, it
shall not affect the validity or enforceability of the remainder of the terms of this Agreement, and
without further action by the Parties hereto, such provision shall be reformed to the minimum extent
necessary to make such provision valid and enforceable.
15 Waiver
Waiver of any provision herein .shall not be deemed a waiver of any other provision herein, nor shall
waiver of any breach of this Agreement be construed as a continuing waiver of other breaches of the
same orother provisions of this Agreement.
16. Notices
All notices given pursuant to this Agreement shall be in writing and may be hand delivered, or shall be
deemed received within three (3) days after mailing if sent by registered or certified mail, return receipt
requested. Ifany notice is sent by facsimile, confi rmation copies must be sent by mail or hand delivery to
the specified address. Either party may from time -to -time change its notice address by written notice to
the other Party.
If to Licensor:
Licensing Notices:
MSU Technologies
Attention: Agreement Coordinator AGR2015-01146
325 E. Grand River Suite 350
City Center Building
East Lansing, MI48823
517-884-1605
msutagr@.msu.edu
AGR201 5-01 146 6
TEC2015-0036
If to Licensee:
Michigan Department of Health and Human Services, WIC Division
Attn: Kristen Hanulcik
Manager, Consultation and Nutrition Services Unit
320S.Walnut, Lewis Cass Bldg.,6'" Floor
Lansing, MI48913
517-335-8545
hanulcikk@michigan.gov
17. Article Headings
The Parties have carefully considered this Agreement and have determined that ambiguities, if any, shall not
be construed or enforced against the drafter. Furthermore, the headings of Articles have been inserted
for convenience of reference only and shall not control or affect the meaning or construction of any of the
agreements, terms, covenants orconditions ofthisAgreement i nany manner.
18 Relationship of Parties
Licensor and Licensee each acknowledge ;and agree that the other is an independent contractor in the
performance of each and every part of this Agreement and is solely responsible for all of its employees and
students and such Party's labor costs and expenses arising in connection therewith. The Parties are not
partners, joint venturers or otherwise affiliated, and neither has any right or authority to make any statements,
representations or commitments of any kind, or to take any action, which shall be binding on the other Party,
without the priorwritten consent ofsuch other Party.
(remainder of page intentionally left blank)
AG R2015-01 146
TEC201 5-0036
IN WITNESS WHEREOF, the Parties have executed this Agreement by their respective, duly
authorized representative as of the date first above written.
LICENSOR: Michigan State University
Sianature on file Date: 10/15/15
By: Dr. Richard W. Chylla
Executive Director, MSU Technologies
LICENSEE: State of Michigan Department of Health and Human Services Women;Infants&
Children
Sianature on file
By Kim Stephen Date: 10/16/15
Bureau of Purchasing
Michigan Department of Health and Human Services stephenk@michigan.gov
517-241-1196
Sianature on file
By: Stan Bien, Director Date: 10/16/15
WIC Division
Michigan Department of Health and Human Services
320 S. Walnut, Lewis Cass Bldg., 6th Floor
Lansing, MI48913 biens@michigan.gov
517-335-8448
AG RZO 15-Q 1 146
TEC2QI 5-0036
Schedule A
Physical Materials
I. Client Materials
A. Mothers in Motion intervention materials
1.260 sets packaged in Mothers in Motion bag. One set includes:
a. I Mothers in Motion DVD set (I set is comprised of 3 DVDs)
b. I looped DVD of Mothers in Motion Overview and Introduction
c. Folder containing Mothers in Motion worksheets (e.g.,"Goaland Plans"and
'Where Do I Go from Here?" worksheets, and stress log) and
reference/guidance sheet detailing contents of each Mothers in Motion lesson
(Total of 11 lessons)
d. 1 CD containing PDF formatted documents of Mothers in Motion worksheets to
accommodate additional printing needs.
2. All Mothers in Motion intervention materials listed above will also be saved on 2
external drives provided by WIC.
1i. Staff Materials
A. "Rethinking How We Listen and Respond in WIC" Videos/DVDs
I. 260 "Rethinking How We Listen and Respond in WIC" DVDs [included in Mothers
In Motion bag described above (I DVD per bag)]
2. "Rethinking How We Listen and Respond in WIC" contents saved in video format
on 2 external drives provided by WIC
**All Items listed above will be saved on total of 4 external drives, provided by WIC**
AGR2015-01146 9
TEC2015-0036
Schedule B
Materials Modification Guide
I. Client Materials '
A. Mothers In Motion DVD
I. The following Items are NOT permitted to be altered on DVDs
a. DVD content
i. MSU and Mothers in Motion logo
ii. Grant number(NIH-NIDDK, 1RI8-DK083934-01A2)
iii. All lesson module and intervention content [exception: food label reading if
contents become outdated]
iv. Acknowledgement section
v. Copyrightnotice
b. Label on Disks*
i. MSU and Mothers in Motion logo
ii. Grant number(NIH-NIDDK, 1RI8-DK083934-01A2)
iii. Title of each lesson
iv. Copyright notice
2. Items that may be reproduced
a. Mothers in Motion DVDs
b. CD contains all Mothers in Motion worksheets
B. Mothers In Motion Worksheets
I. The following items are NOT permitted to be altered on worksheets
a. Grant number (NIH-NIDDK,IR18-DK083934-01A2)
b. Mothers In Motion logo
c. Title of each lesson
d. Copyright notice
2. The following items are permitted to be altered on Worksheets
A. Contents in the worksheets
3. Items that may be reproduced
a. All worksheets
b. Reference/guidance sheet detailing contents of each Mothers In Motion lesson
II. Staff Materials '
A. 'Rethinking How We Listen and Respond in WIC' Videos/DVD I. Items that are NOT
permitted to be altered on DVD
a. DVD content
i. MSU and Mothers in Motion logo
H. Grant number(NIH-NIDDK, 1RI8-DK083934-01A2)
iii. Acknowledgement section
iv. Video/DVD Contents
v. Copyright notice
b. Label on Disks*
i. MSU and Mothers in Motion logo
ii. Grant number(NIH-NIDDK, 1RI8-DK083934-01A2)
iii. Title of each lesson
iv. Copyright notice
AG R2015-01 146 10
TEC2015-0036
*WIG is allowed to duplicate DVDs without label orgrant number on the disks, ifnecessary. 1 Sublicensee
may create contentthat supports the implementation of the content contained in the
Mothers in Motion DVDs, Mothers in Motion Worksheets and "Rethinking How We Listen and Respond in
WIC' Videos/DVD. Any content created solely by Sublicensee shall be owned in accordance with Section
1.2 and Section 3.1(a). Implementation of the content contained in the Mothers in Motion DVDs, Mothers in
Motion Worksheets and "Rethinking How We Listen and Respond in WIC' Videos/DVD shall be in
accordancewith Section 1.2.
AGR2015-01 146 11
TEC2015-0036
A nnCAIr*il Ins I
tlw'o-7-99!-39-
Dissemination License Agreement for "Comm unicate to Motivate'
Among
Michigan Stale University,
Ohio State Innovation Foundation
And
Michigan Department of lfcaltb and human Services
This Licanse Agreement (C'Agreement"), effective m of homey 1, 2017 ("`Effective DoteX is mWe by
and among Michigan State University, having offices at 325 E. Grand River, Suite 350, Pest Lansing.,
Mt 48823 C`MSU"), Ohio State Innovation Foundaion, having officers at 1524 N. High Street,
Columbus, OH 43201(d3511r } (together "Licensor") and State of Michigan Dopartrrient of Health and
Human Services Women, Infants and Children, having offices at 320 & Walnut, Lansing, Mt 49913
("Licensee") (individually a "Party" and collectively, the'"Partitel,
WHEREAS, Lieonwrhes intellectual property rights in the"Communicate to MativateNmaledats
(harain, "Physleal Molarisb"), MSU nereteoce numberTEC2016.0178, OSU referenoc number"t2017-
112, developed utilizing giods from a growl from the National Institutes of Health (NIH), grant number
]US-DIC-933934.0I ("G arrO"
WHE1tEAS, Licensor is theowner orcenain fights, title and Intcrost in the Physical Molotwo and has
the right to grant licenses thereunder.
WHEREAS, Licensee wishes to Ileen90 the Physical Materials for diasemination purposes and Licensor
desires to grant such lionise to Licensee on the terms and conditions herein.
NOW THEREl 011E, the Parties agree as fallows:
1. Definitions,
a. "Physical Materials" stiatt mean all physical items listed in Schedule A.
b. "Sublicensable Matedola" shall mean one electronic copy ofthe Physical Materials,
c. "Materials Modification 0ulde"Mail mean the specificatiouaoutlined In Schedule il.
J. "Derivative Works"masns all works developed by Licensee or Suhilcenseo which would be
oharaotarized as derivative works of the Physical Materials ondfor Sublicansablc Materials under
the United States Copyright Act of 1976,or submiluent revisions thereof, opaciffcally including,
but not limited to, translations, abridgments, condensations, raeaslings, transformationr, or
adaptations thameaf, or works consisting of editorial revisions, annotations, elaborations, or otter
modifications thereof, The tern "Derivative Work'" shell not include" those derivative works
which ate developed by Lirxnson
a. "Sublie arse"means an agreement which may take the fare of. but is not limited to, a
sublicense agreement, memorandwn oferderelorling. or spacial pravislons added as an
amandrool to an existing agreement between Licensee and a Sublicensee in which Licensee
Wars oruthcrwise inuallsrs any of the rights licensed io Licensee herounderor other rights that
We relevant 10 using the Sublicensahlc Matetials.
., ...., ... a ... •.• r. "a..... a. __. _,._a
1. Cramo(Lleense
1.1 Subject to the terms mad conditions of this Agreement. to the extent that LloensWa rights to
Physical Materiels as a result of Licenser's grant of rights to the Federal Clovernmenl In accordance with
the lorms, and conditions of the Grant era insufficlent for Licensee's activities hereunder. Licensor
hereby, grants to Licensee a nonexclusive, nontransferable, worldwide„ license to rise, perform,
reproduce, publicully display the physical Materials. Licensee is granted the limited siglat to create
Derivative Works of the Physloal Maladals, specifically Licensee shall have the right to create
Derivative Works which ate (a) companion guidance handouts to the Physics] Materials for educational
use by Instructors In the course of employing Physical Materials, (b) materials At promotion of doe
availability of educational opportunities employing the Physical Materials, and (o) instruments far
collecting evaluations and feedback from coum pattlelpaots, Netwithslanding the foregoing, Liccnscc
may only distribute the Physical Materials within Licensee -managed locutions within Ibe state of
Michigan. Licensee is not perri iced to sell or receive consideration for any of the Physical Maledals or
reproductions of the Physical Materials,
1.1 Licensor Staub; Licensed the right to grant Sublicenses or its rights under Section 1.1 of the
Subikensable Material's to Subliccndcc for the sole purpose of placing the content ow aiaed in the
Sublicenaabia b tenets (including the videos) an a wobsila that is controlled by Sublirxnsdc and that is
access inched, password protected, Any Sublicense shall be In accordance with Article 3 bolow.
Sublieensea Is not porr"J"ed to sell or receive considoratlon Liu° the Sublicensobla Maladais In any
format. Any content created solely by Sublicense that supports the Implementation of the Sublicensable
Materials sball be owned by SoMicensee.
1.3 In such incidences where, far financial reasons, Llcansee is not able to reproduce the label
displayed an the original master copy of the OVD portion or the Physical Materials, Licensee trust
ensttte drat the entire content of the DVO portion of the Physical Materials arm reproduced to Its entirety
so that the inclusion of the copyright notice, grant number information, title of caeh lesson, and
acknowledSemdnts and rnslanalned.
1.4 Licensee will retrain, and shall require Subliconsces to refrain, Pram using, the name of the
Licensor or The Ohlo State University ("OSU'l In publicity or advertising without the prior written
approval of Licensor.
1.3 Licensor shall pmvldc Physical Materials to Licenses by May, 1, 2017. Licensor assumed no
responsibility fat disttibutlog physical Materels to the state ofHohl,gan Licensee locations.
2, Llcansar'a Rights
2.1 NoWthslanding the rights gmaled In Article 1 hereof, Licensee 461mawledges that all dght, title
and Interest In the Physical Materials, includhrg any copyright applicable thereto, shall rem" the
property of Licensor. Licenses or Sublicensee shalt have no right, title or Interest In the Physical
Materials, including any copyright applicable thereto, except as expressly set forth in this Agreement.
2.2 Any rights not Smiled hereunder am reserved by Licenrot.
3. Subliconse
3.1 (a) Any Sublicense entered into hereunder (1) shall contain terms no te;sprleclivc of
Licensee's rights than those set forth in thlsAgmmorti, (iq shall not be in conflict with this
AOR"19.00453 7 OSGA2017-1372
TEC2016.006
Agreement, and, (Ili) shell Ideaflfj Licensor as an Intended third parity beneficlory of the
Subllmse. Llconsto shall provide Licensor with a complete efeckonle or paper copy otesch
Sublicense within thirty (30) days after execution of the Sublicense. Licensee shell. provide
Licensor with a copy of each report received by Licensce pertinent to any data produced by
Sublicentee that would pertain to the report duo under Section d. Licensee shall be flatly
responsible to Licensor for any breach of the terms of this Agreement by a Sublicensm,
(b) Upon tcaminatlon of this Agreement far any reason, all Sublicenses shall terminate. If a
Subliceasee was in compliance with the terms of Its Sublicense In effect an the date of
termination, Licensor may grant such Subllcansee Chet so requests, a license with (arms and use
rights as are acceptable to Licensor. In no cvcnl shall Licensor have any obligations of any
nature whatsoever with respect to (I) any past, current or tbfum obligation that Licansee may
have had, or may in the future have, for the payment of any amounts owing to any Subliccnsee,
(il) any past obligations whatsoever, end (lit) any future obligations to any Sublicensce, beyond
those set forth In the now license between Licensor and such Subiimuce,
4, Consideratlon
In consideration of the rights granted herein, Licensee will provide to Liccosor two effectiveness and
utillxatiun dots reports based on the use of Ma Physical Materials, Our data report shalt iuoludo; a)
number of clients who access the Physical Malodals lessens; b) number ordmes spcollia lessons are
completed; e) number of unique users; d) client perceptlam far usefldness and helpilahress of Lessons;
and c) client bdiefs in relation to ability to make changes based on lessen completion and shall be due to
Licensor two your from the Effective slate and one data report containing the same data as described
above shall bet due thirty (30) days akr the end of the Five (5) year terns. Such data reports shall
segregate the information provided in a -a by CPA (dlctillams and nurses) or breaslfeeding poor
ammsalors. The raports shall bo Sant to thing I572r@, osu,ed'u, fntwvatiott@osn.edu end
msutogeijimsu,edu.
S. Diligence
Licensee shall use Its reasonable efforts to disseminate the physical Materials in n fhtbion that Licensee
determines aligns with Its mission in arder to provide public benefit.
6. Term andTarmknation
6.1 this Agreement shall commence as ofthe Effective Date and shall extend for aperiod of five (5)
years unless earlier terminated in accordance with paragraph 62 hereof. This Agreement may be
renewed or extended by written amendment signed by authorized representatives of Licensor and
Licorm In accordance with Article 13.
6.2. In the event that it Party believes that another Party has materially breached any ablitgation under
this Agreement, such Patty shell se notify the breaching Party in writing. The breaching party shall have
thirty (30) days from the rotoipt of notice to Pure the alleged breach NO to notify the man -breaching
Party in writing. that .said acre has been ofi'ecbed. If the breach Is not cutod within sold period, the non-
Fucaching Party shall have the rigid to terminate the Agreement without thither notice.
63 Effect ofTemrination,
AraR2017.003 3 1 09UA300.1172
TEM016.009
6.3.1 Upon termination, Licensee shell cease using, dis.tribu(ing and displaying the. Physical Materials,
and shall confirm In writing to Licensor that the Physical Materials have either been returned to Licensor
or have been destroyed (in Licensor's sole dismetion), Alt SuNiccmm shall terminate upon termination
of this Agreement pursuant to Section 3(11;).
6.3,7 Upon tarmlaadlon, the following provisions shall swvlve and remain In effect; ZI; 4, 63; Ii.
7. Representations and Warrantless
11 Licensor represcrus that to the knowledge of The Ohio State University's sad NSU'S technology
transfer offices that it has full right, power and authority to enter into this Agreement and to provide the
license of rightt guested under this Agreement.
7.3 LICENSOR AND OSU, INCLUDING THEIR CREATORS, TRUSTEES, OFPICLItS,
EMPLOYEK AGENTS OR AFFILIATED ENTERPRISES MAKE NO REPRESENTATIONS DR
WARRANTIES OF ANY KIND CONCERNING THE PHYSICAL MATERIALS AND
SUBLICENSABLE MATERIALS AND HEREBY DISCLAIM ALL REPRESENTATIONS AND
WARRANTIES, EXPRESS OR IMPLIED„ INCLUDING, WITHOUT LIMITATION„ ANY
WARRANTIES OF MERCKANTABILITY OR PtTNESS FOR A PARTICULAR PURPOSE,
NONINFRINGEMEI4T, SAFETY, EFFICACY, APPROVABILITY BY REGULATORY
AUTHORITIES, TIME AND COST OF DEVELOPMENT, OR PATENTABILITY, LICENSEE
ASSUMES THE ENTIRE RUSK AND RESPONSIBILITY FOR THE SAFETY, EFFICACY,
PERFORMANCE, DESIGN, MARKETABILITY AND QUALITY OF THE PHYSICAL
MATERIALS AND SUBLICENWLE MATERIALS. WITHOUT LIMITING THE OENaRAI.UiY
OF THE FOREGOING, THE PARTIES, INCLUDING THEIR OFFICERS AND EMPLOYEES,
ACKNOWLEDGE THAT (A) THE PHYSICAL MATERIALS AND SUBLICENSABLE
MATERIALS ARE PROVIDED "AS IS"; (8) NEITHER THE PHYSICAL MATERIALS NOR
SUBLICENS'ABLE MATERIALS MAY BE FUNCTIONAL ON EVERY MACHINE OR IN EVERY
ENVIRONMENT, AND (C) THE PHYSICAL MATERIALS AND SUBLICENSABLE MATERIALS
ARE PROVIDED WITHOUT ANY WARRANTIES THAT IT iS ERROR -FREE OR THAT
LICENSOR IS UNDER ANY OBLIGATION TO CORRECT SUCH ERRORS,
Id. 13miBa#ion of Mobltlly
8.1 Each Party acknowledges and represents that It will be responsible for any claim for personal
Injury or property damage asserted by a third party and arising out of or related to Its auk or omissions
lathe performance of its obligations hereunder to thv cxtontthat a court of compelentjurladiction
detemrines such Party to be at fault or otherwise legally responsiblu for such claim. Nothing in this
Agreement shell be deemed or trceted a any waiver or any pasty"s sovereign Immunity or immunity
gnmted by slatule or rrase law, ifapplieabla.
8,2 in no event shall a Party be liable to another Party or to any third party, whether under theory of
contract, tort or otherwise, for any indirect, Incidental, punitive, consequenllei, or special damages,
vArether foreseeable or net and whelhar such Party is advised of the possibility ofsuch damages,
A. Assignment nod Trensfar
No Party may assign, directly or Indirectly, all or part of its rights or delegate Its obligations under this
Agreement without the prior wr'rtwA consent of the other Panlas.
AOR2017.00453 4 OSUA2017-1112
TEC2016.0176
10, filsputa Resolnilon
10,1 In the event of any dispute or controversy raisins out of or relating to this Agreement or the
subject matter hereof, the Pasties shall we their beat ofiorts to resolve the dispute as aoaro as possible.
The Parties shall. vrlthout delay. oontlnue to Perform their rc3peelivc obligations under this Agreement
which are not affected by the dispute.
It. Force Majeure
No Party shalt be liable for damages or subject to Injunctive or other relief, or have the right to terminate
this Agreement, for any delay or default in performance hereunder If such delay or default la caused by
conditions beyond its control inchiding, but not limited to, Acis of Clad or farce tnajeure, government
restrictions (including the denial or cancellation of any necessary license), wars, insurrections andlor any
other cause beyond the reasonable control of the Party whose perforroance Is affected.
12. Enure Agreement
'ibis AVement constitutes the entire agreement of the parties and supersedes all prior communications,
understandings and agreements relating to the subject matter hereof„ whether oral or written.
13. Amendment
No modification or claimed waiver of nay provision of this Agreement shall be valid except by written
amendment signed by authorized ntprosentatives of Licensor and Licensee.
141. Severatrllily
If say provision of this Agmemeat,is datermincd to be invalid or unmtforcoeable reader applicable low, it
shall not affect the validity or enferceabil"rty of the remainder of the terms of this Agreement, and
without further action by the Parfies hereto, such provision shall be ref armed to Cite minimum extent
necessary to make such provision valid and enforoeabie.
M Waiver
Waiver of any provision heroin shall not be deemed a waiver of any other provision heroin, nor shall
waiver of any breach of this Agreement be constmed as a comilnuing waiver of other breaches of the
same or other provisions ofthis Agrecmrot.
J& Notices
All notices giveam pursoant to this Agreement shall be In writing and may be hand delivered, or shell be
deemed received within One (3) days after mailing if sent by reglatered or certified mail, return recelpt
regacsted. If any notice Js sent by lbcaimile, confirmation coples mast be sent by mail or hand delivery
to the specified address. Either party may from time•lo-time change its notice address by written notice
to the other Party,
AOR2017-00453 $ OSU A2017-1112
TIM"I"178
If to Licensors
MSU rechnologics
Attentions Agreement Coardlnator AGR2017•110453
325 E. Gmnd River Suite 35U
City Center Building,
East Lansing MI 49823
517-884-I605
MWA rrt7 mi clot
Ohio State innovation Poundalion
1524 N high Streal
Columbus 0.14 43201
614.292-131.5
If to Llconsem
Michigan department of health and Humnn Services, WIC 13ivislon
Attn: Kristen Hanulclk
Manager, Consu llation And Nuithinn Services Unit
320S, 1MaMnut, Lewis Cass Bldg„ 6e Fluor
Lansing, ME 48413
51,7-335-9545
hanuicikL@michigan.gov
17, AriieleIdeadinns
The Ndlas have carefully considered this Agreement and have determined that ambiguities, if any, shall
not be construed or enrowd against the drafter, 'Furthermore, the headings or Ariicies have been
inserted for convenience of relhrence only and shall not ennirnl or a(Att the meaning or construction of
MY ofilm agreements, terms, enveir4ats or conditions of lids Agreonwol in any monncr,
It Relationship of Pashas
Licensor and Llcensee each acknowledge and agree that the rather Is on independent cobintctor in the
performance of each andevery part of this A smomeni and is rnslely responsible for all of its employees
and students and such ptay"s.labor casts and expanacs arising in connection therewith. The parties are
not partners, joint venturers or otherwise afflHated, ad neither has arty right or authority 1® make any
Stalcmnts, representatlons or commitments of any kind, or to take any nation, which shall be blinding (in
the other Party, without the prior written consent of sash Other Party.
At,111?e17.0003 16 t39t1 A20170 02
TEC301 a•009
1INMTHE S WH1612FOli, tln' Nurtio lmvo excow..d [Ills, I,rterncm Iry Ilreh'tewlatctiyu3,duly
nuth¢nt7.u1 relrrescirtntivcs 1s. s i' Ihe. datr, rTrsc DL:ovc Wriil4m,
IACJ%'''N 01Z.
iul is hil;nli 8twe Vitivusl ty
>M12D;.
�i-, liichnrtl 1�,+. t:hyIin
Exectrt[vc: L1h'�clnr, i.CSU'I~cchpo[c�p;sus
O'hiu State 8mrov'ntion h'ouud:atinn
By:' IT
I7't�1L( Vito Pre3fdrilt
nittl r t 1ff y}
I,IC;MISREo Suve, tsHyfidlipnim Di:panthII,M r>l 1leeILI) 1111d IIWmIII :;crvices woI1111, Infallm rQ
�:hildr.ti +
,letinetle Hensler, l_7ir;-mt1.rr
Grants Division, Bureau of P'u1,tjasil7g
son 5,,, 5irC oc.
WIC Divisiou
Micb'rgan Dep¢rlmom of ttcc lIh mid I lwrum Scnicts
310 S. weloul, t.r,wis {;nsw e'. da., 61h Flour
fwtasJnt„ Cr89 �r55t1.�
hiersl%snrichi a�i n.l;u.�
517- -15,84 li
AfAC017CaJ5,1 i US[ A2017 117?
TEW2016.011"
Schedule A
Physical Materials
A. Commuraferrfe to Mall i mre videos —up to 10 sets in DV D formal
lS lessons; 12 vi&o lessens, reminder end Eenera9 tip lesson, introduction and preview
B. Rerhfnkingwhat wethink, and respond fnlYfCvldeo
C. 'Tip Meet-- 65D topics (color print, laminated and toll)
D, CDs dint cnmtRin the foltowtug materials retard to 02mnaarardc rde to ftriv are saved to PDF (up
q a 10 wples�'
IL '1 p sheets;
b. Power point slides of all 12 lessons, reminder and gancral tip lemon;
e, 'Sorrmsry of key points in each video lesson;
d„ In6tlnlctians for Igse of the videos.
E. External herd drives (2) that Conklin the 110110tving to%oterltil's.
n. Comnararafrole Oo Mtr W& videos: l5 video lessons;
b. ReAlAfrrg whol ws think and resptand im WIC video;
c, Tip Sheets In PDF;
d. Power point slides of all 12lemoms,reminder and general tip lesson In PDP,
e. Sammmy of key points In each vide lesson In PDF;
f Inmellons for use of the videos In PDF.
AQRIOIMMQ $ OSU Al3017•1IV
TBM016-0178
Mafarials Madifiralian Guide
E=pt as peavldad In i vghn 1.1, kmdlfloaaajL oflP' Iad Must lals Is not powitted.
AOR201740453 g 0511A2817-1112
T=01"178
FOOTNOTES: FY 2020/2021
(a) Refer to Plan and Budget Framework for element definitions.
(b) Refer to master comprehensive agreement and program and budget instructions package for further explanation of
applicability of these reimbursement methods.
(c) Negotiated starting from the average of the past two complete years' actual number where available.
(d) Calculated by multiplying the 'Total Performance Expectation" column by the ratio of the elements total State funding
(DCH 0410, Line 24) to "Total Expenditures" DCH 0410, Line 17). Prior to calculation, adjustments will be made for
unallowable cost, equipment funded by local funds and MDHHS reimbursement not performance based (I.E., fixed unit
rate, staffing).
(e) Calculated by multiplying the "State Funded Element Target Performance" column by the "Percent' column.
(f) Refer to master comprehensive agreement and budget instructions package for further explanation regarding these
designations.
(1) CSHCS Care Coordination
1. Case Management
A. Maximum of six (6) services per year
B. Reimbursement - $201.58 per service provided face-to-face in the home setting.
2. CARE COORDINATION
A. LEVEL I PLAN OF CARE
1. Annual Plan of Care in the home or home -like setting that requires the Care Coordinator
to travel to a non-LHD site $150
2. Annual Plan of Care over the telephone $100
B. LEVEL II CARE COORDINATION
1. Level II Care Coordination is reimbursed at $30.00 per unit
2. A maximum of 15 units per beneficiary per eligibility year will be reimbursed.
(2) Reimbursement Chart for Fixed Rates
AIDS/HIV Prevention Non- Categorical $11.00 per blood draw for non -categorical health departments. Limited
annually to $2,000
Body Art $264.07/appl. annual license prior to 7/1;
$132.04/appl. annual license after?/1;
$117.53/appl. temporary license;
Original Notes FY 2021
CSHCS-Medicaid Elevated Blood Lead Case
Management
FDA Tobacco Retailer (A&L) Inspections -
Oakland only
Fetal Infant Mortality Review (FIMR) Case
Abstractions
Immunization Assessment Feedback Incentive
Exchange (AFIX) Follow-up
Immunization Nurse Education
Immunization VFC (only) Provider Site Visits
$261.20/appl. renewal prior to 12/1;
$396.11/appl. renewal after 1211;
$26.40duplicate license
$201.58 per home visit,
$325.20 per inspection
for up to 6 home visits
$270.00 per case, not to exceed the maximum set for each Grantee
$100 per personal visit or $50 for a phone call (with information mailed
afterward) to the provider office, not to exceed the maximum set for
each individual contractor.
$200 per session except Vaccines Across the Lifespan, which is to be
reimbursed at $250 per session, upon completion and submission of
Provider Contracts and Report Forms. Reimbursement can only be
made for one in-service module session per physician clinic site per
year.
$150 per site visit, not to exceed the maximum set for each individual
Grantee
Immunization VFC/AFIX Combined Provider Site $350 per site visit, not to exceed the maximum set for each individual
Visits Grantee
Informed Consent $50 per woman served, for each woman that expressly states that she
is seeking a pregnancy test or confirmation of a pregnancy for the
purpose of obtaining an abortion and is provided the services.
Laboratory Services & STD See contract language for gonorrhea and chlamydia testing reimbursement performance
requirements, AIDS
SIDS (FIMR Interviews) $125 for each family support visit. A maximum of six (6) visits per
infant death is reimbursable
(3) Allocation to be reflected in individual programs during budgeting process.
Original Notes FY 2021
elements
ion are s{n9\e pN Go afO
V�esringandv\i{°r(\t\eX�esl M NS fior ord{n
so f
IT
lnOt a sXng nand of 0 a a huer a n'arketar9 et caseof MpNNS ad estab ag ee{ner't funding
maX"�\um
nding SOurce w e Ma\ ce l {ter {ees s S cted up t° a \
4) Fu echo State st sour c Ua\ OOsts et w\\\ b �th o 1 for each 3 N I test °on \\ocated funds S
du era
�5) S bte funding essublect bu sernentha{d °r \n dl at 11 .0 Per eir {Ota\ a o
�6) Fixed ut \ ra ante re\m tiuement l f0bursed ess th a
e Perf°r{r atch req °t amount. i\\ be ref ers to au &Iectto
bPC vit
(a ea rated to eont{a{\Y 1th agents w enta9e °f ?{t\e X us d by dune 3o e{a ive Agrm� for th\s
SuGm fam pep
rx to vra\\y P Ne rrmrnrmu(n Perc be exPer`de NEPI Go P FSR� cA a
fqe
10i F six l6> . funded
`12) N°n_,.ate a\\y. enCy must sae ermine lur\ding BP1 m nc�Pr Paredoa\ Status ReP°rt ( e ternbQr 3GooPerat�ve
of 52,p00 atIv ate a9 be used to ess �P"e?) th S,,ergeua erry Frnan and 5VA 1 Bess IPNeo tFSRi
�13i EaFpPR data rs. ° preParedhe Pub\\c budget and a A er 1,June ,efgea y Prepcia\ Status ReP
annuaota\ Tit\e) \ e je 9a n pecifiedaeine' ob
14� P ubU h require DS must subrn\t n ss kPtA {Ped n a� e P budget and a qu GFR rsectron vi 2p0 &? Requ\rernents
l Gu aanceeiem Emergen° �e tePat e s bmPea three-m°n d ed by I)t\e 2 noes and SPea{frc
r°gram \th s ef\n
pubf\e Neaa 10% match`Nps must t crite�\a a am Pssura
(15) P9(ee�ent husdP o9ran e`Gh and peve\oPrr'en Pachment \\\ Progr
n for e Resea c\fied in
co\um t to th t as spe
uxTeMen
<6 j N cePPp\ o match re may nOt aP O\Y to th`s agency
�18) gubsome {pOtnotes
NpTE.
0"4..3
\ 140te6 FY 2�Z�
REQUEST:
1. To create two (2) Special Revenue Part -Time Non -Eligible 1,000 hours per year Medical
Technologist positions within the Laboratory unit (#1060212).
PROPOSED FUNDING:
Michigan Department of Health and Human Services Local Health Department FY21 Grant (Formerly
Comprehensive Planning, Budget and Contracting — CPBC) —Amendment #1.
OVERVIEW:
The Michigan Department of Health and Human Services Local Health Department Grant funds several
programs administered by the Health Division. The amount of this grant is $15,769,498 which is an increase
of $4,335,735 from the previous year grant agreement. This agreement begins October 1, 2020 through
September 30, 2021 per M.R. #20459.
An amendment for the grant was released providing additional funding for COVID-19 related contract
tracing, laboratory services and services related to the COVID-19 response. The amendment awarded
$1,766,037 additional, bring the total reward to the County of $17,535,535.
With this amendment, it is requested that two (2) Special Revenue Part -Time Non -Eligible 1,000 hours per
year Medical Technologist positions within the laboratory unit to assist in the efforts of contact tracing and
testing.
This grant agreement has been submitted through the County Executive's Contract Review Process and is
recommended for approval. Acceptance of this grant does not obligate the County to any future
commitment and continuation of the special revenue position in the grant is contingent upon continued
future levels of grant funding.
COUNTY EXECUTIVE RECOMMENDATION: Recommended as Requested
PERTINENT SALARIES FY 2021
CIdS6 : � r, : Gr " Period Base,., 1 Year 2 Year - 3 Year 4 Year
Medical 11 Hourly 25.6266 27.1715 28.7194 30.2645 31.8096
Technologist
*Note: Annual rates are shown for illustrative purposes only.
SALARY AND FRINGE BENEFIT SAVINGS
**Note: Fringe benefit rates displayed are County averages. Annual costs are shown for illustrative
purposes only. Actual costs are reflected in the Miscellaneous Resolution.
5 Year
33.3541
Create two (2) SR Part -Time Non -Eligible 1,000 hrs/yr. Medical Technologist positions
within Laboratory (#1060212).
Hourly Rate x 1000 hours $ 27,172
Fringes @ 5.26% $ 1,429
Total for one (1) position $ 28,601
Total for all positions $ 57,202
Resolution #20640
December 7, 2020
Moved by Gingell seconded by Luebs the resolutions on the amended Consent Agenda be adopted.
AYES: Gingell, Hoffman, Jackson, Kochenderfer, Kowall, Kuhn, Long, Luebs, Markham,
McGillivray, Middleton, Miller, Nelson, Powell, Quarles, Spisz, Taub, Weipert, Woodward, Zack,
Gershenson.(21)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions on the amended Consent Agenda were adopted.
I HERCBY APPFYOVGT ilS { +e SC3LUTION
CHIEIF DEPUTY COUNT`, EXECUTIVE
0,CTING PURSUANT TO MCL 4b.669A V;
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
1, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on December 7,
2020, with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac,
Michigan this 7'^ day of December, 2020.
Lisa Brown, Oakland County