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Resolutions - 2021.02.18 - 34166
MISCELLANEOUS RESOLUTION #21048 February 18, 2021 BY: Commissioner Penny Luebs, Chairperson, Public Health and Safety Committee IN RE: HEALTH AND HUMAN SERVICES/HEALTH DIVISION — AMENDMENT #2 TO THE FISCAL YEAR 2021 LOCAL HEALTH DEPARTMENT (COMPREHENSIVE) AGREEMENT To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Oakland County Health Division has received Amendment #2 to the Fiscal Year (FY) 2021 Local Health Department (Comprehensive) Agreement (formerly the Comprehensive Planning, Budgeting, and Contracting agreement - CPBC) from the Michigan Department of Health and Human Services (MDHHS); and WHEREAS the original agreement totaling $15,769,498 was adopted by the Board of Commissioners on October 21, 2020 via Miscellaneous Resolution (M.R.) #20459; and WHEREAS Amendment #1 (M.R. #20640) increased the grant funding to $17,535,535; and WHEREAS Amendment #2 increases the funding to $17,717,240, an increase of $181,705; and WHEREAS Amendment #2 provides funding for harm reduction support services, infant safe sleep, Women, Infant, and Children (WIC) breastfeeding, and COVID-19 response; and WHEREAS while the overall amendment represents an increase of $181,705, due to budget modifications to the Tuberculosis (TB) control project, it is requested to delete one (1) vacant Special Revenue (SR) funded Full -Time Eligible Auxiliary Health Worker position within the Tuberculosis Control unit (#1060235- 01752); and WHEREAS the grant amendment has completed the Grant Review Process in accordance with the Grants Policy approved by the Board at their January 21, 2021 meeting. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners accepts the FY 2021 Local Health Department (Comprehensive) Agreement Amendment #2 in the amount of $181,705. BE IT FURTHER RESOLVED to delete one (1) Special Revenue (SR) funded Full -Time Eligible Auxiliary Health Worker position within the Tuberculosis Control unit (#1060235-01752). BE IT FURTHER RESOLVED that the future commitment and continuation of the Special Revenue positions is contingent upon the level of funding associated with the agreement. BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is authorized to execute the grant agreement and to approve the grant extensions or changes, within fifteen percent (15%) of the original award, which are consistent with the original agreement as approved. BE IT FURTHER RESOLVED the Special Revenue Fund budgets are amended as follows: WOMEN INFANT CHILDREN #28553 GR0000000995 Bud Ref: 2021 Analysis: GLB Activity GLB Revenues 1060284.133271-610313 Expenditures 1060284-133271-730373 1060284-133271-730926 1060284-133271-730982 1060284-133271-731346 1060284-133271-731388 1060284-133271-750294 1060284-133271-750301 1060284-133271-750392 1060284-133271-750399 1060284-133271-750567 1060284-133271-774677 Federal Operating Grants Total Revenues Contracted Services Indirect Costs Interpreter Fees Personal Mileage Printing Material and Supplies Medical Supplies Metered Postage Office Supplies Training -Educational Supplies Insurance Fund Total Expenditures TB OUTREACH #28556 GR0000000992 Bud Ref: 2021 Analysis: GLB Activity GLB FY 2021 12,570 125 $ 10,090 ( 1,653) 800 ( 45) 633 750 ( 2,000) 1,019 1,250 1,529 197 12 570 Revenues 1060235-133970-610313 Federal Operating Grants ( 7,080) Total Revenues ( 7 O80 Expenditures 1060235-133970-702010 1060235-133970-722740 1060235-133970-730926 1060235-133970-730982 1060235-133970-731031 1060235-133970-731346 1060235-133970-731997 1060235-133970-732018 1060235-133970-750245 1060235-133970-750301 1060235-133970-750399 1060235-133970-750448 Salaries Regular Fringe Benefits Indirect Costs Interpreter Fees Laboratory Fees Personal Mileage Transportation of Clients Travel and Conferences Incentives Medical Supplies Office Supplies Post -Standard Mailing Total Expenditures HEALTH PHEP #28610 GR0000000990 Bud Ref: 2021 Analysis: GLB Activity GLB Revenues 1060290-115010-610313 1060290-115035-610313 Expenditures 1060290-115010-702010 1060290-115010-722740 1060290-115010-730926 1060290-115010-731388 1060290-115010-750077 1060290-115010-750399 1060290-115035-702010 1060290-115035-722740 1060290-115035-730926 1060290-115035-731346 1060290-115035-731388 1060290-115035-750077 1060290-115035-750399 Federal Operating Grants Federal Operating Grants Total Revenues Salaries Regular Fringe Benefits Indirect Costs Printing Disaster Supplies Office Supplies Salaries Regular Fringe Benefits Indirect Costs Personal Mileage Printing Disaster Supplies Office Supplies Total Expenditures MCH BLOCK #28563 GR0000000996 Bud Ref: 2021 Analysis: GLB Activity GLB Revenues 1060291-133200-610313 1060291-133200-615571 Expenditures 1060291-133200-702010 1060291-133200-722740 1060291-133200-730072 1060291-133200-730926 1060291-133200-731388 Federal Operating Grants State Operating Grants Total Revenues Salaries Regular Fringe Benefits Advertising Indirect Costs Printing ($ 11,198) ( 589) ( 1,328) 300 3,635 ( 15) 100 750 500 115 500 150 ($ 763) ( 21,522) $ 9,289 3,343 1,102 ( 2,000) ( 14,997) 2,500 5,867 2,111 696 160 ( 1,160) ( 30,196) 1,000 ( 22 285 $ 4,750 42,750 47 $ 5,426 2,840 1,375 462 15,731 1060291-133200-731941 1060291-133200-750245 1060291-133200-750294 1060291-133200-750399 1060291-133200-750567 Training Incentives Materials and Supplies Office Supplies Training -Educational Supplies Total Expenditures PHEP COVID-19 RESPONSE #28630 GR0000001044 Bud Ref: 2021 Analysis: GLB Activity GLB Revenues 1060201-133095-610313 Expenditures 1060201-133095-750077 Federal Operating Grants Total Revenues Disaster Supplies Total Expenditures HARM REDUCTION SUPPORT #28634 GR0000001042 Bud Ref: 2021 Analysis: GLB Activity GLB Revenues 1060294-133390-610313 Expenditures 1060294-133390-730072 1060294-133390-731458 1060294-133390-731997 1060294-133390-732018 1060294-133390-750301 1060294-133390-750567 1060294-133390-774636 1060294-133390-778675 Federal Operating Grants Total Revenues Advertising Professional Service Transportation of Clients Travel and Conference Medical Supplies Training -Educational Supplies Info Tech Operations Telephone Communications Total Expenditures 1,285 3,325 332 300 16,424 47500 1,000 00 150,000 $ 150 000 $ 25,000 87,516 1,500 2,500 25,599 5,000 2,480 405 00 Chairperson, on behalf of the Public Health and Safety Committee, I move the adoption of the foregoing resolution. Al �- CommissiQ er Penny Luebs, District #16 Chairperson, Public Health and Safety Committee PUBLIC HEALTH AND SAFETY COMMITTEE VOTE: Motion carried unanimously on a roll call vote with Gingell absent. GRANT REVIEW SIGN -OFF — Health & Human Services / Health Division GRANT NAME: FY 2021 Local Health Department (Comprehensive) Agreement FUNDING AGENCY: Michigan Department of Health & Human Services DEPARTMENT CONTACT: Stacey Smith / (248) 451-2151 STATUS: Grant Amendment 42 (Less than 15% and/or Requiring Staffing Level Change) DATE: 01/26/21 Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments The Board of Commissioners' liaison committee resolution and grant amendment package (which should include this sign -off and the grant amendment with related documentation) may be requested to be placed on the agenda(s) of the appropriate Board of Commissioners' committee(s) for grant amendment by Board resolution. DEPARTMENT REVIEW Management and Budget: Approved by M & B. Draft resolution will need to be updated with the detailed budget amendment. Also, recommend adding language to the MR that explains what the additional $184 K will be used for (as show in the chart below) and/or add language on the on the position reduction (see underlined lanauave below). — Lynn Sonkiss (01/15/21) WHEREAS while the overall amendment represents an increase of $161.705. due to budget modifications to the Tuberculosis (TB) control project, it is requested to delete one (1) vacant Special Revenue (SR) funded Full -Time Eligible Auxiliary Health Worker position within the Tuberculosis Control unit (#1060235-01752); and Project Title Current Amended New Project l7na� �0 AMOUnt Amount Harm Reduction Support Services 150,000 150,000 Intarit Safe Sleep 22,500 47,500 70,000 PHEP COVID-19 Response 0 1,000 1,000 Public Health Emergency Preparedness (PHEP) 10?1 222,088 (763) 221,325 - 6i130 Public Health Emergency Preparedness (PHEP) CRI 161,699 (21,522) 130,177 10?1 - 6?30 Tuberculosis (TB) Control 20,141 (7,080) 13,061 WIC Bieasifeeding 219,199 12,570 231.769 Total Comprehensive Funding 635,627 151,105 817.332 Human Resources: HR Approved — HR Action Required — Deletes Position — Lori Taylor (0 1/15/2 1) Risk Management: Approved by Risk Management. — Robert Erlenbeck (01/18/21) Corporation Counsel: Approved by Corporation Counsel (no legal issues). — Sharon Kessler (0 1/26/2 1) 01/26/2021 Contract #: 20210269-01 Amendment Number: 2 to the Between Michigan Department of Health and Human Services and County of Oakland hereinafter referred to as the "Local Governing Entity" on Behalf of Health Department Oakland County Department of Health and Human Services/ Health Division AMENDMENT PURPOSE AND JUSTIFICATION 1. The purpose of this amendment is to: 1. Add/revise information in Attachment I - Annual Budget Instructions; 2. Add/revise information in Attachment III - Program Specific Assurance and Requirements; and 3. Incorporate Attachment IV- Funding/Reimbursement Matrix as revised for the Essential Local Public Health Service (ELPHS) and categorical budget details, output measures and performance criteria. 4. Increase the Department's agreement amount from $17,535,535 to $17,717,240, as shown on the Attachment B budget pages. 2. Amendment Revisions: The following are the additions/revisions to Attachment I and III A) The following projects include additions/revisions as highlighted in Attachment I - Annual Budget Instructions: No Change B) The following projects include additions/revisions as highlighted in Attachment III - Program Specific Assurance and Requirements: Local Health Department - 2021, Date: 01/26/2021 Page: 1 of 32 01 /26/2021 1. Body Art Fixed Fee 2. Clinical Services Electronic Health Record - New 3. COVID-19 Influenza Vaccination Supplemental - New 4. CRF Detroit Testing 5. CRF Immunizations COVID Response 6. CRF Local Health Department Contact Tracing 7. CRF Local Health Department Homeless Match 8. CRF Local Health Department Lab 9. CRF Local Health Department Tesing, 10. CRF Wrap Around -New 11. Environmental Health Data -,New 12. Family Planning 13. HIV Ryan White Part B - MAI - New 14. SOS Evaluation - New Following are adjustments to funding levels of the Local Health Department agreement as reflected in Attachment IV: Budget line item changes are reflected in the attached budgets for the following elements: Project Title Current Amended New Project Amounf Wmmunl �mounf Harm Reduction Support Services 0 150,000 150,000 Infant Safe Sleep 22,500 47,500 70,000 PHEP COVID-19 Response 0 1,000 1,000 Public Health Emergency Preparedness (PHEP) 10/1 222,088 (763) 221,325 - 6/30 Public Health Emergency Preparedness (PHEP) CRI 151,699 (21,522) 130,177 10/1 - 6/30 Tuberculosis (TB) Control 20,141 (7,080) 13,061 WIC Breastfeeding 219,199 12,570 231,769 Total Comprehensive Funding 635,627 181,705 817,332 Local Health Department - 2021, Date 01/26/2021 Page: 2 of 32 01 /26/2021 Performance Level Adjustments N/A Budget category Adjustments It is understood and agreed that all other conditions of the original agreement remains the same. Local Health Department - 2021, Date: 01/26/2021 Page: 3 of 32 01/26/2021 3. Signing this amendment The individual or officer sigining this amendment certifies by his or her signature that he or she is authorized to sign this amedment on behalf of the reponsible governing board official or agency. Signature Section For Oakland County Department of Health and Human Services/ Health Division David T. Woodward County Commissioner Name (please print) Title For the Michigan Department of Health and Human Services Christine H. Sanches Christine H. Sanches, Director Bureau of Purchasing 12/29/2020 Date Local Health Department - 2021, Date: 0112612021 Page: 4 of 32 'Birk ZYWO0i1 Attachments Attachment I - Instructions for the Annual Budget Attachment III - Program Specific Assurances and Requirements Local Health Department - 2021, Dale: 01/26/2021 Page: 5 of 32 Program Element/Funding Source (a) Adolescent STD Screening Body Art Fixed Fee Children's Special Hlth Care Services (CSHCS) Care Coordination Children's Special Hlth Care Services (CSHCS) Outreach & Advocacy MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES ATTACHMENT IV - Local Health Department - 2021 CONTRACT MANAGEMENT SECTION Oakland County Department of Health and Human Services/ Health Division MDHHS Fed/St Funding Reimbursement Performance Total (c) Source Amount Method Target Perform (b) Output Expect Measurement Reg. Alloc. F 73,000 Actual Cost N/A - N/A Reimbursement _ Calc. Amt. 250.00/Numb Fixed Unit Rate (2) - N/A N/A ers Calc. Amt. 150.001Vario Fixed Unit Rate (1), - N/A N/A us (7) Reg. Alloc. F 147,203 Actual Cost - N/A N/A Reimbursement Reg. Alloc COVID-19 Influenza Vaccination Reg. Alloc. Supplemental CRF Immunizations COVID Reg. Alloc Response CRF LHD Homeless Match Reg. Alloc CRF Local Health Department Reg. Alloc Contact Tracing CRF Local Health Department Reg. Alloc Lab CRF Local Health Department Reg. Alloc Testing CSHCS Medicaid Elevated Blood Calc. Amt, Lead Case Mgmt EGLE Drinking Water and Onsite Reg. Alloc Wastewater Management ELC COVID-19 Contact Tracing Reg. Alloc Testing Coordination ELC COVID-19 Enhancing Reg. Alloc Detection ELC COVID-19 Infection Reg. Alloc Prevention Local Heath Department - 2021, Date. 01/26/2021 Contract# Date: 01/26/2021 State (d) State Funded Minimum Contractor / Funded Subrecepient Target Performance Percent (f) Perform Number(e) N/A N/A N/A Subrecepient N/A N/A N/A Recepient N/A N/A N/A Subrecepient N/A N/A N/A Subrecepient S 147,202 F 381,080 Actual Cost N/A N/A N/A N/A N/A Subrecepient - Reimbursement F 401,714 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement F 33,113 Actual Cost N/A N/A N/A N/A N/A Subrecepient - Reimbursement F 1,500,634 Actual Cost N/A N/A N/A N/A N/A Subrecepient - Reimbursement F 285,714 Actual Cost N/A N/A N/A N/A N/A Contractor Reimbursement F 150,007 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement 201.58/Vario Fixed Unit Rate (2) N/A N/A N/A N/A N/A Subrecepient us S 985,042 ELPHS (3), (6) N/A N/A N/A N/A N/A Recepient F 2,755,800 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement S 256,210 Actual Cost N/A N/A N/A N/A N/A Recepient Reimbursement F 337,500 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement Page: 6 of 32 Contract# Date: 0112612021 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES ATTACHMENT IV - Local Health Department - 2021 CONTRACT MANAGEMENT SECTION Oakland County Department of Health and Human Services/ Health Division Program Element/Funding Source MDHHS Fed/St Funding Reimbursement Amount Method Performance Target Total (c) Perform State (d) Funded State Funded Minimum Contractor / Subrecepient (a) Source (b) Output Expect Target Performance Percent (� Measurement Perform Numb-r (e) Emerging Threats - Hepatitis C Reg. Alloc. S 76,221 Actual Cost N/A N/A N/A N/A NIA Recepient Reimbursement _ Fetal Infant Mortality Review Cale. Amt. 270.00/Vario Fixed Unit Rate (2) N/A NIA NIA NIA N/A Subrecepient (FIMR) Case Abstraction us - FIMR Interviews Cale. Amt. 85.00/Numbe Fixed Unit Rate (2), N/A N/A N/A N/A N/A Subrecepient rs (11) Food ELPHS Reg. Alloc. S 1,176,612 ELPHS (3), (4) N/A N/A N/A NIA N/A Recepient Gonococcal Isolate Surveillance Reg. Alloc. F 15,750 Actual Cost N/A NIA N/A N/A N/A Subrecepient Project Reimbursement - Reg. Alloc. S 47,250 - - Harm Reduction Support Services Reg. Alloc. F 150,000 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement Hearing ELPHS Reg. Alloy L 253,969 ELPHS (3), (6) N/A N/A N/A N/A NIA Recepient HIV Data to Care Reg. Alloc. P 128,000 Actual Cost NIA NIA N/A N/A N/A Recepient Reimbursement HIV PrEP Clinic Reg. Alice. F 118,800 Actual Cost NIA N/A N/A N/A N/A Subrecepient Reimbursement Reg. Alloc. S 1,200 HIV Prevention Reg. Alloc. F 130,789 Actual Cost N/A NIA NIA N/A N/A Subrecepient Reimbursement Reg. Alloc. P 4,522 Reg. Alice. S 316,934 Immunization Action Plan (IAP) Reg. Alloc. F 501,895 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement Immunization Fixed Fees Cale. Amt. 300.00/Numb Fixed Unit Rate (2), NIA N/A N/A N/A NIA Subrecepient ers (7) Immunization Vaccine Quality Reg. Alice. S 105,347 Actual Cost N/A N/A N/A N/A N/A Recepient Assurance Reimbursement Infant Safe Sleep Reg. Alloc. F 7,000 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement Reg. Alloc. S 63,000 Local Health Department-2021. Date: 01/26/2021 Page: 7 of 32 Contract # Date: 01/26/2021 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES ATTACHMENT IV - Local Health Department - 2021 CONTRACT MANAGEMENT SECTION Oakland County Department of Health and Human Services/ Health Division Program Element/Funding Source MDHHS Fed/St Funding Reimbursement Amount Method Performance Target Total (c) Perform State (d) Funded State Funded Minimum Contractor / Subrecepient (a) Source (b) Output Expect Target Performance Percent (f) Measurement Perform Numb-r (a) Laboratory Services Bio Reg. Alloc. F 15,000 Actual Cost NIA - - N/A N/A N/A N/A Subrecepient Reimbursement MCH - All Other Local MCH S 321,457 Actual Cost - NIA - - N/A N/A N/A NIA Subrecepient Reimbursement MDHHS-Essential Local Public Reg. Alloc. S 2,557,216 ELPHS (3),(6) N/A N/A N/A N/A N/A Recepient Health Services (ELPHS) - MI Health and Wellness 4x4 Plan Reg. Alloc. S 73,084 Actual Cost N/A N/A N/A N/A N/A Subrecepient - Implementation Reimbursement Nurse Family Partnership Reg. Alloc. F 385,524 Actual Cost - N/A N/A N/A N/A N/A Subrecepient Services Reimbursement Reg. Alloc. S 257,016 PHEP COVID-19 Response Reg. Alloc. F 1,000 ActualCost- N/A N/A NIA N/A NIA Subrecepient Reimbursement Public Health Emergency Reg. Alloc. F 221,325 Actual Cost N/A N/A N/A N/A N/A Subrecepient Preparedness (PHEP) 1011 - 6/30 Reimbursement Public Health Emergency Reg. Alloc. F 130,177 Actual Cost NIA N/A NIA N/A NIA Subrecepient Preparedness (PHEP) CRI 10/1 - Reimbursement 6/30 Sexually Transmitted Disease Reg. Alloc. F 34,121 Actual Cost N/A N/A N/A N/A N/A Subrecepient (STD) Control - Reimbursement Reg. Alloc. S 36,144 Tuberculosis (TB) Control Reg. Alloc. F 13,061 Actual Cost NIA NIA N/A N/A NIA Subrecepient Reimbursement Vector -Borne Surveillance & Reg. Alloc. s 9,000 Actual Cost N/A N/A NIA N/A N/A Recepient Prevention Reimbursement Vision ELPHS Reg. Alloc. L 253,968 ELPHS (3), (6) N/A N/A N/A NIA N/A Recepient West Nile Virus Community Reg. Alloc. F 10,000 Actual Cost N/A N/A N/A N/A N/A Subrecepient Surveillance Reimbursement WIC Breastfeeding Reg. Alloc. F 231,769 Actual Cost N/A N/A N/A N/A N/A Subrecepient Reimbursement WIC Resident Services Reg. Alloc. F 2,615,870 Performance (8) # Average N/A NIA 97 0 Subrecepient Monthly Participation Loral Health Department - 2021, Date 01/2612021 Page: 8 of 32 U MAN SERvOcss NEp�TN MtC11\61�T1RT�ENj ea\thEH A�NaSanG mS(ee1n0Nt�-� 2sp!2N61 T�Ny epa\ih UNsitsa+�eoanOa, NN DcPNpHMeNT MW& G ANMa FTCMGeawin anToar peavment0 poll mIt, ceWoOct pefo9er' Tar9 \ana COUCIty ,myursement psupe ent Qak _ _x,n4 R,"a M8 MpHHS Aram E,ementiFunding Source Source 1�. 17 240 Rp.p V1A pMENppAE.NT 7 UNptRG R�pNCEtAEpq%3 wltx-ef FtNCORpO .� SPECtF1C °U pUT peRFpp a�ment 1V Notes loc2 Nee oePa�ment.262�.0�o'6�i261242� gate: 01(2612p21 gontcact# State funde Q nt pe ormµ1301 lel � 32 Page. 9 of Contract# Date: 01/26/2021 Project Budgets Program Budget Summary PROGRAM / PROJECT PREPARED P Local Health Department - 2021 / Public Health Emergency DATE DATE Preparedness (PHEP) 10/1 - 6/30 1126/2021 CONTRACTOR NAME BUDGET PERIOD Oakland County Department of Health and Human Services/ From : 10/PERIO To : 6/30/2021 Health Division MAILING ADDRESS (Number and Street) BUDGET AGREEMENT 1200 N. Telegraph Rd. 34 East r Original r/ Amendment CIT(P CODE FEDERAL ID Pontiac (MIATE Iq 341-0432 38-6004876 NUMBER Category DIRECT EXPENSES Program Expenses 1 I Salary & Wages 2 I Fringe Benefits 3 I Cap. Exp. for Equip & Fac. 4 I Contractual 5 I Supplies and Materials 6 Travel 7 I Communication 8 County -City Central Services 9 Space Costs 10 I All Others (ADP, Con. Employees, Misc.) Total Program Expenses TOTAL DIRECT EXPENSES INDIRECT EXPENSES fIndirect Costs 1 I Indirect Costs 2 I Cost Allocation Plan / Other Total Indirect Costs TOTAL INDIRECT EXPENSES TOTAL EXPENDITURES Total 113,868.00 40,993.00 0.00 0.00 47,417.00 1,090.00 I 1,800.00 0.00 13,886.00 12,464.00 231,518.00 231,518.00 M 39,624.00 39,624.00 39,624.00 271,142.00 AMENDMENT# 2 11 1 Amount 113,868.00 40,993.00 0.00 0.00 47,417.00 1,090.00 1,800.00 0.00 13,886.00 12,464.00 231,518.00 231,518.00' 1 l 0.00 39,624.00 39,624.00 39,624.00 271,142.00 Local Health Department-2021, Date: 01/26/2021 Page: 10 of 32 Contract# Date: 01/26/2021 2 Program Budget - Source of Funds SOURCE OF FUNDS Category I Total 1 Amount 1 Cash I Inkind 1 1 Source of Funds Fees and Collections - 1 at and 2nd 0.00 0.00 0.00 0.00 1 Party Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 Federal or State (Non MDHHS) 0.00 0.00 0.00 0.00 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00 1 Federally Provided Vaccines 0.00 0.00 0.00 0.001 1 Federal Medicaid Outreach 0.00 0.00 0.00 0.001 1 Required Match - Local 22,209.00, 0.00 22,209.00 0.001 11 1 Local Non-ELPHS 0,00 0.00 0.00 0.00 1 Local Non-ELPHS 0.00 0.00 0.00 0.001 Local Non-ELPHS 0.00 0.00 0.00 0.00 Other Non-ELPHS - 0.00 0.00 0.00 0.001 1 MDHHS Non Comprehensive 0,00 0.00 0.00 0.001 MDHHS Comprehensive 222,088.00 222,088.00 0.00 0.001 MCH Funding 0.00 0.00 0.00 0.001 Local Funds - Other 26,845.00 0.00 26,845.00 0.00 1 1 Inkind Match 0.00 0.00 0.00 0.001 MDHHS Fixed Unit Rate 1 1 Totals I 271,142.001 222,088.00I 49,054.001 0.001 Local Health Department - 2021, Date: 01/26/2021 Page. 11 of 32 3 Program Budget - Cost Detail (Line Item I gtyl IDIRECT EXPENSES (Program Expenses 1 (Salary & Wages ICoordinator IHealth Educator ISpecialist IHealth Educator Administrator Notes: MATCH ITotal for Salary & Wages 2 I Fringe Benefits All Composite Rate Notes: MATCH $3,296.00 FICA Unemp Ins Retirement Hospital Ins Life Ins Vision Ins Short/Long Term Disability Dental Ins Work Comp I3 Cap. Exp. for Equip & Fac. I 4 I Contractual I5 ISupplies and Materials Ioffice Supplies IPrinting IDisasterSupplies ITotal for Supplies and Materials 1 6 Travel Mileage Notes : 1895 miles @ .575 I7 (Communication Local Health Department - 2021, Date: 01/26/2021 Rate UnitsIUOM 0.3750, 62946.000 0.000 FTE 0.3750I 56472.00O1 0.0001FTE I0.37501 44096,0001 0.000IFTE 0.06011 101842.0001 0.000IFTE 0.0000 0.00001 36.000 113869.000 0.0001 0.000 0.0001 0.000 0.0001 0.000 1 IIL 0.0001 Contract# Date: 01/26/2021 Total]( I# 7I 7 46,430.00 23,605 001 I21,177.001 I16,536.00I 6,120.00 113,868.00 40,993.00 1 1 1 2,500.O01 2,000.00I 42,917.001 47,417.001 1 1,090.00 1 Page: 12 of 32 Line Item I qty Telephone Communications 0.00001 8 County -City Central Services 9 Space Costs Building Space Rental I 0.0000 Notes: MATCH $13,886 I10 IAII Others (ADP, Con. Employees, Misc.) Ilnsurance 0.0000 Copier 0.0000 IT Operations 0.0000 Notes: MATCH $1,066 (Total for All Others (ADP, Con. Employees, Misc.) (Total Program Expenses (TOTAL DIRECT EXPENSES INDIRECT EXPENSES (indirect Costs 1 }Cost Indirect Costs 2 Allocation Plan / Other lCost Allocation Plan 0,0000 Notes: 12.29% IHealth Adm Distribution 0.0000 (Total for Cost Allocation Plan / Other (Total Indirect Costs (TOTAL INDIRECT EXPENSES (TOTAL EXPENDITURES Rate 0.000 0.0001 Contract k Date: O1/26/2021 Units�UOM Total 0.000 1 1,800.001 1 111 - : 1111 0,000 0.000 0,000 0.000 270.001 1,400.O01 10,794.001 12,464.001 231,518.001 231,518.001 1 1 12,779.00 26,845.001 39,624.O01 39,624.00I 39,624.001 271.142.001 Local Health Department - 2021, Date: 01/26/2021 Page: 13 of 32 Contract Date: 01/26/2021 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2021 / Public Health Emergency PREPARED DATE DATE021 Preparedness (PHEP) CRI 10/1 - 6/30 CONTRACTOR NAME Oakland County Department of Health and Human Services/ PERIOD PER BUDGET PER20 Health Division From: 170 : 6/30/2021 MAILING ADDRESS (Number and Street) BUDGET AGREEMENT 1200 N. Telegraph Rd. 34 East r Original jJ Amendment CITY (STATE (ZIP CODE (FEDERAL ID NUMBER Pontiac Mt 48341-0432 38-6004876 Category ! Total DIRECT EXPENSES Program Expenses 1 Salary & Wages I 76,802.00 2 Fringe Benefits 27,649.00 3 Cap. Exp. for Equip & Fac. 4 I Contractual 5 + Supplies and Materials 6 I Travel 7 Communication 8 County -City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses TOTAL DIRECT EXPENSES INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2' Cost Allocation Plan / Other Total Indirect Costs TOTAL INDIRECT EXPENSES TOTAL EXPENDITURES 0.00 0.00 37,201.00 1,160.00 2,205.00 0.00 8,244.00 5,103.00 158,364.00 158,364.00 0.00+ 26,842.00 I 26,842.00 26,842.00 185,206.00 AMENDMENT# 2 Amount I� 76,802.00 27,649.00, 0.00 0.00 37,201.00 1,160.00 2,205.00 0.00 8,244.00 5,103.00 158,364.00 f 158,364.00 Ij l 0.00 26,842.00 26,842.00 26,842.00 185,206.00 Local Health Department - 2021, Date: 01/26/2021 Page: 14 of 32 Contract# Date: 01/26/2021 2 Program Budget - Source of Funds SOURCE OF FUNDS Category I Total I Amount I Cash ( Inkind 1 Source of Funds Fees and Collections - 1st and 2nd 0.00 0.00 0.00 0.00 Party Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 Federal or State (Non MDHHS) 0.00 0.00 0.00 0.00 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00 Federally Provided Vaccines 0.00 0.00 0.00 0.00 Federal Medicaid Outreach 0.00 0.00 0.00 0.00 Required Match - Local 15,170.00 0.00 15,170.00 000 Local Non-ELPHS 0.00 0,00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Other Non-ELPHS 0.00 0.00 0.00 0.00 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 MDHHS Comprehensive 151,699.00 151,699.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds- Other 18,337.00 0.00 18,337.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals ( 185,206.00 I 151,699.00 I 33,507.00 I 0.00 Local Health Department - 2021, Date: 01/26/2021 Page: 15 of 32 Contractff Date: 01/26/2021 3 Program Budget - Cost Detail (Line Item I Qtyl IDRRECT EXPENSES (Program Expenses 1 Salary & Wages Specialist (((Notes : PH Emer Prep Specialist (Health Educator (Notes : PH Educator 1 Health Educator Notes: Tech Assistant Specialist Notes : Office Leader lAdministrator Notes; MATCH SALARIES (Total for Salary & Wages 2 Fringe Benefits All Composite Rate Notes: MATCH $7204 FICA Unemp Ins Retirement Hospital Insurance Life Insurance Vision Ins. Short/Long Term Disability Dental Insurance Work Comp 1 3 (Cap. Exp. for Equip & Fac. 1 4 (Contractual I5 ISupplies and Materials IDisaster Supplies (Printing IOffice Supplies I ITotal for Supplies and Materials Rate UnitsIUOM 0.3750 56472.00O1 0.000 FTE 0.3750 44096.000 0.000 FTE 0.2404I 43232.000 0.000 FTE 0.3750� 62946.00OI 0.000 FTE 0.0500I 101842,000I 0.000 FTE 0.0000 36.000 76802.000 0.00001 0.0001 0.0001 I 0.00001 0.0001 0.0001 1 0,00001 0.000I 0,0001 1 Total I J 21,177.001 16,536.001 10,392.00 23,605.00 5,092.001 76, 802.001 27,649.00 J 1 35,201,001 1,000,001 1,000,001 37,201,001 Local Health Department - 2021, Date: 01/26/2021 Page: 16 of 32 Contract # Date: 01/26/2021 Line Item I city) Ratel UnitslUOM I Total 1 6 Travel lNotesMileage2,017 I 0.0000I 0.000I 0.000I I 1,160.00I miles @ .575 1 7 Communication Telephone 1 0.00001 0.0001 0.0001 1 2,205.001 1 8 1County-City Central Services 1 9 Space Costs I� I Space/Rental Costs I 0.0000 I 0.000 I 0.000 I 1 8,244,00 Notes: MATCH $8,244 1 10 1AII Others (ADP, Con. Employees, Misc.) Ilnsurance 1 0.0000 0.0001 0.000 I 207.001 1IT Operations I 0.000OI 0.0001 0.000 4,896,001 (Total for All Others (ADP, Con. Employees, Misc.) I 5,103.001 ITotalProgramExpenses I 158,364.00� (TOTAL DIRECT EXPENSES Ij 158,364.00 (INDIRECT EXPENSES (Indirect Costs 1 1 Indirect Costs lCost 1 2 Allocation Plan / Other ICost Allocation Plan 1 0,00001 0.0001 0.000� 8,505.001 (Health Adm Distribution , 0.0000 0.0001 0.000 16,337.001 (Total for Cost Allocation Plan / Other 26,842.001 (Total Indirect Costs I 26,842.001 (TOTAL INDIRECT EXPENSES I 26,842.001 (TOTAL EXPENDITURES I 185,206.001 Local Health Department - 2021, Date: 01/26/2021 Page: 17 of 32 Contract# Date: 01/26/2021 1 Program Budget Summary (PROGRAM / PROJECT (DATE PREPARED Local Health Department - 2021 / Infant Safe Sleep 1/26/2021 NAME (CONTRACTOR Oakland County Department of Health and Human Services/ BUDGET PERIOD D Health Division From : 10/ To : 9/30/2021 MAILING ADDRESS (Number and Street) BUDGET AGREEMENT 1200 N. Telegraph Rd, 34 East r Original JIV Amendment CITY IMIATE I4 ZIP CODE �38-6004876 FEDERAL ID NUMBER Pontiac 341-0432 Category I Total DIRECT EXPENSES Program Expenses 1 I Salary & Wages 2 I Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 I Contractual 5 I Supplies and Materials 6 Travel 7 Communication 8 County -City Central Services 9 I Space Costs 10 I All Others (ADP, Con. Employees, Misc.) Total Program Expenses TOTAL DIRECT EXPENSES INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 I Cost Allocation Plan / Other Total Indirect Costs TOTAL INDIRECT EXPENSES TOTAL EXPENDITURES 3,868.00 2,395.00 0.00 0.00 10,620.00 0.00 0.00 0.00 0.00 5,158.00, 22,041.00 22,041.00 r r r, 3,463.00 3,463.00 3,463.00 25,504.00 AMENDMENT# 2 r Amount 3,868.00 2,395.00 0.00 0.00 10,620.00 0.00 0.00 0.00 0.00 5,158.00 22,041.00 22,041.00 l l 0.00 3,463.00 3,463.00 3,463.00 25,504.00 Local Health Depadment - 2021, Date: 01/26/2021 Page 18 of 32 Contract# Date, 01/26/2021 2 Program Budget - Source of Funds SOU 2CE OF FUNDS Category ( Total I Amount I Cash I Inkind 1 Source of Funds Fees and Collections - 1st and 2nd 0.00 0.00 0.00 0.00 Party Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 Federal or State (Non MDHHS) 0.00 0.00 0.00 0.00 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00 Federally Provided Vaccines 0.00 0.00 0.00 0.00 Federal Medicaid Outreach 0.00 0.00 0.00 0.00 Required Match - Local 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Other Non-ELPHS 0.00 0.00 0.00 0.00 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 MDHHS Comprehensive 22,500.00 22,500.00 0.00 0.00 MCH Funding - 0.00 0.00 0.00 0.00 Local Funds - Other 3,004.00 0.00 3,004.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals I 25,504.00 ( 22,500.00 I 3,004.00 I 0.00 Local Health Department-2021, Date:01/26/2021 Page: 19 of 32 Contract# Dale: 01/26/2021 3 Program Budget - Cost Detail Line Item I Qtyl (DIRECT EXPENSES (Program Expenses 1 Salary & Wages Health Educator 0.0601 Notes : Step 4 GFGP Chief Community Health Nursing 0.0077 Notes : Step 5 GFGP (Total for Salary & Wages 2 Fringe Benefits All Composite Rate 0.0000 Notes: FICA Unemployment Ins Retirement Ins Hospital Ins Life Ins Vision Ins Dental Ins Workers Comp Short/Long Terms Disability Ins, 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Printing 0.0000 Notes : "We print a significant quantity of locally developed client education materials and distribute them to 15,000+ WIC clients annually, as well as our other community outreach." Materials and Supplies 0.0000 Office Supplies 0.0000 Educational Supplies 0.0000 Incentives 0.0000 (Total for Supplies and Materials 6 ITravel Local Health Department - 2021, Date 01/26/2021 Rate l unitsluoM I Total) 1 52083.000 0.000 FTE 3,130.00 95920.000 0.000 FTE 738.00 3,868.001 1 61.918 3868.000 2,395,00 1 0.000 0,000 4,269.00 0.000 0.000 1,000.001 0.000 0.000 200.0011 0.000 0.000 3,576.001 0.000 0.000 _ 1,575.001 10,620.001 Page: 20 of 32 Line Item I Qtyl 7 Communication 8 County -City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Advertising 0.0000 Insurance 0.0000 Training 0.0000 Interpretation Fees 0.0000 (Total for All Others (ADP, Con. Employees, Misc,) (Total Program Expenses (TOTAL DIRECT EXPENSES (INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan I Other Cost Allocation Plan 0.0000 Notes : 12.29% (Health Aden Distribution 0.0000 INursing Adm Distribution 0.0000 (Total for Cost Allocation Plan I Other ITotal Indirect Costs ITOTAL INDIRECT EXPENSES ITOTAL EXPENDITURES Contract # Date: 01/26/2021 Rate UnitsIUOM I Total 0.000 0.000 1,125.00 0.000 0.000 33.00 0.000 0.000 3,000.00 0.000 0.000 1,000.00 5,158.00 22,041.00 22,041.00 0.000 0.000 459.00 0.000 0.000 2,472.00 0.000 0.000 532.00 3,463.00 3,463.00 3,463.00I 25,504.001 Local Health Department - 2021, Date: 01/26/2021 Page: 21 of 32 Contract# Date: 01/26/2021 1 Program Budget Summary PROGRAM / PROJECT DATE PREPARED Local Health Department - 2021 / Tuberculosis (TB) Control 1/26/2021 CONTRACTOR NAME Oakland County Department of Health and Human Services/ BUDGET PERIOD Health Division From : 10/1/2020 To : 9/30/2021 MAILING ADDRESS (Number and Street) BUDGET AGREEMENT 1200 N. Telegraph Rd. 34 East g' In (` Original r Amendment CITPZIP IMIATE CDE I48341O0432 FEDERAL ID NUMBER ontiac 38-6004876 Category I Total I DIRECT EXPENSES Program Expenses 1 ( Salary & Wages 11,198.00 2 I Fringe Benefits 589.00 3 I Cap. Exp. for Equip & Fac. 0.00 4 I Contractual I 0.00 5 I Supplies and Materials I 81,250.00 6 I Travel I 675.00 7 I Communication 0.00 8 County -City Central Services 0.00 9 Space Costs 0.00 10 All Others (ADP, Con. Employees, Misc.) I 34,182.00 Total Program Expenses I 127,894.00 TOTAL DIRECT EXPENSES I 127,894.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 2 1 Cost Allocation Plan / Other 626,005.00 Total Indirect Costs 626,005.00 TOTAL INDIRECT EXPENSES I 626,005.00 TOTAL EXPENDITURES I 753,899.00 AMENDMENT# 2 Amount l 11,198.00 589.00 0.00 0.00 J 81,250.00 675.D0 0.00 0.00 0.00 34,182.00' 127,894.00' 127,894.00 MIN 626,005.00 626,005.00 626,005.00 753,899.00 Local Health Department - 2021, Date: 01/26/2021 Page: 22 of 32 Contract # Date: 01/26/2021 2 Program Budget - Source of Funds SOURCE OF FUNDS Category I Total I Amount I Cash I Inkind 1 Source of Funds Fees and Collections - 1st and 2nd 0.00 0.00 0.00 0.00 Party Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 Federal or State (Non MDHHS) 0.00 0.00 0.00 0.00 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00 Federally Provided Vaccines 0.00 0.00 0.00 0.00 Federal Medicaid Outreach 0.00 0.00 0.00 0.00 Required Match - Local 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Local Non-ELPHS 0.00 0.00 0.00 0.00 Other Non-ELPHS 0.00 0.00 0.00 0.00 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 MDHHS Comprehensive 20,141.00 20,141.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 733,758.00 0.00 733,758.00 0.00 Inkind Match 0.00 0,00 0.00 0.00 MDHHS Fixed Unit Rate Totals I 753,899.00 I 20,141.00 I 733,758.00 I 0.00 Local Health Department - 2021, Date 01/26/2021 Page. 23 of 32 Contract# Date: 01/26/2021 3 Program Budget - Cost Detail Line Item I Qtyl (DIRECT EXPENSES IProgr^m Expenses 1 Salary & Wages Outreach Worker ( 0.2885I Notes: GRANT POSITION 1 2 Fringe Benefits All Composite Rate 0.0000 Notes : Social Security Unemployment Ins Retirement Hospital Ins Life Ins Vision Ins Dental Ins Work Comp GRANT FRINGES 3 Cap. Exp. for Equip & Fac. - 4 Contractual 5 Supplies and Materials Client Supp Material/Incentives 0.0000 Enablers Notes: TB GRANT Postage 0.0000 Notes: TB GRANT Drugs/Pharm - COUNTY 0.0000 BUDGET (Total for Supplies and Materials 6 Travel Mileage 0.000C Notes : 1,000 miles @ .575 TB GRANT Client Transportation 0.000C Notes: TB GRANT ITotal for Travel Local Health Department - 2021, Date. 01126/2021 Ratel UnitsIUOM 38819.0001 0.0001FTE 5.259 11198,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Total 11,198.001 1 589.00 1,000.00 250.O01 80,000.O01 81,250.001 1 575.00 100.001 675.001 Page: 24 of 32 Line Item I Qtyl 7 Communication 8 County -City Central Services 9 Space Costs 10 IAII Others (ADP, Con. Employees, Misc.) Insurance 0.0000 Notes: TB GRANT I Lab Fees 0.0000 Notes: TB GRANT $6,748.00 COUNTY BUDGET $1,500.00 Copier -COUNTY BUDGET I 0.0000 Notes Memberships & Dues -COUNTY 0.0000 BUDGET Professional Services -COUNTY 0,0000 BUDGET I TB Cases/Outside-COUNTY i IBUDGET 0.0000 lLab Fees -COUNTY BUDGET I 0.0000 Total for All Others (ADP, Con. Employees, Misc.) Total Program Expenses TOTAL DIRECT EXPENSES INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan 0.0000 Notes: 12.29% TB GRANT BUDGET (Health Adm Distribution I 0.00001 (Nursing Adm Distribution 0.00001 (Other Cost Distributions-Misc 0.00001 Local Health Department-2021, Date: 01/2612021 Rate UnitsIUOM 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.0001 0.000I 0.0000.000 0.000 0.0001 0.0001 0.000 0.000 0.000 0.0001 0.0001 0.0001 0.0001 0.0001 Contract# Date 01/26/2021 I Total 41.00 5,060.00 71.00 760.00 10,250,001 10,000,00 8,000.001 34,182.001 127,894.001 127,894.001 1,328.00 16,245.00 7,684.001 600,748.001 Page. 25 of 32 Contract# Date: 01/26/2021 Line Item Qty Rate Units UOM Totall Distribution (Total for Cost Allocation Plan / Other 626,005.001 (Total Indirect Costs 626,005.001 ITOTAL INDIRECT EXPENSES 626,005.001 ITOTAL EXPENDITURES 753,899.001 Local Health Department - 2021, Date. 0112612021 Page: 26 of 32 Contract# Date: 01/26/2021 1 Program Budget Summary PROGRALocal llh / PROJECT REPARED DeDaartment - 2021 / WIC Breastfeedinq 11/26 2p CONTRACTOR NAME BUDGET PERIOD D Oakland County Department of Health and Human Services/ From : 10/To : 9/30/2021 Health Division MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT # 1200 N. Telegraph Rd. 2 34 East r Original r Amendment CITti ATE ZIP CODE FEDERAL NUMBER Ponac MI 48341-0432 38 60 4D I I Category I Total I Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 84,764.00 84,764.00 2 Fringe Benefits 33,117.00 33,117.00 3 Cap. Exp. for Equip & Fac. 0.00 0.00 4 Contractual 73,397.00 73,397.O0 5 Supplies and Materials 7,459.00 7,459.00 6 Travel 2,725.00 2,725.O0 7 Communication 3,853.00 3,853.O0 8 County -City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.) 3,831.00 3,831.00 Total Program Expenses 209,146.00 209,146.00 TOTAL DIRECT EXPENSES 209,146.00 209,146.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 34,140.00 34,140.00 Total Indirect Costs 34,140.00 34,140.00 TOTAL INDIRECT EXPENSES 34,140 00 34,140.00 TOTAL EXPENDITURES 243,286.00 243,286.00 Local Health Department - 2021, Dale: 01/26/2021 Page: 27 of 32 2 Program Budget - Source of Funds SOURCE OF FUNDS Category 1 Source of Funds Fees and Collections - 1st and 2nd Party Fees and Collections - 3rd Party (Federal or State (Non MDHHS) IFederal Cost Based Reimbursement IIFederally Provided Vaccines Federal Medicaid Outreach Required Match - Local Local Non-ELPHS Local Non-ELPHS (Local Non-ELPHS Other Non-ELPHS MDHHS Non Comprehensive MDHHS Comprehensive MCH Funding (Local Funds - Other Unkind Match (MDHHS Fixed Unit Rate ITotals Contract ti Date: 01/26/2021 r Total I Amount I Cash I Inkind I 0.00 I 0.00 I 0.00 I 0.00 I0.00 D.00I 0.00 0.00 0.00 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I 0.00 I 0.00 0.00 0.00 I 0.00 + 0.00 0.00 I 0.00 I 0.00 I 0.00 I 0.00 0,00I 0.00 0.00I 0.00 0.00 I 0.00 0.00 I 0.00 IJ 0.00 0.00 0.00 0.00 0.00 + 0.00 0.00 0.00 0.00 0.00 I 0.00 I 0.00 219,199.00 219,199.00 0.00 0.00I 0.00I 0.00 0.00 0.00I 24,087.00 I 0.00 I 24,087.00 I 0.00 0.00 I 0.00 I 0.00 I 0.00 243,286.00 1 219,199.00 1 24,087.00 1 0.00 Local Health Department - 2021, Dale: 01/26/2021 Page: 28 of 32 3 Program Budget - Cost Detail (Line Item I City) DIRECT EXPENSES Program Expenses 1 ISalary & Wages Lactation Specialist (Lactation Specialist (Lactation Specialist ILactation Specialist (Nutritionist/Dietician INutritionist/Dietician ITotal for Salary & Wages 2 Fringe Benefits All Composite Rate Notes: FICA UNEMP INS RETIREMENT HOSPITAL INS LIFE INS VISION INS _ DENTALINS WORKCOMP SHORT/LONG TERM DISABILITY 3 Cap. Exp. for Equip & Fac. I4 Contractual ISubcontractingAgency-OLSHA I I5 ISupplies and Materials IOffice Supplies IPrinting IMedical Supplies IPostage IEducational Supplies ITotal for Supplies and Materials I6 ITravel Local Health Department - 2021, Date 01/26/2021 Rate UnitsIUOM 1.0000 31223.0001 0.000 FTE 0.48081 31224.0001 0,000 FTE 0.48081 31224.0001 0.000 FTE 0.48081 31224.0001 0.0001FTE 0.09621 69341.0001 0.000I FTE 0.02641 69475.0001 0.0001FTE M 39.070 84764.000 0.0001 0.0001 0.0000 0.000 0.000 0.0000 0.000 0.000 0.0000 0.000 0,000 0.0000 0.000 0.000 0.0000 0.000 0.000 Contract# Date: 01/26/2021 Total 31,223.00 15,012.00 15,012.00 15,012.001 6,671.001 1,834.001 84,764.001 33,117.00 1 73,397.00 750.00 1,617.00 4,000.00 481.001 611.001 7,459.001 1 Page: 29 of 32 Line Item City Mileage 0.0000 Notes : 3,000 miles @ .575 Conferences 0,0000 ITotal for Travel 7 Communication Telephone Communications I 0.0000 8 County -City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 (Advertising 0.0000 Staff Training 0.0000 Interpretation 0.0000 (Total for All Others (ADP, Con. Employees, Misc.) ITotal Program Expenses (TOTAL DIRECT EXPENSES (INDIRECT EXPENSES (indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan 0.0000 Notes: 12.29% Health Adm Distribution 0.0000 ITotal for Cost Allocation Plan / Other ITotal Indirect Costs (TOTAL INDIRECT EXPENSES (TOTAL EXPENDITURES Rate 0.000 0.000 0,000' 0.000 0.000 0.000 0.000 Contract # Date 01/26/2021 Units UOM Total) 0.000 1,725.001 RM E 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1,000.00 2,725.00 3,853.00 300.00 1,000.00 2,331.00 200.00 3,831.00 209,146.00 209,146.00 10,053.00 24,087.001 34,140.001 34,140.00 34,140.00 243,286.001 Local Health Department - 2021, Date: 01/26/2021 Page: 30 of 32 Contract# Date: 01/26/2021 Summary of Budget PROGRAM/PROJECT DATEPREPARED Local Health Department - 2021 / Local Health Department - 1/26/2021 2021 CONTRACTOR NAME BUDGET D PERIOD Oakland County Department of Health and Human Services/ From : 10/To : 9/30/2021 Health Division MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT # 1200 N. Telegraph Rd. 2 34 East f Original fJ Amendment CITY IMIATE ZIP CODE IPonI48341-0432 FEDERAL ID NUMBER tlac 386004876 Category I Total I Amount DIRECT EXPENSES (Program Expenses 11 Salary & Wages 20,751,218.00 20,751,218.00 12 Fringe Benefits 10,356,440.00 10,356,440.00 13 Cap. Exp, for Equip & Fac. 125,606.00 125,606.00 I4 Contractual 2,151,169.00 2,151,169.00 5 Supplies and Materials 2,180,851.00 2,180,851.00 16 Travel 344,359.00 344,359.00 17 Communication 492,804.00 492,804.00 18 County -City Central Services 0.00 0.00 9 Space Costs 1,209,714.00 1,209,714.00 10 All Others (ADP, Can. Employees, Misc.) 4,664,215.00 4,664,215.00 Total Program Expenses 42,276,376.00 42,276,376.00 (TOTAL DIRECT EXPENSES 42,276,376.00 42,276,376.00 (INDIRECT EXPENSES Indirect Costs I1 ,Indirect Costs 1,363,701.00 1,363,701.00I 12 ICost Allocation Plan /Other 4,366,544.OD 4,366,544.00I ,Total Indirect Costs 5,730,245.00 5,730,245.OD (TOTAL INDIRECT EXPENSES 5,730,245.00 5,730,245.00 TOTAL EXPENDITURES 48,006,621.00 48,006,621.00 SOURCE OF FUNDS I Category Amount Ink 1 Feesan and - 1 st and 2nd 4,424, 19 00 0.00 4,424,519 00 0.001 Local Health Department - 2021, Date. 01126/2021 Page: 31 of 32 Contract Date: 01/26/2021 I Party 12 Fees and Collections - 3rd Party 13 Federal or State (Non MDHHS) 14 1Federal Cost Based Reimbursement 15 1Federally Provided Vaccines 16 1Federal Medicaid Outreach 17 1Required Match - Local 18 ILocal Non-ELPHS 19 ILocal Non-ELPHS 110 Local Non-ELPHS I11 Other Non-ELPHS 112 MDHHS Non Comprehensive 113 IMDHHS Comprehensive 114 IMCH Funding 115 1 Local Funds -Other 116 Unkind Match 117 1MDHHS Fixed Unit Rate (TOTAL 1 241,000.001 0.00 2,258,791.001 0.00 0.001 0.00 1,444,452,001 0.00 1,158,403.001 1,158,403.00 1,214,053.00 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00 - 0.001 0,001 0.001 17,214,078.001 17,214,078.001 321,457.001 321,457,001 19,397,816.001 0.001 0.001 0,001 332,052.001 332,052.001 48,006,621.001 19, 025,990.001 241,000.001 0.001 2,258,791.001 0.001 0.001 0.001 1,444,452.00 0.001 0.00 0.00 1,214,053.00 0.00 0.001 0.00 0.001 0.00 0.001 0.00 0.001 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19,397,816.001 0.001 0.001 mom 0.001 0.00I 28,980,631.001 0.001 Local Health Department - 2021, Date: 01/26/2021 Page: 32 of 32 ATTACHMENT MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES Local Health Department Agreement October 1, 2020- September 30, 2021 Fiscal Year 2021 INSTRUCTIONS FOR THE /�Lt►1�71 : � � �� INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH DEPARTMENT SERVICES TABLE OF CONTENTS Page I. INTRODUCTION............................................................................................................2 II. MINIMUM BUDGETING REQUIREMENTS...................................................................2 III. REIMBURSEMENT CHART............................................................................................3 IV. LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION PROCEDURES...............................................................................................................4 V. FORM PREPARATION - GENERAL...............................................................................4 VI. FORM PREPARATION - EXPENDITURE CATEGORIES..............................................4 VII. FORM PREPARATION - SOURCE OF FUNDS..............................................................7 VIII. SPECIAL BUDGET INSTRUCTIONS A. Public Health Emergency Preparedness(PHEP)...................................................10 B. WIC.........................................................................................................................10 C. Family Planning.....................................................................................................12 D. Breast and Cervical Cancer...................................................................................13 E. CSHCS Outreach and Advocacy...........................................................................15 F. Program Budget Detail- Cost Detail Schedule Preparation.....................................16 G. Medicaid Outreach Activities Reimbursement Procedures.....................................20 H. Michigan Colorectal Cancer -Screening Program...................................................25 I. Immunization 317 and VFC Allowable Expenditures... ......... ............ .................... 26 i INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH SERVICES INTRODUCTION The Annual Budget for Local Health Services is completed on a state fiscal year basis and is used to establish budgets for many Department programs. In the Annual Budget, the Department consolidates many of its categorical programs' funding and Essential Local Public Health Services (ELPHS) (formerly known as the local public health operation's funding) into a single, Comprehensive Agreement for local health departments. The Department's Plan and Budget Framework serves as a principal reference point for budget development. The Annual Budget for Local Health Services must be completed in accordance with and adhere to the established requirements as specified in these instructions and submitted to the Department as required by the agreement. 11. MINIMUM BUDGETING REQUIREMENTS A. Cost Principles - Types or items of cost which will be considered for reimbursement are generally consistent with definitions contained in Title 2 Code of Federal Regulations CFR, Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. B. Federal Block Grant Funds - Maternal & Child Health and Preventive Health Block Grant funds may not be used to: provide inpatient services; make cash payments to intended recipients of health services; purchase or improve land; purchase, contract or permanently improve (other than minor remodeling defined as work required to change the interior arrangements or other physical characteristics of any existing facility or installed equipment when the cost of the remodeling incident does not exceed $2,000) any building or other facility; or purchase major medical equipment (any item of medical equipment having a unit cost of over $10,000 and used in the diagnosis or treatment of patients, excluding equipment typically used in a laboratory); satisfy any requirement for the expenditure of non-federal funds as a condition forthe receipt of Federal funds; or provide financial assistance to any entity other than a public or nonprofit private entity. C. Expenditure and Funding Source Breakdown - For purposes of development, analysis and negotiation activities must be budgeted at the individual expenditure and funding source category level on the Annual Budget for Local Health Services. D. Special Budaet Reauirements for Certain Cateaorical Proaram Elements - The Annual Budget for Local Health Services is completed in the MI E-Grants System through the application budget to include details for all program elements (excluding Administration and Grantee Support). E. Local MCH - Local MCH funds can be used 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. Priority areas are developed into Local MCH Work Plans which are described in the Annual Local MCH Plan. These funds are to be budgeted as a funding source in two project categories. The Local MCH projects need to be budgeted separately. Please note only two LMCH project titles can be used: • MCH — Children • MCH — All Other These funding sources cannot be used under the WIC element except in extreme circumstances where a waiver is requested in advance of expenditures, and evidence is provided that the expenditures satisfy all funding requirements. Local health departments are encouraged to select only one to two performance measures and delve deeper into the strategies in an effort to "move the needle." III. REIMBURSEMENT CHART A. Program Element/Fundino Source The Program Element/Funding Source column has been moved to Attachment III and provides the listing of all currently funded MDHHS programs that are included in the Comprehensive Local Health Department Agreement. B. Tvae of Proiect The type of project designation is indicated by footnote and is used if the project meets the Research and Development Project criteria. Research and Development Projects are defined by Title 2 CFR, Section 200.87, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Research and development (R&D) means all research activities, both basic and applied, and all development activities that are performed by non -Federal entities. Research is defined as a systematic study directed toward fuller scientific knowledge or understanding of the subject studied. The term research also includes activities involving the training of individuals in research techniques where such activities utilize the same facilities as other research and development activities and where such activities are not included in the instruction function. Development is the systematic use of knowledge and understanding gained from research directed toward the production of useful materials, devices, systems, or methods, including design and development of prototypes and processes. C. Reimbursement Chart The Reimbursement Chart notes elements/funding sources, applicable payment methods, target levels, output measures for each program/element having a performance reimbursement option. In addition, the chart also provides the subrecipient, contractor, or recipient designations, as in prior years: IV. LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION PROCEDURES As in past years, no additional accounting system detail is being required beyond local uniform accounting procedures prescribed by the Michigan Department of Treasury, Local Financial Management System requirements, documentation requirements of categorical program funding sources and any local requirements. Some agencies may already have separate cost centers in their accounting system to directly identify costs and related funding of required services, but such breakdowns are not essential to being able to meet minimum reporting requirements if proper allocation procedures are used and adequate documentation is maintained. All allocations must have clearly measurable bases that directly apply to the amounts being allocated, must be documented with work papers that will provide an adequate audit trail and must result in a representative reporting of costs and funding for affected programs. More specific guidance can be found in Title 2 CFR, Part 200 Appendix V State/Local Government and Indian Tribe -Wide Central Service Cost Allocation Plans and the brochure published by the Department of Health and Human Services entitled "A Guide for State, Local and Indian Tribal Governments: Cost Principles and Procedures for Developing Cost Allocation Plans and Indirect Cost Rates for Agreements with the Federal Government. V. FORM PREPARATION - GENERAL The MI E-Grants System on-line application, including the budget entry forms, are utilized to develop a budget summary for each program element administered by the local Grantee. The system is designed to accommodate any number of local program elements including those unique to a particular local Grantee. Applications, including budget forms, are completed for all program elements, regardless of the reimbursement mechanism, including Agency administration(s) fee for service program elements, categorical program elements, performance - based program elements and Medicaid Outreach associated program elements. Budget entry is required for each major expenditure and source of fund categories for which costs/funds are identified. VI. FORM PREPARATION - EXPENDITURE CATEGORIES Budgeted expenditures are to be entered for each program element, project or group of services by applicable major category. A. Salaries and Waqes- This category includes the compensation budgeted for all permanent and part-time employees on the payroll of the Grantee and assigned directly to the program. This does not include contractual services, professional fees or personnel hired on a private contract basis. Consulting services, vendor services, professional fees or personnel hired on a private contracting basis should be included in "Other Expenses." Contracts with secondary recipient organizations such as cooperating service delivery institutions or delegate agencies should be included in Contractual (Sub -contract) Expenses. B. Fringe Benefits - This category is to include, for at least the specified elements, all Grantee costs for social security, retirement, insurance and othersimilar benefits forall permanent and part-time employees assigned to the specified elements. C. Cap Exp for Eauip & Fac -This category includes expenditures for budgeted stationary and movable equipment used in carrying out the objectives of each program element, project or service group. The cost of a single unit or piece of equipment includes necessary accessories, installation costs, freight and other applicable expenses associated with the purchase of the equipment. Only budgeted equipment items costing $5,000 or more may be reported under this category. Small equipment items costing less than $5,000 are properly classified as Supplies and Materials or Other Expenses. This category also includes capital outlay for purchase or renovation of facilities. D. Contractual (Subcontracts/Subrecipient) - Use for expenditures applicable to written contracts or agreements with secondary recipient organizations such as cooperating service delivery institutions or delegate agencies. Payments to individuals for consulting or contractual services, or for vendor services are to be included under Other Expenses. Specify subcontractor(s) address, amount by subcontractor and total of all subcontractors. E. Supplies and Materials - Use for all consumable items and materials including equipment - type items costing less than $5,000 each. This includes office, printing, janitorial, postage and educational supplies; medical supplies; contraceptives and vaccines; tape and gauze; prescriptions and other appropriate drugs and chemicals. Federal Provided Vaccine Value should be reported and identified on in Other Cost Distributions category. Do not combine with supplies. F. Travel - Travel costs of permanent and part-time employees assigned to each program element. This includes costs of mileage, per diem, lodging, meals, registration fees and other approved travel costs incurred by the employee. Travel of private, non -employee consultants should be reported under Other Expenses. G. Communication Costs - These are costs for telephone, Internet, telegraph, data lines, websites, fax, email, etc., when related directly to the operation of the program element. H. County/City Central Services -These are costs associated with central support activities of the local governing unit allocated to the local health department in accordance with Title 2 CFR, part 200. I. Space Costs -These are costs of building space necessary for the operation of the program. J. All Others (Line 11) - These are costs for all other items purchased exclusively for the operation of the program element and not appropriately included in any of the other categories including items such as repairs, janitorial services, consultant services, vendor services, equipment rental, insurance, Automated Data Processing (ADP) systems, etc. K. Total Direct Expenditures — The MI E-Grants System sums the direct expenditures budgeted for each program element, project or service grouping and records in the Total Direct Expenditure line of the Budget Summary. L. Indirect Cost— These cost categories are used to distribute costs of general administrative operations that have not been directly charged to individual subrecipient programs. The Indirect Cost expenditures distribute administrative overhead costs to each program element, project or service grouping. Two separate local rates may apply to the agreement period (i.e., one for each local fiscal year). Use Calendar Rate 1 to reflect the rate applicable to the first part of the agreement period and Calendar Rate 2 for the rate applicable to the latter part. Indirect costs are not allowed on programs elements designated as vendor relationship An indirect rate proposal and related supporting documentation must be retained for audit in accordance with records retention requirements. In addition, these documents are reviewed as part of the Single Audit, subrecipient monitoring visit, or other State of Michigan reviews. Following is further clarification regarding indirect rate and/or cost allocation approval requirements to distribute administrative overhead costs, in accordance with Title 2 CFR Part 200 (formerly Circular A-87 2 CFR Part 225, Appendix E), for Local Health Departments budgeting indirect costs: 1. Local Health Departments receiving more than $35 million in direct Federal awards are required to have an approved indirect cost rate from a Federal Cognizant Agency. If your Local Health Department has received an approved indirect rate from a Federal Cognizant agency, attach the Federal approval letter to your MI E-Grants Grantee Profile. Local Health Departments receiving $35 million or less in direct Federal awards are required to prepare indirect cost rate proposals in accordance with Title 2 CFR and maintain the documentation on file subject to review. 3. Local Health Departments that received approved indirect cost rates from another State of Michigan Department should attach their State approval letter to their MI E-Grants Grantee Profile. 4. Local Health Departments with cost allocation plans should reflect these allocations in the Other Cost Distributions budget category. See Section M. Other Cost Distribution for budgeting guidance. As a Subrecipient of federal funds from MDHHS, a Local Health Department that has never received a negotiated indirect cost rate, your Local Health Department may electto charge a de minimis rate of 10% of modified total direct costs (MTDC) based on Title 2 CFR part 200 requirements. MTDC includes all direct salaries and wages, fringe benefits, supplies and materials, travel, services, and contractual expenses up to the first $25,000 of each contract. MTDC excludes all equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs, and portions subcontractual/subaward expenses in excess of $25,000 per contract. Attach a current copy of the letter stating the applicable indirect costs rate or calculation information justifying the de minimis rate calculation to you MI E-Grants Grantee profile. Detail on how the indirect costs was calculated must be shown on the Budget Detail. Schedule. The amount of Indirect Cost should be allocated to all appropriate program elements with the total equivalent amount reflected as a credit or minus in the Administration projects. M. Other Cost Distributions — Use to distribute various contributing activity costs to appropriate program areas based upon activity counts, time study supporting data or other reasonable and equitable means. An example of Other Cost Distributions is nursing supervision. The distribution process permits costs reflected in a single program element to be subsequently distributed, perhaps only in part, to other programs or projects as appropriate. If an allocation is made, the charges must be reflected in the appropriate program element and the offsetting credit reflected in the program element being distributed. There must be a documented. well-defined rationale and audit trail for anv cost distribution or allocation based uaon Title 2 CFR, Part 200 Cost Principles Local Health Departments using the cost distribution or cost allocation must develop the plan in accordance with the requirements described in Title 2 CFR, Part 200. Local Health Departments should maintain supporting documentation for audit in accordance with record retention requirements. The plan should include a Certification of Cost Allocation plan in accordance with Title 2 CFR, Part 200 Appendix V. The cost allocation plan documentation is not required to be submitted unless specifically requested. Cost associated with the Essential Local Public Health Services (ELPHS), Maternal and Child Health (MCH) Block Grant and Fixed Fee may be budgeted in the associated program element and distributed to the associated projects. Federal Provided Vaccine Value should be reported on a separate line and clearly identified. N. Total Direct & Admin. Expenditures — The MI E-Grants System sums the indirect expenditures program element and records in the Total Indirect Expenditure line of the Budget Summary. O. Total Expenditures —The MI E-Grants System sums the direct and indirect expenditures and records in the Total Expenditure line of the Budget Summary. VII. FORM PREPARATION -SOURCE OF FUNDS Source of Funds are to be entered for each program element, project or group of services by applicable major category as follows: A. Fees & Collections - Fees 18t & 2nd Partv- 15t party funds projected to be received from private payers, including patients, source users and any member of the general population receiving services. 2nd party funds received from organizations, private or public, who might reimburse services for a group or under a special plan. III. Any Other Collections B. Fees & Collections - 31d Partv — 3rd Party Fees - Funds projected to be received from private insurance, Medicaid, Medicare or other applicable titles of the Social Security Act directly related to the cost of providing patient care or other services (e.g., includes Early Periodic Screening, Detection and Treatment [EPSDT] Screening, Family Planning.) C. Federal/State Fundina INon-MDHHSI - Funds received directly from the federal government and from any state Contractor other than MDHHS, such as the Department of Natural Resources and Environment (MDNRE). This line should also be used to exclude state aid funds such as those provided through the Michigan Department of Treasury under P.A. 264 of 1987 (cigarette tax). D. Federal Cost Based Reimbursement — Funds received for Federal Cost Based Reimbursement which should be budgeted in the program in which they were earned. E. Federally Provided Vaccines — The projected value of federally provided vaccine. F. Federal Medicaid Outreach — (Please note: to be used only for Medicaid Outreach, CSHCS Medicaid Outreach or Nurse Family Partnership Medicaid Outreach program elements.) Funds projected to be received from the federal government for allowable Medicaid Outreach activities. This amount represents the anticipated 50% federal administrative match of local contributions. G. Reauired Match - Local — Funds projected to be local contribution for programs that have a match contribution requirement (Please note: for Medicaid Outreach, CSHCS Medicaid Outreach, or Nurse Family Partnership Medicaid Outreach, this amount represents the 50% matching local contribution for allocable Medicaid Outreach Activities, Federal Medicaid Outreach and Required Local match amounts should equal each other.) H. Local Non-ELPHS - Local funds budgeted for the following expenditures: 1. Expenditures for services not designated as required and allowable for ELPHS funding (e.g., medical examiner and inpatient maternity services); expenditures determined notto be reasonable; and, expenditures in excess of the maximum state share of funds available. 2. Any losses arising from uncollectible accounts and other related claims. Under -recovery of reimbursable expenditures from, or failure to bill, available funding sources that would otherwise result in exclusions from ELPHS funding, if recovered. However, no exclusion is required where the local jurisdiction has made and documented a decision to have local funds underwrite: a. The cost of uncollectible accounts or bad debts incurred in support of providing required or allowable health services. An example of this condition would be for services provided to indigents who are billed as a matter of procedure with little chance for receipt of payment. b. Potential recoveries or under -recoveries from other sources for the principal purpose of providing required and allowable health services at free or reduced cost to the public served by the Grantee. An example would be keeping fees for services at a reduced level for the benefit of the people served by the Grantee while recognizing that to do so limits recovery from third parties for the same types of services. 3. Contributions to a contingency reserve or any similar provisions for unforeseen events. 4. Charitable contributions and donations. 5. Salaries and other incidental expenditures of the chief executive of a political subdivision (i.e., county executive and mayor). 6. Legislative expenditures, such as, salaries and other incidental expenditures of local governing bodies (i.e., county commissioners and city councils). Do not enter board of health expenses. 7. Expenditures for amusements, social activities and other incidental expenditures related to, such as, meals, beverages, lodging, rentals, transportation and gratuities. B. Fines, penalties and interest on borrowings. 9. Capital Expenditures - Local capital outlay for purchase of facilities and equipment (assets) are excluded from ELPHS funding. Other Non- ELPHS - Funds budgeted from sources other than state, federal and local appropriations to the extent that they are not eligible for ELPHS (e.g., funding from local substance abuse coordinating grantee, local area on aging grantees). J. MDHHS - NON -COMPREHENSIVE - Funds budgeted for services provided under separate MDHHS agreements. Examples include funding provided directly by the Community Services for Substance Abuse for community grants, etc. K. MDHHS - COMPREHENSIVE - This section includes all funding projected to be due under the Comprehensive Agreement from categorical programs and needs to equal the allocation. L. ELPHS - MDHHS Hearing — This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS MDHHS Hearing program and has to equal the MDHHS ELPHS Hearing allocation. Additional ELPHS to be budgeted for the Hearing Program must be entered into ELPHS — MDHHS Other. Hearing allocations may only be spent on the Hearing Program. M. ELPHS - MDHHS Vision — This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS MDHHS Vision program and has to equal the ELPHS MDHHS Vision allocation. Additional ELPHS to be budgeted for the Vision Program must be entered into ELPHS — MDHHS Other. Vision allocations may only be spent on the Vision Program. N. ELPHS — MDHHS Other — This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS MDHHS Other program for eligible program elements. Please note: The MI E-Grants System validates the ELPHS MDHHS Other budgeted funds across the applicable program elements to assure the agreement does exceed the ELPHS — MDHHS Other allocation. O. ELPHS — Food -This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS Food program and has to equal the ELPHS Food allocation. P. ELPHS — Drinkina Water - This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS Drinking Water program and has to equal the ELPHS Drinking Water allocation. Q. ELPHS — On -site Sewage - This section includes all funding projected to be due under Comprehensive Agreement specific to the ELPHS On -site Sewage program and has to equal the ELPHS On -site Sewage allocation. R. MCH Fundina - This section includes all funding projected to be due under Comprehensive Agreement specific to the MCH eligible program elements. Please note: The MI E-Grants System validates the MCH budgeted funds across applicable program elements to assure the agreement does exceed the MCH allocation. S. Local Funds - Other - Enter all local support in the appropriate element, project or service group column. This may include local property tax, and other local revenues (does not include fees). T. Inkind Match — Enter Local Support from donated time or services. U. MDHHS Fixed Unit Rate— Select the type of fee -for -services from the lookup to correspond with the program element. Vill. SPECIAL BUDGET INSTRUCTIONS Certain elements are supported by federal or other categorical program funds for which special budgeting requirements are placed upon grantees and subgrantees. These include: Element Federal or Other Fundina Contractor Public Health Emergency U.S. Department of Health & Human Services, Centers for Preparedness Disease Control WIC U.S. Department of Agriculture, Food & Nutrition Service Family Planning U.S. Department of Health & Human Services, Public Health Service Breast and Cervical U.S. Department of Health & Human Services, Centers for Cancer Disease Control CSHCS Outreach & Michigan Department of Health & Human Services Advocacy Medicaid Outreach Centers for Medicare and Medicaid Services Activities In general, subgrantee budgets must provide sufficient budget detail to support grantee budget requests and be in a format consistent with grantor Contractor requirements. Certain types of costs must receive approval of the federal grantor Contractor and/or the grantee prior to being incurred. A. Public Health Emeraencv Preparedness (PHEP) Special Budaet Requirements Local Health Departments will receive the initial FY 20/21 allocation of the CDC Public Health Emergency Preparedness (PHEP) funds in nine equal prepayments for the period October 1, 2020 through June 30, 2021. LHDs must submit a nine -month budget and a quarterly Financial Status Report (FSR) for each of the following COMPREHENSIVE Local Health Department program elements: 1. Public Health Emergency Preparedness (PHEP) (October 1 — June 30) 2. Public Health Emergency Preparedness (PHEP)— Cities of Readiness (October 1 — June 30) 3. Laboratory Services - Bioterrorism (October 1 — September 30) B. WIC Special Budaet Reauirements 1. Cost/Fundina Cateaories - The following local budget breakdowns are required to fulfill WIC grant application budget requirements each fiscal year: Salaries & Fringe Benefits 10 Automated Management Systems Space Utilization Costs Equipment Supplies Communications & Travel All Other Direct Costs Indirect Costs All Funding Sources by Type The WIC cost/funding categories and supporting budget detail requirements are satisfied by completion of an application budget form in the MI E-Grants System. General instructions for these forms are contained at the end of this section. Agencies receiving WIC -USDA Infrastructure grants must budget these funds as a separate element. Agencies must track and report expenditures separately on the FSR. Agencies receiving WIC -USDA Breastfeeding Peer Counselor funds must budget these funds as a separate element. Agencies must track and report expenditures separately on the FSR. And comply with special reporting requirements. 2. Costs Allowable Oniv With Prior Approval - The following costs are allowable only with prior review/approval of the Michigan Department of Health & Human Services as specified by the U.S. Department of Agriculture, Food and Nutrition Service (Ref.: 7 CFR Part 246, and USDA -WIC Administrative Cost Handbook 3/86). Prior approval is accomplished by providing appropriate detail in the budget request approved by MDHHS or subsequently in a written request approved in writing by MDHHS. A. Automated Information Svstems - which are required by a local Grantees except for those used in general management and payroll, including acquisition of automated data processing hardware or software whether by outright purchase or rental -purchase agreement or other method of acquisition. B. Capital Expenditures of $2,500 or More - such as the cost of facilities, equipment, including medical equipment, other capital assets and any repairs that materially increase the value or useful life of capital assets. C. Management Studies - performed by agencies or departments other than the local Grantee or those performed by outside consultants under contract with the local Grantee. D. Accountina and Auditina Services - performed by private sector firms under professional service contracts for purposes of preparation or audit of program and financial records/reports. E. Other Professional Services -rendered by individuals or organizations, not apart of the local Grantee, such as: 1. Contractual private physician providing certification data. 2. Contractual organization providing laboratory data. 3. Contractual translators and interpreters at the local Grantee level. 11 F. Traininq and Education - provided for employee development, which directly or indirectly benefits the grant program, to the extent that such training is contracted for or involves out -of -service training over extended periods of time. G. Buildino Space and Related Facilities - the cost to buy, lease or rent space in privately or publicly owned buildings for the benefit of the program. H. Non-Frinae Insurance and Indemnification Costs All charges to WIC must be necessary, reasonable, allowable and allocable for the proper and efficient administration of the program. Further information and cost standards are provided in federal instructions including Title 2 CFR, Part 200 and 7 CFR Part 3015. C. Family Planninq Special Budget Requirements Cost/Fundina Cateaories - The following local budget breakdowns are required to fulfill Family Planning grant application budget requirements each fiscal year: Salaries & Wages Fringe Benefits Travel Equipment Supplies Contractual Construction All Other Direct Costs Indirect Costs All Funding Sources by Type The Family Planning cost/funding categories and supporting budget detail requirements are satisfied by completion of an application budget in the MI E-Grants System. General instructions for these forms are contained at the end of this section. 2. Costs Allowable Only With Prior Approval - The following costs are allowable only with prior review/approval of MDHHS. Prior approval is accomplished by providing appropriate detail in the budget request approved by MDHHS or subsequently in a written request approved in writing by MDHHS. A. Alterations and Renovations - to change the interior arrangements or other physical characteristics of existing facilities or installed equipment, to the extent that such changes cost more than $1,000 each. B. Audiovisual Materials and Activities - acquired, produced, presented, or disseminated to the general public. C. Consultant Contracts for General Support Services - including equipment and supplies, that will cost in excess of $25,000 or 10% of the total direct cost budget (whichever is greater). D. Eauipment - including general purpose and special equipment (e.g., air conditioning) costing $5,000 or more per unit. E. Insurance - contributions to a reserve for a self-insurance program. 12 F. Public Information Service Costs — for the cost of providing public information services. G. Publication and Printina Costs - for the cost of publications. H. Capital Expenditures - for land or buildings. I. Indemnification Against Third Parties Costs - insurance against potential liabilities. J. Mass Severance Pav - involving grant -supported personnel. K. Oraanization/Reoraanization Costs - allocable to the program. L. Overtime Premium - involving grant -supported personnel. M. Patient Care Costs — re -budgeting out of or reduction in patient care costs (considered a change in scope). N. Professional Services - in connection with Patent/Copyright Infringement Litigation. O. Trailers or Modular Units — for costs of trailers and modular units. P. Transfers Between Construction and Non -construction -for approved construction funds. O. Transfers Between Indirect and Direct Costs - for amounts awarded for indirect costs to absorb increases in direct costs. R. Transfers for Substantive Programmatic Work - to a third party, by contracting, or any other means used for the actual performance of substantive programmatic work. All charges to Family Planning must be necessary, reasonable, allowable, and allocable, for the proper and efficient administration of the program. Further information and cost standards are provided in federal instructions including 2 CFR, Part 225 (OMB Circular A-87), A-102 Common Rule and 2 CFR, Part 215 (OMB Circular A-110) D. Breast and Cervical Cancer Control Coordination Program Special Budqet Requirements 1. The Breast and Cervical Cancer Control Navigation Program (BCCCNP) budget is to be developed in the following way: BCCCNP Coordination should be used to budget costs associated with coordination of the program in assuring implementation of all minimum program requirements and policies and procedures. Only coordination expenses will be reimbursed through the Comprehensive Agreement. All Direct Service claims, including MTA Navigation Services and Navigation -Only Services, must be billed to the MDHHS Cancer Prevention and Control Section for claim processing. The Local Coordinating Agency (LCA) and/or direct service providers with contracts or letters of agreement with the LCA will be responsible for billing Direct Service claims to the MDHHS Cancer Prevention and Control Section. No Direct Services or MTA Navigation or Navigation -Only Service expenses will be reimbursed through the Comprehensive Agreement. 13 The Coordination amount $200 per woman based on a target caseload established by MDHHS. There is no longer a match requirement. Match is recorded by the program and reported to MDHHS. For specific billing requirements refer to the most recent BCCCNP Billing Manual. For specific program requirements, including current fiscal year Direct Service Reimbursement Rates and documentation related to the match requirement, refer to the current fiscal year Special Budgeting and Other Program Instructions for the BCCCNP issued in August of each fiscal year. The above referenced documents are available at www.michiaancancer.ora/BCCCNP. 2. The Well -Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) budget is to be developed in the following way: WISEWOMAN Coordination and Screening should be used to budget costs associated with coordination of the program and delivery of the initial screening and risk reduction counseling to WISEWOMAN participants. This includes administration and interpretation of health risk instrument, WISEWOMAN screening services (height, weight, body mass index, 2 blood pressure readings, total cholesterol, HDL cholesterol, and glucose or Al C), and delivery of risk reduction counseling. All Direct Service claims must be billed to the MDHHS Cancer Prevention and Control Section for claim processing. The Local Coordinating Agency (LCA) and/or direct service providers with contracts or letters of agreements with the LCA will be responsible for billing Direct Service claims to the MDHHS Cancer Prevention and Control Section. This includes follow-up fasting lipid panel, fasting glucose, Al c, and one diagnostic exam. No Direct Services expenses will be reimbursed through the Comprehensive Agreement. The Coordination and Screening amount is $200 per woman based on a target caseload established by MDHHS. Performance reimbursement will be based upon the understanding that a certain level of performance (measured by outputs) must be met. There is a 95% caseload performance requirement for this project. For specific billing requirements refer to the most recent Billing Manual. For specific program requirements, including current fiscal year Direct Service Reimbursement rates and documentation related to the match requirement, refer to the current fiscal year Special Budgeting and other Program instructions for the WISEWOMAN Program issued in August of each fiscal year. The above referenced documents are available at www.michigan.gov/cancer. 14 E. Children's Special Health Care Services (CSHCS) Outreach and Advocacv - The program element, titled CSHCS Outreach and Advocacy should be used to budget costs associated with this program. I. Proaram Budqet - Online Detail Budaet Application Entev, Complete the appropriate budget forms contained within the MI E-Grants System for each program element. An example of this form is attached (see Attachment 1 for reference). Salary and Waqes - a. Position Description - Select from the expenditure row look -up all position titles or job descriptions required to staff the program. If the position is missing from the list, please use Other and type in the position in the drop -down field provided. b. Positions Required - Enter the number of positions required for the program corresponding to the specific position title or description. This entry may be expressed as a decimal (e.g., Full -Time Equivalent — FTE) when necessary. If other than a full-time position is budgeted, it is necessary to have a basis in terms of time reports to support time charged to the program. c. Amount— The MI E-Grants System calculates the salary for the position required and records it on the Budget Detail. Enter this amount in the Amount column. d. Total Salary —The MI E-Grants System totals the amount of all positions required and records it on the Budget Summary. e. Notes - Enter any explanatory information that is necessary for the position description. Include an explanation of the computation of Total Salary in those instances when the computation is not straightforward (i.e., if the employee is limited term and/or does not receive fringe benefits). 2. Frinae Benefits — Select from the expenditure row look -up applicable fringe benefits for staff working in this program. Enter the percentage for each. The MI E-Grants system updates the total amount for salary and wages in the unit field and calculates the fringe benefit amount. If the "Composite Rate" fringe benefit item is selected from the expenditure row look up, record the applicable fringe benefit items (i.e. FICA, Life insurance, etc.) in the "Notes" tab. 3. Eauioment- Enter a description of the equipment being purchased (including number of units and the unit value), the total by type of equipment and total of all equipment purchases. 4. Contractual - Specify subcontractor(s)/subrecipient(s) working on this program, including the subcontractor's/subrecipient's address, amount by subcontractor/subrecipient and total of all subcontractor(s)/subrecipient(s). Multiple small subcontracts can be grouped (e.g., various worksite subcontracts). S. Sunolies and Materials - Enter amount by category. A description is required if the budget category exceeds 10% of total expenditures. 6. Travel - Enter amount by category. A description is required if the budget category exceeds 10% of total expenditures. 7. Communication - Enter amount by category. A description is required if the 15 budget category exceeds 10% of total expenditures. 8. County -City Central Services -Enter amount by category and total for all categories. 9. Space Costs - Enter amount by category and total for all categories. 10. Other Expenses - Enter amount by category and total for all categories. A description is required if the budget category exceeds 10% of total expenditures. 11. Indirect Cost Calculation - Enter the base(s), rate(s) and amount(s). 12. Other Cost Distributions - Enter a description of the cost, percent distributed to this program and the amount distributed. 13. Total Exo. - MI E-grants totals the amount of all positions required and records it on the Budget Summary. F. Program Budget -Cost Detail Schedule Preparation B1 Attachment B1-Proaram Budaet Summary faceaheet CerinleeLMa I Bunter I Lllacellan Index eQq X Cla se J F Gfi Validate _= ilDirlCopy 65how TYee (�)tIJ Budget Summary alit W ..uJll. DIRECT EXPEN SEA Program Expenses jl Svury & Wapo^ 83,J1_9.001 83,41900111 000 OOD Pon, Benefit 1— 34,20200 34.20200I'1 _ _ 00n DOD DeP EXp fOr l:gulp ,i E3f Snppliee and ldatwials ', 23,27500'li 23,275001 000: BOB ravel 3,340.00 i1 3,34000I one DOD Communlcaimn ! ].262.00, 7,2620011 000„ DOD 0 County rrty Central Serv¢ne p S ace Costs F I '- - -- 10.131001 10,131 00' - -- -------0001, 000 l3 Ali Others m IO gees Mlsd _ _ 3,09400 000 000i 0 TruelProgmm Expenses ifi5523 O0,1 165,52300 000,I 000 TOTALDIRECT EXPENSES t6552306 165,523.00 000'11 000j DIRECT Indirect Costs P IdirecCObt6os 49 y05,00 29,J05.00' 0 00 Outer Us, Distortions 1685 00 1685.001 en DDo1 Tend Indirect Costs 1 3109000I 310900O1 I TOTAL INDIRECT EXPENSES _ 3109000J _ 31000001 0001 1 0oo TOTAL EXPENDITURES 196,61300t 196,61300II OOD,!I O.D01' - 16 Source of Funds Agency ABC Health Department PMQIOD Comprehensn'e Agreearenl-FY 20M APPIlcallod Family Planning Services BAMPLE Sirow Danimcato Fucexheat ' co"Ifiatlens I Budget r,118calleneaus Index rx Clusp, l Sere OSavao ©Validate 1-1�,�— POP Copy GS'haw Trea� �)(r) Source of Funds ——�TOTAL"PENLIFURES 196,61300'' 0001 0.0011 196,61300' — i 'Source of Funds Fees and Colledions -l st and 2nd Party GOO OOOI 000I 000 0 > IF6es and Colledens - aid Party nor, 66,00000, i OOOI 66,00000',i Q I J Federal or Sere (Nod HDCHI 000'I 000I 0.00111 0.00 0 Y Federai Cost Based Reimbursement DOD 1good D %! OOD 19,DOD no: O Fedetally Provided Corneas 0001 0GO! 0.0011 DOG, Federal Medicaid Outreach Duo 000; agoi 0GO' Regn1fed Mslch-Lolled 000;', G00I CGOl OOu; Q ILOCD Han-ELPHS 0.00 0.00'„ aDo ON, Q _ Local Non-ELPHS 000 000; GOO ago Older Ham ELPHS Goal 0001 000, 000 i,I)CM Had Oamprahansira pp0 ODD;! D00 09D Y I.IDCH Comprehensive 66,01300I 000I 000; 66,01300 ELPHS-MDCH Hearing _ Don' a00 OOO 000 Q ELPHS-MDCH Vision aDo Dog OOO 000, ELPHS-MDCH Other _ aW0 ONOOG 0.00,E I� ELPHS - Food 000 000'I O,GO, 0,001 ELPHS- OrinYing Water _ 0Do! 000 006 ON ELPHS-On-Site Sewage 000 aad ON i coo ACH Funding 006 0OU 006 aD0' Y 'iLOcal Funds - Other li ano j 44.0000D„ 000 441B0000 I lnFmd Llalch 0.00 OOO,I _ a00 0do l I,fOCH Fixed Unit Bate 0 17 B2 Attachment 62-Program Budget Cost Detail it"r L1 Agency All Health Department Program. Cpmprellensrve Agreement-FV 20M A11llca110I FanNly Planning Services DAMPLE -SM1vu OOaanents I Fdeesheot eodl"repous Budget Miscellaneous Index x Close [Is save In c9 vunaem y�POF �[j coax �L snow Tree (r)(!) Budget Detail Category !Program Expense. - Salery&Wages Type E+pendilure Classiflcatlon SEE. ''i Sub Type I,Dired Neaalbe' IOstwEllons se@tl No posebn des[npoun tlenldy Me guenllly en FlEd WEM16 the role ns evernge cost per FlE ❑ Y Flufso Pooditip0er Io'I 01911 91 ODD coo FTE U 17,290.00'i 11290001 100Doc I:J ❑ >" I Public Health llufse I 04611 34032430 FTE ❑, 16,069,00''1 16,069 DOI 000 000 �a - -- COU--NIn-a-ior 510360-0-0-TE I ❑ 20,92500 000 000 Y�7 ----- ----- -041'j, ,2092500',- ❑ 0CerY ❑ I 10926729240 ❑29,13500' 20,13500'�, —Y I8Seset el Save IUVelldatel1 411 ., PPDF L1diCoPr I: Show Tree. ![)(fl Budget DetaO rCategory iPreglam Expenses- Cap Exp to Elul, ii Type Evpendlture Classification$eq. '1 SO TIRE, Bond_NartailVe Ul _ Intepo.pe. 'Equipment on degree eatheCosf of a ingle Xem Valved ofc5400 or rtmrt end v on a MENI life of., than one der CsntsanouNluclud0hilbmendem• appll[abe expensbe 'h as reasosmet., nelflioseenfees etcitems emW9 es"Ma 36coo Steps be entemdlnts the suppllee nod Materials hon r_. ❑ I Si I � I _ - -- --- ❑ I of I �s.7 I e Sorel aSava^ dyaBaata J'.""' :POF 4j]LopY Esnew Trea CI)(�) Budget Detml ._ Category Program Expenses Conhactual TJDs Expendllure Chasiflcallon Seq,. 1 Sub Type. Dil ilarraflve. In511UG11gn9' IlConim[Iual refers to sewntlary fedpknl osAenrzetpns only Pbsea enter lAa conleG m(ormetb0 CavuXanis and euppoitln9 bervlrs aubdonlmCls should be hudgetd unferilre other expense knit "'li' JIIWYW V YdY,"Ys n e save e5aeac I•-�Jvab data cl� Bsnow nae1�11i) Budget Detail _ Category Program Expenses- Supplies and ldatenate !rya E.pendgure Crawl .Ilpn Sea' '11 Level C1 Line Co Category _ Sub Type 'IDaed i Narrattva F9 nsinitl ons ,nerve met epnuenn men sso6A i n dEl YW Elrinlln9 - -- - - - ',�, 100011' P t000o'„ 000, 000 F) ❑ > rPoslage 'I] 70000 700 Ob I coo ', 0.00 F.7 &Save &Sire: dValYtlata 61 �PDP �. COPY LSM1Uw Tree 1[)lli Budget Dafail- Category: Program Expanses -Travel Type. Evpenddure Ctasslflioulon Sep 11 Level' e>LInellam'lCstegop' Sub T>pe' IDlrect Narrative: InslruNons. '� .�. �' 1 • ❑ N M1llleagp '❑1 3000001 IIO, 3,00000 000'1 Fl - ❑ >' congroenets - 34000i 340b0 000" 000, F.1 18 Fes-- eSOeva ` Fdl Validate O 0POF Budget Detail Camoory: Program Expenses - Communication Type Expenditure Claae'll'A nSep. 1 Level ci Line Its ICafegdD Sub Type, 'Direct ldarmllve Instructionsfy. ❑ 6200i 72],28200I 000I, 000 !phone. and IT lines-______-_____-_--_ - - - - lesavel eSaveC IiiValidson Ill' 101,13IF I iU Copy Ili Show Tree) (1)111 Budget Detail Category Program Expenses - County -City Central SeMces Type Expemdllurs Classior.tlon Spot '1 Level (1 Line Item O CotteaN Sub Type 'Chad Nxhaln'e Instrudions - - - - - VWI� �I��i� 1" "" • '•' -' "' - ' '-' - - '-' IY44WYiITiG;IIPiI MkVIC' lyi El e Sare� 10sare< 10 Validate I 61, io PPOF b%CopY I@show Treat 19(I) Budget Detail CategoryProgram Expenses - Space Costs Type' Expenditure ClasslfcaOun Sag 1 Level: r)Um, Item OOatsgory Sub Type Died Ilarmwe Instructions' ❑ Y IRant (�' 6,923001 6,92300', 000 aDoi QJ _ ❑ X IOlher _-_ -__ _ - _ I81 2,600001 2,500001 000 0 o� LyJ IOSera esevas SpPDF Bacupy hSon., p (1, 1) Budget Detail Category , Program Expenses- All Others(ADP, Con Employees, idisc, Lpa. Expemdllure Classification See. 1 Level. Line dam r l Category Sub Type: Direct flans.. Instructions: i ' .. . ❑ N ISuppomng Services .. i� _ 2,27900' 2,27900 a 00: 0.00', 1.}7 _ _ _ _ - _ ❑ >' Lah Fees �i- 30000 �� 300 U0' 000, 000� LJ _ _—__— ri Y Inmw anti no! In vrm no pan ano' esare I e5aree dVa lldata IIQ' JOPmr l Copy dShow Trce (!)(!1 Budget Detail Categom Indirect Costs -Indirect Coals Type Expenditure Cheelficangn See. 13 Sub Type: Indirect Ilarrallve 0 JnetNdonS 111 L ❑� rlscal Year Rate 2E0o011176210 29,405.001 29,40500: 000 oo0'Y�'S El esare es E1 Volidate 6L� PEE, t�COPy EShpw Tree �){�) Butlget Detail Category: Indirect Costs- Other Costs Dlsithookus Type. Expenditure l Class0caton Seg., '3 Sub Type Indirect ItIbusve, 0 II15IN[ltOne' - 1 ElYlursing Aam DlstrlbWon BI 1,66500I 1+6 65.0 0 009 00o LyJ __—_— n �.1 L" 19 G. Medicaid Outreach Activities Reimbursement Procedures Medicaid Outreach Activities that are funded by local dollars and meet federal requirements are eligible for reimbursement at a 50% federal administrative match rate. Local Health Departments must maintain proper documentation of the activities performed and those activities must conform with the activities outlined in MSA Bulletin 05-29. Medicaid Outreach Activities funding is a subrecipient relationship. Budqet Preparation A. Medicaid Outreach Activities Complete the MI E-Grants application and budget forms for the application Medicaid Outreach Activities that occur during the fiscal year: 10/1-09/30. Reimbursable activities included in the budget must conform to the requirements as specified in the MSA Bulletin 05- 29. Complete the MI E-Grants application and budget forms for this program. 1. Expenditure Cateoory Tab Enter the expenditures budgeted for the fiscal year: 10/01-09/30. Expenses budgeted for each of the listed expenditure categories are allowable and must be specific to the Medicaid program as described in MSA Bulletin 05-29. Outreach activities must not be part of direct service. Expenditures must be reflected in the cost allocation plan. 2. Source of Funds Tab Budget the amount expected from the federal government for allowable Medicaid Outreach Activities. Federal Medicaid Outreach represents the anticipated 50% federal administrative match of local contributions. Budget the local contribution. Required Match - Local represents the 50% matching local contribution for Medicaid Outreach activities. These two amounts must match 3. Sources of Local Funds Tvoes Local Health Departments may utilize their county appropriation, any earned income, funds received from local or private foundations, local contributors or donators, and from other non-state/non-federal grant agreements that are specific to Medicaid outreach or are to be used at the discretion of the Health Department as a source for matching funds. Other state and/or federal grant awards for Medicaid Outreach must be recorded on the appropriate line as indicated in the Comprehensive Budget Instructions -Attachment I. B. Nurse -Family Partnership Outreach (applicable only for Berrien, Calhoun, Ingham, Kalamazoo, Kent, Oakland, and Saginaw) ^0 Complete the MI E-Grants application and budget forms for the application titled Nurse -Family Partnership Medicaid Outreach for the timeframe: 10/01-09/30. Complete the MI E-Grants application and budget forms for this program. Expenditures related to Nurse -Family Partnership Medicaid Outreach should be reflected under one program element and adhere to Section VIII, Special Budget Instructions section found in the Comprehensive Budget Instructions - Attachment I. The budget should reflect the entire fiscal year period: 10/1-09/30. 1. Federal Medicaid Outreach Fifty percent (50%) of local funds after the percentage of Medicaid clients enrolled in the LHD Nurse -Family Partnership program has been applied. The formula for calculating the federal funding is as follows: Federal funding = (Local funds x % of Medicaid Participation Rate) x 50% Federal Administrative Match rate) 2. Reauired Match - Local Represents the 50% match of local contributions. Budget the local match contribution in Required Match — Local. Federal Medicaid Outreach and Required Match — Local must equal each other. Additional local contribution related to service provision for non - Medicaid eligible participants which are not eligible for the 50% federal match should be reported in Local Funds — Other. 3. Sources of Local Fund Tvpes Local Health Departments may utilize their county appropriation, funds received from local or private foundations, local contributors or donators, and from other non-state/non- federal grant agreements that are specific to Medicaid Outreach or are to be used at the discretion of the Health Department as a source for matching funds. C. CSHCS Medicaid Outreach Complete the MI E-Grants application and budget forms for the application titled CSHCS Medicaid Outreach for the timeframe: 10/01-09/30. Expenditures related to CSHCS Medicaid Outreach should be reflected under one program element and adhere to Section IV, Special Instruction Section found in the Comprehensive Budget Instructions - Attachment I. The budget should reflect the entire fiscal year period: 10/1- 09/30. 1. Federal Medicaid Outreach 21 Fifty percent (50%) of local funds after the percentage of Medicaid clients enrolled in the LHD CSHCS program has been applied. A table containing each health jurisdiction Medicaid Participation Rate is located in the MI E-Grants site. The formula for calculating the federal funding is as follows: Federal funding = (Local funds x % of Medicaid Participation Rate) x 50% Federal Administrative Match rate) 2. Reauired Match - Local Represents the 50% match of local contributions. Budget the local match contribution. Federal Medicaid Outreach and Required Match — Local must equal each other. Additional local contribution that is not eligible for the 50% federal match should be reported on the Local Funds — Other line. 3. Sources of Local Fund Tvoes Local Health Departments may utilize their county appropriation, funds received from local or private foundations, local contributors or donators, and from other non-state/non-federal grant agreements that are specific to Medicaid Outreach or are to be used at the discretion of the health department as a source for matching funds to be used at the discretion of the health department as a source for matching funds. 4. Comprehensive CSHCS Outreach and Advocacv and Case Manaaement/Care Coordination Funds Should be reported in a separate program element. D. Indirect Costs There are three (3) options for indirect costs. They are: 1. an approved federal or state indirect rate 2. a 10% de minimis rate; or 3. a cost allocation/distribution plan Most Health Departments will use the cost allocation plan for indirect costs. For further detail, go to VI. Form Preparation, L. Indirect Cost, on page 5 of this document. E. Cost Allocation Certification The Cost Allocation Certification remains on file with the Department until there is a change in the Cost Allocation Plan. When the cost allocation plan on file with the program (MDHHS-Medicaid- Outreach), the local health department must: 1) submit a copy of the revised cost allocation plan with the budget request; and 2) complete a revised cost allocation methodology certification. Both documents are to be attached to a Detailed Budget line in EGrAMS. 22 If. Financial Status Report (FSR) — LHDs seeking 50% federal administrative match must request reimbursement by submitting their actual expenses for allowable Medicaid Outreach activities on their quarterly FSRs through MI E-Grants. A. Quarterly and Final FSR LHDs must reflect the actual Medicaid Outreach expenses incurred on the quarterly and final FSR. Actual expenses incurred must be specific to Medicaid Outreach as defined by the MSA Bulletin 05-29 and not part of a direct service. All expenses should be supported by an approved methodology and appropriate support documentation. Federal Medicaid Outreach Should be used to request the 50% federal administrative match for Medicaid Outreach. Required Match - Local Should be used to report the local match for Medicaid Outreach, both the federal and local amounts must match. Source of Funds Cateaory Other source of funds that are non -reimbursable for Medicaid Outreach (i.e., other federal grants, other MDHHS grants, etc.) should be reported on the appropriate line has indicated in the Comprehensive Budget Instructions - Attachment I (e.g., Local non-ELPHS or Local Funds — Other). Total Source of Funds must equal Total Expenditures. B. Nurse-Familv Partnership Medicaid Outreach — Quarterly and Final FSRs For Quarters 1-3, LHDs must reflect the actual Medicaid Outreach expenses incurred in a separate program element titled Medicaid Outreach. Actual expenses incurred for each of the listed expenditure categories are allowable but must be specific to Medicaid Outreach as defined by MSA Bulletin 05-29 and not part of a direct service. Expenses should be supported by a time study or other federally approved methodology. 1. Federal Medicaid Outreach Should be used to request the 50% federal administrative match. Match is determined by multiplying local contribution for the program by the percentage of Medicaid enrollees. This product is then multiplied by 50% in order to determine the eligible federal administrative match. 2. Required Match - Local 23 Should be used to report the remaining portion of the local contribution for the Medicaid Outreach Match. Both lines should equal. Additional local contribution related to service provision for non -Medicaid eligible participants which are not eligible for the 50% federal match should be reported in Local Funds - Other. 3. Source of Funds Cateaory Other source of funds that are non -reimbursable for Medicaid Outreach (i.e., other federal grants, other MDHHS grants, etc.) should be reported on the appropriate line has indicated in the Comprehensive Budget Instructions - Attachment I (e.g., Local non-ELPHS or Local Funds — Other). C. CSHCS Medicaid Outreach — Final FSR CSHCS Medicaid Outreach billing may occur before the final FSR through the MI E-Grants system after Comprehensive Agreement CSHCS Outreach and Advocacy funds have been fully expended. Local contributions eligible for the Medicaid Outreach match should be cost distributed to the CSHCS Medicaid Outreach program element from the CSHCS Outreach and Advocacy program element and reported as indicated below. 1. Federal Medicaid Outreach Should be used to request the 50% federal administrative match. Match is determined by multiplying local contribution for the program by the percentage of Medicaid enrollees. This product is then multiplied by 50% in order to determine the eligible federal administrative match. 2. Reauired Match - Local Should be used to report the remaining portion of the local contribution for the Medicaid Outreach Match. Additional local contribution that is not eligible for the 50% federal match should be reported in Local Funds - Other. 3. Source of Funds Cateaory Other source of funds that are non -reimbursable for Medicaid Outreach (i.e., other federal grants, other MDHHS grants, etc.) should be reported on the appropriate line has indicated in the Comprehensive Budget Instructions - Attachment I. 4. Comprehensive CSHCS Outreach and Advocacv and Care Coordination Should be billed as separate program element. III. Comprehensive Local Health Department Agreement Obligation Report— filed in September. 24 The Obligation report is used to estimate the payable amount due to Local Health Departments from MDHHS for each program element. A. In the Estimate Column, enter the maximum projected federal administrative match earnings for allowable Medicaid Outreach Activities to be earned from Medicaid Outreach on the Federal Medicaid Outreach row. B. In the Estimate Column, enter the maximum projected federal administrative match earnings for allowable Medicaid Outreach activities to be earned from CSHSC — Medicaid Outreach. This should reflect the local contribution multiplied by the Medicaid enrollment participation rate x 50% federal match rate. C. In the Estimate Column, enter the maximum projected federal administrative match earnings for allowable Medicaid Outreach activities to be earned from Nurse Family Partnership Outreach. This should reflect the local contribution multiplied by the Medicaid enrollment participation rate x 50% federal match rate. Note: CSHCS Outreach and Advocacy and CSHCS Care Coordination activities funded through the Comprehensive Agreement are recorded as separate program element. H. Michigan Colorectal Cancer Screening Program — The Michigan Colorectal Cancer Early Detection program (MCRCEDP) budget is to be developed in the following ways: This budget is intended to cover all staffing and coordination for the program. All allowable expenses will be reimbursed through the Local Health Department Agreement. • All direct service claims must be billed through the MDHHS Cancer Prevention and Control Section. The LHD and/or direct service providers with contracts or letters of agreement with the LHD will be responsible for billing. The staffing, coordination and direct service total amount is $255 per woman or man based on a target caseload established by MDHHS. Performance reimbursement will be based upon the understanding that a certain level of performance (measured by outputs) must be met. There is a 90% performance requirement for this program. The performance target output measure is the number of women and men that complete a screening test for colorectal cancer. For specific program requirements, including current direct service reimbursement rates and other documentation refer to the most current MCRCEDP manual. 15 4bjeet Class CategoryfEmpenses Allowable Allowable allowable, Allowable Allowable Allowable with _ 1 Allowable with 317 with VFC with VPC with with Pan tiRC Distribution. w PPIiR ?^. operations operation ordering VPCl.AM Ells funds fonds fonds funds -' cfunds , funds funds - --- {whereappCteahle) i VTC-eniv gilt ViSiL� J -; J J ✓ ? ATIX-on9'V Site visl ✓ ✓ ✓ Comb:ncd {AFIX & VFC she visits), ✓ � I ✓ Perinatal hospital record reviews ✓ '- � Equipment* Tax machinasfor vaccireordering J � J i ✓ V'accins storage equip meet f,)r VFC ✓ ✓ ✓ fr ✓ l i:ixrr;F.un;;2rindei: t; Vaccirle Copy machines J ✓ ✓ _ _ - ! . ✓ #Egzdpmerf. anariicleof'targilzle Honea7xtzd3b[a pex-sromrl property Itavtng 1 UsefidRIM gtmare tr;mtone ,tarand mt I � acquisnion oast of $5.000 or more par tanit If cost is below this threshold =oanf item ma;, he inch ded itz Sttpplies. Supplies— V'accinr administration sapplics (inctudinV but not limivad n, naval pharyngeal swabs, syring s for ✓ j ✓ emu--.cncy vaccination cl-Mics) Office supplies-carmpuler;_ general oftick (pens, pzgxr, paper claps, etc.), ink ✓ ✓ ✓ ✓ o' ✓ ✓ cartridges, calcula¢ars j 1 ersonal computers t Laptoc>s J Table ✓ ✓ ✓ J ✓ ✓ ✓ i Pink Books, Red: Books,l'eIlovi Books-- Frrler.- ( ✓ ✓ J J J ✓ Secrion I—Tb- Rosics p,�2 r� m Object Class Categorclf apenses . _-><Ilovrabit with 317 . � operations funds Laboratory supplies (influenza cultures and PCRs. cuintres and rno e ular, lab ✓ media serot -pin l Digital data logger with valid cerftcate ! ✓ of calibrationivalidetionrtesting report Vaccine shdpptn_ supplies storage ✓ contaircrs, i;e packs, bubble wrap, etc.) Contractual Stateitocal confcrencts exxnscs (conference site, materials pr'snting, hotel w' accryrlmodations exp,•-nses, speaker fees) ; Food cast is not ai.'owm^le. Re'gianallLoeal mcefings ✓ General contractual scrNices te.g., iAPs, local hcait}t depar rents, can,rectual Allowable Allowable Allowable Allowable Allowable with Allowable . with IIFC withVFC with ' withisao VFCDisstribution with PPff operation ordering FFCI4FIK Flu funds funds funds sfunds funds _ I funds ('11*ereaPP40461-0 stall; advisory coruniffee media. ✓ ✓ i proz'idar trainio;si I GSA Cortiactuai seivioes (CDC ✓ ✓ tnanagedj Other HS contractual agreemcnts / ✓ (su2ncrt enhancemcati, t:pes) � I Financial Assislance (FA) `:onCDC Contract vaccines 317 vaccine funds must be mquested in fundinga appFcav,on feGrATISY unde<317 FA tacmnes ✓ i I ✓ j ✓ d !r��aaPe�re>s -rnottzfl I 9 16. Gf116 Sectinn I —The Basic& 1'-235 iPQli 2017 I Object Class Categom(Expeam 9 i Allowable Allowable 1 Aftivable, v ith 317 vi with NIFE with VF-`C operations operatl6n j ordering funds s rands funds Indirect Indirect cov, V Mis".1laneous Aeczunting services Ad-vertising (=-trictcd to recruitment of staf or m7liecs, procurement of goods and services, disposal of 5Cr&-,l OZ VrPIUS3 Materials) Audit Fees BRFSS Survey ✓ Conm,'uee meetings (ruvra rtntaL equipment rentW- ete.) Cern-nunication (clectrun."C"Carr.puter tmn SmJt',al' messerize, postage. local and lona- distance telrpbon6 Censumer infonnation acjtiifics COMMerf provider boa-d participation (travel refirbuTsement) Data pracessinu Laboratory- services (..esm conducted for Local service delivery activities ✓ Maintenarict operstion"Ttpairs Malpractice h8uranct M cnibersb i r, s.,s ub -zm'p, tion NIS Oycrsampling V Pa2.:en,VorlJ Phones Printing of vamkx accounta'DiDN forms 9,-1 6/2016 Allowable i Allowable j Allowable with Allowable with i with Pan VF)C Mstribirdou. WifILPPHY V7PC(AFIx f Fin knils thuds funds funds (Wltaeapplwmw P. ✓ ✓ Section I —The Basics m24 1POM 20 17 Object Class Category./Expenses ,allowable Allowable Allowable Allowable Allowable 1 Aliowablewith A lowvable with 317 frith VFC ,with VTC with " with Pan - VWDistribution with PP13F operations, operation_ _; ordering VFCI,4KX "Fin i'nnds i {Wads funds funds s funds funds funds " ° ; (WIff7e applicable) Professional service costs directly related f to Immunization activities :imited term s'aaft`i, Attomr y Ctenerae Office senlice; ; Public relations ✓ _.— Publicatior/Urmting costs (all caner immurization related Publication and ✓ prirting expenscs) _- Rent (r: quires explanation ofwhy rlicse r costs are not included in,ha indirect cost ✓ n•c:a� e srsxitu nn j�:frg! ✓ rate aerccmcnt or cast allocation plan) Shipping for materials (ciher than ✓ ✓ J Sh:pp+try (4'ai:CirDe} Sefware licenm'Renewals (ORACLE, ✓ etc.) Stipend Rcimburscmcrts V { ' F.11-j�= phone lines for vaccine 'j `f '1 order;n Training costs ® StatelN ide, staff, providers '1'r� isJations (transiatinQ materials) 1 ✓ %F4hicte lease (restricted to awardees v&th policies that prohibit local travel ✓ f reimbkusement) VFC enrollment materials VFC provider feedback survey's % � ✓ VIS camer'- Nady e!opie's _- _ r -- gi l E201 G Section I-I'he Basics p,'-a TOM _017 ti IJon-Allowable Expenses with Federal Immunization Funds Expense -- --- -- _-- N(YF allowable with fetlerni iammulaization funds Honnmria ✓ Advertising costs (r.g., vaJ ,fmxifwv,, dty:dgt'.e, mvidbilr„ nuwti)lfgs, ✓ rnclrrarnhilda, �;i)fr, saurs�nira'f -_ ___.___._. .. f1lfAllT©11C blv4r•a CS _.. ._ _ _..._— . _ � .. _.__ _ _ Building purclu ses„ con%truafon, capital iaiTprovernentS a Land norcbases t.tgistutivedlobbVing activitioN ✓ Devi vciat ion onwx char,geS I�a ve - - Keseirctt- - - l ✓ k tmaclraisitug � d' lntom-sl on loans for Ilto Ekcquisitiuti and/or rnodorrn'Latir3n of ✓ f .tat existing, building, I Clinical t nro rYPnV 11iP)JPfd ft= fin/J .YPPVtC[.Pf k'Wertainnacnt -- - ---- --- — tftiyment of bad debt r --------------- - - ---- - ---- - - Dry - - --- -- verhicloPurch"'e Nomotional andior Incentivc ia'latcriaN (e,g„f im!?urr, afrnoung ana I ✓ L'UIINJICVHUr'iffllM hernsC]rOT us, pens, PNPf}Sriyd2j.A5,�LPdid('P'd!,rUdlLb', ttlrta'u°ta.1', fUn%"')effov bm'st III P urebasc of food jitidem Part afrearth ed 1PYd W mr td1C'Jr! ('L'va) ✓ C1tbet restrictions whiub musl lie lJaken into accaitant while writing Phu laudget; • 1'urpcls Intt}' E,c slseaTt (snRy ll.,r )lctivitics .tnd pers(uuTc;l aa,,ts tlTaat acre ciia'ectty retntual to the Im multir.ation and Vaccines for Children Uoriperative Agreement. Funding requests not directly r0ated to iaatnmtni7,ation nctiv'itics nre outside the scope of flak, Cooperative agvrentetat I's ograna and will nol bu funded. • Pre -award oasts will not bu reianbua se(i. 'ki 161f 2016 Section I —The Basics p.26 LPO I2017 30 ATTACHMENT III MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES LOCAL HEALTH DEPARTMENT AGREEMENT October 1, 2020 — September 30, 2021 Fiscal Year 2021 PROGRAM SPECIFIC ASSURANCES AND REQUIREMENTS, Local health service program elements funded under this agreement will be administered by the Grantee and the Department in accordance with the Public Health Code (P.A. 368 of 1978, as amended), rules promulgated under the Code, minimum program requirements and all other applicable Federal, State and Local laws, rules and regulations. These requirements are fulfilled through the following approach: A. Development and issuance of minimum program requirements, further describing the objective criteria for meeting requirements of law, rule, regulation, or professionally accepted methods or practices for the purpose of ensuring the quality, availability and effectiveness of services and activities. B. Utilization of a Minimum Reporting Requirements Notebook listing specific reporting formats, source documentation, timeframes and utilization needs for required local data compilation and transmission on program elements funded under this agreement. C. Utilization of annual program and budget instructions describing special program performance and funding policies and requirements unique to each State fiscal year. D. Execution of an agreement setting forth the basic terms and conditions for administration and local service delivery of the program elements. E. Emphasis and reliance upon service definitions, minimum program requirements, local budgets and projected output measures reports, State/local agreements, and periodic department on -site program management evaluation and audits, while minimizing local program plan detail beyond that needed for input on the State budget process. Many program specific assurances and other requirements are defined within the referenced documents including Minimum Program Requirements established for the following program elements as of October 1, 2006: 1. Breast and Cervical Cancer Control 2. Clinical Laboratory 3. CSHCS 4. EGLE Drinking Water and Onsite Wastewater Management 5. Family Planning 6. Food ELPHS 7. Hearing ELPHS 8. HIV/STD Prevention Treatment 9. MDHHS Essential Local Public Health Services (ELPHS) 10. Michigan Care Improvement Registry 11. Vision ELPHS 12. WIC For Fiscal Year 2021, special requirements are applicable for the remaining program elements listed in the attached pages. Attachment IV Reimbursement Chart Program Element: The Program Element indicates currently funded Department programs that are included in the Comprehensive Local Health Department Agreement, Reimbursement Methods The Reimbursement Methods specifies the type of method used for each of the program element/funding sources. Funding under the Comprehensive Local Health Department Agreement can generally be grouped under four (4) different methods of reimbursement. These methods are defined as follows: Performance Reimbursement A reimbursement method by which local agencies are reimbursed based upon the understanding that a certain level of performance (measured by outputs) must be met in order to receive full reimbursement of costs (net of program income and other earmarked sources) up to the contracted amount of state funds prior to any utilization of local funds. Performance targets are negotiated startina from the last year's negotiated target and the most recent year's actual numbers except for programs in which caseload targets are directly tied to funding formulas/annual allocations. Other considerations in setting performance targets include changes in state allocations from past years, local fiscal and programmatic factors requiring adjustment of caseloads, etc. Once total performance targets are negotiated, a minimum state funded performance target percentage is applied (typically 90% unless otherwise specified). If local Grantee actual performance falls short of the expectation by a factor greater than the allowed minimum performance percentage, the state maximum allocation for cost reimbursement will be reduced equivalent to actual performance in relation to the minimum performance. Fixed Unit Rate Reimbursement A reimbursement method by which local health departments are reimbursed a specific amount for each output actually delivered and reported. ELPHS A reimbursement method by which local health departments are reimbursed a share of reasonable and allowable costs incurred for required Essential Local Public Health Services (ELPHS), as noted in the current Appropriations Act. Grant Reimbursement A reimbursement method by which local health departments are reimbursed based upon the understanding that State dollars will be paid up to total costs in relation to the State's share of the total costs and up to the total state allocation as agreed to in the approved budget. This reimbursement approach is not directly dependent upon whether a specified level of performance is met by the local health department. Department funding under this reimbursement method is allocable and a source before any local funding requirements unless a special local match condition exists. Performance Level If Applicable The Performance Level column specifies the minimum state funded performance target percentage for all program elements/funding sources utilizing the performance reimbursement method (see above). If the program elements/funding source utilizes a reimbursement method other than performance or if a target is not specified, N/A (not available) appears in the space provided. Performance Target Output Measures Performance Target Output Measure column specifies the output indicator that is applicable for the program elements/ funding source utilizing the performance reimbursement method. Output measures are based upon counts of services delivered. Relationship Designation The Subrecipient, Contractor, or Recipient Designation column identifies the type of relationship that exists between the Department and grantee on a program -by -program basis. Federal awards expended as a subrecipient are subject to audit or other requirements of Title 2 Code of Federal Regulations (CFR). Payments made to or received as a Contractor are not considered Federal awards and are, therefore, not subject to such requirements. Subrecipient A subrecipient is a non -Federal entity that expends Federal awards received from a pass -through entity to carry out a Federal program, but does not include an individual that is a beneficiary of such a program; or is a recipient of other Federal awards directly from a Federal Awarding agency. Therefore, a pass -through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. Subrecipient characteristics include: • Determines who is eligible to receive what Federal assistance; • Has its performance measured in relation to whether the objectives of a Federal program were met; Has responsibility for programmatic decision making; • Is responsibility for adherence to applicable Federal program requirements specified in the Federal award; and • In accordance with its agreements uses the Federal funds to carry out a program for a public purpose specified in authorizing status as opposed to providing goods or services for the benefit of the pass -through entity. Contractor A Contractor is for the purpose of obtaining goods and services for the non -Federal entity's own user and creates a procurement relationship with the Grantee. Contractor characteristics include: Provides the goods and services within normal business operations; • Provides similar goods or services to many different purchasers; 0 Normally operates in a competitive environment; O Provides goods or services that are ancillary to the operation of the Federal program; and Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. In determining whether an agreement between a pass -through entity and another non - Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass -through entity must use judgment in classifying each agreement as a subaward or a procurement contract. Recipient A Recipient is for grant agreement with no federal funding. Amendment Schedule FY 2021 Amendment #1 - New Projects Only Amendment #2 Amendment #3 Amendment Request Due Date August 19, 2020 October 22, 2020 February 17, 2021 Anticipated Consolidation Date October 20, 2020 December 15, 2020 April 20, 2021 Amendment #4 June 10, 2021 July 23, 2021 New Project Start/Effective Date November 1. 2020 January 1, 2021 May 1, 2021 August 1, 2021 PROJECT CONTRACT MANAGER PHONE EMAIL Administration Projects Laura de la Rambelte (517) 2849002 DelaRambeljeL@michigan.gcv Adolescent STD Screening Loren Powell (517) 335-9657 powelll@michigan gov Asthma Demonstration Project Laura de is Rambelje (517) 284-9002 DelaRambeljeL@michigan.gov Body Art Fixed Fee (facility Licensing) Joseph Coyle (517) 284-4915 coylej@michigan.gov Breast & Cervical Cancer Control (BCCCP) Coordination E.J. Siegl (517) 335-8814 siegle@michigan.gcv Child and Adolescent Health Center Program Expansion Kim Kovalchick (517) 335-6599 KovalchickK@michigan gov Childhood Lead Poisoning Prevention Michelle Tvnchell (517) 2840053 twichellm@michigan.gov Children's Specal Hlth Care Services (CSHCS) Care Coordination Kelly Gram (517) 335-8630 Gramk2@michigan gov Children's Special High Care Services (CSHCS) Outreach &Advocacy Kelly Gram (517) 335-8630 Gramk2@michigaagcv Clinical Services Electronic Health Record Polly Hager / Beth Tnerweiler (517) 335-9729/ (517) 335-4925 HagerP@michigan gov, / tderwetierb@michigan.gov COVID-19 Response Laura de le Rambelje (617) 2849002 DelaRambeljeL@michigan.gov COVID-19 ELC Testing 2 Laura de Is Rambelje (517) 284-9002 DelaRambeljeL@michigan gov COVID-19 Influenza Vaccination Supplemental Robert Swanson (51-0335-8934 Swansonr@Michigan.gov COV)D Regional Lab Marty Soehnlen (517) 335-8064 soehnlenm@michigen.gov CRF Detroit Testing Laura de la Rambelje (517) 2849002 DelaRambeljeL@michigen.gov CRF Immunrzafion COVID Response Robert Swanson (517) 335-8934 Swansonr@Michigan gov CRF LHD Homeless Match Jessica Altenbemt 517-2848016 AltenberrdJ@michigan.gov CRF Local Health Department Contact Tracing Laura de Is Rambelje (517) 284-9002 DelaRambeljeL@michigan.gov CRF Local Health Department Lab Marty Soehnlen (517) 335-8064 soehnlenm@michigan gov CRF Local Health Department Testing Laura de la Rambelje (517) 284-9002 DelaRambeljeL@michigan.gov CRF Wrap Around Laura its la Rambelje (517) 284-9002 DelaRambeljeL@michigan.gov CSHCS Medicaid Elevated Blood Lead Case Mgmt Michelle Tw ichell (517) 284-0053 twichellm@michigan.gov CSHCS Medicald Outreach Kelly Gram (517) 335-8630 Gramk2@mtchigan.gov Eat Safe Fish Jennifer Gray / Hope Bartlett (617) 281-3483 / (517) 284-9610 gmyj@michigan.gov / BartleltH2@michigan.gov EGLE Dunking Water and Onsrte Wastewater Management Dana DeBmyn (517) 930-6463 debruynd@michigan gov ELC COVID-19 Enhancing Detection Malty Soehnlen (517) 335-80M soehnlenm@michigan.gov ELC Infection Prevention Marry Soehnien (517) 335-8054 soehnlenm@miichigan gov Emerging Threats - Hepatitis C Joseph Coyle (517) 2844915 coylej@michigen.gov Envuomental Health Data Kory Groetsch / Aaron Ferguson (517) 284-4804 / (517) 284-4801 GroetschK@michigan.gov/ FergusonAl@michigan gov Family Planning Services Steve Utter (517) 241-0114 utters@michigan gov Fetal Alcohol Spectrum Disorder Community Projects Aurea Booncharoen (517) 335-9750 booncharcena@michigan gov Fetal Infant Mortality Review (F)MR) Case Abstraction Nicholas Dmal (517) 241-5380 daaln@michigan.gov FIMR Interviews Nicholas Drzal (517) 241-5380 dmaln@michigan.gov Food ELPHS Adam Christenson (517) 284-5706 chnstensona@michigan gov Gonococcal Isolate Surveillance Project Amy Peterson (313)456-4425 PelersonA7@michigan gov Harm Reduction Joseph Coyle (517) 284-4915 coylej@michigan gov Harm Reduction Support Services Joseph Coyle (517) 284-4915 coylej@michigan.gov Hearing ELPHS Jennifer Dakers (517) 335-8353 DakemJ@michigan gov HIV & STD Testing and Prevention Thomas Dunn (517) 373-3725 dunnt2@michigan gov HIV / STD Partner Services Thomas Dunn (517) 373-3725 dunnt2@michigan.gov HIV Care Coordination Thomas Dunn (517) 373u3725 dunnt2@michigan.gov HIV Data to Care Thomas Dunn (517) 373-3725 dunnt2@michigan.gov HIV Housing Assistance Loren Powell (517) 335-9857 powelll@michigan gov HIV PrEP Clinic Thomas Dunn (517) 373-3725 dunnt2@michigan.gov HIV Prevention Thomas Dunn (517) 373-3725 dunnt2@michigan gov H1V Prevention Nan Categorical Thomas Dunn (517) 373-3725 dunnt2@michigan.gov HIV Ryan White Part B Thomas Dunn (517) 373-3725 dunnt2@michigan.gov HIV Ryan While Part 6 MAI Beverly Haske 1517) 335-1486 HaskeB@michigan.gov Immunization Action Plan - Pilot Robert Swanson (517)335-8934 Swansonr@Michigan.gov Immunization Action Plan (LAP) Robert Swanson (517) 335-8934 Swanson@Michigan gov Immunization Feld Services Rep Robert Swanson (517) 335-8934 Swansonr@Michigan.gov Immunization Fixed Fees Robert Swanson (517) 335-8934 Swansonr@Michigan gov Immunization Michigan Care Improvement Registry (MCIR) Regions Robert Swanson (517) 335-8934 Swansonr@Michigan.gov Immunization Vaccine Quality Assurance Robert Swanson (517) 335-8934 Swansonr@Michigan gov Infant Safe Sleep Nicholas Drzal (517)241-5380 drzaln@michigan.gov Informed Consent Laura de Is Rambelje (517) 284-9002 DelaRambelleL@michigan.gov Laboratory Services Bic Shannon Sharp (517) 335-9653 sharpen@michigan gov Lactation Consultant Shatcna Townsend (517) 373-6486 TownsendS2@michigan.gov Local Health Department (LHD) Shanng Support Laura de la Rambelje (517) 2849002 DelaRambeljeL@michigan.gov Local MCH (MCH Children and MCH -All Other) Trudy Each / Robin Orsbom (517)241-3593 1 (51 T) 335-8976 MDHHS-Malemal-Child-Health@michigan.gov Maternal Infant Edy Chd Home Visiting Initiative Rural Local Home Visiting Grp Chansse Sanders (517) 241-1676 sandersc2@michigan gov Maternal Infant Edy Chd Home Visiting Initiative Rural Local Home Visiting Grp3 Chansse Sanders (617) 241-1676 sandemc2@michigan.gov Maternal Infant Edy Childhood Home Visiting Ini ialive Local Home Visiting Grp Charisse Sanders (517) 241-1676 sandersc2@michigan.gov, MDHHS Essential Local Public Health Services (ELPHS) Laura de la Rambelje (517) 284-9002 DelaRambeljeL@michigan.gov Medicaid Outreach Robin Orsbom (517) 335-8976 orsbornr@michigan.gov MI Adolescent Pregnancy & Parenting Program Hillary Brandon (517) 335-5928 bnmdonh@michigan gov MI Home Visiting Initiative Rural Expansion Grant Charisse Sanders (517) 241-1676 sandeisc2@michigan.gov MI Implementation of the Health and Wellness 4x4 Plan Scott Bell (517) 335-9300 bellsl@michigan gov, Michigan Colorectal Cancer Early Detection Program Robin Roberts (517) 335-1178 robertsr6@michigan.gov MIECHVP Healthy Families Amenca Expansion Charisse Sanders (517) 241-1676 sandersc2@michigan.gov Nurse Family Partnership Services Chansse Sanders (517) 241-1676 sandemc2@michigan gov Nurse Family Partnership Services Medicaid Outreach Charisse Sanders (517) 241-1676 sandersc2@michigan gov Obesity Prevention Scott Bell (517) 335-9300 bellsl@michigan.gov Public Health Emergency Preparedness (PHEP) 1011- 6130 Tera Poag (517) 335-9018 PoagT1@michigan gov Public Health Emergency Preparedness (PHEP) CRI 40M - 6130 Tera Poag 1517) 335-9018 PoagT1@michigan.gov Regional Perinatal Care System Dawn Shanafelt (517) 3354945 ShanafeltD@michigan.gov Seal! Michigan Dental Sealant Christine Farrell (517) 335-8386 farrellc@michigan gov Sexually Transmitted Disease (STD) Control Thomas Dunn (517) 373-3725 dunnt2@michigan.gov SOS Evaluation Matthew Buck (517) 284-2960 SuckM@michigan gov Tuberculosis ITS) Control Peter Davidson (517) 284-4922 dawdsonp@michigan gov Vision ELPHS Rachel Schumann (517) 335-6596 schumannr@michigan.gov West Nile Virus Community Surveillance WIC Breastfeedmg WIC Migrant WIC Resident Services Wise Choices Wsewoman Emily Dinh / Kimbedy Signs Cecilia Hutson Cecilia Hutson Cecilia Hutson Robin Roberts Robin Roberts (517)2844961/(517) 284-4951 (517)335-8625 (517)335- 625 (517)335-8625 (517) 335-1178 (517) 335-1178 DinhE@michigan.gov/signsk@michigan gov HutsonCt @michigan gov HutsonCl@michigan gov HutsonCl@michigan gov mbertsr6@michigan.gov mbertsr6@michigan.gov PROJECT TITLE: Adolescent Sexually Transmitted Disease (STD) Screening Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: Adolescents and young adults account for approximately half of reported cases of gonorrhea and chlamydia. The Oakland County Adolescent STD Project provides targeted screening activities in venues with access to this vulnerable populations to ensure early diagnosis and treatment. Reporting Requirements (if different than agreement language): • Quarterly Report of screening and treatment activity should be submitted no later than 15 days after the end of the quarter. • Report should be emailed to the MDHHS contract liaison Any additional requirements (if applicable): Grant Program Operation Project Summary: Individuals 15-24 years of age will be screened for chlamydia and gonorrhea at the following Oakland County sites: 1. Oakland County Main Jail 2. Oakland County Work Release 3. Oakland County Community Sites where Priority Population Gathers Utilizing the identified project sites: • Test at least 100 adolescents and young adults per month, using NAAT tests for gonorrhea and chlamydia. • Collect race, gender, age, test result, and treatment date for all tests. • Refer clients for further health evaluation if indicated. • Provide client centered risk reduction plan, promoting abstinence. • Treat all positives on site if possible. • Contact positive clients that are released prior to treatment with treatment options in community. • Promote self -notification of partners. • Analyze and forward screening and treatment data to the Department quarterly: April 15, July 15, October 15, and January 15. • Develop one annual slide set highlighting year end data by demographic variable including trend data. • Continue to promote awareness of prevalence of STDs within adolescent and young adult populations. • Participate in quarterly Michigan Infertility Prevention Project meetings; providing quarterly screening project data. PROJECT: Asthma Demonstration Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: Provide evidence -based asthma management education to families and providers in an attempt to decrease hospitalizations and emergency room utilization for individuals with asthma. Reporting Requirements (if different than contract language) Progress report updates are required twice per year per CDC reporting requirements. Any additional requirements (if applicable) PROJECT: Body Art Fixed Fee Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis This agreement is intended to establish a payment schedule to the Grantee, following notification of a completed inspection and recommendation for issuance of license. The intent is to help offset costs related to the licensing of a body art facility, when fees are collected from the respective Grantee's jurisdiction in accordance with Section 13101-13111 of the Public Health Code, Public Act 149 of 2007, which was updated on December 22, 2010 and is now Public Act 375. Reporting Requirements (if different than contract language) The Departmentwill reimbursethe Grantee on a quarterly basis according to the following criteria: 1. Initial annual license for a Body Art Facility prior to July 1 • $275,22 (50% of state fee) 2. Initial annual license for a Body Art Facility after to July 1 • $137.61 (50% of state fee) 3. Issue a temporary license) for a Body Art Facility $123.84 (75% of state fee) 4. License renewal prior to December 1 • $275.22 (50% of state fee) 5. License renewal after to December 1 • $412.83 (50% of state fee + 50% late fee penalty) 6. Duplicate license • $2T51 Payment will be made for those body art facilities that have applied and paid in full to the Department, following notification of a completed inspection and recommendation for issuance of license. Please note that the fees in the list above are based on FY2021 reimbursement rates and are subject to change with the Consumer Price Index. Any additional requirements (if applicable) The Grantee is authorized to enforce PA 375 and conduct an inspection of all body art facilities under its jurisdiction, investigate complaints, and enforce licensing regulations and requirements. The Grantee must complete a Body Art Facility Inspection Report [DCH-1468 (07-09)], as provided by the Department, or other report form approved by the Department that meets, at minimum, all standards of the state inspection report. Only body art facilities that have applied for licensure should be inspected. All body art facilities must be inspected annually. Licenses will only be released from the Department following notification of a completed inspection and upon recommendation by the Grantee. Completed inspection reports should be signed by the facility owner and recommendation for licensure should be forwarded to the Department within two to four weeks following the inspection. Reports should be entered via the online interface or can be sent to: HIV/STD and Body Art Section Division of Communicable Diseases 333 S. Grand Ave, 3Id Floor Lansing, Michigan 48933 PROJECT: CHILD AND ADOLESCENT HEALTH CENTER (CAHC) PROGRAM EXPANSION Beginning Date: 10/1/2020 End Date: 9/30/20201 Project Synopsis A major role of the CAHC program is to provide a safe and caring place for children and adolescents to receive needed medical care and support, learn positive health behaviors, and prevent diseases, resulting in healthy youth who are ready and able to learn and become educated, productive adults. CAHCs assist eligible children and adolescents with enrollment in Medicaid and provide access to Medicaid preventive services. Reporting Requirements (if different than contract language) A. The Grantee shall submit the following reports on the following dates: • Annual Work Plan: Due upon submission of FY initial application • Quarterly Program Data Report: Due 30 days after the end of the reported quarter • Quarterly Work Plan Report: Due 30 days after the end of the reported quarter • Annual Program Narrative: Due 30 days after the end of the grant period B. Any such other information as specified in the Statement of Work, shall be developed and submitted by the Grantee as required by the Contract Manager. C. Reports and information shall be submitted to the Contract Manager as follows: • Annual Work Plan: via e-mail to Kim Kovalchick at kovalchickk@michigan.gov • Quarterly Program Data Report: via the Child and Adolescent Health Center Clinical Reporting Tool located at httns:Hcahc.knack.com/clinical-renortina- tool#home/ • Quarterly Work Plan Report: via e-mail to Kim Kovalchick at kovalchickk@michigan.gov • Annual Program Narrative: via e-mail to Kim Kovalchick at kovalchickk@michigan.gov D. The Contract Manager shall evaluate the reports submitted for their completeness and adequacy. E. The Grantee shall permit the Department or its designee to visit and to make an evaluation of the project as determined by Contract Manager Any additional requirements (if applicable) Funding Eligibility To be eligible for funding, ail applicants must provide signed assurance that referrals for abortion services or assistance in obtaining an abortion will not be provided as part of the services (MCL §388.1766). For programs providing services on school property, signed assurance is required that family planning drugs and/or devices will not be prescribed, dispensed or otherwise distributed on school property as mandated in the Michigan School Code (MCL §380.1507). Applicants must assure compliance with all federal and state laws and regulations prohibiting discrimination and with all requirements and regulations of MDE and MDHHS. Target Populations to be Served Proposals should focus on the delivery of health services to ages 5-21 years at school -based sites, and 10-21 years at school -linked sites, in geographic areas where it can be documented that health care services that are accessible and acceptable to children and adolescents require enhancement or do not currently exist. The children (birth and up) of the adolescent target population may also be served where appropriate. Funding may be used to provide clinical services to students receiving special education services up to 26 years of age. Technology Successful applicants are required to have an accessible electronic mail account (email) to facilitate ongoing communication. All successful applicants will be added to a CAHC program list serve, which is the primary vehicle for communication from the State. Successful applicants must have the necessary technology and equipment to support billing and reimbursement from third party payers. Refer to Reference A, Minimum Program Requirements which describes the billing and reimbursement requirements for all grantees. Training At least one staff member is required to attend a yearly Michigan Department of Health and Human Services CAHC Annual Meeting in the fall, as announced by the MDHHS team. Unallowable Expenses The following costs are not allowed with this funding: • The purchase or improvement of land • Fundraising activities • Political education or lobbying, including membership costs for advocacy or lobbying organizations • Indirect costs The following restrictions are in effect for this funding: • Funds may not be used to refer a student for an abortion or assist a student in obtaining an abortion (MCL §388.1766). • Funds may not be used to prescribe, dispense or otherwise distribute a family planning drug or device in a public school or on public school property (MCL §380.1507). • Funding may not be used to serve the adult population (ages 22 years and older), with the exception of students up to 26 years of age who are receiving special education services. • Funds may not be used to supplant or replace an existing program supported with another source of funds or for ongoing or usual activities of any organization involved in the project. Minimum Program Requirements The Minimum Program Requirements document that follows is considered to be part of Attachment III. PROJECT: Childhood Lead Poisoning and Prevention Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis MDHHS CLPPP's mission is "to prevent childhood lead poisoning across the state through surveillance, outreach and health services". This grant provides local health departments the opportunity to prevent and address lead poisoning within their community, with support of CLPPP. The overall goal of the grant is to increase testing for children under the age of 6, specifically capillary to venous testing rates within the grantees focus area. Grantees could achieve this goal through: 1) Educating providers about testing, risk factors, this can include: • Distribution of toolkits • Promotion of an online training module for health care providers • Hosting provider forums/trainings 2) Educating parents about testing, cleaning, risk factors, this can include: • Establishing a protocol for following up with families to get a venous confirmatory test after an elevated capillary test. 3) Outreach to at -risk populations, this can include: • Non -Medicaid children — providing nursing case management home visits • Foreign adoptees, refugees, migrants, immigrants, and foster children Targeted communities (Adrian, Dearborn, Detroit, Flint, Grand Rapids, Hamtramck, Highland Park, Jackson, Lansing, Leoni Township, Muskegon, Muskegon Heights) Reporting Requirements (if different than contract language) Provide a workplan with a detailed overview of how your LHD plans to increase capillary to venous rates within the grantee focus area, and explanation of target audience/locations • Submit quarterly reports • CLPPP support will include: o LHD report cards o Nursing and Public Health Consultant technical assistance as requested o miclppp.org website with educational materials re: testing, cleaning o Online training module for health care providers Any additional requirements (if applicable) Attend quarterly call/in-person meetings Ensure all communication materials that are developed and distributed by the grantee are approved by CLPPP if MDHHS funds are used. Grantees Focus Areas: • Bay County Health Department — Region 5 • Detroit Health Department — City of Detroit • District Health Department #10 — Regions 2/3 • Genesee County Health Department —City of Flint • Ingham County Health Department — Region 7 w/ additional focus on City of Lansing • Jackson County Health Department — Region 9 w/ additional focus on City of Jackson and Leoni Township • Kalamazoo County Health and Community Services Department — Region 8 w/ additional focus on City of Kalamazoo • Kent County Health Department Region 4 w/ additional focus on City of Grand Rapids • Lenawee County Health Department —Adrian • Muskegon County Health Department— Muskegon and Muskegon Heights • Wayne County Department of Health, Veterans, and Community Wellness — Region 10 w/ additional focus on Hamtramck, Dearborn, Highland Park • Public Health, Delta & Menominee Counties — Region 1 • St. Clair County Health Department — Region 6 PROJECT: Clinical Services Electronic Health Records Beginning Date: 1/1/2021 End Date: 9/30/2021 Project Synopsis This pilot project will allow MDHHS DCDIC Cancer Section to test Health Information Exchange (HIE) infrastructure that has been built to receive electronic medical records from local coordinating agencies (Michigan local public health departments). The project will allow health department staff to enter data into their electronic health record (EHR) and upload the data to MDHHS, rather than having to do double data entry. This efficiency will save time and allow the health department to focus more time and energy on serving the citizens of Michigan in need of cancer screening. Reporting Requirements (if different than contract language) Quarterly Work Plan Reports: 1. The following records/reports are to be submitted quarterly: • Quarterly Reports from Nurse Informaticist • Quarterly Reports from each of the 3 pilot agencies 2. Reports should be submitted to: EJ Siegl, Program Director at sieale(@michiaan.aov Due dates for quarterly reports are as follows: Quarter 2 (January 1 — March 30) Due: April 15, 2021 Quarter 3 (April 1 —June 30) Due: July 15, 2021 Final Report (July 1 —September 30) Due: November 15, 2021 Any additional requirements (if applicable) 1. Nurse Informaticist is responsible to participate in: • All scope and design meetings with appropriate staff • Development meetings as necessary and appropriate • System testing as necessary • End to end testing of the HIE infrastructure 2. Agency staff participating in the project are responsible to: • Attend trainings relating to project implementation • Track issues/problems with project implementation and communicate this information to Nurse Informaticist. Agency Quarterly Reports Objective: Implement identified activities for the EMR pilot project. Activities: 1. Identify agency staff that will be trained on the EMR pilot project; assure that staff will complete training project prior to project implementation. 2. Identify one staff member who will be responsible for reviewing and collecting all agency tracking data on successes/issues/problems identified with the project and communicating that to MPHI Nurse Informaticist 3. Complete quarterly progress form and submit to MDHHS on: • Successes with EMR pilot • Issues/problems identified with EMR pilot • Budget spending during the quarter for pilot implementation. Date Range: January 1-September 30, 2021 Completion Date Due dates for quarterly reports in EGrAMS are as follows: Quarter 2 (January 1 — March 30) Due: April 15, 2021 Quarter 3 (April 1 — June 30) Due: July 15, 2021 Final Report (July 1 —September 30) Due: November 15, 2021 PROJECT: COVID-19 Influenza Vaccination Project Beginning Date: 10/1/2020 End Date: 6/30/2021 Project Synopsis The purpose of this project is to increase influenza vaccination rates during Fall 2020, with a particularly focus on the under and uninsured populations. Reporting Requirements (if different than contract language) There are no additional reporting requirements. Any additional requirements (if applicable) PROJECT: COVID-19 Response Beginning Date: 10/1/2020 End Date: 09/30/2021 Project Synopsis: This project allows the Local Health Departments to respond to the COVID response in their community. Response may include testing, outreach, community education, tracing contacts, and data collection. Funding is intended to support staff time and supplies associated with COVID-19 response in the LHD jurisdiction. Reporting Requirements (if different than contract language) Any additional requirements (if applicable) PROJECT: CRF Detroit Testing Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Descriotion and Puroose For COVID-19 funding from the Coronavirus Relief Fund for LHD-supported COVID Testing. The primary purpose for this project is to support staff time and supplies for LHD-supported COVID community testing events for the city of Detroit. Uniform CRF Eliaibilitv The funding being used for this project is Federal Coronavirus Relief Fund (CRF). As a result, additional provisions apply and are included in this Attachment. The information contained in this Attachment supersedes the General Provisions of the Agreement, as related to all activities undertaken with CRF funding Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project is eligible for CRF funds because CRF funds are intended to be used for community testing events. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Administrative costs are allowed with this program to the extent that the expenditure can be directly associated to the administration of the program. R&D costs are not allowed with this program. Eliaible CRF exoenditures under this orooram Any single procurement of over $4,000 should be vetted with MDHHS prior to purchase. Allowable expenses include staffing, communications, supplies to support indoor/outdoor public COVID testing events. Nonexclusive examples of ineliaible CRF expenditures • Fund payments may not be used for government revenue replacement, including the provision of assistance to meet tax obligations or unpaid utility fees. • Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify • Damages covered by insurance. • Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency. • Reimbursement to donors for donated items or services. • Workforce bonuses other than hazard pay or overtime. • Severance pay. • Legal settlements. Period of Performance October 1, 2020 — February 15, 2021 Proaram Contact Information Laura de la Rambelje, delarambeliel(a)michia_ an.a_ ovwith the MDHHS Office of Local Health Services Section II. Standard Provisions: Proaram Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/policv- issues/cares/state-and-local-governments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 FAIN #: SLT0040 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21.019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 30, 2020, The SAM website is: httos://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at httos:Hhome.treasurv.aov/system/files/136/ Coro navirus-Relief-Fund-Freauently-Asked-QuestionS.Ddf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at httos://www.ecfr.aov/cai-bin/text-idx?SID=6214841 a79953f26c5c230d72d6b70a1 &tot=/ ecfrbrowse/Title02/2cfr200 main 02.tol for complete requirements. 2 CFR 200.303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 — 200.332 Subrecioient Monitorina and Manaeement 2 CFR 200.330 Subrecioient and contractor determinations, The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FR 78608, Dec. 26, 2013, as amended at 80 FR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuah entities All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR 54409, Sept. 10, 2015] 2 CFR 200.332 Fixed amount subawards_ With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200,201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Requirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 — Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Reoavment for ineligible CRF expenditures or under spendina Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Reauirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; T all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortina Reauirements Additional information will be communicated to you at a future date as the subrecipient or contractor. State agencies may identify and develop additional reporting requirements that is specific for their program. Statewide Reoortina Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Federal Reoortina Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Proiects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Cateaories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50.000 a. Contractor identifying and demographic information (e.g. DUNS number and location) b. Contract number c. Contract date, type, amount, and description d. Primary place of contract performance e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Quarterly obligation amount i. Quarterly expenditure amount j. Expenditure categories (listed above) Grants Greater Than or Eaual to $50.000 a. Grantee identifying and demographic information (e.g. DUNS number and location) b. Award number c. Award date, amount, and description d. Award payment method (reimbursable or lump sum payment(s)) e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Primary place of performance i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Loans Greater Than or Eaual to $50.000 a. Borrower identifying and demographic information (e.g. DUNS number and location) b. Loan number c. Loan amount, date (date when loan signed by prime recipient and borrower), d. and description e. Loan expiration date (date when loan expected to be paid in full) f. Purpose of loan g. Primary place of performance h. Related project(s) i. Quarterly obligation amount j, Quarterly payments on outstanding loans k. Recipient plans for reuse of Coronavirus Relief Fund loan repayments I. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Equal to $50,000 a. Transferee/government unit identifying and demographic information (e.g. DUNS number and location) b. Transfer date, amount, and description c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure information f. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50,000 a. Payee identifying and demographic information (e.g. DUNS number and location) b. Direct Payments amount and date c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure amount f. Expenditure categories (listed above) Aaareaate reoortina below $50,000 Aggregate reporting is allowed on contracts, government entities, loans, direct payments, $50,000. grants, transfers made to other and payments to individuals that are below Reoortina on Expenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 Reporting Period October 1, 2020- October 31,2020 November 1, 2020 - November 30,2020 December 1, 2020 - December 31, 2020 January 1, 2021 - January 31, 2021 February 1, 2021 - February 15, 2021 ReportDue Date Reporting Requirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report (February 5, 2021 Financial Status Report (Final Financial Status Report March 8, 2021 Grant Closing Certification The Financial Status Resort must be submitted with the Grant Closing Certification by March 8. 2021. FPROJECT: CRF Immunizations COVID Response Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Description and Purpose We have large challenges before us to control and prevent COVID-19 cases in Michigan. As witnessed early in the pandemic, our health care system can be easily overwhelmed with sick individuals and the need for ICU beds and ventilators. During any annual flu season, we have the potential to overwhelm the health care system in the same way with the spread of this respiratory disease. The goal during the upcoming flu season is to get as many individuals vaccinated with influenza vaccine as possible to reduce the burden of influenza in the community and on the health care system given the uncertainty of a resurgence of COVID-19. These vaccination efforts need to target the most vulnerable populations first including those populations who have disproportionally been affected by COVID-19 including minority populations. Funding will be allocated to local health departments based on population size and racial makeup within the jurisdiction. The funding formula will be weighted to assure that underserved black populations in Michigan have the ability to receive this influenza vaccine. Local Health Departments are in the best position to know their communities and therefore get the vaccine to the highest risk individuals within the communities. Local Health Departments will be expected to hold outreach clinics to high risk venues such as long-term care, senior centers, nursing homes, and homeless shelters. They will also assist in coordinating the distribution of influenza vaccine to other high risk providers within their community who will have the ability to administer this vaccine including Community Health Centers and Tribal Health Centers, Local Health Departments will be required to report to MDHHS on a monthly basis on activities related to this funding. Uniform CRF Eliaibilitv Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. The goal during the upcoming flu season is to get as many individuals vaccinated with influenza vaccine as possible to reduce the burden of influenza in the community and on the health care system given the uncertainty of a resurgence of COVID-19. Grant will provide funding to the Local Health Departments to assist with the large-scale distribution of the influenza vaccine during Fall 2020. Ensuring adequate distribution of the influenza vaccine will help protect Michigan residents from influenza and help preserve hospital and health system capacity to manage COVID-19 cases and reduce the likelihood individuals will test positive for both influenza and COVID-19. Funding will support vaccination efforts at community health centers, mobile and community clinics, and outreach and vaccinations of vulnerable and high -risk populations. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Research and Development costs are not allowed with this program Eliaible CRF expenditures under this oroaram Staffing Clinical supplies (Band -aids, syringes, gloves, masks, etc.) VFC approved vaccine refrigerator storage units Communication Campaigns Educational materials Purchase of laptop for offsite vaccine clinic use Nonexclusive examples of ineliaible CRF expenditures Purchase of vehicles Purchase of vaccine Purchase of clothing Purchase of food Purchase of prizes or incentives Period of Performance October 1, 2020 — February 15, 2021 Proaram Contact Information Bob Swanson Director, Division of Immunization 517-335-8159 Section Il. Standard Provisions: Program Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos:/lhome.treasurv.aov/oolicv- issues/cares/state-and-local-governments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019, Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200,303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21,019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 1, 2020. The SAM website is: httos://www.sam,aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at httos://home.treasurv.aov/system/files/136/ Coronavirus-Relief-Fund-Freauently-Asked-Questions.odf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at httos://www,ecfr.aov/cai-bin/text-idx?SID=6214841 a79953f26c5c230d72d6b70a1 &tDl=/ ecfrbrowse/Title02/2cfr200 main 02.tp1 for complete requirements. 2 CFR 200.303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 Subrecioient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FIR 78608, Dec. 26, 2013, as amended at 80 FIR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuah entities. All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e,g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR 54409, Sept. 10, 20151 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Requirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Reoavment for ineliaible CRF expenditures or under soendina Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Reauirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7. all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8, all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9, all internal and external emaiUelectronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortina Reauirements: Additional information will be communicated to you at a future date as the subrecipient or contractor. Subrecipient must identify and develop additional reporting requirements that is specific for their program. Statewide Reoortino Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Reoortina Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Pro ects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Cateoories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50,000 a. Contractor identifying and demographic information (e.g. DUNS number and b. location) c. Contract number d. Contract date, type, amount, and description e. Primary place of contract performance f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Grants Greater Than or Eaual to $50,000 a. Grantee identifying and demographic information (e.g. DUNS number and b. location) c. Award number d. Award date, amount, and description e. Award payment method (reimbursable or lump sum payment(s)) f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Primary place of performance j. Quarterly obligation amount k. Quarterly expenditure amount I. Expenditure categories (listed above) Loans Greater Than or Eaual to $%000 a. Borrower identifying and demographic information (e.g. DUNS number and b. location) c. Loan number d. Loan amount, date (date when loan signed by prime recipient and borrower), e. and description f. Loan expiration date (date when loan expected to be paid in full) g. Purpose of loan h. Primary place of performance i. Related project(s) j. Quarterly obligation amount k. Quarterly payments on outstanding loans I. Recipient plans for reuse of Coronavirus Relief Fund loan repayments m. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Eaual to $50.000 a. Transferee/government unit identifying and demographic information (e.g. b. DUNS number and location) c. Transfer date, amount, and description d. Related project(s) e. Quarterly obligation amount f. Quarterly expenditure information g. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50,000 a. Payee identifying and demographic information (e.g. DUNS number and b. location) c. Direct Payments amount and date d. Related project(s) e. Quarterly obligation amount f. Quarterly expenditure amount g. Expenditure categories (listed above) Aaareaate reoortino below $50.000 Aggregate reporting is allowed on contracts, grants, transfers made to other government entities, loans, direct payments, and payments to individuals that are below $50,000. Reporting on Expenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 Reporting Period October 1, 2020- October 31,2020 INovember 1,2020- November 30,2020 December 1, 2020 - December 31, 2020 (January 1, 2021 - January 31, 2021 February 1, 2021 - February 15, 2021 Report Due Date Reporting Requirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report February 5 , 2021 Financial Status Report Final Financial Status Report March 8, 2021 Grant Closing Certification The Financial Status Reoort must be submitted with the Grant Closing Certification bNr March 8. 2021. PROJECT: CRF Local Health Department Contact Tracing Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Descriotion and Purpose For COVID-19 funding from the Coronavirus Relief Fund for Case Investigation, Contact Tracing and Violation Monitoring. The primary purpose for this project is to support staff time for Case Investigation and Contact Tracing and Violation Monitoring. Uniform CRF Eliaibilitv The funding being used for this project is Federal Coronavirus Relief Fund (CRF). As a result, additional provisions apply and are included in this Attachment. The information contained in this Attachment supersedes the General Provisions of the Agreement, as related to all activities undertaken with CRF funding. Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project is eligible for CRF funds because CRF funds are intended to be used for case investigation, contact tracing, and violation monitoring. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Administrative costs are allowed with this program to the extent that the expenditure can be directly associated to the administration of the program. R&D costs are not allowed with this program Eliaible CRF expenditures under this oroaram Allowable expenses include staffing, communications, IT, office supplies, computers, phones, access to people finding software or EMR for COVID-19 Case Investigation and Contact Tracing and Violation Monitoring Nonexclusive examples of ineliaible CRF expenditures • Fund payments may not be used for government revenue replacement, including the provision of assistance to meet tax obligations or unpaid utility fees. • Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify Damages covered by insurance. • Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency. • Reimbursement to donors for donated items or services. • Workforce bonuses other than hazard pay or overtime. • Severance pay. • Legal settlements. Period of Performance October 1, 2020 — February 15, 2021 Proaram Contact Information Laura de la Rambelje, delarambel_ielamichia_ an.aov with the MDHHS Office of Local Health Services Section II. Standard Provisions: Proaram Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/oolicv- issues/cares/state-and-local-aovernments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 FAIN #: SLT0040 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21.019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 30, 2020. The SAM website is: httos://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and September 30, 2020, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at httr)s://home.treasurv.aov/system/f iles/1 361 Coronavirus-Relief-Fund-Freauently-Asked-Questions.odf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at httos://www.ecfr.aov/cai-bin/text-idx?SID=621484l a79953f26c5c23Dd72d6b7Oal &tol=/ ecfrbrowse/Title02/2cfr200 main 02.to1 for complete requirements. 2 CFR 200.303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 — 200.332 Subrecioient Monitorina and Manaaement 2 CFR 200.330 Subrecioient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FR 78608, Dec. 26, 2013, as amended at 80 FIR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuah entities All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FIR 78608, Dec. 26, 2013, as amended at 79 FIR 75885, Dec. 19, 2014; 80 FIR 54409, Sept. 10, 20151 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Reauirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Repavment for ineliaible CRF expenditures or under spendina Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Requirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7. all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortina Reauirements: Additional information will be communicated to you at a future date as the subrecipient or contractor. State agencies may identify and develop additional reporting requirements that are specific for their program. Statewide Reoortina Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Federal Reoortino Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Projects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Cateaories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50.000 a. Contractor identifying and demographic information (e.g. DUNS number and location) b. Contract number c. Contract date, type, amount, and description d. Primary place of contract performance e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Quarterly obligation amount i. Quarterly expenditure amount j. Expenditure categories (listed above) Grants Greater Than or Eaual to $50.000 a. Grantee identifying and demographic information (e.g. DUNS number and location) b. Award number c. Award date, amount, and description d. Award payment method (reimbursable or lump sum payment(s)) e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Primary place of performance i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Loans Greater Than or Eaual to $50.000 a. Borrower identifying and demographic information (e.g. DUNS number and location) b. Loan number c. Loan amount, date (date when loan signed by prime recipient and borrower), and description d. Loan expiration date (date when loan expected to be paid in full) e. Purpose of loan f. Primary place of performance g. Related project(s) h. Quarterly obligation amount i. Quarterly payments on outstanding loans j. Recipient plans for reuse of Coronavirus Relief Fund loan repayments k. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Eaual to $50.000 a. Transferee/government unit identifying and demographic information (e.g. DUNS number and location) b. Transfer date, amount, and description c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure information f. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50,000 a. Payee identifying and demographic information (e.g. DUNS number and location) b. Direct Payments amount and date c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure amount f. Expenditure categories (listed above) Aaareaate rer)ortina below $50,000 Aggregate reporting is allowed on contracts, government entities, loans, direct payments, $50,000. Reoortina on Expenditures grants, transfers made to other and payments to individuals that are below Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 Reporting Period October 1, 2020- October 31,2020 November 1, 2020 - November 30,2020 December 1, 2020 - December 31, 2020 January 1, 2021 - January 31, 2021 February 1, 2021 - February 15, 2021 Report Due Date Reporting Requirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report February 5, 2021 Financial Status Report Final Financial Status Report March 8, 2021 Grant Closing Certification The Financial Status Report must be submitted with the Grant Closing Certification by March 8. 2021. PROJECT: CRF LHD Homeless Match Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Description and Purpose The State of Michigan actively chose non -congregate sheltering to address the immediate public health and safety needs of individuals that were homeless and either COVID-19 positive, symptomatic or high risk due to age or prior health conditions. The State of Michigan conducted assessments to review all possible options, but due to specific needs of the homeless population, establishment of temporary hotel arrangements for the affected population is ultimately the best way forward to preserve the health and safety of the community. The project will pay for costs of non -congregate shelter for COVI D positive, exposed and high -risk homeless individuals. Shelter considered to be a location such as a hotel/motel room where they have separate facilities and where they will be isolated for 14 days. Specifically, this project is for: • Homeless individuals and families who: o test positive for COVID-19 that do not require hospitalization, but need isolation or quarantine (including those exiting from hospitals); o are COVID-19 symptomatic and are awaiting test results; o have been exposed to COVID-19 (as documented by a state or local public health official, or medical health professional) that do not require hospitalization, but need isolation or quarantine; and o are asymptomatic, but are at "high -risk," such as people over 65 or who have certain underlying health conditions (respiratory, compromised immunities, chronic disease), and who require Emergency NCS as a social distancing measure. Uniform CRF Eliaibilitv The funding being used for this project is Federal Coronavirus Relief Fund (CRF). As a result, additional provisions apply and are included in this Attachment. The information contained in this Attachment supersedes the General Provisions of the Agreement, as related to all activities undertaken with CRF funding Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021, Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project will be pay for isolation and quarantine of vulnerable and high risk individuals to COVID and the costs associated for general care such as food while in quarantine. Some health care services are covered, such as telemedicine and visiting medical staffing to individuals who do not need hospital services. These individuals cannot stay in standard congregate housing programs For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Administrative costs not allowed with this program R&D costs are not allowed with this program Eliaible CRF expenditures under this oroaram • Costs related to sheltering based on the type of shelter, the specific needs of those sheltered, and determined necessary to • Daily rate for non -congregate shelter such as camps, hotel and motel rooms • Staffing costs for visiting LHD medical staff to non -congregate shelter population • Other quarantine rooming costs such as food for non -congregate shelter population • Telemedicine expenses Nonexclusive examples of ineliaible CRF expenditures Expenses for the State share of Medicaid. Damages covered by insurance. Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency. Expenses that have been or will be reimbursed under any federal program, such as the reimbursement by the federal government pursuant to the CARES Act of contributions by States to State unemployment funds. Reimbursement to donors for donated items or services. Workforce bonuses other than hazard pay or overtime Severance pay. Legal settlements. Case management Mental Health counseling Period of Performance October 1, 2020 to February 15, 2021 Proaram Contact Information Lynn Hendges hendaesl2no.michia_ an.a_ ov 517-285-1698 Section II. Standard Provisions: Proaram Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/Dolicv- issues/cares/state-and-local-governments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21,019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 30, 2020 The SAM website is: httr)s://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at htti)s:Hhome.treasurv.00v/system/files/136/ Coronavirus-Relief-Fund-Freauently-Asked-Questions.Mdf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at https://www.ecfr.aov/cai-bin/text-idx?SID=6214841 a79953f26c5c230d72d6b70a1 &tDl=/ ecfrbrowse/Title02/2cfr200 main 02.tol for complete requirements. 2 CFR 200.303 Internal Controls_ The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 Subrecioient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200,22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FR 78608, Dec. 26, 2013, as amended at 80 FIR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuah entities, All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR 54409, Sept. 10, 20151 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Reauirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Resoonsibilities The auditee must: I. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Reoavment for ineliaible CRF expenditures or under snendina Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Requirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7. all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortina Reauirements: Additional information will be communicated to you at a or contractor. State agencies may identify and develop requirements that is specific for their program. Statewide Reoortina Reauirements future date as the subrecipient additional reporting The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Federal Reoortina Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Projects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Categories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eoual to $50,000 a. Contractor identifying and demographic information (e.g. DUNS number and location) b. Contract number c. Contract date, type, amount, and description d. Primary place of contract performance e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Quarterly obligation amount i. Quarterly expenditure amount j. Expenditure categories (listed above) Grants Greater Than or Eaual to $50.000 a. Grantee identifying and demographic information (e.g. DUNS number and location) b. Award number c. Award date, amount, and description d. Award payment method (reimbursable or lump sum payment(s)) e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Primary place of performance i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Loans Greater Than or Eaual to $50.000 a. Borrower identifying and demographic information (e.g. DUNS number and location) b. Loan number c. Loan amount, date (date when loan signed by prime recipient and borrower), and description d. Loan expiration date (date when loan expected to be paid in full) e. Purpose of loan f. Primary place of performance g. Related project(s) h. Quarterly obligation amount i. Quarterly payments on outstanding loans j. Recipient plans for reuse of Coronavirus Relief Fund loan repayments k. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Eaual to $50.000 a. Transferee/government unit identifying and demographic information (e.g. DUNS number and location) b. Transfer date, amount, and description c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure information f. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50.000 a. Payee identifying and demographic information (e.g. DUNS number and location) b. Direct Payments amount and date c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure amount f. Expenditure categories (listed above) Aaareaate reportina below $50.000 Aggregate reporting is allowed on contracts, grants, transfers made to other government entities, loans, direct payments, and payments to individuals that are below $50, 000. Reoortina on Expenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 Reporting Period October 1, 2020- October 31,2020 November 1, 2020 - November 30,2020 December 1, 2020 - December 31, 2020 January 1, 2021 -January 31, 2021 February 1, 2021 - February 15, 2021 Report Due Date Reporting Requirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report February 5 , 2021 Financial Status Report Final Financial Status Report March 8, 2021 Grant Closing Certification The Financial Status Report must be submitted with the Grant Closina Certification by March 8. 2021. PROJECT: CRF Wrap Around Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Description and Purpose Grant will provide funding to Local Health Departments to support isolation/quarantine wrap around services for families and individuals testing positive for COVID-19. Services covered will include rent, mortgage, utilities and groceries. Subrecioient Descriptions Local Health Departments Uniform CRF Eliaibilitv The funding being used for this project is Federal Coronavirus Relief Fund (CRF). As a result, additional provisions apply and are included in this Attachment. The information contained in this Attachment supersedes the General Provisions of the Agreement, as related to all activities undertaken with CRF funding. Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project is eligible for CRF funds because CRF funds are intended to be used for quarantining individuals. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Administrative costs allowed? Yes, for expenses directly associated with the administration of the program. Actual administrative costs are approved up to the amount of $50,000 per subrecipient LHD. Indirect costs are not allowed with this program. R&D costs are not allowed with this program Eiiaible CRF expenditures under this Proaram • Allowable expenses include staffing, rent, mortgage, groceries, utilities. Expenditures should generally be short in duration and correspond with the isolation/quarantine period. Nonexclusive examples of ineliaible CRF expenditures • Fund payments may not be used for government revenue replacement, including the provision of assistance to meet tax obligations or unpaid utility fees. • Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify • Damages covered by insurance. • Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency. • Reimbursement to donors for donated items or services. • Workforce bonuses other than hazard pay or overtime. • Severance pay. • Legal settlements. Period of Performance 10/1/2020 -February 15, 2021 Proaram Contact Information Janine Whitmire WhitmireJ( michiaan.00v Molly Cotant CotantMe-michiaan.aov Section II. Standard Provisions: Proaram Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/policv- issues/cares/state-and-local-aovernments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 FAIN #: SLT0040 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21.019. Each eligible applicant must register with the Federal System for Award Management (SAM) by December 10, 2020. The SAM website is: httDs://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between October 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at htti)s:Hhome.treasurv.aov/system/files/136/ Coronavirus-Relief-Fund-Freauently-Asked-Questions.Ddf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at hops://www.ecfr.aov/cai-bin/text-idx?SID=6214841 a79953f26c5c230d72d6b70a1 &tpl=/ ecfrbrowse/Title02/2cfr200 main 02.tp1 for complete requirements. 2 CFR 200,303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 — 200.332 Subrecioient Monitorino and Manaaement Subawards are authorized with this funding. As a part of this grant agreement the identified grantees in the Subrecipients Description section above are subrecipients and may be a pass -through entity if they issue subawards to other subrecipients. If Local Health Departments are making subawards, please ensure compliance of the uniform requirements below as defined for pass -through entities and are included as appropriate in the grant agreement(s) between the grantee and subrecipients. 2 CFR 200.330 Subrecioient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward, Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FIR 78608, Dec. 26, 2013, as amended at 80 FIR 54409, Sept. 10, 2015] 2 CFR 200.331 Reauirements for oass-throuah entities All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FIR 78608, Dec. 26, 2013, as amended at 79 FIR 75885, Dec. 19, 2014; 80 FIR 54409, Sept. 10, 2015] 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Reauirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Reoavment for ineligible CRF expenditures or under soendina Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Reauirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7. all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortino Reauirements: Additional information will be communicated to you at a future date as the subrecipient or contractor. Subrecipient must identify and develop additional reporting requirements that is specific for their program. Statewide Reoortina Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Reoortina Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Projects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Cateaories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50,000 a. Contractor identifying and demographic information (e.g. DUNS number and location) b. Contract number c. Contract date, type, amount, and description d. Primary place of contract performance e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Quarterly obligation amount i. Quarterly expenditure amount j. Expenditure categories (listed above) Grants Greater Than or Eaual to $50,000 a. Grantee identifying and demographic information (e.g. DUNS number and location) b. Award number c. Award date, amount, and description d. Award payment method (reimbursable or lump sum payment(s)) e. Related project name(s) f. Period of performance start date g. Period of performance end date h. Primary place of performance i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Loans Greater Than or Eaual to $50,000 a. Borrower identifying and demographic information (e.g. DUNS number and location) b. C. e. f. 9 h. 2 Loan number Loan amount, date (date when loan signed by prime recipient and borrower), and description Loan expiration date (date when loan expected to be paid in full) Purpose of loan Primary place of performance Related project(s) Quarterly obligation amount Quarterly payments on outstanding loans Recipient plans for reuse of Coronavirus Relief Fund loan repayments Loan/expenditure categories Transfers to Other Government Entities Greater Than or Eaual to $50.000, a. Transferee/government unit identifying and demographic information (e.g. DUNS number and location) b. Transfer date, amount, and description c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure information f. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50,000 a. Payee identifying and demographic information (e.g. DUNS number and location) b. Direct Payments amount and date c. Related project(s) d. Quarterly obligation amount e. Quarterly expenditure amount f. Expenditure categories (listed above) Aaareaate reoortino below $50.000 Aggregate reporting is allowed on contracts, grants, transfers made to other government entities, loans, direct payments, and payments to individuals that are below $50,000. Reoortina on Exoenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 I Reporting Period October 1, 2020- October 31,2020 November 1, 2020 - November 30,2020 December 1, 2020 - December 31, 2020 January 1, 2021 - January 31, 2021 February 1, 2021 - February 15, 2021 Report Due Date Reporting Requirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report February 5 , 2021 Financial Status Report Final Financial Status Report March 8, 2021 Grant Closing Certification The Financial Status Report must be submitted with the Grant Closing Certification by March 8. 2021. PROJECT: CRF Local Health Department Lab Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Description and Purpose Local Health Departments or Districts are being regionalized to provide rapid public health testing response to handle COVID testing (and differentiation from other respiratory pathogens). The labs will assist immediate need actions in an assigned set of counties. Seven areas with labs or in the new lab development process will support these activities. This will provide public health testing to increase the statewide capacity, allow for outbreak response efforts, and ensure contact tracers have the appropriate necessary data to follow-up on exposures or known cases. Sites will use funds to ensure labs spaces are remodeled to ensure appropriate CLIA complexity level is met. Equipment, instruments, or reagents to perform COVID testing will also be a possibility for purchase. Uniform CRF Eliaibilitv Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project is eligible for CRF funds because CRF funds are intended to be used for laboratory renovation, instruments, equipment and reagents for local health department COVID-19 response efforts. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Up to $7000, in administrative costs are allowed with this program to the extent that the expenditure can be directly associated to the administration of the program. R&D costs are not allowed with this program Eliaible CRF expenditures under this oroaram Eligible expenditures include • Maintenance of laboratory spaces • Purchase of laboratory equipment • Purchase of laboratory supplies to install laboratory infrastructure (i.e. benches, shields, etc.) • communication (i.e. IT support, phone, etc.) • Indirect Nonexclusive examples of inelia_ible CRF expenditures • Purchase of vehicles • Fund payments may not be used for government revenue replacement, including the provision of assistance to meet tax obligations or unpaid utility fees • Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify • Damages covered by insurance • Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency • Reimbursement to donors for donated items or services • Workforce bonuses other than hazard pay or overtime • Severance pay • Legal settlements Period of Performance October 1, 2020 — February 15, 2021 Proaram Contact Information Marty K. Soehnlen, PhD, MPH, PHLD(ABB), Director of Infectious Disease, Bureau of Laboratories, Michigan Department of Health and Human Services SoehnlenM(c).michiaan.aov Section II. Standard Provisions: Proaram Reauirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/oolicv- issues/cares/state-and-local-governments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21.019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 30, 2020, The SAM website is: httos://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ,, located at httos://home.treasurv.aov/system/files/136/ Coronavirus-Relief-Fund-Freouently-Asked-Questions,odf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations. In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at httos://www.ecfr.aov/coi-bin/text-idx7SID=6214841 a79953f26c5c230d72d6b70a1 &to)=/ ecfrbrowse/Title02/2cfr200 main_02.tol for complete requirements. 2 CFR 200.303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 Subrecipient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities. Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FIR 78608, Dec. 26, 2013, as amended at 80 FIR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuoh entities All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200.207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. (78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR 54409, Sept. 10, 2015) 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 — Audit Reauirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Reoavment for ineliaible CRF expenditures or under soendino Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. if it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Reauirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7. all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Federal Reoortino Reauirements: Additional information will be communicated to you at a future date as the subrecipient or contractor. State agencies may identify and develop additional reporting requirements that is specific for their program. Statewide Reoortina Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Reoortina Requirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSolutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Projects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Exoenditure Cateaories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50,000 a. Contractor identifying and demographic information (e.g. DUNS number and b. location) c. Contract number d. Contract date, type, amount, and description e. Primary place of contract performance f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Grants Greater Than or Eaual to $50.000 a. Grantee identifying and demographic information (e.g. DUNS number and b. location) c. Award number d. Award date, amount, and description e. Award payment method (reimbursable or lump sum payment(s)) f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Primary place of performance j. Quarterly obligation amount k. Quarterly expenditure amount I. Expenditure categories (listed above) Loans Greater Than or Eaual to $50.000 a. Borrower identifying and demographic information (e.g. DUNS number and b. location) c. Loan number d. Loan amount, date (date when loan signed by prime recipient and borrower), e. and description f. Loan expiration date (date when loan expected to be paid in full) g. Purpose of loan h. Primary place of performance i. Related project(s) j. Quarterly obligation amount k. Quarterly payments on outstanding loans 1. Recipient plans for reuse of Coronavirus Relief Fund loan repayments m. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Eaual to $50.000, a. Transferee/government unit identifying and demographic information (e.g. b. DUNS number and location) c. Transfer date, amount, and description d. Related project(s) e. Quarterly obligation amount f. Quarterly expenditure information g. Expenditure categories (listed above) Direct Pavments Greater Than or Eaual to $50,000 a. Payee identifying and demographic information (e.g. DUNS number and b. location) c. Direct Payments amount and date d. Related project(s) e. Quarterly obligation amount f. Quarterly expenditure amount g. Expenditure categories (listed above) Aaareaate reportina below $50,000 Aggregate reporting is allowed on contracts, grants, transfers made to other government entities, loans, direct payments, and payments to individuals that are below $50,000. Reoortina on Expenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 (Reporting Period October 1, 2020- October 31,2020 (November 1, 2020 - November 30,2020 IDecember 1,2020- December 31,2020 ,January 1, 2021 -January 31, 2021 !February 1, 2021 -February 15, 2021 Report Due Date Reporting Requirements Grant Opening Certification November 5, 2020 (Financial Status Report December 5, 2020 IFinancial Status Report January 5, 2021 Financial Status Report February 5 , 2021 Financial Status Report Final Financial Status Report March $ 2021 IGrant Closing Certification The Financial Status Report must be submitted with the Grant Closino_ Certification bv_ March 8. 2021. PROJECT: CRF Local Health Department Testing Beginning Date: October 1, 2020 End Date: February 15, 2021 PROGRAM SPECIFIC REQUIREMENTS Proaram Description and Purpose For COVID-19 funding from the Coronavirus Relief Fund for LHD COVID Testing. The primary purpose for this project is to support staff time and supplies for LHD-supported COVID community testing events. Uniform CRF Eliaibilitv Payments from the Coronavirus Relief Fund may only be used to cover expenditures that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19); 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government; 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021. Usage of these funds must comply with the federal requirements of the Coronavirus Relief Fund. This project is eligible for CRF funds because CRF funds are intended to be used for community testing events. For a cost to be considered to have been incurred, performance or delivery must occur during the covered period but payment of funds need not be made during that time (though it is generally expected that this will take place within 90 days of a cost being incurred). Administrative Costs Administrative costs are allowed with this program to the extent that the expenditure can be directly associated to the administration of the program. R&D costs are not allowed with this program. Eliaible CRF expenditures under this Proaram Any single procurement of over $4,000 should be vetted with MDHHS prior to purchase. Allowable expenses include staffing, communications, and supplies to support indoor/outdoor public COVID testing events, including PPE, tents, test kits, vehicles, or trailers. Nonexclusive examples of ineliaible CRF expenditures • Fund payments may not be used for government revenue replacement, including the provision of assistance to meet tax obligations or unpaid utility fees. • Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify • Damages covered by insurance. • Payroll or benefits expenses for employees whose work duties are not substantially dedicated to mitigating or responding to the COVID-19 public health emergency. • Reimbursement to donors for donated items or services. • Workforce bonuses other than hazard pay or overtime. • Severance pay. • Legal settlements. Period of Performance October 1, 2020 — February 15, 2021 Prooram Contact Information Laura de la Rambelje, delarambeliel().michiaan.00vwith the MDHHS Office of Local Health Services Section II. Standard Provisions: Prooram Reouirements Funds were awarded to the State of Michigan as Federal Financial Assistance from the U.S. Department of Treasury. The funds were awarded under the Social Security Act, as amended by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act ('CARES Act") signed into law March 27, 2020 httos://home.treasurv.aov/oolicv- issues/cares/state-and-local-aovernments as the Coronavirus Relief Fund. The State of Michigan was awarded $3.08 billion dollars under the Coronavirus Relief Fund. CFDA #: 21.019 Coronavirus Relief Funds are considered federal financial assistance and have been assigned a Catalog of Federal Domestic Assistance (CFDA) or Assistance Listing Number of 21.019. Fund payments are considered to be federal financial assistance subject to the Single Audit Act (31 U.S.C. Sections 7501 — 7507) and the related provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Section 200.330 — 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements. Under the Single Audit Act, subrecipients will need to report expenditures under this program using the CFDA number 21.019. Each eligible applicant must register with the Federal System for Award Management (SAM) by September 1, 2020. The SAM website is: httos://www.sam.aov/SAM. Use of Funds: The CARES Act requires that the payments from the Coronavirus Relief Fund only be used to cover expenses that: 1. are necessary expenditures incurred due to the public health emergency with respect to Coronavirus Disease (COVID-19) and 2. were not accounted for in the budget most recently approved as of March 27, 2020 (the date of enactment of the CARES Act) for the State or government. 3. were incurred during the period that begins on March 1, 2020 and ends on February 15, 2021, Coronavirus Relief Funds expended under this Agreement may only be used for expenses incurred between March 1, 2020, and February 15, 2021, unless the Department notifies the Grantee in writing of a change in the end date of this Agreement. OMB Uniform Guidance for Non-federal Agencies Receiving These Funds The U.S. Department of Treasury has indicated in the Coronavirus Relief Fund Frequency Asked Questions that are accessible at U.S. Department of Treasury Coronavirus Relief Fund FAQ, located at httos://home.treasurv.00v/system/files/1361 Coro navirus-Relief- Fund-Freauently-Asked-Questions.odf, that the provisions of the Uniform Guidance, 2 Code of Federal Regulations (CFR) Section 200.303 regarding internal controls, Sections 200.330 through 200.332 regarding subrecipient monitoring and management, and subpart F regarding audit requirements are applicable to all CRF subawards at this time. However, guidance is evolving, and jurisdictions will be required to comply with additional guidance as it is published. Effective internal controls must be established and maintained (2 CFR Section 200.303). All reimbursements requested under this program should be accounted for with supporting documentation. Eligible applicants should maintain documentation evidencing that the funds were expended in accordance with federal, state, and local regulations, In accordance with federal Uniform Guidance, funds received under this program shall be included on the eligible applicant's Schedule of Expenditures of Federal Awards (SEFA) and included within the scope of the eligible applicant's Single Audit. The following is a summary of Uniform Guidance provisions that have been identified as significant. Applicants must review the eCFR Uniform Guidance at httr)s://www.ecfr,ciovlcoi-bin/text-idx?SID=6214841 a79953f26c5c230d72d6b70a1 &tol=/ ecfrbrowse/TitIe02/2cfr200 main_02.tol for complete requirements, 2 CFR 200,303 Internal Controls The non -Federal entity must: 1. Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non -Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. 2. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards. 3. Evaluate and monitor the non -Federal entity's compliance with statutes, regulations, and the terms and conditions of Federal awards. 4. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. 5. Take reasonable measures to safeguard protected personally identifiable information. 2 CFR 200.330 Subrecioient and contractor determinations The non -Federal entity may concurrently receive Federal awards as a recipient, a subrecipient, and a contractor, depending on the substance of its agreements with Federal awarding agencies and pass -through entities, Therefore, a pass - through entity must make case -by -case determinations whether each agreement it makes for the disbursement of Federal program funds casts the party receiving the funds in the role of a subrecipient or a contractor. The Federal awarding agency may supply and require recipients to comply with additional guidance to support these determinations provided such guidance does not conflict with this section. (a) Subrecipients. A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal assistance relationship with the subrecipient. See §200.92 Subaward. Characteristics which support the classification of the non -Federal entity as a subrecipient include when the non -Federal entity: (1) Determines who is eligible to receive what Federal assistance; (2) Has its performance measured in relation to whether objectives of a Federal program were met; (3) Has responsibility for programmatic decision making; (4) Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and (5) In accordance with its agreement, uses the Federal funds to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass -through entity. (b) Contractors. A contract is for the purpose of obtaining goods and services for the non -Federal entity's own use and creates a procurement relationship with the contractor. See §200.22 Contract. Characteristics indicative of a procurement relationship between the non -Federal entity and a contractor are when the contractor: (1) Provides the goods and services within normal business operations; (2) Provides similar goods or services to many different purchasers; (3) Normally operates in a competitive environment; (4) Provides goods or services that are ancillary to the operation of the Federal program; and (5) Is not subject to compliance requirements of the Federal program as a result of the agreement, though similar requirements may apply for other reasons. (c) Use of judgment in making determination. In determining whether an agreement between a pass -through entity and another non -Federal entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more important than the form of the agreement. All of the characteristics listed above may not be present in all cases, and the pass - through entity must use judgment in classifying each agreement as a subaward or a procurement contract. [78 FIR 78608, Dec. 26, 2013, as amended at 80 FR 54409, Sept. 10, 20151 2 CFR 200.331 Reauirements for pass-throuah entities All pass -through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass -through entity must provide the best information available to describe the Federal award and subaward. Required information includes: (1) Federal Award Identification. (i) Subrecipient name (which must match the name associated with its unique entity identifier); (ii) Subrecipient's unique entity identifier; (iii) Federal Award Identification Number (FAIN); (iv) Federal Award Date (see §200.39 Federal award date) of award to the recipient by the Federal agency; (v) Subaward Period of Performance Start and End Date; (vi) Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient; (vii) Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including the current obligation; (viii) Total Amount of the Federal Award committed to the subrecipient by the pass -through entity; (ix) Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass -through entity, and contact information for awarding official of the Pass -through entity; (xi) CFDA Number and Name; the pass -through entity must identify the dollar amount made available under each Federal award and the CFDA number at time of disbursement; (xii) Identification of whether the award is R&D; and (xiii) Indirect cost rate for the Federal award (including if the de minimis rate is charged per §200.414 Indirect (F&A) costs). (2) All requirements imposed by the pass -through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; (3) Any additional requirements that the pass -through entity imposes on the subrecipient in order for the pass -through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; (4) An approved federally recognized indirect cost rate negotiated between the subrecipient and the Federal Government or, if no such rate exists, either a rate negotiated between the pass -through entity and the subrecipient (in compliance with this part), or a de minimis indirect cost rate as defined in §200.414 Indirect (F&A) costs, paragraph (f); (5) A requirement that the subrecipient permit the pass -through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass -through entity to meet the requirements of this part; and (6) Appropriate terms and conditions concerning closeout of the subaward. (b) Evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring described in paragraphs (d) and (e) of this section, which may include consideration of such factors as: (1) The subrecipient's prior experience with the same or similar subawards; (2) The results of previous audits including whether or not the subrecipient receives a Single Audit in accordance with Subpart F— Audit Requirements of this part, and the extent to which the same or similar subaward has been audited as a major program; (3) Whether the subrecipient has new personnel or new or substantially changed systems; and (4) The extent and results of Federal awarding agency monitoring (e.g., if the subrecipient also receives Federal awards directly from a Federal awarding agency). (c) Consider imposing specific subaward conditions upon a subrecipient if appropriate as described in §200,207 Specific conditions. (d) Monitor the activities of the subrecipient as necessary to ensure that the subaward is used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Pass -through entity monitoring of the subrecipient must include: (1) Reviewing financial and performance reports required by the pass - through entity. (2) Following -up and ensuring that the subrecipient takes timely and appropriate action on all deficiencies pertaining to the Federal award provided to the subrecipient from the pass -through entity detected through audits, on -site reviews, and other means. (3) Issuing a management decision for audit findings pertaining to the Federal award provided to the subrecipient from the pass -through entity as required by §200.521 Management decision. (e) Depending upon the pass -through entity's assessment of risk posed by the subrecipient (as described in paragraph (b) of this section), the following monitoring tools may be useful for the pass -through entity to ensure proper accountability and compliance with program requirements and achievement of performance goals: (1) Providing subrecipients with training and technical assistance on program -related matters; and (2) Performing on -site reviews of the subrecipient's program operations; (3) Arranging for agreed -upon -procedures engagements as described in §200.425 Audit services. (f) Verify that every subrecipient is audited as required by Subpart F—Audit Requirements of this part when it is expected that the subrecipient's Federal awards expended during the respective fiscal year equaled or exceeded the threshold set forth in §200.501 Audit requirements. (g) Consider whether the results of the subrecipient's audits, on -site reviews, or other monitoring indicate conditions that necessitate adjustments to the pass -through entity's own records. (h) Consider taking enforcement action against noncompliant subrecipients as described in §200.338 Remedies for noncompliance of this part and in program regulations. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014; 80 FR 54409, Sept. 10, 2015] 2 CFR 200.332 Fixed amount subawards With prior written approval from the Federal awarding agency, a pass -through entity may provide subawards based on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in §200.201 Use of grant agreements (including fixed amount awards), cooperative agreements, and contracts. 2 CFR 200.501 —Audit Reauirements (a) Audit required. A non-federal entity that expends $750,000 or more during the non -Federal entity's fiscal year in Federal awards must have a single or program - specific audit conducted for that year in accordance with the provisions of this part. 2 CFR 200.508 —Auditee Responsibilities The auditee must: 1. Procure or otherwise arrange for the audit, if required. 2. Prepare appropriate financial statements, including the schedule of expenditures of Federal awards. 3. Promptly follow up and take corrective action on the audit findings. 4. Provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit. Repavment for ineliaible CRF expenditures or under suendinq Any funds received under the authorizing legislation for this program expended by the eligible applicant in a manner that does not adhere to the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136 or Uniform Guidance 2 CFR 200, as applicable, shall be returned to the state. If it is determined that an eligible applicant receiving funds under this act expends any funds under this act for a purpose that is not consistent with the requirements of the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-136, or Uniform Guidance 2 CFR 200, the state budget director is authorized to withhold payment of state funds, in part or in whole, payable from any state appropriation. All subawards are subject to future audits and eligible applicants must allow the State of Michigan, any of its duly authorized representatives and/or State of Michigan's Office of the Auditor General access to the eligible applicant's records and financial statements to ensure compliance with Federal statutes, regulations and the terms and conditions of the grant award. CRF Record Retention Reauirements Recipients of Coronavirus Relief Fund payments shall maintain and make available to the U.S. Department of Treasury, Office of Inspector General, upon request, all documents and financial records sufficient to establish compliance with subsection 601(d) of the Social Security Act as amended, (42 U.S.C. 801(d)). Records shall be maintained for a period of five (5) years after final payment is made using Coronavirus Relief Fund monies. These record retention requirements are applicable to prime recipients and their grantees and subgrant recipients, contractors, and other levels of government that received transfers of Coronavirus Relief Fund payments from prime recipients. Records to support compliance with subsection 601(d) may include, but are not limited to, copies of the following: 1. general ledger and subsidiary ledgers used to account for (a) the receipt of Coronavirus Relief Fund payments and (b) the disbursements from such payments to meet eligible expenses related to the public health emergency due to COVID-19; 2. budget records for 2019 and 2020; 3. payroll, time records, human resource records to support costs incurred for payroll expenses related to addressing the public health emergency due to COVID-19; 4. receipts of purchases made related to addressing the public health emergency due to COVID-19; 5. contracts and subcontracts entered into using Coronavirus Relief Fund payments and all documents related to such contracts; 6. grant agreements and grant subaward agreements entered into using Coronavirus Relief Fund payments and all documents related to such awards; 7, all documentation of reports, audits, and other monitoring of contractors, including subcontractors, and grant recipients and subrecipients; 8. all documentation supporting the performance outcomes of contracts, subcontracts, grant awards, and grant recipient subawards; 9. all internal and external email/electronic communications related to use of Coronavirus Relief Fund payments; and 10. all investigative files and inquiry reports involving Coronavirus Relief Fund payments. Reoortina Requirements:. Additional information will be communicated to you at a future date as the subrecipient or contractor. Subrecipient must identify and develop additional reporting requirements that is specific for their program. Statewide Reoortina Reauirements The State Budget Director will report on the status of these funds to the Senate and House appropriations committees and the Senate and House fiscal agencies periodically until all funds are exhausted. U.S. Treasury reporting requirements are evolving and additional reporting guidance will be issued with more detail but the elements described below are the minimum reporting expectations. Reoortina Reauirements The United States Treasury Office of Inspector General has engaged GrantSolutions, a grant and program management Federal shared service provider under the U.S. Department of Health and Human Services, to develop a customized and user-friendly reporting solution to capture the use of Coronavirus Relief Fund payments. In this regard, the GrantSoiutions portal will be prepopulated with prime recipient data to include the Coronavirus Relief Fund payment amount, date, recipient Dun & Bradstreet unique identification number (DUNS number), and contact information. It is the responsibility of the prime recipients to report on uses of Coronavirus Relief Fund payments. Accordingly, each prime recipient shall report Coronavirus Disease 2019 (COVID-19) related costs incurred quarterly. The State of Michigan is currently working on a template (financial status report) that will need to be completed by grantees to assist the State with the required reporting. The following delineates the reporting requirements for the State of Michigan as the prime recipient to provide context regarding the type of information that may be collected through the reporting template. Projects List all projects the prime recipient plans to complete with Coronavirus Relief payments. For each project, the prime recipient will be to enter the project name, identification number (created by the prime recipient), description, and status of completion. Once a project is entered into the GrantSolutions portal, the prime recipient will be able to report on the project's obligations and expenditures. Expenditure Categories Once expenditures are entered against obligations, the prime recipient will need to select the specific expenditure category from the available options from a dropdown menu: a. Administrative Expenses b. Budgeted Personnel and Services Diverted to a Substantially Different Use c. COVID-19 Testing and Contact Tracing d. Economic Support (Other than Small Business, Housing, and Food Assistance) e. Expenses Associated with the Issuance of Tax Anticipation Notes f. Facilitating Distance Learning g. Food Programs h. Housing Support i. Improve Telework Capabilities of Public Employees j. Medical Expenses k. Nursing Home Assistance I. Payroll for Public Health and Safety Employees m. Personal Protective Equipment n. Public Health Expenses o. Small Business Assistance p. Unemployment Benefits q. Workers' Compensation r. Items Not Listed Above - to include other eligible expenses that are not captured in the available expenditure categories Each prime recipient shall also provide detailed obligation and expenditure information for any contracts and grants awarded, loans issued, transfers made to other government entities, and direct payments made by the prime recipient that are greater than or equal to $50,000 as follows. Contracts Greater Than or Eaual to $50.000 a. Contractor identifying and demographic information (e.g. DUNS number and b. location) c. Contract number d. Contract date, type, amount, and description e. Primary place of contract performance f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Quarterly obligation amount j. Quarterly expenditure amount k. Expenditure categories (listed above) Grants Greater Than or Eaual to $50.000 a. Grantee identifying and demographic information (e.g. DUNS number and b. location) c. Award number d. Award date, amount, and description e. Award payment method (reimbursable or lump sum payment(s)) f. Related project name(s) g. Period of performance start date h. Period of performance end date i. Primary place of performance j. Quarterly obligation amount k. Quarterly expenditure amount I. Expenditure categories (listed above) Loans Greater Than or Eaual to $50.000 a. Borrower identifying and demographic information (e.g. DUNS number and b. location) c. Loan number d. Loan amount, date (date when loan signed by prime recipient and borrower), e. and description f. Loan expiration date (date when loan expected to be paid in full) g. Purpose of loan h. Primary place of performance i. Related project(s) j. Quarterly obligation amount k. Quarterly payments on outstanding loans I. Recipient plans for reuse of Coronavirus Relief Fund loan repayments m. Loan/expenditure categories Transfers to Other Government Entities Greater Than or Equal to $50,000 a. Transferee/government unit identifying and demographic information (e.g. b. DUNS number and location) c. Transfer date, amount, and description d. Related project(s) e, Quarterly obligation amount f. Quarterly expenditure information g. Expenditure categories (listed above) Direct Pavments Greater Than or Equal to $50.000 a. Payee identifying and demographic information (e.g. DUNS number and b. location) c. Direct Payments amount and date d. Related project(s) e. Quarterly obligation amount f. Quarterly expenditure amount g. Expenditure categories (listed above) Aaareaate reportina below $50,000 Aggregate reporting is allowed on contracts, government entities, loans, direct payments, $50,000. grants, transfers made to other and payments to individuals that are below Reoortina on Expenditures Recipients will be required to periodically report on spend and the forecasted spend throughout the grant program. Below are the reporting dates and requirements for each recipient. Templates will be provided in the future for you to use for this reporting. Fiscal Year ending February 15, 2021 Reporting Period October 1, 2020- October 31,2020 November 1, 2020 - November 30,2020 IDecember 1,2020- December 31,2020 (January 1, 2021 - January 31, 2021 February 1, 2021 - February 15, 2021 I Report Due Date ReportingRequirements Grant Opening Certification November 5, 2020 Financial Status Report December 5, 2020 Financial Status Report January 5, 2021 Financial Status Report February 5 , 2021 Financial Status Report March 8, 2021 (Final Financial Status Report Grant closing certification The Financial Status Report must be submitted with the Grant Closinc Certification by March 8, 2021. PROJECT: CSHCS Care Management/Care Coordination Beginning Date: 10/01/2020 End Date: 09/30/2021 Project Synopsis Beneficiaries enrolled in CSHCS with identified needs may be eligible to receive Care Coordination Services as provided by the local health department, In addition, beneficiaries with either CSHCS, CSHCS and Medicaid, or Medicaid only (no CSHCS) may be eligible to receive Case Management services if they have a CSHCS medically eligible diagnosis, complex medical care needs and/or complex psychosocial situations which require that intervention and direction be provided by the local health department. LHD staff includes registered nurses (RNs), social workers, or paraprofessionals under the direction and supervision of RNs. Services are reimbursed on a fee for services basis, as specified in Attachment IV Notes. Reporting Requirements (if different than contract language) See Attachment I for specific budget and financial requirements. Case Management and Care Coordination services within a specific Case Management role cannot be billed during the same LHD billing period, which is usually a fiscal quarter. Care Coordination and Case Management Logs are submitted electronically via the Children's Healthcare Automated Support Services (CRASS) Billing Module to the Contract Manager. Quarterly logs must be submitted with the financial status report. The Contract Manager shall evaluate the reports for their completeness and adequacy. The Contract Manager will conduct case management and care coordination log audits on a quarterly basis. Annual Narrative Progress Report N/A Any additional requirements (if applicable) Case Management services address complex needs and services and include an initial face-to-face encounter with the beneficiary/family. Case Management requires that services be provided in the home setting or other non -office setting based on family preference. Beneficiaries are eligible for a maximum of six billing units per eligibility year. Services above the maximum of six require prior approval by MDHHS. To request approval, the LHD must submit an exception request, including the rationale for additional services, to MDHHS. Limitations on the need for and number of Case Management service units are set by MDHHS and must be provided by a specific Case Management role, in accordance with training and certification requirements, Staff must be trained in the service needs of the CSHCS population and demonstrate skill and sensitivity in communicating with children with special needs and their families. Care Coordination is not reimbursable for beneficiaries also receiving Case Management services during the same LHD billing period, which is usually a calendar quarter. In the event Care Coordination services are no longer appropriate and Case Management services are needed, the change in services may only be made at the beginning of the next billing period. PROJECT: CSHCS Medicaid Elevated Blood Lead Case Management Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis All Local Health Departments in Michigan are eligible to participate in this program. The grantee will complete in -home elevated blood lead (EBL) case management (CM) services, with parental consent, for children less than age 6 in their jurisdiction enrolled in Medicaid with a blood lead level equal to or greater than 4.5 micrograms per deciliter (z4.5 pg/dL) as determined by a venipuncture test. EBL CM will be conducted according to the "Case Management Guide for Children with Elevated Blood Lead Levels" that is provided by the Childhood Lead Poisoning Prevention Program (CLPPP), Michigan Department of Health and Human Services (MDHHS). For each child eligible for EBL CM, efforts to contact the family to provide CM services and specific services provided must be documented in the child's electronic record in the Healthy Homes and Lead Poisoning Prevention (HHLPPS) database maintained by CLPPP-MDHHS. Reporting Requirements (if different than contract language) The Grantee shall submit: Annual Report Reporting period for FY21 is October 1, 2020 — September 30, 2021. Quarterly Case Management Logs A log of CM activities for is due quarterly, submitted electronically through the CLPPP's secure File Transfer Site, using a spreadsheet template provided by CLPPP that specifies the information to be provided on each child for which reimbursement is being requested on the quarterly Supplemental Attachment to the CPBC FSR. The quarterly logs will be submitted no later than thirty (30) days after the close of the quarter. Quarter Reporting Time Period 1st October 1- December 31 2nd January 1— March 31 3rd April 1 —June 30 4th July 1 —September 30 Quarterlv Lops Due Date January 31 April 30 July 30 October 30 The CLPPP EBL CM Project Manager will review the logs for their completeness and adequacy and provide approval for payment within 30 days of receipt. Any additional requirements (if applicable) The grantee shall: • Have home case management conducted by a registered nurse trained by MDHHS CLPPP. Training addresses general principals of lead poisoning and lead poisoning prevention, the Case Management protocol and the use of the HHLPPS database. Sign up for the secure FTP site maintained by MDHHS CLPPP, to be used for data sharing of confidential information. • Have an agreement with all Medicaid Health Plans in their jurisdiction that allows for sharing of Personal Health Information regarding the Plan's children with EBLLs. • Identify and Initiate contact with families of all Medicaid venous -confirmed EBLL children from the lists provided by MDHHS CLPPP to the grantee. • Complete case management activities according to requirements in the MDHHS CLPPP Case Management Guide. • Document all case management activities in the child's electronic file in the HHLPPS database. • Provide quarterly summaries of case management activities for all eligible EBLL children using a spreadsheet template provided by MDHHS CLPPP. • Submit request for reimbursement through the EGrAMS system based on the "fixed unit rate" method. The fixed rate for case management services is $201.58 per home visit, for up to 6 home visits. CLPPP-MDHHS shall provide the Grantee with: Weekly list of children in their jurisdiction with a laboratory report received in the prior week and a faxed report for children with blood lead levels =>20 pg/dl the day the report is received at MDHHS. • Written Case Management protocol. • Instructions for billing and documentation of services for participation in this project. 0 Spreadsheet template for log of CM activities. • Access to HHLPPS database. • Access to the CLPPP FTP site for secure file transfer. • Training in the basics of lead exposure and poisoning, conduct of CM, use of the HHLPPS database, and use of FTP site for transmission of confidential information. • On -going technical support and consultations from an MDHHS CLPPP nurse. PROJECT: CSHCS Medicaid Outreach Beginning Date: 10/01/2020 End Date: 09/30/2021 Project Synopsis Local Health Departments may perform Medicaid Outreach activities for CSHCS/Medicaid dually enrolled clients and receive reimbursement at a 50% federal administrative match rate based upon their CSHCS Medicaid dually enrolled caseload percentage and local matching funds. Reporting Requirements (if different than contract language) See Attachment I for specific budget and financial requirements. Annual Narrative Progress Report N/A Any additional requirements (if applicable) PROJECT TITLE: CSHCS OUTREACH AND ADVOCACY Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: Local Health Departments (LHDs) throughout the state serve children with special health care needs in the community. The LHD acts as an agent of the CSHCS program at the community level. It is through the LHD that CSHCS succeeds in achieving its charge to be community -based. The LHD serves as a vital link between the CSHCS program, the family, the local community and the Medicaid Health Plan (as applicable) to assure that children with special health care needs receive the services they require covering every county in Michigan. LHD is required to provide the following specific outreach and advocacy services: • Program representation and advocacy • Application and renewal assistance • Link families to support services (e.g. The Family Center, CSHCS Family Phone Line, the CSHCS Family Support Network (FSN), transportation assistance, etc.) • Implement any additional MPR requirements • Care coordination • Budget and Agreement Requirement and Grantee • Submission of all documents via the document management portal, as required Reporting Requirements (if different than agreement language): Annual Narrative Progress Report A brief annual narrative report is due by November 15 following the end of the fiscal year. The reporting period is October 1 — September 30. The annual report will be submitted to the Department and shall include: • Summary of successes and challenges • Technical assistance needs the Grantee is requesting the Department to address • Brief description of how any local MCH funds allocated to CSHCS were used (e.g. CSHCS salaries, outreach materials, mailing costs, etc.), if applicable The unduplicated number of CSHCS eligible clients assisted with CSHCS enrollment. The unduplicated number of CSHCS clients assisted in the CSHCS renewal process. Definitions Unduplicated Number of CSHCS Eligible Clients Assisted with CSHCS Enrollment is defined as: Number of CSHCS eligible clients the Grantee provided one-on-one (in person or via telephone) substantial assistance to complete the CSHCS enrollment process during the fiscal year. This assistance includes, but is not limited to, helping the family obtain necessary medical reports to determine clinical eligibility, completing the CSHCS Application for Services, completing the CSHCS financial assessment forms, etc. Unduplicated Number of CSHCS Clients Assisted in the CSHCS Renewal Process is defined as: Number of CSHCS enrollees the Grantee provided one-on-one (in person or via telephone) substantial assistance to complete and/or submit documents required for the Department to make a determination whether to continue/renew CSHCS coverage during the fiscal year. "Assisted" may also include collaboration with the client's Medicaid Health Plan. Any additional requirements (if applicable): Relationship between Grantees and Medicaid Health Plans: The Grantee must establish and maintain care coordination agreements with all Medicaid Health Plans for CSHCS enrollees in the Grantees service area. Grantees and the Medicaid Health Plans may share enrollee information to facilitate coordination of care without specific, signed authorization from the enrollee. The enrollee has given consent to share information for purposes of payment, treatment and operations as part of the Medicaid Beneficiary Application. Care coordination agreements between Grantees and the Medicaid Health Plans will be available for review upon request from the Department. The agreement must address all the following topics • Data sharing • Communication on development of Care Coordination Plan • Reporting requirements • Quality assurance coordination • Grievance and appeal resolution • Dispute resolution • Transition planning for youth PROJECT: Eat Safe Fish Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis The Grantee will collaborate with the Department and the EPA Region V Saginaw Community Information Office to deliver a uniform message for the Saginaw River and connected waters regarding the fish and wild game consumption advisories within the tri- county area (Midland, Saginaw, and Bay). Bay County Health Department (BCHD) will develop a plan to distribute that message using existing health department programs, the medical community, special events, and community service providers to communicate with the at -risk population. Bay County Health Department (BCHD) will get approval from the Department program manager and for any changes to the Saginaw and Bay County Cooperative Agreement Scope of Work including budget and budget narratives Reporting Requirements (if different than contract language) Track and report output measures. Write and Submit quarterly reports and an annual report to the Department. • Submit draft quarterly reports within 15 days after the end of each quarter. • Annual reports upon request. Any additional requirements (if applicable) The Grantee will provide appropriate staff to fulfill the following objectives and outputs as detailed: • Comply with the Saginaw and Bay County Cooperative Agreement budget and budget narratives as describe in the scopes of work provided to the BCHD program manager as applicable from October 1 to September 30. • Provide 30 hours of health education and community outreach per week. • Conduct health education and community outreach in Saginaw, Midland, and Bay Counties. Activities will include, but not be limited to, internal BCHD distribution, health care provider outreach, and key event participation. • Track hours to comply with cost recovery requirements. • Development, Printing, and Distribution of Outreach Materials and implementation of Display Booth. • Identify, track, and record of materials distributed at additional locations within Midland, Bay, and Saginaw Counties. • Make payment for the replacement of signage on the Tittabawasse and Saginaw Rivers. • Conduct Capacity Building in Saginaw, Midland and Bay Counties • Actively seek out new community partners in Saginaw, Midland and Bay Counties. • Participate in monthly SBCA teleconference. • Provide Presentation of display booth at select community events in coordination with EPA Region V Saginaw Community Information Office. Conduct Outreach though existing BCHD Programs such as WIC, Immunizations, programs for young mothers, or other programs reaching the target population. Assist the EPA Region V Saginaw Community Information Office with community outreach. • Outreach to Health Care Providers. PROJECT: EGLE Drinking Water and Onsite Wastewater Management Beginning Date: 10/1/2020 End Date: 09/30/2021 Project Synopsis State funding for ELPHS shall support, and the Grantee shall provide for, all of the following required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as amended, Part 24 and Act No. 336, of 1998 Section 909: • Infectious/Communicable Disease Control • Sexually Transmitted Disease • Immunization ■ On -Site Wastewater Treatment Management ■ Drinking Water Supply ■ Food Service Sanitation • Hearing • Vision • State funding for ELPHS can support administrative cost for the eight required services including allowable indirect cost, or a Grantee's cost allocation plan. • ELPHS funding can also be used to fund other core health functions including: Community Health Assessment and Improvement, Public Policy Development, Health Services Administration, Quality Assurance, Creating and Maintaining a Competent Work Force and Local Public Health Accreditation. These services may be budgeted separately as part of the Administrative Budget element. • Net allowable expenditures are the authorized actual/allowable expenditures (total costs less specified exclusions). Available funding is also limited by state appropriations. • First and second party fees earned in each required service program may be used only in that required service program. • State ELPHS funding is subject to local maintenance of effort compliance. Distribution of state ELPHS funds shall only be made to agencies with total local general fund public health services spending in fiscal year (FY) 2021 of at least the amount expended in FY 92/93. To be eligible for any of the State funding increases from FY 94/95 through FY 2021, the FY 92/93 Local Maintenance of Effort Level must be met. Reporting Requirements (if different than contract language) All final amendment ELPHS funding shift request memos need to be submitted no later than May 1. Please send the official memo to request ELPHS funding shifts by email to Laura de la Rambelje (DelaRambeljeL@michigan.gov) and copy Carissa Reece (ReeceC@Michigan.gov). Any Additional Requirements (if applicable) • Assure the availability and accessibility of services for the following basic health services: Prenatal Care; Immunizations; Communicable Disease Control; Sexually Transmitted Disease (STD) Control; Tuberculosis Control; Health/Medical Annex of Emergency Preparedness Plan. • Fully comply with the Minimum Program Requirements for each of the required services. Grantee will be held to accreditation standards and follow the accreditation process and schedule established by the Department for the required services to achieve full accreditation status. Grantees designated as "not accredited" may have their Department allocations reduced for Departmental costs incurred in the assurance of service delivery. The accreditation process is based upon the Minimum Program Standards and scheduled on a three-year cycle. The Minimum Program Standards include the majority of the required Department reviews. Some additional reviews, as mandated by the funding agency, may not be included in the Program Standards and may need to be scheduled at other times. Onsite Wastewater Management The Grantee shall perform the following services for private single- and two-family homes and other establishments that generate less than 10,000 gallons per day of sanitary sewage: • Maintain an up-to-date regulation for on -site wastewater treatment systems (Systems). The regulation shall be supplemented by established internal policies and procedures. Technical guidance for staff that defines site suitability requirements, the basis for permit approval and/or denial, and issues not specifically addressed by the regulation shall be provided. • Evaluate all parcels to determine the suitability of the site for the installation of initial and replacement Systems in accordance with applicable regulation(s). These evaluations shall be conducted by a trained sanitarian or equivalent and shall consist of a review of the permit application for the installation of a System and a physical evaluation of the site to determine suitability. • Accurately record on the permit to install the initial or replacement System or on an attachment to the permit the site conditions for each parcel evaluated including soil profile data, seasonal high-water table, topography, isolation distances, and the available area and location for initial and replacement Systems. The requirement for identifying a replacement System applies to issuance of new construction permits only. • Issue a permit, prior to construction, in accord with applicable regulation(s) for those sites that meet the criteria for the installation of a System. The permit shall include a detailed plan and/or specification that accurately define the location of the initial or replacement System, System size, other pertinent construction details, and any documented variances. • Provide and keep on file formal written denials, stating the reason for denial, for those applications where site conditions are found to be unsuitable. • Conduct a construction inspection prior to covering each System to confirm that the completed System complies with the requirements of the permit that has been issued. Maintain, on file, an accurate individual record of each inspection conducted during construction of each system. In limited circumstances where constraints prohibit staff from completing the required construction inspection in a timely manner, an effective alternate method to confirm the adequacy of the completed System shall be established. The effective alternative method shall be utilized for no more than ten (10) percent of the total number of final inspections unless specific authorization has been granted by the State for other percentage. The results of all such inspections or an alternate method shall be clearly documented. • Maintain an organized filing system with retrievable information that includes documentation regarding all site evaluations, permits issued or denied, final inspection documentation, and the results of any appeals. • Conduct review and approval or rejection of proposed subdivisions, condominiums and also land divisions under one acre in size for site suitability according to the statutes and Administrative Rules for Onsite Water Supply and Sewage Disposal for Land Divisions and Subdivisions. • Utilize the State's "Michigan Criteria for Subsurface Sewage Disposal" (Criteria) for Systems other than private single- and two-family homes that generate less than 10,000 gallons per day. Systems treating less than 1,000 gallons per day may be approved in accordance with the Grantee's regulation. Advise the State prior to issuance of a variance from the Criteria. Variances are only to be issued by the Director of Environmental Health of the Grantee after consultation with the State. Appeals of any decision of the Grantee pursuant to the Criteria including systems treating less than 1,000 gallons evaluated in accordance with the Grantee's regulation shall only be made to the State. • Maintain quarterly reports that summarize the total number of parcels evaluated, permits issued, alternative or engineered plans reviewed, and number of appeals, number of inspections during construction, number of failed systems evaluated, and number of sewage complaints received and investigated for each residential (single and two-family homes) and non-residential properties. The report forms EQP2057a.1 (Non -Residential) and EQP2057b.1 (Residential) are available on the EGLE website. All quarterly reports are to be submitted directly to EGLE, to the address noted on the form, within fifteen (15) days following the end of each quarter. • Review all engineered or alternative System plans. Conduct adequate inspections during the various phases of construction to ensure proper installation. • Collect data at the time of permit issuance when a System has failed to document the System age, design, site conditions, and other pertinent factors that may have contributed to the failure of the original System. Evaluations shall record information indicated on the EGLE Onsite Wastewater Program Residential and Non -Residential Information forms. The results for all failed Systems evaluated shall be maintained in a retrievable file or database and summarized in an annual calendar year data report. Annual summaries of failed system data shall be provided to EGLE for input into the state-wide failed system database. The EGLE Onsite Wastewater Program Residential and Non -Residential Information forms shall be provided to the State no later than February 1st of the year following the calendar year for which the data has been collected. • Provide training for staff involved in the Program as necessary to maintain knowledge of current regulations and internal policies and procedures and to keep staff informed of technological improvements and advancements in Systems. • Establish and maintain an enforcement process that is utilized to resolve violations of the Local Entity and/or State's rules and regulations. Maintain complaint forms and a filing system containing results of complaint investigations and documentation of final resolution. Investigate and respond to all complaints related to onsite wastewater in a timely manner. Drinking Water: The Grantee shall perform the following services including but not limited to: • Perform water well permitting activities, pre -drilling site reviews, random construction inspections, and water supply system inspections for code compliance purposes with qualified individuals classified as sanitarians or equivalent. • Assign one individual to be responsible for quarterly reporting of the data and to coordinate communication with the assigned State staff. Reports shall be submitted no later than fifteen (15) days following the end of the quarter on forms provided by the State. The report form EQP2057 (07/2019) is available on the EGLE website. All quarterly reports are submitted directly to the EGLE address noted on the form. • Perform Minimum Program Requirements (MPRs) activities and associated performance indicators. These are available on the EGLE website. Guidance regarding the MPRs and indicators is available in the "Local Health Department Guidance Manual for the Private and Type III Drinking Water Supply Systems." The guidance manual is available online at Michioan.aov/WaterWellConstruction. PROJECT: Epi Lab Capacity Contact Tracing Testing Coordination Violation Monitoring Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: For COVID-19 funding from ELC CARES and ELC Enhanced for Case investigations, testing support, Contact Tracing and violation monitoring. The inability to meet the following metrics will elicit the following response from MDHHS related to this funding: • Technical assistance • Corrective action/performance improvement plans with MDHHS • Required support from MDHHS Any single procurement of over $4,000 should be vetted with MDHHS prior to purchase. Reporting Requirements (if different than contract language) Violation Monitoring: Related to monitoring COVID-19 compliance indicators (Number of Violations / complaints related to mandatory or recommended community mitigation): LHDS will have 100% completion of sit -rep, including response to number of actions the LHD has taken in the past 7 days related to violations. Allowable expenses include staffing, communications, and IT. Related to Case Investigation Quality: LHD's will meet the following objectives for COVID-19 Case Investigations including on weekends and holidays: COVID 19 Case Interview Attempted on 90% of COVID-19 cases within 1 calendar day of referral to MDSS COVID 19 Cases Interviewed Completed on 75% of COVID-19 cases with 1 calendar day of referral to MDSS At least 1 contact elicited on 50% of COVID-19 cases within 1 calendar day of referral to MDSS Race and Ethnicity Documented on 75% of COVID-19 cases reported to MDSS within 7 days of referral date LHD's will procure at least one tool to increase case investigation quality (people finding software, communications, printed materials for testing events, EMIR access, etc.) This data will be reported in MDSS. Allowable expenses include staffing, IT, communications, computers and or phones or other office needs, access to people finding software or EMR, supports to cases for isolation and quarantine. Funding cannot be used for clinical care or research. Related to Contact Tracing: If the LHD elects to have MDHHS through its staff, contractors, or volunteers to conduct contract tracing or to conduct case investigations on the LHD's behalf, then: 1. The LHD will provide to MDHHS quality data on contacts especially related to age, phone number, and name; 2. The LHD will follow-up on high -risk contacts; 3. The LHD will follow-up on contacts who report symptoms consistent with COVID- 19; and 4. The LHD will follow-up on escalations from MDHHS staff on contacts with high - acuity needs or specific language barriers. 5. MDHHS will provide the LHD contact information for people with high -acuity needs or specific language barriers; 6. MDHHS will move contacts from MDHHS CRF to Traceforce; 7. MDHHS will attempt to eliminate duplicate contact information using name, phone number, and age; 8. MDHHS will contact contacts and cases within 1 calendar day of the contacts entry into the CRF 9. MDHHS will provide the LHD with the outcomes of all call attempts each day 10. MDHHS will discuss with the LHD specific barriers to contact tracing such as a high -refusal rate 11. MDHHS or its delegate will attempt an contact all contacts with 1 calendar day For local health departments: • Contacts to confirmed and probable COVID cases will be documented in the MDSS case report form • 90% of newly elicited contacts have attempted outreach within 1 day • 90% of all contacts in active monitoring have outreach attempted for the contact's exposure period 50% of contacts will receive active monitoring LHD's will assess contacts needs for basic needs required for quarantine and isolation (food, etc.). LHD's will provide education to contacts on COVID public health recommendations This data will be reported in Traceforce, OMS, or on the LHD Sit Rep. Allowable expenses include staffing, IT, communications, computers and or phones or other office needs, access to people finding software or EMR, supports to cases for isolation and quarantine. Funding cannot be used for clinical care or research. This funding can be used to staff testing events or assure testing strategies are completed. Any additional requirements (if applicable) PROJECT: Epi Lab Capacity (ELC) Infection Prevention Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: For COVID-19 funding from ELC CARES for Infection Prevention, Case Investigations, Contact Tracing and violation monitoring. The inability to meet the following metrics will elicit the following response from MDHHS related to this funding: • Technical assistance • Corrective action/performance improvement plans with MDHHS • Required support from MDHHS Any single procurement of over $4,000 should be vetted with MDHHS prior to purchase. Reporting Requirements (if different than contract language) Related to Infection Prevention: • The LHD will designate a staff member or members responsible for leading infection control assessments. • The LHD will share the contact information of their infection control lead(s) with the MDHHS Infection Prevention and Resource and Assessment Team (iPRAT) for coordination purposes at MDHHS-iPRAT(@michioan.00v. • LHDs shall submit ICARs to MDHHS at httos:/Idhhshivstd.iadl.aualtries.comlife/form/SV OdNux70o256K6B7 This data will be reported in the quarterly Egrams workplans. Allowable expenses include staffing, IT, communications, computers and or phones or other office needs. Funding cannot be used for clinical care or research. Any additional requirements (if applicable) PROJECT TITLE: Hearing ELPHS / Vision ELPHS Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: The Hearing and Vision Programs screen over 1 million preschool and school -age children each year. Screening services are conducted in schools, Head Start, and preschool centers by local health department (LHD) vision technicians. Children who fail their vision screening are referred to a licensed eye doctor for an exam and treatment. Follow-up is conducted by the LHD to confirm that the child gets the care that they need. Children who do not pass their hearing screening are referred to their primary care physician or Ear, Nose, and Throat physician for diagnosis, treatment, and recommendations. Reporting Requirements (if different than agreement language): Upon completion of the FY21 contract, grantees must submit a School -Based Hearing and Vision Program Annual Narrative Progress Report to MDHHS-Hearina-and- Vision(a.michiaan.aov The report must include: 1. Successes -accomplishments of the program/technician(s) 2. Challenges- issues that created difficulty in managing the program and/or performing screening services 3. Technical Assistance Needs- request support from the Hearing and/or Vision Consultant 4. Additional Feedback -questions in this section will change annually based on relevant/current program topics/issues Annual Narrative Reports must be approved by the MDHHS Hearing & Vision Coordinator for their respective program. Each Local Health Department (coordinators and technicians) should keep an ongoing log of Successes and Challenges to compile and share at the end of the fiscal year. Final reports are submitted by the grantee to MDHHS. The reports are due 30 days after the end of the fiscal year MDHHS will provide the template for reporting For questions regarding these reports, please contact: Jennifer Dakers, MDHHS Hearing Consultant, dakersiRDmichigan.aov Dr. Rachel Schumann, MDHHS Vision Consultant, schumannra-michiaan.gov Any additional requirements (if applicable): Grantees must adhere to established Minimum Program Requirements for School -Based Hearing & Vision Services as outlined in the Michigan Local Public Health Accreditation Program 2018 MPR Indicator Guide. PROJECT: Food Service Sanitation (FOOD ELPHS) Beginning Date: 10/1/2020 End Date: 09/30/2021 Project Synopsis State funding for ELPHS shall support and the Grantee shall provide for all the following required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as amended, Part 24 and Act No. 336, of 1998 Section 909: ■ Infectious/Communicable Disease Control ■ Sexually Transmitted Disease ■ Immunization ■ On -Site Wastewater Treatment Management • Drinking Water Supply ■ Food Service Sanitation ■ Hearing ■ Vision • State funding for ELPHS can support administrative cost for the eight required services including allowable indirect cost, or a Grantee's cost allocation plan. • ELPHS funding can also be used to fund other core health functions including: Community Health Assessment & Improvement, Public Policy Development, Health Services Administration, Quality Assurance, Creating & Maintaining a Competent Work Force and Local Public Health Accreditation. These services may be budgeted separately as part of the Administrative Budget element. • Net allowable expenditures are the authorized actual/allowable expenditures (total costs less specified exclusions). Available funding is also limited by state appropriations. • First- and second -party fees earned in each required service program may be used only in that required service program. Reporting Requirements (if different than contract language) All final amendment ELPHS funding shift request memos need to be submitted no later than May I". Please send the memo to Laura de la Rambelje (DelaRambeljeL@michigan.gov) and copy Carissa Reece (ReeceCamichiaan.aov) Food Service Establishment Licensina Provide updates to MDARD on the 1 st and 15th of each month, as necessary to: o Provide a list of food service establishments approved for licensure/license issued. o Provide a list of food service establishment licenses that have not been approved for licensure and are considered voided or deleted. o Return the actual licenses to MDARD that are to be voided or deleted. o Return renewal license applications and licenses that require correction. Mark the corrections on the renewal application. Temoorary Food Establishment Licensing Provide updates to MDARD on the 1 st and 15th of each month, as necessary, to provide: o A copy of each temporary food establishment license issued. o A list of lost or voided licenses by license number. Any additional requirements (if applicable) Food Service Establishment Licensina Accept responsibility for all licenses specified in the "Record of Licenses Received." • Issue licenses in accordance with the Michigan Food Law 2000, as amended. Temnorary Food Establishment Licensinq Upon receipt, sign and return the "Record of Licenses Received" to MDARD. Issue licenses in accordance with the Michigan Food Law 2000, as amended. Make every effort to issue temporary food establishment licenses in numerical order. Michigan Department of Agriculture and Rural Development (MDARD) Agrees to: Food Service Establishment Licensinq, • Furnish pre-printed food service establishment license applications and pre- printed licenses to the Grantee for each licensing year (May 1 through April 30) using previous year active license data. • Provide a count of all licenses sent to the Grantee titled "Record of Licenses Received." • Reprint any licenses requiring correction and send corrected copies to the Grantee. • Bill the local health department for state fees upon notification by Grantee that the license has been approved and issued. Temoorary Food Service Establishment Licensing • Furnish blank temporary food service license application forms (forms FI-231, FI- 231A) and blank Combined License/Inspection forms (FI-229) upon request from the local health department. o Furnish a "Record of Licenses Received" with each order of Combined Licenses/Inspection forms. o Periodically reconcile temporary food service establishment licenses sent to the Grantee with the licenses that have been issued (copy returned to MDARD). o Bill the local health department for state fees upon notification by the Grantee that the license has been approved and issued. PROJECT: MDHHS Essential Local Public Health Services (ELPHS) Beginning Date: 10/1/2020 End Date: 09/30/2021 Project Synopsis State funding for ELPHS shall support and the Grantee shall provide for all of the following required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as amended, Part 24 and Act No. 336, of 1998 Section 909: ■ Infectious/Communicable Disease Control • Sexually Transmitted Disease • Immunization ■ EGLE Drinking Water and Onsite Wastewater Management ■ Food Service Sanitation ■ Hearing • Vision • State funding for ELPHS can support administrative cost for the eight required services including allowable indirect cost, or a Grantee's cost allocation plan. • ELPHS funding can also be used to fund other core health functions including: Community Health Assessment & Improvement, Public Policy Development, Health Services Administration, Quality Assurance, Creating & Maintaining a Competent Work Force and Local Public Health Accreditation. These services may be budgeted separately as part of the Administrative Budget element. • Net allowable expenditures are the authorized actual/allowable expenditures (total costs less specified exclusions). Available funding is also limited by state appropriations. • First and second party fees earned in each required service program may be used only in that required service program. • State ELPHS funding is subject to local maintenance of effort compliance. Distribution of state ELPHS funds shall only be made to agencies with total local general fund public health services spending in FY 20/19 of at least the amount expended in FY 92/93. To be eligible for any of the State funding increases from FY 94/95 through FY 19/20, the FY 92/93 Local Maintenance of Effort Level must be met. Reporting Requirements (if different than contract language) • Local maintenance of effort reports are due: • Projected Current Fiscal Year —October 30 • Prior Fiscal Year Actual —March 31 • A final statewide cost settlement will be performed to assure that all available ELPHS funds are fully distributed and applied for required services. • All final amendment ELPHS funding shift request memos need to be submitted no later than May 15f. Please send the memo to Laura de la Rambelje (DelaRambelieL(a).michioan.aov) and copy Carissa Reece (ReeceC(a)michioan.00v) Any additional requirements (if applicable) • Assure the availability and accessibility of services for the following basic health services: Prenatal Care; Immunizations; Communicable Disease Control; Sexually Transmitted Disease (STD) Control; Tuberculosis Control; Health/Medical Annex of Emergency Preparedness Plan. • Fully comply with the Minimum Program Requirements for each of the required services. • Grantee will be held to accreditation standards and follow the accreditation process and schedule established by the Department for the required services to achieve full accreditation status. Grantees designated as "not accredited" may have their Department allocations reduced for Departmental costs incurred in the assurance of service delivery. The accreditation process is based upon the Minimum Program Standards and scheduled on a three-year cycle. The Minimum Program Standards include the majority of the required Department reviews. Some additional reviews, as mandated by the funding agency, may not be included in the Program Standards and may need to be scheduled at other times. PROJECT: Emerging Threats — Hepatitis C Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Funds are provided to grantees to increase local capacity to make improvements in hepatitis C virus (HCV) testing, case follow-up, and linkage to care. Progress will be tracked by monitoring case completion rates and HCV linkage to care within the MDSS and evaluating HCV testing volumes submitted by grantees through STARLIMS. Reporting Requirements (if different than contract language) • Quarterly report cards/progress reports on HCV case completeness will be complied by MDHHS and sent to grantees. • Grantees will keep a log of MDSS IDs on client interactions and linkage to care progress for submission to the MDHHS Viral Hepatitis Unit on a quarterly basis. • Grantees will participate on semi -routine group conference calls and/or 1:1 technical assistance check in calls to discuss best practices and identify barriers. • Grantees will collect and submit specimens to the MDHHS Bureau of Laboratories for HCV testing through their public health clinics. Target Requirements Grantees will meet the following objectives for Hepatitis C, Chronic follow-up: Target 1: Interview attempted on 90% of Hepatitis C, Chronic cases within 30 days of referral date Target 2: Interview completed on 50% of Hepatitis C, Chronic cases within 60 days of referral date Target 3: Hepatitis C RNA test result on 50% of Probable Hepatitis C, Chronic cases within 90 days of referral date Violation Monitoring: The inability to meet the metrics will elicit the following response from MDHHS related to this funding: • Technical assistance • Corrective action/performance improvement plans with MDHHS • Reallocation of funds Any additional requirements (if applicable) • Grantees will document process for carrying out the HCV project during the current pandemic • Grantees will document best practices or protocols for HCV case investigation and linkage to care i Grantees will document pathways to link patients to medical care • Grantees may collaborate with the State Viral Hepatitis Unit for assistance • Grantees can submit HCV specimens to the MDHHS Bureau of Laboratories at no cost to them or the client PROJECT: Environmental Health Data Beginning Date: 11/1/2020 End Date: 8/31/2021 Project Synopsis The purpose of this project is to fund the Western Upper Peninsula Health Department (WUPHD) to build on its existing June 2018 Flood After Action Report and Improvement Plan. Reporting Requirements (if different than contract language) WUPHD will attend bi-weekly virtual meetings to disucss project activities and progress of the detailed year 1 workplan as submitted to and accepted by the CDC. Changes to the workplan by WUPHD will be discussed and approved by MDHHS DEH CO-Pls and reported to CDC prior to implementation. The WUPHD staff will provide written progress reports at the time of the bi-weekly project team meetings. WUPHD staff will work with MDHHS DEH staff to develop a detailed evaluation plan within six months of the grant award from CDC. WUPHD staff will be required to collect and report on performance evaluation measures to MDHHS DEH staff for inclusion in the Annual Performance Report and in the CDC performance measures and evaluation results portal. A final project report is due from WUPHD to MDHHS DEH within 30 days from the date of termination or final expenditure. The report will include: Intro & Scope 1. Why was this project initiated? 2. What did we hope to accomplish? Goals & objectives 1. What were our intended outputs (tangible deliverables from the year 1 workplan to CDC)? 2. What were the intended outcomes (changes in: behavior, departmental capacity, processes, partnerships, resource allocation, etc.)? Process 1. Who was involved and what was their role (project team, steering committee, other agencies/stakeholders)? 2. What were the key steps in the project and when did they occur (outreach and engagement, stakeholder meetings, drafts, etc.)? 3. What was accomplished (tangible outputs and outcomes)? • Successes & challenges 1. Compare the intended outputs and outcomes to the actual (did they change, if so, why and how?) 2. What was successful about the project? 3. What were the challenges? • Next steps 1. How will the results be used? 2. Will this project encourage future activity in this area? • Attach any of the final documents or notes on final processes that were developed as a result of this funding Any additional requirements (if applicable) PROJECT TITLE: Family Planning Program Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: The Michigan Family Planning Program assists individuals and couples in planning and spacing births, preventing unintended pregnancy, and seeking preventive health screenings. On -site clinical services are delivered through a statewide network of local health departments, hospital -based health systems, and federally qualified health centers. The program's strong educational and counseling components help reduce health risks and promote healthy behaviors. Family Planning prioritizes serving low-income men and women, teens, and uninsured or underinsured individuals. The Michigan Family Planning Program serves as a safety net with providers who have been a reliable and trusted source of care, and in many cases the only regular source of health care for individuals. Referrals to other health, behavorial, and social services are provided to clients, as needed. Services are charged based on ability to pay. No one is denied services because of inability to pay. Insurance is accepted, including Medicaid. Reporting Requirements (if different than agreement language): Each grantee shall submit the required reporting on the following dates: Report .' Time P,eiriod Due Date to Department Submit To Work Plan October 1 — September 30 September 17 Mandy Luft lufta1(o).michigan.aov Needs Assessment & October 1 — September 17 Mandy Luft Health Care Plan September 30 Iufta1e_michigan.gov FPAR Mid -Year Report January 1 — June 30 July 16 Mandy Luft lufta1(o�.michman.aov FPAR Year -End Report January 1 — December 31 January 15 Mandy Luft lufta1(5).michigan.gov Medicaid Cost -Based October 1 — EGrAMS with Final Reimbursement September 30 November 30 Financial Status Tracking Form Report Each grantee shall indicate the following project outputs: Target Measure, Unduplicated Number of Clinic Users Total Performance State Funded Minimum Expectation Performance Expected Percent I Number 95% Any additional requirements (if applicable): Each grantee must serve a minimum of 95% of proposed Title X users to access its total amount of allocated funds. Semi-annual Family Planning Annual Report (FPAR) data will be used to determine total Title X users served. 2. Each grantee will be required to adhere to Federal Statue and Regulations for Title X Family Planning Programs, including legislative mandates, executive orders, and grant administration regulations. Each grantee will be required to adhere to the current Michigan Title X Family Planning Program Standards and Guidelines Manual. 4. Each grantee will provide MDHHS a minimum of 30 days advance notice of any clinic site changes, including additions, closures, or changes to street address. Service site changes can be sent to each grantee's agency consultant. 5. Each grantee will be required to participate in program planning and evaluation, including the completion of an Annual Plan that consists of a needs assessment, health care plan, and work plan as detailed in the current Standards and Guidelines Manual. 6. Each grantee will provide family planning clients with a broad range of acceptable and effective family planning methods and services, including fertility awareness -based methods, basic infertility services, and services to minors. Each grantee will provide family planning services on a voluntary basis, without coercion to accept services or any particular method of family planning, and without making acceptance of services a prerequisite to eligibility for any other service or assistance in another program. 8. Each grantee will provide confidential family planning and related preventive health services to minors and will not require written consent of parents or guardians for the provision of services to minors. 9. Each grantee will encourage family involvement in the decision of minors to seek family planning services and must provide counseling to minors on how to resist efforts to coerce the minor into engaging in sexual activities. 10. Each grantee will comply with Michigan's Child Protection Law (Act 238 of 1975) and will be required to notify or report child abuse and neglect as defined by the law. Confidentiality cannot be invoked to circumvent requirements for mandated reporting. 11. Each grantee will provide family planning services in a manner which protects the dignity of the individual. 12. Each grantee will provide family planning services without regard to religion, race, color, height, weight, national origin, sex, number of pregnancies, marital status, age, sexual orientation, gender identification or expression, partisan considerations, or a disability or genetic information. 13. Each grantee will train all Title X staff on the unique social practices, customs, and beliefs of the under -served populations within their service area(s) at least every two years to reduce staff bias and ensure equitable service provision. 14. Each grantee will not provide abortion as a method of family planning and will have written policy that no Title X funds are used to provide abortion as a method of family planning. Pregnant women will receive nondirective counseling and medically necessary care as outlined in the current Standards and Guidelines. 15. Each grantee will ensure that low-income clients 5100% of poverty are given priority to receive family planning services. 16. Each grantee will have a sliding fee schedule, based on current Federal Poverty Guidelines, to determine a client's ability to pay for family planning services. 17. Each grantee will have a schedule of fees designed to recover the reasonable cost of providing services to clients whose income exceeds 250% of poverty. 18. Each grantee where there is legal obligation or authorization for third -party reimbursement, including public or private sources, all reasonable efforts must be made to obtain third -party payment without application of any discounts. Where the cost of services is to be reimbursed under title XIX, XX, or XXI of the Social Security Act, a written agreement with the title agency is required. 19. Each grantee will convene a Family Planning Advisory Council that will serve as their governing board, which will be broadly comprised of the population served and will meet at least once a year. 20. Each grantee will convene an Information and Education Committee comprised of five to nine members who are broadly representative of the population served or community that meets at least once a year to review and approve all informational and educational materials prior to distribution. 21. Each grantee will provide for informational and educational programs designed to: achieve community understanding of the objectives of the program; inform the community of the availability of services; and promote continued participation in the project by person to whom family planning services may be beneficial. 22. Each grantee will provide, to the extent feasible, an opportunity for participation in the development, implementation, and evaluation of the project by persons broadly representative of all significant elements of the population to be served, and by others in the community knowledgeable about the community's needs for family planning services. 23. Each grantee will provide for orientation and in-service training for all project personnel. 24. Each grantee will provide services without the imposition of any durational residency requirement or requirement that the patient be referred by a physician. 25. Each grantee will provide that family planning medical services will be performed under the direction of a physician with special training or experience in family planning. 26. Each grantee will provide that all services purchased for project participants will be authorized by the project director or his/her designee on the project staff. 27. Each grantee will have written clinical protocols that are in accordance with nationally recognized standards of care that are reviewed and signed annually by the medical director overseeing Family Planning. 28. Each grantee will have a quality assurance system in place for ongoing evaluation of family planning services, including a tracking system for clients in need of follow-up or continued care, quarterly medical audits to determine conformity with agency protocols, quarterly chart audits/record monitoring to determine the accuracy of medical records, and a process to implement corrective actions for deficiencies. 29. Each grantee will have a current list of social services agencies and medical referral resources that is reviewed and updated annually. 30. Each grantee will address clients' social determinants of health to the extent feasible through the coordination and use of referral arrangements with other providers of health care services, local health and welfare departments, hospitals, voluntary agencies, and health services projects supported by other federal programs. 31, Each grantee will offer education on HIV and AIDS, risk reduction information, and either on -site testing or provide a referral for this service. 32. Each grantee will offer client -centered counseling services on -site or by referral and ensure the information is medically accurate, balanced, provided in a non -judgmental manner, and is non -coercive. 33. Each grantee will have a separate budget for Title X funds and maintain a financial management system that meets the standards specified in 45 CFR Part 74 or Part 92, as applicable. 34. Each grantee assures that Title X funds will be expended solely for the purpose of delivering Title X Family Planning Services in accordance with an approved plan & budget, regulations, terms & conditions, and applicable cost principles prescribed in 45 CFR Part 74 or Part 92, as applicable. 35. Each grantee assures that if family planning services are provided by contract or other similar arrangements with actual providers of services, services will be provided in accordance with a plan, which establishes rates and method of payment for medical care. These payments must be made under agreements with a schedule of rates and payments procedures maintained by each grantee. Grantees must be prepared to substantiate these rates are reasonable and necessary. 36. Each grantee will comply with the Office of Population Affairs (OPA) FPAR requirements, as well as MDHHS required FPAR elements, for the purposes of monitoring and reporting performance. 37. Each grantee will have a data collection system in place to assure accurate FPAR reporting, and will be responsible for updating their system, as needed, to be in compliance with OPA and MDHHS FPAR reporting standards. 38. Each grantee will use FPAR to identify program disparities and to the extent feasible, will use program promotion, community outreach, or other community -based strategies to address identified disparities (e.g., disparity in men vs. women served or disparity in low-income clients vs. full -fee clients served). 39. Each grantee will comply with the MDHHS Medicaid Cost -Based Reimbursement (MCBR) reporting requirements and attach the MCBR Tracking Form to their final financial status report. The MCBR Tracking Form must be completed in its entirety and include Family Planning MCBR and Other Medicaid MCBR financial information for all programs. 40. The funds appropriated in the current State Public Health Appropriations Act for pregnancy prevention programs shall not be used to provide abortion counseling, referrals or services, unless contradicts Title X Federal Law (Title X of the Public Health Service Act). 41. Pursuant to Public Act (PA) 360 (2002) Section 333.1091, grantees qualify as priority family planning providers who do not engage in any activities outlined in PA 360 (2002) Section 333.1091. 42. Grantee funding cannot be used to supplant funding for an existing program supported with another source of funds. 43. Grantees awarded one-time funding may use these funds on any allowable Title X expense to support clinical service delivery, program promotion and outreach, electronic health record system enhancements, and meeting administrative program requirements. These funds will be monitored during comprehensive site reviews and monitoring/technical assistance visits. 44, Grantees awarded one-time funding for participating in the FPAR 2.0 state/local work group may use these funds to support staff time for meeting participation and work group activities, electronic health record system enhancements, and any other expense related to the FPAR 2.0 transition. These funds will be monitored through work group participation and support with FPAR 2.0 transition activities. PROJECT TITLE: Fetal Infant Mortality Review (FIMR) Case Abstraction Start Date: 10/01/2020 End Date: 09/30/2021 Project Synopsis: Qualified individuals will perform medical record case abstraction for Fetal Infant Mortality Review to include the following: • Review of medical records involved in fetal and infant death to include, but not limited to hospital records, prenatal records, emergency and medical examiner's records. • Interact with other agencies and service providers involved in infant's death (Child Protective Services, local health department, law enforcement). • Develop de -identified case summaries from the above abstracted information, as well as the FIMR interview, using Michigan FIMR Network tools and guidelines. • Attend the review team meetings to facilitate the presentation of the cases and develop recommendations. • Enter cases into the National Fatality Review Case Reporting System (FIMR database) at the National Center for Fatality Review and Prevention. Reporting Requirements (if different than agreement language): Quarterly progress reports following the template supplied by the State coordinator. Quarterly reports are due the 15'h of the month following the end of the quarter and are submitted to Audra Brummel, State coordinator, via email at brummela(a)michiaan.aov. 15t Quarter 2"d Quarter 3'd Quarter 4'h Quarter Reporting Time Period October 1 — December 31 January 1 — March 31 April 1 —June 30 July 1 — September 30 Any additional requirements (if applicable): Due Date January 15 April 15 J July 15 October 15 • Each completed case abstraction will be compensated at $270.00 per case. • FIMR team recommendations and information will be used to inform the State of Michigan infant mortality reduction efforts. Maximum Program Reimbursement: Grantee Berrien County Health Department Calhoun County Public Health Department Detroit Health Department Genesee County Health Department Ingham County Health Department Jackson County Health Department Kalamazoo County Health and Community Services Department Kent County Health Department Macomb County Health Department Public Health Muskegon County Oakland County Department of Health and Human Services/Health Division Saginaw County Health Department Maximum Reimbursement Amount $ 4, 050 $ 3,240 $ 2,700 $ 4,115 $ 3,240 $ 3,240 $ 6,480 $ 9,450 $ 4,050 $ 2, 700 $ 6,480 $ 4,860 PROJECT TITLE: Fetal Infant Mortality Review (FIMR) Interviews Start Date: 10/01/2020 End Date: 09/30/2021 Project Synopsis: Conduct Fetal Infant Mortality Review (FIMR) interviews with the intent of informing the FIMR case abstraction process and informing the infant mortality reduction efforts both locally and statewide. Reporting Requirements (if different than agreement language): Mid -year progress report and final report using the FIMR interviews template provided by the State coordinator, which will address what was learned about preventability at the individual, clinical care, health system, community, and policy level are due April 15 and a final report due October 15 by submission to Audra Brummel, State coordinator, via email at brummelaamichiaan.aov. Any additional requirements (if applicable): Each completed FIMR interview will be compensated at $125.00 per interview. A maximum of 6 visits are reimbursable per fetal/infant death up to the contract allocation. FIMR team recommendations and information will be used to inform the State of Michigan infant mortality reduction efforts. Maximum Program Reimbursement: Grantee Maximum Reimbursement Amount f Berrien County Health Department $ 1,875 Calhoun County Public Health Department $ 1,500 Detroit Health Department $ 6,750 I Inaham County Health Department $ 2.500 Jackson County Health Department $ 1,250 I Kalamazoo County Health and Community $ 2,250 Services Department Kent County Health Department $ 1,250 Macomb County Health Department $ 1,500 _ Public Health Muskegon County $ 625 Oakland County Department of Health and $ 2,000 Human Services/Health Division PROJECT: Gonococcal Isolate Surveillance Project Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis To monitor trends in antimicrobial susceptibilities in N. gonorrhoeae. • To characterize patients with gonorrhea (GC), particularly those infected with N. gonorrhoeae that are not susceptible to recommended antimicrobials. • To phenotypically characterize antimicrobial -resistant isolates to describe the diversity of antimicrobial resistance in N. gonorrhoeae. To monitor trends in sexually transmitted N. Meningitidis Reporting Requirements (if different than contract language) Report Period On a quarterly basis, extract from EMR, and submit to MDHHS, the number of culture specimens collected and number of presumptive Quarterly positive GC and suspected N.Men specimens forwarded to CDC and their designated laboratories for further testing. Due Date(s) January 15, April 15, July 15, October 15 How to Submit Report Written report submitted to kenti30_michisan. aov; cc: petersona7@michigan. gov On a quarterly basis, for clients with GC positive isolates, or suspected N. Men, submit demographic and behavioral data to MDHHS utilizing the CDC required format. Quarterly January 15, April 15, July 15, October 15 Any additional requirements (if applicable) Written report submitted to kenti3a.michiaan.00v; cc: petersona7@michigan. gov • For each male STD clinic patient suspected of having GC (symptoms, known partner etc.), collect a urogenital sample using a Modified Thayer Martin (MTM) plate. • For male and female STD clinic patient suspected of having oral GC (symptoms, known partner etc.), collect a pharyngeal sample using a Modified Thayer Martin (MTM) plate. • For each male STD clinic patient who reports same sex partners, collect sample using a MTM plate from extragenital sites of exposure (rectal, pharyngeal), regardless of symptoms. For clients with positive isolates, submit specimen to CDC assigned Regional Laboratory for further testing; and associated demographic and behavioral data to the CDC and MDHHS at agreed intervals. PROJECT: Harm Reduction Support Services Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Grantees and subrecipients of these funds are authorized by the State of Michigan to distribute syringes for the purposes of preventing the transmission of communicable diseases. These dollars will be used by the grantee to plan and implement syringe service programs within their jurisdictions. Grantees will develop policies and protocols following best practice guidance with respect to client registration, supply disposal and supply distribution, education of participants, staff training, referral to substance use treatment, referral or testing for infectious diseases, and provision of naloxone for overdose prevention. Reporting Requirements (if different than contract language) Grantees will be enrolled and submitting service delivery data to the Syringe Service Program Utilization Platform (SUP) Grantees will participate on monthly conference calls to discuss the state of SSP in Michigan, share successes, challenges, and best practices Any additional requirements (if applicable) • MDHHS or other contracted partners are available to provide technical assistance to grantees • Funds may not be used to buy sterile needles or syringes • Grantees must establish relationships to link clients to care for substance use disorder treatment • Grantees must be able to provide clients with naloxone • If sites are performing HIV and/or HCV testing, grantees should establish relationships to link clients to care for HIV and/or HCV follow-up testing and treatment. • If sites are not performing HIV and or/HIV testing, grantees should establish relationships to refer clients to HIV and/or HCV testing. PROJECT: Harm Reduction Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Grantees and subrecipients of these funds are authorized by the State of Michigan to distribute syringes for the purposes of preventing the transmission of communicable diseases. These dollars will be used by the grantee to plan and implement syringe service programs within heir jurisdictions. Grantees will develop policies and protocols following best practice guidance with respect to client registration, supply disposal and supply distribution, education of participants, staff training, referral to substance use treatment, referral or testing for infectious diseases, and provision of naloxone for overdose prevention. Reporting Requirements (if different than contract language) Grantees will be enrolled and submitting service delivery data to the Syringe Service Program Utilization Platform (SUP) Grantees will participate on monthly conference calls to discuss the state of SSP in Michigan, share successes, challenges, and best practices Any additional requirements (if applicable) • MDHHS or other contracted partners are available to provide technical assistance to grantees • Funds may not be used to buy sterile needles or syringes • Grantees must establish relationships to link clients to care for substance use disorder treatment • Grantees must be able to provide clients with naioxone • If sites are performing HIV and/or HCV testing, grantees should establish relationships to link clients to care for HIV and/or HCV follow-up testing and treatment. • If sites are not performing HIV and or/HIV testing, grantees should establish relationships to refer clients to HIV and/or HCV testing. PROJECT TITLE: HIV and STD Testing and Prevention Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: The City of Detroit bares a disproportionate burden of reported sexually transmitted diseases, including HIV. As a complement to public health clinical services, the Detroit Health Department provides community level education and awareness building, along with targeted screening activities to ensure additional access to service for early case detection and link to care. Reporting Requirements (if different than agreement language): How to Report. Period Due Date(s) Submit Report Activity Report Quarterly 30 days after the end of STD Section the quarter Any additional requirements (if applicable): • In partnership with MDHHS, provide technical assistance and capacity building to ensure the Public Health STD Clinic adheres to MDHHS and CDC screening, diagnostic and treatment recommendations and guidelines • Monitoring and evaluation of targeted screening and referrals provided internally and supported via contractual agreements. o Ensure timely entry of client encounter information into EvaluationWeb (EvalWeb) • Conduct community awareness building activities to increase STD and HIV knowledge, including points of access for service. • By September 30, distribute MDHHS determined allocation worth of condoms, lube, dental dams, and display equipment/materials. • By September 30, develop and begin distribution of HIV Prevention advertising/marketing materials. PROJECT TITLE: HIV Data to Care Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: Data to Care (D2C) is a Centers for Disease Control (CDC) program specifically focused on people living with HIV (PLWH) that are not engaged in care. D2C employs an intensive individualized outreach program which works to eliminate barriers (transportation, insurance, access/knowledge of access to medical care, stigma -related mental health issues, etc.) to accessing care through a combination of referrals and linkage to existing Early Intervention Services (EIS) providers, Ryan White Service providers and other community services. D2C is an essential program that facilitates access to HIV treatment. Reporting Requirements: • The Department will update Not in Care (NIC) client list progress monthly. The Grantee shall maintain up to date information in CAREWare (CW) in preparation for evaluation: Report . Period Due Date(s) How.fo Submit Report NIC client level data and Monthly 1011 of the Enter into CAREWare services provided lisf following month All Funded agencies: Quarterly January 30, 2021 Email report to MDHHS- Complete quarterly April 30, 2021 HIVSTDooerationslacr�michi workplan progress reports July 30, 2021 gan.gov December 15, 2021 The Grantee shall permit the Division of HIV/STD Programs (DHSP) or its designee to conduct site visits and to formulate an evaluation of the project. Any additional requirements: Publication Rights When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, the Grantee receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state: The percentage of the total costs of the program or project that will be financed with Federal money. • The dollar amount of Federal funds for the project or program. Percentage and dollar amount of the total costs of the project or program that will be financed by non -governmental sources. Grant Program Operation • If Grantee is receiving NIC list via secure transfer (e.g, DCH file transfer): o Grantees must enter NIC lists into CW. o Grantees must maintain password protected NIC lists on secure server locations and not in any portable storage devices. o Grantees must store NIC lists on shared servers and not on desktops or personal computers. o Grantees must transmit updated surveillance data to MDHHS in pre - approved secure manners (e.g. DCH file transfer). o If NIC lists or partial lists are sent via US Mail, list size must not exceed 1 D individuals in a given mailing and words indicating HIV infection must not be contained in the sent documents. • If Grantee is receiving NIC list via direct CW import, grantee must complete necessary fields in CW for transfer back to Surveillance. Grantees must not email NIC lists or individual health information contained on NIC lists either internally or externally. • The Grantee must adhere to security measures when working with client information and must: o Not email individual health information either internally or externally. o Keep all printed materials in locked storage cabinets in locked rooms. o Provide written documentation of annual Security and Confidentiality training for all staff regarding the Health Insurance Portability Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH), and the Michigan Public Health Code. Maintain the standards of CDC's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs httos://www.cdc.00v/nchhstr)/Drociramintearation/docs/Dcsidatasecuritvquid elines. df. • Grantees will document all data sharing agreements and share a copy with the Department. The data sharing agreements may be emailed to MDHHS- H IVSTDooerationsto)michioan.aov. Grantees must provide written documentation of annual Security and Confidentiality training for all staff that have access to NIC lists. • Grantees will maintain the standards of CDC's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs, httr)s://www.cdc.00v/nch hstr)/Droarami nteciration/docs/r)csidatasecu ritvciuideli nes. c df • The Grantee will participate in the DHSP needs assessment and planning activities, as requested. o The Grantee will participate in regular Grantee meetings which maybe face-to-face, teleconferences, webinars, etc. The Grantee is highly encouraged to participate in other training offerings and information -sharing opportunities provided by the DHSP. The Grantee will use CW to report program activities, the Grantee must include the following language in all Client Consent and Release of Information forms used for services in this agreement: "I also understand that some limited information in the electronic data may be shared with other agencies if they also provide me with services and are part of the same care and data network. [AGENCY] is mandated to collect certain personal information that is entered and saved in a database system called CAREWare. CW records are maintained in an encrypted and secure statewide database. The CW database program allows for certain medical and support service information to be shared among providers involved with your care, this includes but is not limited to medical visits, lab results, medications, case management, transportation, substance abuse, and mental health counseling. o In CW, the Grantee will complete the collection of all required data variables and clean-up any missing data or service activities by the 10th day after the end of each calendar month. o The Grantee must consult and adhere to the Policy Clarification Notice (PCN) #16-02 established by Health Resources and Services Administration (HRSA). PCN #16-02 describes the core medical and support services that HRSA considers allowable uses of Ryan White grant funds and the individuals eligible to receive those services. A copy of the revised PCN 16-02 is available at this link. o An expanded list of "unallowable" grant costs is available in the PCN 16-02. c HRSA RWHAP funds may not be used to make cash payments to intended clients of HRSA RWHAP-funded services. This prohibition includes cash incentives and cash intended as payment for HRSA RWHAP core medical and support services. Where a direct provision of the service is not possible or effective, store gift cards, vouchers, coupons, or tickets that can be exchanged for a specific service or commodity (e.g., food or transportation) must be used. HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services and that systems are in place to account for disbursed vouchers and store gift cards MRSA Unallowable Costs: • Off -premise social or recreational activities (movies, vacations, gym memberships, parties, retreats) • Medical Marijuana • Purchase or improve land or permanently improve buildings • Direct cash payments or cash reimbursements to clients • Clinical Trials: Funds may not be used to support the costs of operating clinical trials of investigational agents or treatments (to include administrative management or medical monitoring of patients) • Clothing: Purchase of clothing • Employment Services: Support employment, vocational rehabilitation, or employment -readiness services. • Funerals: Funeral, burial, cremation or related expenses • Household Appliances • Mortgages: Payment of private mortgages • Needle Exchange: Syringe exchange programs, Materials, designed to promote or encourage, directly, intravenous drug use or sexual activity, whether homosexual or heterosexual • International travel • The purchase or improvement of land • The purchase, construction, or permanent improvement of any building or other facility • Pets: Pet food or products • Taxes: Paying local or state personal property taxes (for residential property, private automobiles, or any other personal property against which taxes may be levied) • Vehicle Maintenance: Direct maintenance expense (tires, repairs, etc.) of a privately -owned vehicle or any additional costs associated with a privately - owned vehicle, such as a lease, loan payments, insurance, license or registration fees • Water Filtration: Installation of permanent systems of filtration of all water entering a private residence (If water filtration/ purification systems are provided, the community has water purity issues) • It is unallowable to divert program income (income generated from charges/ fees and copays from Medicare, Medicaid, other third -party payers collected to cover RW services provided) toward general agency costs or to use it for general purposes • Pre -Exposure Prophylaxis (PrEP) HIV/AIDS BUREAU POLICY 16-02 • Non -occupational Post -Exposure Prophylaxis (nPEP) General -use prepaid cards are considered "cash equivalent' and are therefore unallowable. Such cards generally bear the logo of a payment network, such as Visa, MasterCard, or American Express, and are accepted by any merchant that accepts those credit or debit cards as payment. Gift cards that are cobranded with the logo of a payment network and the logo of a merchant or affiliated group of merchants are general -use prepaid cards, not store gift cards, and therefore are unallowable. HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services, and that systems are in place to account for disbursed vouchers and store gift cards. Record Maintenance/Retention • The Grantee will maintain, for a minimum of five (5) years after the end of the grant period, program, fiscal records, including documentation to support program activities and expenditures, under the terms of this agreement, for clients residing in the State of Michigan. The Grantee will maintain client files, charts, and electronic records from last date of service plus seven (7) years. For minors, Grantee will maintain client files and records from last date of service and until minor reaches the age of 18, whichever is longer, plus seven (7) years. Software Compliance The Grantee and its subcontractors are required to use the HRSA-supported software CW to enter client and service data into the centrally managed database on a secure server. The Grantee must: Enter all Ryan White services delivered to HIV -infected and affected clients. Enter all data by the 10th of the following month. Complete collection of all required data variables and the clean-up of any missing data or service activities by the 10th of the following month. The Grantee must establish written procedures for protecting client information kept electronically or in charts or other paper records. Protection of electronic client -level data will minimally include: • Regular back-up of client records with back-up files stored in a secure location. • Use of passwords to prevent unauthorized access to the computer or Client Level Data program. • Use of virus protection software to guard against computer viruses. Provide annual training to staff on security and confidentiality of client level data and sharing of electronic data files according to MDHHS policies concerning Sharing and Secured Electronic Data. New staff needing access to CAREWare are required to email the CAREWare user request form to MDHHS-CAREWareSupport@michigan.gov. The Grantee shall notify MDHHS within 30 days CAREWare users who are separated from the agency for deactivation. Mandatory Disclosures The Grantee will provide immediate notification to the Department, in writing, in the event of any of the following: Any formal grievance initiated by a client and subsequent resolution of that grievance. Any event occurring or notice received by the Grantee or subcontractor, that reasonably suggests that the Grantee or subcontractor may be the subject of, or a defendant in, legal action. This includes, but is not limited to, events or notices related to grievances by service recipients or Grantee or subcontractor employees. Any staff vacancies funded for this project that exceed 30 days. This information may be sent via US Mail to the DHSP in Lansing, MI. Technical Assistance The Department will provide technical assistance (TA), as requested, on the implementation of the Ryan White program. This may include issues related to: CAREWare, Quality Management, Programs, Budget/Fiscal, Grants and Contracts, ADAP, or other activities related to carrying out Ryan White activities. To request TA, please send an email to MDHHS-HIVSTDocerations(a).michiaan.gov or complete this form located on the DHSP website https://www.michiaan.aov/mdhhs/0.5885.7-339- 71550 2955 2982---,00.html ASSURANCES Compliance with Applicable Laws The Grantee should adhere to all Federal and Michigan laws pertaining to HIV/AIDS treatment, disability accommodations, non-discrimination, and confidentiality. Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan White HIV/AIDS Treatment Extension Act, The Grantee should have procedures to protect the confidentiality and security of client information. PROJECT TITLE: HIV Prevention Start Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: The purpose of this project is to provide comprehensive HIV prevention services to all priority populations and People Living with HIV (PLWH) in order to improve overall health and well-being and reduce the incidence of new HIV infections. Grantees will provide HIV Counseling, Testing, and Referral (CTR) and, if applicable, Partner Services (PS), and Syringe Service Programs (SSP) within their jurisdiction, pursuant to applicable federal and state laws; and policies and program standards issued by the Division of HIV & STD Programs (DHSP). See "Applicable Laws, Rules, Regulations, Policies, Procedures, and Manuals." Reporting Requirements: Report Period Due.Date(s) How to Submit Report Quality Control Reports Monthly 10`h of the Department following month Staff Daily Client Logs Monthly 10'h of the Department following month Staff Reactive Results As Within 24 hours EvalWeb needed of test Non -Reactive Results As Within 7 days of EvalWeb needed test Linkage to Care and Partner Services Interview (e.g. client attended a medical care appointment within 30 days of As Within 30 days of EvalWeb, diagnosis, and was interviewed by needed service PSWeb Partner Services within 30 days of diaqnosis) Condom Distribution Data Quarterly 101h of the following month CTR Supplies Disposition on Partners of HIV Ongoing Within 30 days of PSWeb Cases, if applicable service HIV Testing Competencies Annually Reviewed during Department site visits Staff SSP Data Report, if applicable Quarterly 10'h of the SUP following month • The Grantee will clean-up missing data by the 10th day after the end of each calendar month. The Quality Control and Daily Client Logs may be sent to the Contract Manager via: Email- ctrsuoolies(@,michigan.aov Fax - (517) 241-5922 Mailed - HIV Prevention Unit, Attn: CTR Coordinator, 109 W. Michigan Ave., 10th Floor, Lansing, MI 48913 The Contract Manager shall evaluate the reports submitted as described in Attachment III, Item D. for their completeness and accuracy. Publication Rights When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal funds, the Grantee receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state: • The percentage of the total costs of the program or project that will be financed with Federal funds. • The dollar amount of Federal funds for the projector program. • Percentage and dollar amount of the total costs of the projector program that will be financed by non -governmental sources. Grant Program Operation The Grantee will participate in DHSP needs assessment and planning activities, as requested. The Grantee will participate in regular Grantee meetings which may be face-to- face, teleconferences, webinars, etc. The Grantee is highly encouraged to participate in other training offerings and information -sharing opportunities provided by DHSP. • Each employee funded in whole or in part with federal funds must record time and effort spent on the project(s) funded. The Grantee must: o Have policies and procedures to ensure time and effort reporting. o Assure the staff member clearly identifies the percentage of time devoted to contract activities in accordance with the approved budget. o Denote accurately the percent of effort to the project. The percent of effort may vary from month to month, and the effort recorded for funds must match the percentage claimed on the FSR for the same period. o Submit a budget modification to DHSP in instances where the percentage of effort of contract staff changes (FTE changes) during the contract period. o The Grantee will receive a condom and lubrication allowance. The Grantee must: o Distribute condoms and lubrication o Place orders for condoms/lubrication by emailing ctrsupplies@michigan.gov • If conducting HIV testing using rapid HIV testing, the Grantee will comply with guidelines and standards issued by DHSP and: o Conduct quality assurance activities guided by written protocol and procedures. Protocols and procedures, as updated and revised Quality assurance activities are to be responsive to: Quality Assurance for Rapid HIV Testing, MDHHS. See "Applicable Laws, Rules, Regulations, Policies, Procedures, and Manuals." o Ensure provision of Clinical Laboratory Improvement Amendments (CLIA) certificate. o Report discordant test results to DHSP. o Ensure that staff performing counseling and/or testing with rapid test technologies has successfully completed rapid test counselor certification course or Information Eased Training (as applicable), test device training, and annual proficiency testing. o Ensure that all staff and site supervisors have successfully completed appropriate laboratory quality assurance training, blood borne pathogens training and rapid test device training and reviewed annually. o Develop, implement, and monitor protocol and procedures to ensure that patients receive confirmatory test results. If conducting PS, the Grantee will comply with guidelines and standards issued by the Department. See "Applicable Laws, Rules, Regulations, Policies, Procedures, and Manuals." The Grantee must: Provide Confidential PS follow-up to infected clients and their at -risk partners to ensure disease management and education is offered to reduce transmission. o Effectively link infected clients and/or at -risk partners to HIV care and other support services. o Work with Early Intervention Specialist to ensure infected clients are retained in HIV care. o Procure TLO or a TLO-like search engine. If conducting SSP, the grantee will develop programs using MDHHS guidance documents and will address issues such as identification and registration of clients, exchange protocols, education, and trainings for staff, and referrals. o Grantees will participate on monthly or quarterly conference calls to discuss best practices and identify barriers. The Grantee shall permit DHSP or its designee to visit and to make an evaluation of the project as determined by DHSP. Record Maintenance/Retention The Grantee will maintain, for a minimum of five (5) years after the end of the grant period, program, fiscal records, including documentation to support program activities and expenditures, under the terms of this agreement, for clients residing in the State of Michigan. Software Compliance The Grantee and its subcontractors are required to use Evaluation Web (EvalWeb) to enter HIV client and service data into the centrally managed database on a secure server. The Grantee and its subcontractors are required to use Partner Services Web (PSWeb) to enter Partner Services interview and linkage to care data, where appropriate. Mandatory Disclosures The Grantee will provide immediate notification to DHSP, in writing, including but not limited to the following events: o Any formal grievance initiated by a client and subsequent resolution of that grievance. o Any event occurring or notice received by the Grantee or subcontractor, that reasonably suggests that the Grantee or subcontractor may be the subject of, or a defendant in, legal action. This includes, but is not limited to, events or notices related to grievances by service recipients or Grantee or subcontractor employees. o Any staff vacancies funded for this project that exceed 30 days. o All notifications should be made to DHSP by MDHHS- HIVSTDor)erationsa,michioan.aov. ASSURANCES Compliance with Applicable Laws The Grantee should adhere to all Federal and Michigan laws pertaining to HIV/AIDS treatment, disability accommodations, non-discrimination, and confidentiality. PROJECT TITLE: HIV Care Ryan White Part B MAI Start Date: 11 /1 /2020 End Date: 3/31/2021 Project Synopsis: The Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, essential support services, and medications for low-income people living with HIV who are uninsured and underserved. The program provides funding to provide care and treatment services to people living with HIV to improve health outcomes and reduce HIV transmission among hard -to -reach populations. Reporting Requirements: The Grantee shall submit the following reports on the following dates: Report Period Due Date(s) How to Submit Report All Agencies: Ryan White Monthly 10`h of the Enter into CAREWare services delivered to HIV- following month (CW) infected and affected clients All Ryan White federally Annual Generally, Submission to HRSA funded agencies: Ryan White Grantee through Electronic Services Report (RSR) submission will Handbook (EHB) open in early February and close early March. All Ryan White federally Annual December 31, Email report to funded agencies providing at 2020 MDHHS- least one core medical HIVSTDooerations(a-) service: Quality Management michiaan.aov Plan All Ryan White federally 10/1/20 — As completed Email report to funded agencies: Complete 9/30/21 over contract year MDHHS- and submit at least one Plan- HIVSTDooerationsa Do -Study -Act worksheets to michioan.aov document progress of QI project All Funded agencies: Quarterly January 30, 2021 Submit in EGrAMS Complete quarterly workplan April 30, 2021 Email report to progress reports July 30, 2021 MDHHS- December 15, HIVSTDooerationsC 2021 michiaan.00v Report Period All Ryan White federally Quarterly funded agencies: FY21 actual expenditures by service category, program income, and administrative costs through the RW Reporting Tool Due Date(s) . January 30, 2021 April 30, 2021 July 30, 2021 December 15, 2021 How to Submit Report J Attached to quarterly FSR All Ryan White federally Annually December 31, Uploaded to EGrAMS funded agencies: RW Form 2020 Portal Agency Profile 1 2100 and RW Form 2300 To complete the Ryan White Services Report (RSR), a Health Resources and Services Administration (HRSA) required annual data report, the Grantee must assure that all CW data is complete, cleaned, and entered into an online form via the HRSA EHB. RSR submission requirements include: • The RSR shall have no more than 5% missing data variables. • Exact dates for the Grantee submission will be provided by the Department each reporting year, • The Department validates the data within the Grantee's RSR submission before receipt by HRSA. Reports and information shall be submitted to the Division of HIV/STD Programs (DHSP). Please refer to the table in Section D for where to submit reports and information. The DHSP shall evaluate the reports submitted for their completeness and accuracy. The Grantee shall permit the DHSP or its designee to conduct site visits and to formulate an evaluation of the project. Any additional requirements: Publication Rights When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, the Grantee receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state: I. The percentage of the total costs of the program or project that will be financed with Federal money. 2. The dollar amount of Federal funds for the project or program. 3. Percentage and dollar amount of the total costs of the projector program that will be financed by non -governmental sources. Fees Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan White HIV/AIDS Treatment Extension Act and bill for services that are billable. Grant Program Operation The Grantee will participate in the Department needs assessment and planning activities, as requested. The Grantee will participate in regular Grantee meetings which may be face-to- face, teleconferences, webinars, trainings, etc. The Grantee is highly encouraged to participate in other training offerings and information -sharing opportunities provided by the Department. The Grantee is responsible for ensuring that staff retain minimum educational requirements for staff positions and are proficient in Ryan White -funded service delivery in their respective roles within the organization. Ensure that Ryan White funded staff receive MDHHS required case management training within one (1) year of hire. Each employee funded in whole or in part with federal funds must record time and effort spent on the project(s) funded. The Grantee must: 1. Have policies and procedures to ensure time and effort reporting. 2. Assure the staff member clearly identifies the percentage of time devoted to contract activities in accordance with the approved budget. 3. Denote accurately the percent of effort to the project. The percent of effort may vary from month to month, and the effort recorded for Ryan White funds must match the percentage claimed on the Ryan White FSR for the same period. 4. Submit a budget modification to the Department in instances where the percentage of effort of contract staff changes (FTE changes) during the contract period. The Grantee must include the following language in all Client Consent and Release of Information forms used for services in this agreement: "Consent for the collection and sharing of client information to providers for persons living with HIV under the Ryan White Program provided through (grantee name) is mandated to collect certain personal information that is entered and saved in a federal data system called CAREWare. CAREWare records are maintained in an encrypted and secure statewide database. I understand that some limited information in the electronic data may be shared with other agencies if they also provide me with services and are part of the same care and data network for the purpose of informing and coordinating my treatment and benefits that I receive under this Program. The CAREWare database program allows for certain medical and support service information to be shared among providers involved with my care, this includes but is not limited to health information, medical visits, lab results, medications, case management, transportation, Housing Opportunities for Persons with AIDS (HOPWA) program, substance abuse, and mental health counseling. I acknowledge that if I fail to show for scheduled medical appointments, I may be contacted by an authorized representative of (grantee name) in order to re-engage and link me back to care." The Grantee must adhere to security measures when working with client information and must: 1. Not email individual health information either internally or externally. 2. Keep all printed materials in locked storage cabinets in locked rooms. 3. Provide written documentation of annual Security and Confidentiality training for all staff regarding the Health Insurance Portability Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH), and the Michigan Public Health Code. 4. Maintain the standards of CDC's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs httr)s://www.cdc.aov/nchhstr)/r)roaramintearation/docs/i)csidatasecuritvauidelin es.pdf. The Grantee will complete the collection of all required data variables and clean-up any missing data or service activities by the 10th day after the end of each calendar month. s Subrecipient quality management program should: 1. Include: leadership support, dedicated staff time for QM activities, participation of staff from various disciplines, ongoing review of performance measure data and assessment of consumer satisfaction. 2. Include consumer engagement which includes, but is not limited to, agency - level consumer advisory board, participation on quality management committee, focus groups and consumer satisfaction surveys. 3. Include conduction of at least one quality improvement (QI) project throughout the year, using the Plan -Do -Study -Act (PDSA) method to document progress. This QI project must be aimed at improving client care, client satisfaction, or health outcomes. If the Grantee is federally funded for Ryan White services (one of which is a core medical service), the Grantee will develop and/or revise a Quality Management Plan (QMP) annually, to be kept on file at agency. QM Plans must contain these eleven components: 1. Quality statement 2. Quality infrastructure 3. Annual quality goals 4. Capacity building 5. Performance measurement 6. Quality improvement 7. Engagement of stakeholders 8. Procedures for updating the QM plan 9. Communication 10. Evaluation 11. Work Plan The Grantee must consult and adhere to the Policy Clarification Notice (PCN) #16-02 established by Health Resources and Services Administration (HRSA). PCN #16-02 describes the core medical and support services that HRSA considers allowable uses of Ryan White grant funds and the individuals eligible to receive those services. A copy of the revised PCN 16-02 is available at this link. An expanded list of "unallowable" grant costs is available in the PCN 16-02. • HRSA RWHAP funds may not be used to make cash payments to intended clients of HRSA RWHAP-funded services. This prohibition includes cash incentives and cash intended as payment for HRSA RWHAP core medical and support services. Where a direct provision of the service is not possible or effective, store gift cards, vouchers, coupons, or tickets that can be exchanged for a specific service or commodity (e.g., food or transportation) must be used. • HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services and that systems are in place to account for disbursed vouchers and store gift cards HRSA Unallowable Costs; • Off -premise social or recreational activities (movies, vacations, gym memberships, parties, retreats) • Medical Marijuana • Purchase or improve land or permanently improve buildings • Direct cash payments or cash reimbursements to clients • Clinical Trials: Funds may not be used to support the costs of operating clinical trials of investigational agents or treatments (to include administrative management or medical monitoring of patients) • Clothing: Purchase of clothing • Employment Services: Support employment, vocational rehabilitation, or employment -readiness services. • Funerals: Funeral, burial, cremation or related expenses • Household Appliances • Mortgages: Payment of private mortgages • Needle Exchange: Syringe exchange programs, Materials, designed to promote or encourage, directly, intravenous drug use or sexual activity, whether homosexual or heterosexual • International travel • The purchase or improvement of land • The purchase, construction, or permanent improvement of any building or other facility • Pets: Pet food or products • Taxes: Paying local or state personal property taxes (for residential property, private automobiles, or any other personal property against which taxes may be levied) • Vehicle Maintenance: Direct maintenance expense (tires, repairs, etc.) of a privately - owned vehicle or any additional costs associated with a privately -owned vehicle, such as a lease, loan payments, insurance, license or registration fees • Water Filtration: Installation of permanent systems of filtration of all water entering a private residence (If water filtration/ purification systems are provided, the community has water purity issues) • It is unallowable to divert program income (income generated from charges/ fees and copays from Medicare, Medicaid, other third -party payers collected to cover RW services provided) toward general agency costs or to use it for general purposes • Pre -Exposure Prophylaxis (PrEP) HIV/AIDS BUREAU POLICY 16-02 • Non -occupational Post -Exposure Prophylaxis (nPEP) General -use prepaid cards are considered "cash equivalent' and are therefore unallowable. Such cards generally bear the logo of a payment network, such as Visa, MasterCard, or American Express, and are accepted by any merchant that accepts those credit or debit cards as payment. Gift cards that are cobranded with the logo of a payment network and the logo of a merchant or affiliated group of merchants are general -use prepaid cards, not store gift cards, and therefore are unallowable. HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services, and that systems are in place to account for disbursed vouchers and store gift cards. Record Maintenance/Retention The Grantee will maintain, for a minimum of five (5) years after the end of the grant period, program, fiscal records, including documentation to support program activities and expenditures, under the terms of this agreement, for clients residing in the State of Michigan. The Grantee will maintain client files and charts from last date of service plus seven (7) years. For minors, Grantee will maintain client files and records from last date of service and until minor reaches the age of 18, whichever is longer, plus seven (7) years. Software Compliance The Grantee and its subcontractors are required to use the HRSA-supported software CW to enter client and service data into the centrally managed database on a secure server. The Grantee must: 1. Enter all Ryan White services delivered to HIV -infected and affected clients. 2. Enter all data by the 10th of the following month. 3. Complete collection of all required data variables and the clean-up of any missing data or service activities by the 10th of the following month. The Grantee must establish written procedures for protecting client information kept electronically or in charts or other paper records. Protection of electronic client -level data will minimally include: 1. Regular back-up of client records with back-up files stored in a secure location. 2. Use of passwords to prevent unauthorized access to the computer or Client Level Data program. 3. Use of virus protection software to guard against computer viruses. Provide annual training to staff on security and confidentiality of client level data and sharing of electronic data files according to MDHHS policies concerning sharing and Secured Electronic Data. New staff needing access to CAREWare are required to email the CAREWare user request form to MDHHS-CAREWareSupport@michigan.gov. The Grantee shall notify MDHHS within 30 days CAREWare users who are separated from the agency for deactivation. Mandatory Disclosures The Grantee will provide immediate notification to the Department, in writing, in the event of any of the following: 1. Any formal grievance initiated by a client and subsequent resolution of that grievance. Any event occurring or notice received by the Grantee or subcontractor, that reasonably suggests that the Grantee or subcontractor may be the subject of, or a defendant in, legal action. This includes, but is not limited to, events or notices related to grievances by service recipients or Grantee or subcontractor employees. 3. Any staff vacancies funded for this project that exceed 30 days. This information may be sent via US Mail to the DHSP in Lansing, MI. DEPARTMENT REQUIREMENTS Technical Assistance The DSHP will provide technical assistance (TA), as requested, on the implementation of the Ryan White program. This may include issues related to: CAREWare, Quality Management, Ryan White B services, Budget/Fiscal, Grants and Contracts, ADAP, or other activities related to carrying out Ryan White activities. To request TA, please send an email to MDHHS-HIVSTDooerations(o)michiaan.aov or complete this form located on the DHSP website httos://www.michiaan.aov/mdhhs/0,5885,7-339-71550 2955 2982--- ,00.html ASSURANCES Compliance with Applicable Laws The Grantee should adhere to all Federal and Michigan laws pertaining to HIV/AIDS treatment, disability accommodations, non-discrimination, and confidentiality. Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan White HIV/AIDS Treatment Extension Act. PROJECT TITLE: HIV Care Ryan White Part B Start Date: 10/1 /2020 End Date: 9/30/2021 Project Synopsis: The Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, essential support services, and medications for low-income people living with HIV who are uninsured and underserved. The program provides funding to provide care and treatment services to people living with HIV to improve health outcomes and reduce HIV transmission among hard -to -reach populations. Reporting Requirements: The Grantee shall submit the following reports on the following dates: Report Period Due Date(s) How to Submit Report All Agencies: Ryan White Monthly 10'h of the Enter into CAREWare services delivered to HIV- following month (CW) infected and affected clients All Ryan White federally Annual Generally, Submission to HRSA funded agencies: Ryan White Grantee through Electronic Services Report (RSR) submission will Handbook (EHB) open in early February and close early March. All Ryan White federally Annual December 31, Email report to funded agencies providing at 2020 MDHHS- least one core medical HIVSTDooerationsan service: Quality Management michioan.aov Plan All Ryan White federally 10/1/20 — As completed Email report to funded agencies: Complete 9/30/21 over contract year MDHHS- and submit at least one Plan- HIVSTDooerations(a_) Do -Study -Act worksheets to michia_ an.00v document progress of QI project All Funded agencies: Complete quarterly workplan progress reports Quarterly January 30, 2021 April 30, 2021 July 30, 2021 December 15, 2021 Submit in EGrAMS Email report to MDHHS- HIVSTDooerationsa_ michiaan. ov Report Period All Ryan White federally Quarterly funded agencies: FY21 actual expenditures by service category, program income, and administrative costs through the RW Reporting Tool Due Date(s) January 30, 2021 April 30, 2021 July 30, 2021 December 15, 2021 How to Submit Report Attached to quarterly FSR All Ryan White federally Annually December 31, Uploaded to EGrAMS funded agencies: RW Form 2020 Portal Agency Profile 2100 and RW Form 2300 To complete the Ryan White Services Report (RSR), a Health Resources and Services Administration (HRSA) required annual data report, the Grantee must assure that all CW data is complete, cleaned, and entered into an online form via the HRSA EHB. RSR submission requirements include: The RSR shall have no more than 5% missing data variables. Exact dates for the Grantee submission will be provided by the Department each reporting year. The Department validates the data within the Grantee's RSR submission before receipt by HRSA. Reports and information shall be submitted to the Division of HIV/STD Programs (DHSP). Please refer to the table in Section D for where to submit reports and information. The DHSP shall evaluate the reports submitted for their completeness and accuracy. The Grantee shall permit the DHSP or its designee to conduct site visits and to formulate an evaluation of the project. Any additional requirements: Publication Rights When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, the Grantee receiving Federal funds, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state: 1. The percentage of the total costs of the program or project that will be financed with Federal money. 2. The dollar amount of Federal funds for the project or program. 3. Percentage and dollar amount of the total costs of the projector program that will be financed by non -governmental sources. Fees Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan White HIV/AIDS Treatment Extension Act and bill for services that are billable. Grant Program Operation The Grantee will participate in the Department needs assessment and planning activities, as requested. The Grantee will participate in regular Grantee meetings which may be face-to- face, teleconferences, webinars, trainings, etc. The Grantee is highly encouraged to participate in other training offerings and information -sharing opportunities provided by the Department. The Grantee is responsible for ensuring that staff retain minimum educational requirements for staff positions and are proficient in Ryan White -funded service delivery in their respective roles within the organization. Ensure that Ryan White funded staff receive MDHHS required case management training within one (1) year of hire. • Each employee funded in whole or in part with federal funds must record time and effort spent on the project(s) funded. The Grantee must: 1. Have policies and procedures to ensure time and effort reporting. 2. Assure the staff member clearly identifies the percentage of time devoted to contract activities in accordance with the approved budget. 3. Denote accurately the percent of effort to the project. The percent of effort may vary from month to month, and the effort recorded for Ryan White funds must match the percentage claimed on the Ryan White FSR for the same period. 4. Submit a budget modification to the Department in instances where the percentage of effort of contract staff changes (FTE changes) during the contract period. The Grantee must include the following language in all Client Consent and Release of Information forms used for services in this agreement: "Consent for the collection and sharing of client information to providers for persons living with HIV under the Ryan White Program provided through (grantee name) is mandated to collect certain personal information that is entered and saved in a federal data system called CAREWare. CAREWare records are maintained in an encrypted and secure statewide database. I understand that some limited information in the electronic data may be shared with other agencies if they also provide me with services and are part of the same care and data network for the purpose of informing and coordinating my treatment and benefits that I receive under this Program. The CAREWare database program allows for certain medical and support service information to be shared among providers involved with my care, this includes but is not limited to health information, medical visits, lab results, medications, case management, transportation, Housing Opportunities for Persons with AIDS (HOPWA) program, substance abuse, and mental health counseling. I acknowledge that if I fail to show for scheduled medical appointments, I may be contacted by an authorized representative of (grantee name) in order to re-engage and link me back to care." The Grantee must adhere to security measures when working with client information and must: 1. Not email individual health information either internally or externally. 2. Keep all printed materials in locked storage cabinets in locked rooms. 3. Provide written documentation of annual Security and Confidentiality training for all staff regarding the Health Insurance Portability Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH), and the Michigan Public Health Code. 4. Maintain the standards of CDC's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs httos://www.cdc.aov/nchhstD/r)roaramintearation/docs/r)csidatasecuritvauidelin esYDdf. The Grantee will complete the collection of all required data variables and clean-up any missing data or service activities by the 10th day after the end of each calendar month. Subrecipient quality management program should: 1. Include: leadership support, dedicated staff time for QM activities, participation of staff from various disciplines, ongoing review of performance measure data and assessment of consumer satisfaction. 2, Include consumer engagement which includes, but is not limited to, agency - level consumer advisory board, participation on quality management committee, focus groups and consumer satisfaction surveys. 3. Include conduction of at least one quality improvement (QI) project throughout the year, using the Plan -Do -Study -Act (PDSA) method to document progress. This QI project must be aimed at improving client care, client satisfaction, or health outcomes. • If the Grantee is federally funded for Ryan White services (one of which is a core medical service), the Grantee will develop and/or revise a Quality Management Plan (QMP) annually, to be kept on file at agency. QM Plans must contain these eleven components: 1. Quality statement 2. Quality infrastructure 3. Annual quality goals 4. Capacity building 5. Performance measurement 6. Quality improvement 7. Engagement of stakeholders 8. Procedures for updating the QM plan 9. Communication 10. Evaluation 11. Work Plan The Grantee must consult and adhere to the Policy Clarification Notice (PCN) #16-02 established by Health Resources and Services Administration (HRSA). PCN #16-02 describes the core medical and support services that HRSA considers allowable uses of Ryan White grant funds and the individuals eligible to receive those services. A copy of the revised PCN 16-02 is available at this link. An expanded list of "unallowable" grant costs is available in the PCN 16-02. • HRSA RWHAP funds may not be used to make cash payments to intended clients of HRSA RWHAP-funded services. This prohibition includes cash incentives and cash intended as payment for HRSA RWHAP core medical and support services. Where a direct provision of the service is not possible or effective, store gift cards, vouchers, coupons, or tickets that can be exchanged for a specific service or commodity (e.g., food or transportation) must be used. • HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services and that systems are in place to account for disbursed vouchers and store gift cards HRSA Unallowable Costs: • Off -premise social or recreational activities (movies, vacations, gym memberships, parties, retreats) • Medical Marijuana • Purchase or improve land or permanently improve buildings • Direct cash payments or cash reimbursements to clients • Clinical Trials: Funds may not be used to support the costs of operating clinical trials of investigational agents or treatments (to include administrative management or medical monitoring of patients) • Clothing: Purchase of clothing • Employment Services: Support employment, vocational rehabilitation, or employment -readiness services. • Funerals: Funeral, burial, cremation or related expenses • Household Appliances • Mortgages: Payment of private mortgages • Needle Exchange: Syringe exchange programs, Materials, designed to promote or encourage, directly, intravenous drug use or sexual activity, whether homosexual or heterosexual • International travel • The purchase or improvement of land • The purchase, construction, or permanent improvement of any building or other facility • Pets: Pet food or products • Taxes: Paying local or state personal property taxes (for residential property, private automobiles, or any other personal property against which taxes may be levied) • Vehicle Maintenance: Direct maintenance expense (tires, repairs, etc.) of a privately - owned vehicle or any additional costs associated with a privately -owned vehicle, such as a lease, loan payments, insurance, license or registration fees • Water Filtration: Installation of permanent systems of filtration of all water entering a private residence (If water filtration/ purification systems are provided, the community has water purity issues) • It is unallowable to divert program income (income generated from charges/ fees and copays from Medicare, Medicaid, other third -party payers collected to cover RW services provided) toward general agency costs or to use it for general purposes • Pre -Exposure Prophylaxis (PrEP) HIV/AIDS BUREAU POLICY 16-02 • Non -occupational Post -Exposure Prophylaxis (nPEP) General -use prepaid cards are considered "cash equivalent' and are therefore unallowable. Such cards generally bear the logo of a payment network, such as Visa, MasterCard, or American Express, and are accepted by any merchant that accepts those credit or debit cards as payment. Gift cards that are cobranded with the logo of a payment network and the logo of a merchant or affiliated group of merchants are general -use prepaid cards, not store gift cards, and therefore are unallowable. HRSA RWHAP recipients are advised to administer voucher and store gift card programs in a manner which assures that vouchers and store gift cards cannot be exchanged for cash or used for anything other than the allowable goods or services, and that systems are in place to account for disbursed vouchers and store gift cards. Record Maintenance/Retention The Grantee will maintain, for a minimum of five (5) years after the end of the grant period, program, fiscal records, including documentation to support program activities and expenditures, under the terms of this agreement, for clients residing in the State of Michigan. The Grantee will maintain client files and charts from last date of service plus seven (7) years. For minors, Grantee will maintain client files and records from last date of service and until minor reaches the age of 18, whichever is longer, plus seven (7) years. Software Compliance The Grantee and its subcontractors are required to use the HRSA-supported software CW to enter client and service data into the centrally managed database on a secure server. The Grantee must: 1. Enter all Ryan White services delivered to HIV -infected and affected clients. 2. Enter all data by the 10th of the following month. 3. Complete collection of all required data variables and the clean-up of any missing data or service activities by the 10th of the following month. The Grantee must establish written procedures for protecting client information kept electronically or in charts or other paper records. Protection of electronic client -level data will minimally include: 1. Regular back-up of client records with back-up files stored in a secure location. 2. Use of passwords to prevent unauthorized access to the computer or Client Level Data program. 3. Use of virus protection software to guard against computer viruses. Provide annual training to staff on security and confidentiality of client level data and sharing of electronic data files according to MDHHS policies concerning sharing and Secured Electronic Data. New staff needing access to CAREWare are required to email the CAREWare user request form to MDHHS-CAREWareSupport@michigan.gov. The Grantee shall notify MDHHS within 30 days CAREWare users who are separated from the agency for deactivation. Mandatory Disclosures The Grantee will provide immediate notification to the Department, in writing, in the event of any of the following: 1. Any formal grievance initiated by a client and subsequent resolution of that grievance. 2. Any event occurring or notice received by the Grantee or subcontractor, that reasonably suggests that the Grantee or subcontractor may be the subject of, or a defendant in, legal action. This includes, but is not limited to, events or notices related to grievances by service recipients or Grantee or subcontractor employees. 3. Any staff vacancies funded for this project that exceed 30 days. This information maybe sent via US Mail to the DHSP in Lansing, MI. DEPARTMENT REQUIREMENTS Technical Assistance The DSHP will provide technical assistance (TA), as requested, on the implementation of the Ryan White program. This may include issues related to: CAREWare, Quality Management, Ryan White B services, Budget/Fiscal, Grants and Contracts, ADAP, or other activities related to carrying out Ryan White activities. To request TA, please send an email to MDHHS-HIVSTDooerations a)..michigan.aov or complete this form located on the DHSP website httos://www.michiaan.aov/mdhhs/0,5885,7-339-71550 2955 2982--- 00,html ASSURANCES Compliance with Applicable Laws The Grantee should adhere to all Federal and Michigan laws pertaining to HIV/AIDS treatment, disability accommodations, non-discrimination, and confidentiality. Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan White HIV/AIDS Treatment Extension Act. PROJECT: IMMUNIZATION VFC/QI SITE VISITS Beginning Date: 10101/2020 End Date: 9/30/2021 Project Synopsis The format of the site visit will be based on the completed site visit questionnaires, the CDC -PEAR and CDC-IQIP database systems reviewed at the most recent Fall IAP meeting, web -training with MDHHS VFC and QI coordinators, in -person training with Field Reps and the site visit guidance documents (VFC and QI) provided by the department and the CDC. All site visit information shall be entered into the appropriate database as required by CDC (PEAR and QI database system) within 10 days of the site visit by the individual who conducted the site visit. VFC site visit documentation must be entered online within PEAR during the time of the site visit. Reporting Requirements (if different than contract language) • All reimbursement requests should be submitted on the quarterly Comprehensive Financial Status Report (FSR). The submission should include, as an attachment, detail all the visits during the quarter using the current spreadsheet information provided by the Department. The rate of reimbursement is $150 for a VFC Enrollment, AVP Only visit, or VFC Only visit, $100 for a VFC Unscheduled Storage and Handling Visit, $350 for a Combined VFC/QI site visit or Birthing Hospital visit, and $200 for a QI Only visit. A VFC Enrollment visit is required for all new VFC enrolled provider sites. Unannounced Storage and Handling Visits are not required but when performed, must occur in conjunction with Immunization Nurse Education Sessions required for VFC Providers that experience a loss exceeding a VFC dollar amount of $1500. These visits can only be completed if eligible according to current CDC requirements (e.g., visits cannot be performed for providers who have any visit that is either in "In Progress" or "Submitted" status). Notify MDHHS VFC staff for approval prior to performing these visits. MDHHS VFC will monitor the number of Unannounced Storage and Handling visits performed and, if necessary, may limit the allowable number of those that can be performed. All LHD staff involved with any site visits must complete the Department site visit training webinar, presented by the Department VFC and QI Coordinator, prior to conducting any site visits. Annual VFC and QI visit guidance and review materials will be provided to each LHD at the IAP Meetings and consult will be conducted by the Department Immunization Field Representative for each Grantee. • Data from the CDC PEAR and CDC IQIP databases regarding the number and type of site visits will be used to reconcile the agency request for reimbursement. For additional detail on the program requirements, refer to the Resource Guide for Vaccine for Children Providers and the current Department site visit guidance documents, as well as other current guidance provided by the Department/Immunization Program in correspondence to Immunization Action Plan (IAP), Immunization Coordinators, or through health officers. Any additional requirements (if applicable) Every VFC visit performed for a QI-eligible provider must receive a QI visit within the same site visit cycle. This may be performed as either a Combined VFC-QI visit or separate VFC Only and QI Only visit, according to current MDHHS guidelines. A QI visit can only be conducted within a cycle in which a VFC visit has also been conducted for the same provider. Local health departments must complete an in -person VFC or VFC/QI site visit for every VFC provider at minimum, every 24-months, using the date of their previous visit as a starting point. Site visits will vary in time an average of 1 hour for QI and 2 hours for VFC Compliance and must not exceed the two-year time frame. Annual visits are encouraged but must not be conducted sooner than 11 months from the previous site visit date. Combined VFC/QI site visits will be conducted using MCIR QI reports and QI tools developed by the Department. All VFC and QI follow-up activities and outstanding issues must be completed within CDC guidelines. Detroit Department of Health and Wellness Promotion Immunization Program is required to complete visits annually to 100% of the VFC providers in accordance with the SEMHA Quality Assurance Specialist (QAS) contractual obligations, including the completed site visit questionnaires and the CDC -PEAR and the CDC-IQIP database systems reviewed at the most recent Fall IAP meeting, web - training with MDHHS VFC and QI coordinators, in -person training with Field Reps and the current site visit guidance documents (VFC and QI) provided by the department and the CDC. All site visit information shall be entered into the appropriate database as required by CDC (PEAR and QI database system) within 10 days of the site visit by the individual who conducted the site visit. VFC site visit documentation must be entered online within PEAR during the time of the site visit. PROJECT: IMMUNIZATION ACTION PLAN Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Offer immunization services to the public. • Collaborate with public and private sector organizations to promote childhood, adolescent and adult immunization activities in the county including but not limited to recall activities. • Educate providers about vaccines covered by Medicare and Medicaid. Provide and implement strategies for addressing the immunization rates of special populations (i.e., college students, educators, health care workers, long term care centers, detention centers, homeless, tribal and migrant and childcare employees). • Develop mechanisms to improve jurisdictional and LHD immunization rates for children, adolescents and adults. • Ensure clinic hours are convenient and accessible to the community, operating both walk-in and scheduled appointment hours. • Coordinate immunization services, including WIC, Family Planning, and STD, developing plans or memorandums of understanding. • Collaboratively work with regional MCIR staff to ensure providers are using MCIR appropriately. • Develop strategies to identify and target local pocket of need areas. Reporting Requirements (if different than contract language) • IAP Reports are submitted electronically in accordance with due dates set by the Department. • IAP Plan will be submitted electronically using a template provided by the Department, in accordance with due dates set by the Department. • Utilize VAERS to report all adverse vaccine reactions • Ensure that all reportable diseases are reported to the Department in the time specified in the public health code and appropriate case investigation is completed. • By April 1, of each year provide one copy of the VFC provider with an online re - enrollment form which includes a profile for each provider who receives vaccine from the state. These documents must be submitted electronically in MCIR no later than April 1. Any additional requirements (if applicable) Adhere to federal and state appropriation laws pertaining to use of programmatic funds. See Immunization Allowable Expenditures in Attachment I for appropriate use of Federal Funds. • Adhere to requirements set forth in the Omnibus Budget Reconciliation Act of 1993, section 1928 Part IV — Immunizations and the most current CDC Vaccines for Children Operations Manual, Michigan Resource Book for VFC Providers, and documents that are updated throughout the year pertaining to the Vaccines for Children (VFC) Program. Ensure that federally procured vaccine is administered to eligible children only and is properly documented per VFC guidelines. o The VFC Program provides VFC vaccine to only eligible children who meet the following criteria: are Medicaid eligible, have no health insurance, are American Indian or Alaskan Native, are served at a Federally Qualified Health Center (FQHC), a Rural Health Center (RHC) or a public health clinic affiliated with a FQHC and are also under -insured. o Ensure state -supplied vaccines provided in the jurisdiction are administered only to eligible clients as determined by the state. This program allows for the immunization of select populations who are underinsured and not served at a FQHC, RHC, or a public health immunization clinic affiliated with a FQHC as defined by current state program requirements. o Ensure that all providers receiving vaccine from the state screen children for VFC eligibility for children Fraud or abuse of federally procured vaccine must be monitored and reported. • Adhere to all Federal and Michigan Laws pertaining to immunization administration and reporting including reporting to the MCIR, VAERS and schools and daycare reporting • Coordinate the submission of immunization data from schools and childcare centers in your jurisdiction and follow-up with programs providing incomplete or inaccurate data. Assure compliance levels are adequate to protect the public. • Provide education to the parents of children seeking a non -medical exemption in your jurisdiction. Monitor any provider receiving federally procured vaccine including but not limited to VFC/QI site visit. • Ensure on -site attendance of at least 1 LHD immunization program staff to two (2) Immunization Action Plan (IAP) meetings each year. • Implements Perinatal Hepatitis B program activities to prevent the spread of Hepatitis B Virus (HBV) from mother to newborn. o Verify pregnancy status on all hepatitis B surface antigen (HBsAg) positive pregnant women of childbearing years (10-60 years of age.) o Ensure HBsAg positive pregnant women are reported to the Perinatal Hepatitis B case manager and according to the Public Health Code. o Coordinate Perinatal Hepatitis B case management activities between local health department, provider, and Perinatal Hepatitis B Case Manager to: • Ensure that all infants, born to women who are HBsAg positive receive hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12 hours of life, a complete hepatitis B vaccine series with post vaccination serology testing and program support services. Ensure that all susceptible household and sexual contacts associated with HBsAg positive women receive appropriate testing, vaccination, and support services. Ensure birthing hospitals are able to offer hepatitis B vaccine to all newborns prior to hospital discharge by enrolling them in the Universal Hepatitis B Vaccination Program for Newborns. Surveillance of vaccine preventable disease (VPD) activities o Conduct active surveillance when indicated (i.e. during an outbreak) and contact hospitals, laboratories, and/or other providers on a regular basis. PROJECT: Immunization Action Plan- Pilot Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis: Project to increase immunization rates within the jurisdiction with a focus on influenza vaccination. • Staffing to work with schools on implementing school located vaccination clinics. . Staff school located vaccination clinics and provide vaccines to eligible students. • Distribute report cards to providers within the jurisdiction and research methods to increase immunization rates within the practice. . Work with MDHHS staff to coordinate immunization services to schools. Reporting Requirements (if different than contract language) On a quarterly basis provide number of clinics held and number of students vaccinated at school located clinics • On a quarterly basis report the number of interventions initiated with provider offices to improve immunization rates • On a quarterly basis report any other immunization outreach efforts completed using this funding Any additional requirements (if applicable) PROJECT: IMMUNIZATION - FIELD SERVICE REPRESENTATIVES Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Reporting Requirements (if different than contract language) Any additional requirements (if applicable) Michigan,rCounties This position serves as a liaison, resource person and as a regional expert for local health jurisdictions regarding all the Department immunization programs and initiatives. PROGRAM SUPPORT: • Assist with the regional MCIR activities and act as a regional resource on MCIR processes and assessment protocols. • Assist with the local implementation and monitoring of all state programs at the regional level- including IAP implementation, VFC, IQIP, Accreditation, Perinatal Hepatitis B, School / Childcare reporting, special projects and the IN program. • Participate in planning for regional conferences, IAP Coordinator meetings, and other Department programs and initiatives as needed. • Assist state, regional and local epidemiologists and communicable disease staff as needed with VPD surveillance and outbreak control. PROGRAM QUALITY ASSURANCE: • Assist in the orientation of new IAP Coordinators. • Work with local health departments to assess and increase immunization levels for all age groups, especially identifying and targeting pockets of need. • Identify evidence -based strategies that support improved coverage levels in the region, including use of recall, support for the IQIP program, coordination of LHD services, and provider and LHD staff education. • Consult with the local health department on the immunization component of the accreditation process, including preparation for reviews and conducting a walk through or mock accreditation review. • Consult with local coalitions and private stakeholders to promote immunizations and ensure consistent messages are relayed to the public. • Consult with local health departments on the school and day care assessment process. • Encourage or provide educational updates and interventions on all immunization issues with staff at local health departments, healthcare providers, school and childcare staff and other stakeholders, may also include INE presentation if applicable. PROGRAM COMPLIANCE: • Monitor compliance with policies/legislation at national/state and local levels such as: o VFC program requirements and vaccine distribution and storage. o VAERS program o Public Health Code o Administrative Rules o School and childcare legislation and reporting requirements o MCIR legislation and rules o Communicable Disease Rules PROGRAM OVERSIGHT and PROGRAM REVIEW: • Perform oversight of the following programs with assigned local health departments. • Accreditation -Conduct reviews and monitor corrective actions. • VFC including orientation and observation of LHD staff to annual VFC site visit process, monitoring of VFC vaccine losses, submission of mandatory reports, annual LHD VFC site visits and quality assurance review of all provider public vaccine orders, perform E-VFC site visits to all LHD clinics, and unannounced VFC storage and handling site visits. • IQIP—including the required IQIP follow-up with VFC providers, and full implementation of recommendations. • Perinatal Hepatitis B-regional birth dose levels and universal vaccine program. • Review and summarize LHD IAP Annual Plans and Biannual IAP Reports. • Monitor LHD compliance with Comprehensive agreements and special requirements relating to the Immunization program. • Subrecipient monitoring of funds. • Employ and oversee a full-time Immunization Field Representative for the Immunization Program who shall be acceptable to the Department and who shall be supported by this agreement, understanding that their full time is to be devoted for regional immunization related activities, including travel time. • Provide the Immunization Field Representative with permanent office space and supplies, including, but not limited to a telephone, general office supplies, a computer with high speed internet capabilities, a printer, a cellular telephone and a use of vehicle or reimbursement mechanism for transportation unless otherwise arranged. • Ensure the Immunization Field Representative will be available to all local health departments in the assigned regions to provide Immunization Program activities equitable and at the direction of the Department. Refer to field representative responsibilities as defined by the Department and distributed to the Grantee. • Provide for reimbursement for reasonable telephone charges incurred in the conduct of business by the Immunization Field Representative unless otherwise arranged. • Provide reasonable reimbursement for any travel and subsistence expenses incurred by the Immunization Field Representative necessary to the conduct of the Immunization Program. Travel could include the annual National Immunization Conference or other professional immunization related conferences, attendance at the Department Immunization staff meetings and trainings, and accreditation visits made in other areas of the state, as determined by the Division of Immunization. Kent, Livingston and Monroe Counties • Provide adequate office space, telephone connections, high-speed internet access, as well as access to fax and photocopiers. Provide feedback to Section Manager as needed, on employee work related conduct. PROJECT: IMMUNIZATION MICHIGAN CARE IMPROVEMENT REGISTRY (MCIR) REGIONAL Beginning Date: 10/1/2020 End Date: 9/30/2021 Project Synopsis Reporting Requirements • Ensure the quarterly submission of status reports on work plan progress. Reports are due within 30 days of the end of each quarter: Report Period October 1 — December 31 January 1 - March 31 April 1 - June 30 JUIy 1 - September 30 Report Due J January 31 April 30 July 31 October 31 I • Final quarterly report shall be an annual report. The annual report will be distributed to the Department. The report shall include a summary of all the required activities listed above in the quarterly reports. • Any other information as specified in the special requirements shall be developed and submitted by the Grantee as required by the Department. o Reports and information should be submitted to: Bea Salada, MCIR Coordinator Michigan Department of Health & Human Services Immunization Division 333 South Grand Ave Lansing, MI 48909 Phone: (517) 284-4889 • The Grantee shall permit the Department or its designee to visit and to evaluate on an as- needed basis. Any additional requirements (if applicable) • The Grantee shall ensure the performance of the following activities on behalf of the Department to support the MCIR: • Promote and train providers and Health Care Organizations (HCOs) on all features of the MCIR Web application. • Support regional MCIR users by operating the regional help desk in accordance with Department approved procedures. • Monitor and develop strategies to increase private provider and HCO enrollment and participation in the MCIR which includes development of strategies to encourage all providers to fully participate with the MCIR, (such as sites of excellence awards). • Process all userfusage agreements, according to the Department's approved procedures, to create user accounts. • Implement and update marketing plans in support of increased provider and parent acceptance and use of the MCIR. • Keep regional users updated on MCIR status and system changes. • Conduct ad hoc reporting and querying on behalf of MCIR users. • Work with local health departments to establish a mechanism and internal process to assure persons who have died within their county are appropriately flagged in the MCIR. • Maintain a listing of HCO private and public immunization providers. This listing should be as comprehensive as possible and should include all providers in the region. • Conduct regular de -duplication activities to assure that duplicate records are removed from the MCIR as quickly as possible. • Process user petitions to change MCIR data according to Department approved procedures. • Monitor ongoing immunization data submission for all local health departments and private providers. • Conduct training functions as needed to assure that local health department staff can train and educate providers on how to access and submit data into MCIR. • Maintain a policy/procedure manual, approved by the Department. • Process and file all 'opt out' forms according to the Department approved procedures. • Attend regular MCIR regional Grantee/coordinator meeting. • Conduct Onboarding activities as required for providers submitting immunization data via HL7 messaging to MCIR. • Perform quality assurance checks on the MCIR data for the region as prescribed by the Department. • Assist local health departments and private providers with methodologies to "clean up" their data. • Provide assistance to the Department on User Acceptance Testing (UAT) when required to verify MCIR system releases of bug fixes and enhancements. • Attend all UAT training sessions as required by the Department. • The Grantee shall provide to the MCIR Regional Coordinator: a) permanent office space b) general office supplies c) a land -based telephone d) a computer with high speed internet capabilities e) a printer f) a cellular telephone g) use of a vehicle or in the alternative reimbursement mechanism for transportation unless otherwise arranged • When sufficient funding is available, provide to the MCIR Regional Coordinator reimbursement for travel to attend the National Registry related meetings if approved by the Department. This includes travel related expenses concerning air fare, lodging, baggage processing, taxi services, etc. • Consult with the Department on any personnel or performance issues that could affect the above -mentioned contract requirements. • Facilitate the Department's attendance in the interview process for hiring of a MCIR Regional Coordinator / MCIR staff. This process includes consultation with the Department regarding selection of interview candidates as well as participation in the hiring determination. PROJECT: IMMUNIZATION VACCINE QUALITY IMPROVEMENT ASSURANCE Beginning Date: 10/01/2020 End Date: 9/30/2021 Project Synopsis The rate of reimbursement per completed QI follow-up visit is $100 for the 2-month and 6-month check in calls and the 12-month follow-up (either an in -person or phone call following current Department guidance) after the QI site visit. The $100 is reimbursable only if all 3 activities occur within the Department guidance. Reporting Requirements (if different than contract language) Any additional requirements (if applicable) • Conduct the 2-month and 6-month QI check -in calls with each VFC provider that received a QI site visit during the previous or current CDC cycle (using current Department guidance). • Conduct the 12-month QI follow-up with each VFC provider that received a QI site visit during the previous or current CDC cycle (using current Department guidance). • Complete data entry of each site -visit, 2-month check -in call, 6-month check -in call and 12-month follow-up in the CDC-IQIP database using current Department guidance within 10 business days of each QI activity. PROJECT: IMMUNIZATION — VACCINE QUALITY ASSURANCE PROGRAM Beginning Date: 10/01/2020 End Date: 9/30/2021 Project Synopsis Reporting Requirements (if different than contract language) Any additional requirements (if applicable) • Follow-up on vaccine losses and replacement for compromised vaccines for immunization providers within the jurisdiction. • Monitor and approve all temperature logs, doses administered reports and ending inventory reports received from participating VFC providers within the jurisdiction. • Monitor and approve vaccine orders for participating VFC providers within the jurisdiction. • Act as the Primary Point of Contact (PPOC) for VFC providers within the jurisdiction. • Provide education and intervention on inappropriate use of publicly purchased vaccine. • Follow-up on VFC site visit non-compliance issues. • Assist VFC providers within the jurisdiction on issues related to balancing vaccine inventories. • Assist with the redistribution of short dated vaccine for providers within the jurisdiction. • Assist with the equitable allocation of vaccines to providers in the jurisdiction during a vaccine shortage, PROJECT TITLE: Infant Safe Sleep Start Date: 10/1/2020 End Date: 09/30/2021 Project Synopsis: Local health departments will provide educational activities, conduct community outreach efforts and/or expand community awareness of infant safe sleep. Reporting Requirements (if different than agreement language): LHD will attach completed "Infant Safe Sleep Mini -Grant Work Plan" to the indirect cost line of the budget for review and approval by the Infant Safe Sleep program. 2. Prior to the submission of the proposed work plan, LHD will participate in a meeting (by person or phone) with all mini -grantees facilitated by the Infant Safe Sleep Program to review current data, discuss infant safe sleep best practices and answer any questions related to mini -grant requirements. LHD will attach "Infant Safe Sleep Mini -Grant Work Plan" with reporting column completed and completed "Infant Safe Sleep Mini -Grant Report Grid" to the indirect cost line of the 2nd quarter FSR. The reporting period will cover October 1, 2020 - March 31, 2021. The reports are due by April 30, 2021. 4. LHD will participate in a technical assistance call with the Infant Safe Sleep Program to review progress to date. 5. LHD will attach "Infant Safe Sleep Mini -Grant Work Plan" with reporting column completed and completed "Infant Safe Sleep Mini -Grant Report Grid" to the indirect cost line of the final FSR. The reporting period will cover October 1, 2020 - September 30, 2021. The reports are due by December 15, 2021. Any additional requirements (if applicable): 1. Grantee must provide educational activities, conduct community outreach efforts and/or expand community awareness of infant safe sleep. These efforts must adhere to the updated policy statement titled "SIDS and Other Sleep -Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment' issued by the American Academy of Pediatrics in October 2016. 2. 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(c�r.michiaan.aov 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: Y 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 fundina source in two project categories for FY 21. 11VILOR 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. a. 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. LLG Work Plan: Due annually on June 30 for preapproval. See the MDHHS Nome 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 151h 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-HVlnitiativeemichiaan.aov. Any additional requirements (if applicable): Comply with MDHHS Home Visitina Proaram Requirements: 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. Fundina 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 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: 10/112020 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: a. 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 15"' 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 ,,michioan.aov. Any additional requirements (if applicable): Comply with MDHHS Home Visitinq Proqram Requirements: 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 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 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 Reporting Period 15t 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: 15f 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 4x4 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- HVlnitiativeCa michigan.aov. e. Implementation Monitoring Date and HRSA data collection requirements on the Vh 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 151h 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 MPHI 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 Fidelitv 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. Staffina 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. Comoly 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 (TA) 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 Training All of the LIA'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 Quality 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 Reaulrements By June 30, 2020, the LIA must submit a Work Plan to the MDHHS Home Visiting mailbox (MDHHS-HVlnitiative anmichiaan.aov) 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): Program Narrative Evaluation/Data Submission Due:Date:;: Submit.To l October 1- December 31, 2020 January 15, 2021 January 1-March 31, 2021 April 1-June 30, 2021 July 1-September 30, 2021 Monthly Any additional requirements (if applicable): April 15, 2021 July 15, 2021 October 15, 2021 Submit the 7t" of every month I Program 1 Coordinator REDcap 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. • 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. 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- HVlnitiative(c).michiaan.aov. 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 151h of each month from February to September. g. Continuous Quality Improvement reporting for LIA-specific projects due by the 15rh 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 Reaulrements: By June 30, 2020, the LIA must submit a Work Plan to the MDHHS Home Visiting mailbox (MDHHS-HVlnitiattve(o)michiaan.aov) 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 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 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. SUDDort and Technical Assistance (TAI: 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 Develooment and Training: All of the LIA'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. 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. 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. See the 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- HVlnitiativecCD.michiaan.00v . f. Implementation Monitoring Data and HRSA data collection requirements on the 5h 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 15th 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 MPHI 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. Comply with MDHHS Program Reauirements: The LIA shall operate the program with fidelity to the requirements of the MDHHS as outlined in the MDHHS Home Visiting Guidance Manual. Staffing: 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. Taraet 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. Program Monitorina, Quality Assessment, Support and Technical Assistance ITA1: 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 Trainina: All of the LIA'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 Reouirements: The LIA must submit a Work Plan by June 30 2020, to the MDHHS Home Visiting mailbox at MDHHS-HVlnitiativeta'�michiaan.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 MDlil-IS-BEEP-DEPR _PHEP wmichigan.-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 chanoes to this staffing model must be aoproved by the Public Health Emeroencv Preparedness Proaram Manager at the Division of Emeraencv Preparedness and Response (517-335-8150�. • Under the PHEP 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 MDFII_IS-BETP_ UEPR__ PI EPCbi ichigan.,�ov_., • 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 If or $181,500 per year. • 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 serve 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 BPI S, Recipients must continue to strengthen and test its administrative preparedness plan, to include written policies, procedures, and/or protocols that address the following: 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 reoortina 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: GoeroeEarnichioan.aov. 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, GoeraeECc�michiaan.aov • 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 14a-michioan.aov 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. 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, Isoiite other isolation system, patient chair, operator light and operator chair). • 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 . Period STD 340E Tracking Report Quarterly Any additional requirements (if applicable): Grant Program Operation Due Date(s) 10 days after the end of the quarter How to Submit Report Email to: MDHHS- HIVSTDoperation s@michigan.gov 1. 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. 4. 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 DueDate(s) Submit Report Quarterly Progress Report Quarterly 30 days after the end Email toof 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 http://www.cdc.gov/tb/education/ssmod ules/module9/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" htto://www.cdc.gov/nchhsto/Droaramintegration/docs/PCSIDataSecuritvGuidelines. odf 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 (dinhe(amichia_ an.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 5 BG-2 mosquito traps placed for 24-hour period 2 BG-2 mosquito traps placed for 24 hour period in August 1,000 meter tick drag 000 Educational outreach activity / event Press release Coordination of control efforts with local municipalities / other _prevention efforts Points Required Total Points Metric Evaluation j Points / Weeks Method J 2 20/10 At least 20 Report to MosquitoNET (CDC) 2 2/4 At least 8 Report to MosquitoNET (CDC) 2 4/2 At least 4 Report to MDHHS 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 epidemioiogic 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 the MI 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 15t" 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 ail 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 primary purpose 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. ADDENDUM1 Dissemination License Agreementfor9Vlothers in Motion" Between Michigan State University And Michigan Departmentof Health and Human Services This License Agreement ("Agreement" J, 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 at 320 S. Walnut, Lansing, MI 48913 ("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 isthe owner of certain rights, title and 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 undertheNIH grant, desires to grant such license to Licensee on the terms and conditions herein. WHEREAS, Licenseewishes to obtain thisAgreement in orderto carry outthe intent of their master agreement between Licensee and Licensor with an effective date of FY 2015-2016. NOWTHEREFORE, 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, orsubsequent revisions thereof, specifically including, but not limited to, translations, abridgments, condensations, recastings, transformations, oradaptations thereof, orworks 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 agreementwhich may take the form of, but is not limited to, a sublicense agreement, memorandum of understanding, orspecial 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 hereunderor other rights thatare relevant to using the Sublicenseable Materials. AG R2015-01 146 1 TEC2015-0036 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. !fa 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. AGR2015-01 146 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 setforth 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 () 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 R2015-01 146 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. In the 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 a Ileged breach and to notify the non -breaching Party in writing that said cure has been affected. If the 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, the following 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 4 TEC1015-0036 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. S. 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 forsuch claim. 8.2 In no event shall either Party be liable to the other Party or to any third parry, 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 without the priorwritten 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. ll. 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. AGR2015-01 146 5 TEC2015-0036 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 or other 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 sentby facsimile, confirmation 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 RiverSuite 350 City Center Building East Lansing, MI48823 517-884,1606 msutagr@.msu.edu AG R2015-01 146 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., 6t" 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 n any manner. 1s 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, orto take any action, which shall be binding on the other Party, without the priorwritten consent ofsuch otherParty. (remainder of page intentionally left blank) AG R2015-01 146 TEC201 5-0036 7 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 Signature on file Date: 10/15/15 By: Dr. Richard W. Chylla Executive Director, MSU Technologies LICENSEE: Stateof Michigan Department of Health and Human ServicesWomen; 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 320S. Walnut, Lewis Cass Bldg., 6th Floor Lansing, MI48913 biens@michigan.gov 517-335-8448 AGRZO 15-Ql 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., "Goal and 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. IL 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 WIG" 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 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 K 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, (R18-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 ii. 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 AGR2015-01 146 10 TEC2015-0036 *WIC is allowed to duplicate DVDs without label or grant number onthe disks, if necessary. 1 Sublicensee may create content that supports the implementation ofthe 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 bySublicenseeshall beowned in accordancewith Section 1.2 and Section 3.l(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 Dissemination License Agreement for"Commonlcate to Mosivata" Among Michigan State university, Ohio State innovation Foundation And Mkbigan Deparonent at Health and Human Services This License Agreement j"Agreement"), olfeotive as of )anuaty 1, 2017 (Efttive Date"), is made by end among Michigan Slate University, having *Mm at 32S E Grand River, Suite 350, Best Lansing, MI 48823 (MSU"), Ohio State Innovation Poundeiton, hawing oiioea at 1524 M High "ulVXt, Columbus, OH 43201('"OSIP y (together "Licensor") and Stale. of Michigan Deporhrterrt of Health and Human Services Women, Infnnia and Children, having offices at 320 S. 1Wainut, Loosing, MI 489I3 (("Licensee") (individually a "Psdy" and eolleclivcty, the"Partlee% WNBREAS, Licensor has intellectual property rights in the "Communicate to laletivate" materials (hansin, "Physical Mntariah"), MMSU reference numberTtC2016.0178, OSV reference number T2017. 132, developed ulilixing ltatde from a grant froth the National Institutes of Health (NIH), grant number R18-M-083974-01(40mnt°). WHEREAS, Licensor Is the owner of certain dghls, title and Interost in the Physical Materials and has the dot to grow licenses thererutdee tV1 IMEAS, Licensee wishes to license the Physical Materials for disserrdnation purposes and Licensor desires to grant such license to Licensee on the terms and conditions herein. NOW THEUPORE, the Parties agree as follows: 1. Definitions. a. "Physical Mageriale shall mean all physical itemrs listed In Schedule A. b. "Sublicensable Materials'" shall mean one elco ronic ropy of the Physical Materials. c. "Materials Modification Ouldo" shall moan the speoilicatimmoutlined In Schedule E. d. "Darivativa Wake" raesns all works developed by Licensee or Subikensaa which would be thssaoior➢xed as derivative works of the Physical M®ierials mWor Subliicansablc Materiels under the United States Copyright Act or1976,orsubsequent revisions thereof, specificallyin tuding, but not lhtlited to, trantlatlans, abridgments, condensations, rcnostings, irandbrmotions, or odapiallons thereof, or works consisting ofedilodal revisions, annotation, elaborations, or other nrndiHaations thereef. The term "Derivative Work" shall not include those derivative works which are developed by Licensor. a. "Subliotnso"'rnaene an agreement which may take the forth of, but is not limited to, a sublicame agmetlent, memorandum ofundetatanding, or special provisions added as an amendment toast existing agreamont between l.laansoo oral a Sublicensne in which Liconsco grants or otherwise transfers any of the rilthts decreed to Licensee hereunder or other debts that am relevant to using the SuMcensable Materials. C "Subllcensee" moans any entity to which a Sublicense Is granted. 1. Grant of License 1.1 Su*ct to the terms and conditions of this Agreement, to the extent that Lloexatee'a rights to Physical Materials as a result ofLicensor`s grant of rights to the Pederai Ooventment In ncco:dsttco with the loans end conditions of the Groat are insufTlclent for Licensee's acdvides hereunder. Licensor hereby grants to Licenses a nonerrolusive, nontransferable, worldwide, license to use, per boo, reproduce, publically display the Physical Materials. Licensee Is granted the limited sight to create Derivative Works of the Physical Materials, specifically Licensee shalt have the right to create Derivative Works which are (a) companion guidance handouts to the Physical Materials for educational use by instruorors In the course of employing Physical Materials. (b) materials for promotion of the availability of educational opportunities employing the Physical Materials, and (a) instruments for collecting evalnatlona and feedback from course pagiolpmtts, Notwithstanding the foregoing, Licensee may only d'oshibute the Physical Materials within Llcensee•managed locations within the auto of Michigan. Licensee is not peTr ined to sell or receive consideration for any of the Physical Metedals or raproduotiow of the Physical Materials, L2, Licensor grants Llaensca the right to grant Subliconses of its lights under Section 1.1 of the Sublicemable Materials to Subliconsco for the sole purpose of placing the content contained in the Sublicensable NWeriels (including the videos) on it website that is commiled by Subiiceme and that Is access lrrnitad, password pretected, Any .Sublicense shall be in eocordance with Article 3 below. Subltconsee Is not permitted to sell or receive consideration for the Sublieensablo Matarlais In any format. Any content created solely by Subliocnsce that supports the Implementatlon of the Sublicamahle Materials shall be owned by Sublicarme. 1.3 In such Incidences where, for financial reasons, Licensee Is not able to reproduce the label displayed an the original master copy of the DVD portion of the Physical Materials, Licensee must ensure that the entire content of the DVD portion ofthe Physical Materials are reproduced in its entirety sat that the inclusion of the copyright notice, great number information, title of cash lesson, and sdrnowledgemenis am mainuained. 1.4 Licensee will refiafn, and shall require SubltcCnsees to rofrala from using, the inure of the Licensor or The Ohio State University (" OSU'7 In publicity or advertising without the prior written approval of Licensor, 1.3 Llesmor shall provide Physical Materials to Licensee by May 1, 2017. Lleetasor assumes no responsibility fordlstribotlog Physical Materials to the state of Michigan Licenso tocatfors. 2, Molnsor's RRights 11 Notwithslandlog the rights granted to Article I hereof, LLcCnsce acknowledges Ihat all light, title and Interest in the Physical Matedals, Including any copyright applicable therelo, 41489 remain the property of Licensor. Licensee or Subtleansce shalt have no right, thle or Interest In the Physical Materiels, including any copyright applicable therato, except as expressly act forth in this Agreement, 2.2 Any rights not granted hereunder are reserved by Licensor. 3. Sublicense 3.1 (a) Any Sublicense entered into hcmander (i) shalt contain leans no less protective of Licenser's rights than these set forth in this Agreement, (14 shall act be in conflict with this AORNII-ON53 2 05t)A2017d372 TEC2016•a176 Agreement, and (ill) shall identify Licensor as on intended third party beneficlary of the Sublicense. Licensee shall provide Licensor with aeamp9eteelectronicorpaper copy ofeach Subltcearse within thirty (30) days after execution of the 3ublicensa. Licensee shall pmvlde Licensor with acopy of each report received by Licensee pertinent to any data produced by Sublicencee that would pertain to the report due under Section 4. Wcawee shall be lBily responsible to Licensor for any breachof the terms of this Agreement by a Sublicensee, (b) Upon tarminatlon of this Agreement for any reason, all Sublicenses shall terminate, Wit Sublicvosea was in compliance with the terms of its sublicense In effect on the date of termination, Liconsar may grant such Subikensce that so requests, a license with terms and use rights as are acceptable to Licensor. In na event shall Licensor have any obligations of any nature whatsoever with respect to (I) any past, current or Mires obligations the( Licensee may have had, or may in the future have, for the payment of any amounts awing to any Subliccnsee, (li) any past obligations whatsoever, and (fii) any Mine obligations to may SuBlicensce beyond tbose set forth in the new license between Utenscr and such Subliconsee. d, Comideratlon inconsideration ofths rights granted heroin, Licensee vdli provide to Licensor two effectiveness and utiiiaalian data reports based an tho use of the Physical Materials. One data report shall include: a) numbee of clients whoaccess the Physical Materials lessons; b) numberoftlincs specllia lossons are completed; c) number of unique users; d) client pemepilmns for useilrtttess and helpfulness afte sons; and e) client bdiefs in relation to ability to make changes based an lesson completion and shall be due to Lkonsor two years from the Effective Date and one data report containing the same data as described above shell be duo thirty (30) days after the and of the five (5) year term.. Such data ropork shall segregate the information provided in a-e by CPA (dlctiihuns and nurses) or brcnsifeeding poor amunselors. The reports shell be sent to ehangIS72 aaumdo, tnwvapoti@osu.edu aaud mstuagr@msu,eda. r. Itiftenec Licensee shell bse its reasamsbte efforts to disseminate the Physical Materials in n flhshion that Licensee determines aligns with Its mission in order to provide pubtie benefit. d, Term and Teroahratlon 6.1 This Agreement shall commence as of the Effective Date and shall extend for a period of five (5) yessa unless call" terminated in accordance with paragraph 6,2 hereof, This Agreement may be renewed or extended by written amendment signed by authodud representatives of Licensor and Licenseo in accordance witis Mich;13. 6.2. in the event (tat a Party believes that snmtber party bas malarintly brmaeiued any abilgai ion under thin Agreement, such Party shall ac notl fy the breaching Party in writing. The breaching Party shall hava thirty (34) days from the receipt of notice to ouro the alleged broach end to notify the nun-breac hl"S Party in writing that sold cure bas been affooia if the breach is not cured within sold period, the non- koolting Pasty shell have the right to terminate the Agreement without finther notice. 63 EfrectofTonninotfon, ACRIN117.0003 3 O5UM017-1172 TM11116-0179 6.M Upon tenninalion, Licenses shall cease using, distribuling 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 dlsftdon). All Sublircmas 6911 terminate upon termlnatlon of this Agreement pursuant to Section 7(b). 6.3,2 Upon lerntlamlon, the following provisions shall survive and retrain in affect; 2,1; 4;, 6.3; 8, 7. Representations most Warrantles 7.1 .Licensor repms nts that to tho ltnowladge ofTho Ohio Sato University's and MSU`s technology transfer offices that it has full right, power and authority to enter into this Agreement and to provide the license of rights grated isaderthis Agreement. 7.2 LICENSOR AND OSU, INCLUDING THEIR CREATORS, TRUSTEES, OFFICERS, EMPLOYEES, AGENTS OR AFFILIATED ENTERPRISE'S MAKE NO REPRESENTATIONS OR WARRANTIES Of ANY KIND CONCERNING THE PHYSICAL MATERIALS AND SUBLICENSABLE MATERIALS AND HEREBY DISCLAIM ALL REPMENTATiONS AND WARRANTIES, EXPRIiSS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, NONMR]NOOMENT, SAFETY, EFFICACY, APPROVABILIT'Y BY REGULATORY AUTHORITIES, TIME AND COST OF DEVELOPMENT, OR PATENTAOILITY, LICENSEE ASSUMES THE ENTIRE RISK AND RESPONSIBILITY FOR THE SAFETY, EFFICACY, PERPORMANCIE, DESIGN, MAR 'fABILITY AND QUALITY OF THE PHYSICAL MATERIALS AND SUBLICENSABLE MATERIALS. WITHOUT LIMITING THE QBNEM UTY OF THE FOREOOINO, THE PARTIES, INCLUDING 'THEIR OFPICCRS AND BWWY1368, ACKNOWLEDGE THAT (A) THE PHYSICAL MATERIALS AND SUBLICENSABLE MATERIALS ARE PROVIDED "AS IS"; (B) NEITHER THE PHYSICAL MATERIALS NOR SUBLICENSABLE MATERIALS MAY OF ITINCT1ONAL ON EVERY MACHINE OR in EVERY ENVIRONMENT; AND (C) THE PHYSICAL MATERIALS AND SUELICENSABLE MATERIALS ARE PROVIDED WITHOUT ANY WARRANTIES THAT IT IS ERROR FREE OR THAT LICENSOR IS UNDER ANY OBLIOATION TO CORRECT SUCH, ERRORS. S. Lirrtitatton of Llabllity &A Each Party acknowledges and represents Owt It will be responslble for may claim for personni Injury or property dams& matted by a third p" and arising, out of or related to Its acts or omlaslons in the perfomtartce of its obiigatiom hereunder to the extent that o court of competentjurlsdiction detemsinas such Party to be at fault or stherwise legally responsible for luuh alaimx. Nothing in this Atreement shell be deemed or treated assay waiver of any party's soverstgs immunity or Immunity grantod by statute or curse law, If Applicable, 8.2 In no evool shalt a Party be liable to another" or to any third party, whether under OwM of contract, tort or othervrlse, ter any Indirect, incidental, punitive, consaqusnliel, or special damageL v twitter foreseeable or not and whether such Party is advised of the possibility ofsuch damages. 4. Assignment and Tmuskr No Parry may assign, directly or indirectly, sit or part of its rights or delegate Its obligations under this Agreeavant without the prior wrimm consent of the other Partial. AGRWI7•00433 4 OSUAasly-Inx TEM016-o176 10. 911pate l$Esalnllaa Its,!, In the event of any dispute or centrovtrsy arising out of or slating to this Agreement at the subject molter hereof, Use Pasties shoji usp their best otibrts to rasolva the dispute as soon as possible. The Parties shall, vdthou► delay, con►inue to perform their reapealive. obiigndow under this Agreement which are not afl'ecaed by the dispute, 11. Force Majeum No Percy shall be gohle for dsmages or subject to Injunctive or other relief, orhovethe right to terminate this Agreement, for any delay or debuit in performance hereunder if such delay or dal'huit is caused by conditions beyond Its control including, but not limited to, Acts of Oo d at farce Ilmjouray government restrictions including the denial or cancellation of any reecssary license), wars, Insurrections aaaftr any other came beyond the reasonable cotdrot of the Party whose performance is affected. lx. EndreAgrsemeol This Agreement constitutes the entire agreement ofthe Parties and supwa4es ail prior communications, undentaodings and agreements relating to the subject matter hereof, whether oral or written. 13 Amendmeut No modiftcet%n or claimed waiver of any provision of this Agreement shall be valid except by wrNton amendment signed by muthorind represantst.ives of Licensor and ticensee. 14. 5everabitity tf aay provision ofthls Agreement is daterniined to be Invalid or usenforceable under applicable law, it shall net afieot the validity or enibmeability of Me remainder of the terms of this Agreement, and without fi►rlher action by the Parties Imeto, such limigion shall be refle med to the minimum extent meassary to make such provision valid and enforceable. 15, Waiver Waiver of any provision hercln Mail not be deemed a waiver of any other provision herein, nor shall waiver of any breach of this Agreement be oomstruad as a continuing, waiver of odd breaches of the sane or otlicr provisions of this Agreement. 16, Notices All notices givers pursuant to this Agreavaent shall he in writing, and may be had delivered, or shall be deemed m cived within Ome (3) days after mailing If sent by regiistered or certified mail, reW ar receipt regausteal, If any n oilo s Is aunt by facsimlle, confirmation copies must be stet by trail or !rand detivery to the specified nddrem. Either party may from timeato-time chomtca its notice address by written notice to the rather Panty. A011201740453 5 ► SU A24174172 If is Liccnaorc MSU Technolo$%s Avoliom Agreement Cowtlinator AGR2017-1t11453 325 E. Gmfid Rivet Suite 350 City Center Building Past Lansing MI 49823 517-884.1605 MMtnIl411 w.itr Ohio State Innovation foundation 1524 N High Street Columbus, OR 43241 614.292.1,115 if to Lteonsev Michigan Department of Health and human Services, WIC Prlvlston Attn: Kristen Haaololk Hlabwr, Consultation and NuOlon Services unit 320 S. Walnut, Lewis Cass 111dg„ 60, Floor Lansing, Hit 48913 517-335-8545 hanulcikk@mhchigamgcv 11. Article 11mclinp The parties have corefally considered this Agreement mW have determined that ambiguities, itany,shaii not he onnstrued or enforced against the draflc€, I•unhermoro, the headings of Articles have been inserted for convenience of reference only and shall not control far of oct this meaning or construction of any of the agreements, terms, coven4ws or eotalillans of this Agreement In any manner. i8. Relationship of Partite Licensor and Licensee each acknowledge and agree that the other Is an Independent contractor in the performance of each and every part or this, Agteemeni and is solely responsible for all of its employees and students and such Pony"s labor costs and oxpensys arising In connection themwith. The Parties are not panlmera, faint venturers or otlrexrvlse aMilated, end neither has my right or authority to tnake arty ntalavrteras, rarprcsantattans or commitments ofmty kind, or to take any action, which shall be binding on the rather Patty, without the prier wrltttn coastal of srreh other Many. Ad1?C1T•o1;953 fi 0SU A20 17-1112 TEC7016,017'1 li ! � 'YTPILfiti WH t'.RK'OF, the I'cirOW 1, m ewtuIrd this Awcurnc.rat by tlaelt'levectivc, dtaly ndt hotszcal rclrrascnintiuss as orIlie datr Ill lbove millcaa. l,,iel"NSOR. lvlichal,:nt Slam 1_latiYat iva Fir, lticharcl'a"a+. 01l 1la lrxccutive Dirr:saaa', MSU Tcc111ar51gdL:5 Ohio Stnle l nnv altart'Powidallon Bate: 17iprnr�arro I�InL, Vk0Presldaatt ` 4�TCR�,'SrR:, Sa7teriF7u%iclri{nnnL7�:haltmeretraGltentlls�rn<091rbmrsn;Serv[ces'4V+rinetn,ltaflnts�i ChildTctl Dkiw ,leanettp Hensler, Dirertor Grants DMsian, Bureau of Puachasing v`�P�' j' 7 Slav I)lcn, f lrcwttc WIC Divisim Michipn IJarurtm nt <al Hepil.ir,uasi 1{ttrn ua Scr'itcs 120 S.' aNal, l,cwis Class r.Idg., 011i Fluor f TUaslllhP'Mi 48913 iverrs ra7mlcllia„�tn,l;uu 't' EC3916, 017$ Modulo A Physical A4aterlals A. Cwmrrrnfewe ra 8!'NIMM videas — up to IG sets In DVD formal 15 ksms; 12 video lessons, urninderend general tip lesson, introduction and preview D. Rethinking wharwethink and respond inWfCvideo C. Tip Shests— 650copies (color print, Impinetail and coil) D, CI?S that conudn the Following materials telated to Com m nrtcale to What saved in PDF (up la 10 copte* a, npSheets, IA. Power point slides of all 12 lessons, reminder oud gonaral tip lesson; e, Srmr mory of troy points in, caclr video lassany tl„ In9trU0tien9 far Wr4 rrf t1k1 ►'iltS{99. E. External turd drives (2) that contain the following tnatedolst a, Commiunicare to Maldaade videos: IS video lcssonN h Rerhhrkhrgwho( wethink .and respond inIPICvideo; c, Tip Shoats in PDV; d. Power point slides of all 121esson%romhtder wed general tip lesson in PO , e. Summary of key paints in each video lesson in PDR, C Insitrnetions for use of the videos in PDF. A11R20174M3 g OSU A2017-1112 TFC2d "179 schedule materials Modification wide Except as provided in Secdon 1.1, enmdif ceflan of Pi ola d MOW* Is not psrmitee& AOR2417-90M 9 OSUA2017-it72 T=01"179 her explanation of � 202012021 acka9e for furl element definitions. budget instructions p available. funding FOOTNO-lES• eworkfor ram and where and Budget Fram ent and pCOg Of the elements total State de forunit a reem fete years actual number ents will be made rehernsive g the ratio Austin 1 E., ta) Refer to Plan aster comp ent methods• ast two complete column by ante based tb) Refer to m reimbur see average of the P Expectation prior to talc t notnerform of these ormance Line 17) ent not p applicabOiY starting from the „Total Pert „ D 0410,MpHHS reirnbursem „column these tc) Negotiated 1 ing and the °percent ardin9 lated b multip io Total Expendrt local funds ante' column by lanation re9 td) Calcu pCH 04 p Line 24) to nt funded by Target perform e for further exP Element instructions pact' unallowable cost, eq the "State Funded d budget rate, staffing) ItiplYin9 agreement an (e) Calculated b er comprehensive 9 t{ Refer to designations. Coordination home settng- CS Care COord� face in the t1) CSF1 ement services per y ice provided face - ear °- 1 anag Case a imum of six t6$20A .58 per service Coordinator A. ment - the Care B Reimbursethat requires E COORDINATIOCARE e or home -like setting 2_ AAREVEL 1 PLAN OF in the home $150 $100 l plan of Care I site hone 1 Annua a non- over the telep ursed. to travel to CaOeRp1NAT10N at $30 00 per unwill be reimb 2• Annual Plan °f reimburse Is rern'b per eligibility Year B LEVEL 11 CARE Coordi Its er beneficiary P a menu. Limited I. Level 11 are um 0115 units P Orical health deP 2 A maximum Rates for non-categ Chart for Fixed Ra per blood draw $11.00 P nor to 711 t2) Reimbursement Orical annual) to $2A00 nse p Non Categorical $264071app1.annuallice after7t1; AIpS�HIV prevention $131 04IapPi annual lice license; $117041a I. tem ora Body Art Oii9mat ,Ole s F'� 202� 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 12/1; $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 \e e\eme°ts ace sing lnatlor t Near\rgU ement Tv d ls°u es) ta,Gsbed b edit E"ndmg lot GpOcd um t a \e a�� e i E a tw eaccc`a c et case\o OONNS agreem d uP to '�aXlm i- sing a oucce <"° kJ\alnter er fees k�Aebase to g ch $3 of c0rdocte gem �Al F,3nb e g o Sta \s t\ st so tt aG ua\ ev\t target wi\\ \3e $1 lot ea 1 p0 Pet N\v test Iota\ a\\ocated 4urds. 61 Star a unalcate $�e\mbut ecrert that °t In k.lmbutsed at $1 to access the\c ublect t° a g��o �l F\xe ec\°tmar arch ceQu`ttack am°un its Ni\\ be to X users 30 and is s reeler is �8) -�h b ect to a tnted to c0 ami\y pePatkme rtage °f it\e d by J4re ooPetafN cog mn roc th 91 gu 1 take elm its Pec Nea\th ecct ende EPl C FSRI �Ol Up o si ego�lca\\y forded t seNe a ne Imam P IV trusk be cePa edre \ S a� s ReP°tt rem �p� COOPecatNe (11� Non ca ally. cy mus detern` fording ercY ec\y Pirarcla nd 3u\y 1—ess <PN od lFS4�l toy $2 000 h \'\ ate�g be used to ress IPNENea\th !ct a quaff ore 30' apcePacec\f\e s ReP 131 Ear }�R data s. pteParedhe Pub\lc budget ar ct°ber 1e ecgeraY lrarclal S arru to a C\0Ne ah E er 9as sp ebm`aa nine'`r°nth EPl fund' etAPubo Heak�d a Quarterlylor 200 $� tnerts 11�� Pua{ h te4ulce Os musts edness lPecified it tonth budget a 2 GFR' Se edtflc ReQulce t\e to ce' hN t PcePat rk as sP khcee_m ed by f l and SP GWdarm e\eme tnecgercy eQuicemet submit a as def`r ssucan°es cogca Nr,a\th s criteria P arch YA u �151 s b(ecct koeMev� k hUs P °gra ear h aid Oeve\oPe e P�achtnent t e e t clf r, , kflo�c is k\le R m as sPe er �` ) N ub e Pitt match <eAu`ay not apply to th`S ag cY �181 S Some fooknotes m NAOIE� o"g"na%140ta9?-( y021, Resolution #21048 February 18, 2021 Moved by Nelson seconded by Weipert the resolutions on the Consent Agenda be adopted. AYES: Charles, Gershenson, Hoffman, Jackson, Joliat, Kochenderfer, Kowall, Kuhn, Long, Luebs, Markham, McGillivray, Miller, Moss, Nelson, Powell, Spisz, Weipert, Woodward, Cavell. (20) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions on the Consent Agenda were adopted. Moved by Nelson seconded by Weipert MR #21047 be amended as follows: Add all Commissioners as co-sponsors of the resolution. A sufficient majority having voted in favor the amendment carried. I HERG6Y APPROVE THIS RESOLUTION CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.51A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, 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 February 18, 2021, 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 18th day of February 2021. Lisa Brown, Oakland County