HomeMy WebLinkAboutResolutions - 2021.12.09 - 35113IFOAKLANDIF�-
COUNTY M I C H I GAN
BOARD OF COMMISSIONERS
December 9, 2021
MISCELLANEOUS RESOLUTION #21-500
Sponsored By: Penny Luebs
IN RE: Health & Human Services - Health Division - Grant Amendment FY 2022 Emerging Threats
Local Health Department Agreement - Amendment #1
Chairperson and Members of the Board:
WHEREAS the Oakland County Health Division has received Amendment #1 to the Michigan Department of
Health and Human Services (MDHHS) Fiscal Year (FY) 2022 Emerging Threats Local Health Department
Agreement in the amount of $1,113,527 for the period October 1, 2021, through September 30. 2022: and
WHEREAS Amendment #1 provides finding to support wastewater monitoring for SARS-CoV-2 virus shed
into Michigan public sewer systems; and
WHEREAS the original agreement amount of S9,502,413 was approved via Miscellaneous Resolution #21434
on October 28, 2021. and
WHEREAS Amendment #1 changes the total amount of the agreement from S9,502,413 to $10,615,940, an
increase of $1,113.527; and
WHEREAS the Health Division is requesting to transfer the special revenue funding assigned to one (1) Part -
Time Non -Eligible (PINE) 1,000 hours per year Medical Technologist position within the Laboratory unit
(#1060212-14866) from the FY 2022 Local Health Department grant (LHD) (Fund #28631) to the FY 2022
Emerging Threats Agreement grant; and
WHEREAS no County match is required; and
RTIEREAS Amendment #1 has completed the Grant Review Process in accordance with the Grants Policy
approved by the Board of Commnissioners at their January 21. 2021, meeting.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby
authorizes Amendment #1 to increase the Fiscal Year 2022 Emerging Threats Local Health Department
Agreement total funding by $1,113,527 for the period of October 1. 2021, through September 30. 2021
BE IT FURTHER RESOLVED to transfer the funding assigned to one (1) Special Revenue Part -Time Non -
Eligible (PTNE) 1.000 hours per year Medical Technologist position (#1060212-14866) from the FY 2022
Local Health Department (LHD) grant (Fund #28631).
BE IT FURTHER RESOLVED that the acceptance of this grant does not obligate the County to any future
commitment, and continuation of this program is contingent upon continued future levels of grant funding.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute this agreement and to
approve any grant extensions or changes, within fifteen percent (15%) of the original award, which is consistent
with the agreement as originally approved.
BE IT FURTHER RESOLVED that the Special Revenue (SR) Fund Budget is amended as detailed in the
attached Schedule A.
Chairperson, the following Coumnissioners are sponsoring the foregoing Resolution: Penny Luebs.
6zdDate: December 09, 2021
David Woodward, Commissioner
Date: December 15, 2021
Hilarie Chambers. Deputy County Executive Ii
Date: December
m r 15 2021
Lisa Brown, County Clerk t Register of Deeds
COMMITTEE TRACKING
2021-11-30 Public Health & Safety - recommend and forward to Finance
2021-12-01 Finance - recommend to Board
2021-12-09 Full Board
VOTE TRACKING
Motioned by Commissioner William Miller III seconded by Commissioner Robert Hoffinan to adopt the
attached Grant Amendment: FY 2022 Emerging Threats Local Health Department Agreement - Amendment #1.
Yes: David Woodward, Michael Gingell, Michael Spisz. Karen Joliat, Kristen Nelson. Eileen Kocvall,
Christine Long, Philip Weipert, Gwen Markham. Angela Powell, Thomas Kuhn. Chuck Moss, Marcia
Gershenson, William Miller III, Yolanda Smith Charles Charles Cavell, Penny Luebs, Janet Jackson. Gary
McGillivray, Robert Hoffinan, Adam Kochenderfer (21)
No: None (0)
Abstain: None (0)
Absent: (0)
The Motion Passed.
ATTACHMENTS
1. Grant Review Sign -Off
2. PH&S Health FY22 LHD Emerging Threats Amend#I Scl1.A
3. Amend #1 Draft Agreement
}. Attachment I
5. Attachment III
6. Attachment IV
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 Conunissioners on December 9. 2021,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set may hand and affixed the seal of the Circuit Court at Pontiac,
Mi�im cn Thuwisrf, DIfimml+c: IN 3SJI.
Lisa Brown, Oakland Counts= Clerk /Register, ofDeeds
GRANT REVIEW SIGN -OFF — Health & Human Services / Health Division
GRANT NAME: FY 2022 Emerging Threat Local Health Department Agreement
FUNDING AGENCY: Michigan Department of Health & Human Services
DEPARTMENT CONTACT: Raquel Lewis 248-858-5254
STATUS: Grant Amendment #1 (less than 15%)
DATE: 11/08/21
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 REVIF,W
Management and Budget:
Approved by M & B — Lynn Sonkiss 11/8/2021.
The draft resolution will need to be updated for the applicable budgetary inforniation/amendment.
Human Resources:
Approved by Human Resources. impacts positions therefore HR action is needed. — Heather Mason 1 1 /3/21
Risk Management:
Approved by Risk Management. R.E. 11/03/2021
Corporation Counsel:
The draft agreement is approved by Corporation Counsel (no legal issues). Sharon Kessler — 11 /4/21.
From:
Sonklss, Lynn C
r o:
reeves-moww. i Irannv n: Lewis, Kaduel; Smim, Stacey; stattord I olon-Anne: Nelson. Jawun; Coroorate Counsel:
Mason. Heather I - McBroom. Diana E.; Frlenherk. Rohert Carl
Cc:
Adoolu-Jones, Earn; Conforti Holhi M: Elgrably. Kim K; Jen. Kyle Isaac, loss. Coward P; Shlh. Juli ; Stringfellow,
oA n; stobenfald Trarv- Ward. Chris; Guuv, Scott N; Matthews, Hailev; Powers, Andrea; Sanrhez Kndina I
Snover. Aaron C;_: Srocli, Connie L; Winter, Barbara; Worthinoton. Pamela I , Zhou. Jennv
Subject:
RE: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING THREATS LOCAL
HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Date:
Monday, November 8, 2021 7:45:16 PM
Attachments:
GRANT REVIEW FORM - Health and Human SannresHealth Division- FY 2077 FMFRGING THRFATS I.00Al,
HEALTH DEPARTMFNT AGREEMENT - Amendment #1 less than I SO/ .msn
Approved by M & B—11/8/2021.
The draft resolution will need to be updated for the applicable budgetary information/amendment.
Thanks,
Lynn Sonkiss
Fiscal Services Officer
Oakland County, Michigan
Phone 248.858.0940
Fax 248.858.9724
sonkis.sl(@oakeov com
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Tuesday, November 02, 2021 3:18 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oakgov.com>; Stafford, Leigh -
Anne <staffordl@oakgov.com>; Nelson, Jawun <nelsonjaw@oakgov.com>; Corporate Counsel
<corpcounsel@oakgov.com>; Mason, Heather L <mason h @oa kgov.com>; McBroom, Diana E.
<mcbroomd@oakgov.com>; Erlenbeck, Robert Carl <erlenbeckr@oakgov.com>, Sonkiss, Lynn C
<son kissl @oa kgov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oakgov.com>; Conforti, Holly M <confortlh@oakgov.com>;
Elgrably, Kim K <elgrablyk@oakgov.com>; Jen, Kyle Isaac <jenk@oakgov.com>; Joss, Edward P
<josse@oakgov.com>; Shlh, Julie <shihj@oakgov.com>; Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Stringfellow, JoAnn <stringfellowj@oakgov.com>; Stolzenfeld, Tracy
<stolzenfeldt@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Guzzy, Scott N
<guzzys@oakgov.com>; Matthews, Hadley <matthewshd@oakgov.com>; Powers, Andrea
<powersa@oakgov.com>; Sanchez, Kristina L <sanchezk@oakgov.com>; Snover, Aaron G.
<snovera@oakgov.com>, Srogi, Connie L <srogic@oal<gov.com>; Winter, Barbara
<winterb@oakgov.com>; Worthington, Pamela L <worthingtonp@oakgov.com>; Zhou, Jenny
<zhouj@oakgov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING
THREATS LOCAL HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal Services
for personnel changes and/or budget amendment
From: Mason Heather I
To: (eves -Bowie Tifannv B: Lewis. Ranuel; Smith, Stacey, Stafford, Leigh -Anne; Nelson, Jawun; Corporate Counsel;
McBroom. Diana E.: Frlenherk. Robert can: Sonkiss. Lynn C
Cc: Adoolu-Jonec. Fbru: Conforti Holly W Elarably. Kim K; Jen Kyle Isaac; Joss. Edward P; Shih, Julie; Stringfellow
JJoh n; Stolzenfeld. Tracy; Ward, Chris; Guzzv Scott N; Matthews. Hailev: Powers, Andrea; Sanrha7_ Krishna L;
Shover Aaron G.; Sroai, Connie L; Winter. Barbara; Wnrthinamn. Pamela L Zhou, Jenny
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING THREATS LOCAL
HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Date: Wednesday, November 3, 2021 2:08:28 PM
Approved by Human Resources. Impacts positions therefore HR action is needed.
Heather L. Mason
Supervisor Human Resources
03kiand County Human Resources
L. Brooks Patterson Building - 2100 Pontiac Lake Road, Waterford MI 48328
P: 248.858.25811 C: 248,568.2738 1 R 248.975,9742
rn,isnnhfto.a' vov corn I www nakpnv corn/loins
Schedule: M,W,F onsite. T, Th remote.
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Tuesday, November 2, 2021 3:18 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oal<gov.com>; Stafford, Leigh -
Anne <staffordl@oakgov.com>; Nelson, Jawun <nelsonjaw@oakgov.com>, Corporate Counsel
<corpcounsel@oakgov.com>; Mason, Heather L<masonh@oakgov.com>; McBroom, Diana E.
<mcbroomd@oal<gov.com>; Erlenbeck, Robert Carl <erlenbeckr@oakgov.com>; Sonkiss, Lynn C
<sonkissl @ oakgov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oakgov.ccm>; Confortl, Holly M <confortih@oakgov.com>;
Elgrably, Kim K <elgrablyl<@oakgov.com>; Jen, Kyle Isaac <jenk@oakgov.com>; Joss, Edward P
<josse@oakgov.com>; Shih, Julie <shihj@oakgov.com>, Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Stringfellow, JoAnn <stringfellowj@oakgov.com>; Stolzenfeld, Tracy
<stolzenfeldt@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Guzzy, Scott N
<guzzys@oakgov.com>; Matthews, Halley <matthewshd@oakgov.com>; Powers, Andrea
<powersa@oakgov.com>; Sanchez, Kristlna L <sanchezk@oakgov.com>; Snover, Aaron G.
<snovera@oakgov.com>; Srogi, Connie L <srogic@oakgov.com>; Winter, Barbara
<wlnterb@oal<gov.com>; Worthington, Pamela L<worthingtonp@oakgov.com>; Zhou, Jenny
<zhouj@oakgov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING
THREATS LOCAL HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal Services
for personnel changes and/or budget amendment
GRANT REVIEW FORM
From: Frlenheck Rnhart Carl
ro: Keves-Bnwle- ntannv B, Lewis. RaQuel; Smith, Stacey; Staftnrd, Leigh -Anne; Nelson, Jawun; Corporate Counsel;
Mason. Heather I ; MrBmnm- Diana F , Sonkiss. Lynn C
Cc: Adnahi-tones Fhnn Contain- Holly M, Elgrably. Kim K; Jen Kyle Isaac; Joss, Edward P; Shlh, Julie; Stringfellow,
JoAnn; Smizenfeld. Tiacv: Ward, Chris; Guzzv, Scott N; Matthews- Hailev: Powers. Andrea; Sancha7 Knstina I ;
Snover Aaron C.: Stool, Connie L; Winter, Barbara; Worthington. Pamela L: Zhou, Jenny
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING THREATS LOCAL
HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Date: Tuesday, November 2, 2021 5:01:01 PM
Approved with the following modifications:
• If Oakland County is defined as the "Grantee" in the final agreement then the "Insurance
Requirements" section of the Program Specific Assurances and Requirements document will
have to be modified to Include the phrase "or governmental self-insurance" after "Grantee, at
its sole expense, must maintain the insurance coverage...," in the opening section.
R.E. 11/02/2021.
Robert Erlenbeck, Insurance Risk Administrator
Risk Management
Office: 248-858-1694
Cell 248-421-9121
Office schedule: Monday through Thursday 7:00 to 5:00
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Tuesday, November 02, 2021 3:18 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oal<gov.com>; Stafford, Leigh -
Anne <staffordl@oakgov.com>; Nelson, Jawun <nelsonjaw@oakgov.com>; Corporate Counsel
<corpcounsel@oal<gov.com>; Mason, Heather L <masonh@oakgov.com>; McBroom, Diana E.
<mcbroomd@oakgov.com>; Erlenbeck, Robert Carl <erlenbeckr@oakgov.com>; Sonkiss, Lynn C
<son kissl @oakgov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oakgov.com>; Conforti, Holly M <confortih@oakgov.com>;
Elgrably, Kim K <elgrablyk@oakgov.com>; Jen, Kyle Isaac <jenk@oakgov.com>; Joss, Edward P
<josse@oakgov.com>; Shih, Julie <shihj@oakgov.conl Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Stringfellow, JoAnn <stringfellowj@oakgov.com>; Stolzenfeld, Tracy
<stolzenfeldt@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Guzzy, Scott N
<guzzys@oakgov.com>; Matthews, Hailey <matthewshd@oakgov.com>; Powers, Andrea
<powersa@oakgov.com>; Sanchez, Kristina L <sanchezk@oakgov.com>; Snover, Aaron G.
<snovera@oakgov.com>; Srogi, Connie L <srogic@oakgov.com>; Winter, Barbara
<winterb@oakgov.com>; Worthington, Pamela L <worthingtonp@oakgov.com>; Zhou, Jenny
<zhouj@oakgov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING
THREATS LOCAL HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal Services
fcatpamonnet changes and(or budget amendment
From: Kessler Sharon Barnes
To: Keves-Bowie Tifannv R- Lewis. Raquel; Smith, Stacey; Stafford Lerch -Anne: Nelson, Jawun; Cornorata Counsel,
Mason, Heather I' MCBroom Diana F.- Erlenbeck. Robert Carl: Sonkiss, Lynn C; Grafton. Holly L.! Phillips, Solon
M.
Cc: Adoalu-loves. Fhru: Conforti, Holly M; Ello ably Kim K; Jen Kyle Isaac; Joss, Edward P; Shih, Julie; Stringfellow
JoAnn; Stnbenfeld Trarv: Ward, Chris; Guzzy, Scott N; Matthews. Hailev, Powers, Andrea; Sanrhe7. Krishna I
Snover. Aaron G.: Sraaf, Connie L; Winter, Barbara; Wnrthinotnn Pamela I ; Zhou. Jenny
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING THREATS LOCAL
HEALTH DEPARTMENT AGREEMENT - Amendment #1 less than 15%
Date: Thursday, November 4, 2021 2:50:56 PM
The draft agreement is approved by Corporation Counsel (no legal issues). Sharon Kessler— 11/4/21.
t4OAKIAND-
Sharon Barnes Kessler, Senior Assistant Corporation Counsel
Oakland County Corporation Counsel
1200 N Telegraph Road, Bldg 14 East, Courthouse West Wing Extension, 3" Floor, Pontiac, MI 48341
P: 2/X 85S, 434 I F: 24>.8=.R1 nil, .v,ont
Hours: Monday— Friday; 7:30 a.m. to 4:00 p.m.
PRMImGFI1AND CONFMFNTIAI - ATT ORNPY CI nNT COMMi INICATION
Thr,^- m.rd1, I W( nuId unit' for I htoe ct,,l:t.,lah.,nIr_,pe,i`s,,addressed Itas',C5protect.n,It hea; N:n<'I cb,. t nnvtlogz a nd mu'k pwduti
des; �ne Tlus F' n:Jen_ telaras to tre CouPry c- Oa4'ar�, anJ mcmicaa; aeJ: a,ees are not aotl;or,ird to wimr or f o: rtv this ;-Nilrge :n any ,nsy .nd;v:Jua6 ai e
advc d that am: d:c:ern r.azioa. gem odurion o: unauthw i�eJ review of the nSorrnnLnr Fy pc� xn :other then ;ho;a I:aed aSa� c may wra3!rte a waive; cf th's
pi:vreg,e snn¢d.elelcre p;uhLeni Ifp.:ul;,iJ::n.rvr.rA lh-mr;cirem rner, plese ao4fy the cendur mnie9atelp I`y. nare arty o^echo: a, plrrrc 1onts1l The
Duu..::moN of � orpa aVnn Com, J at (.`-aj 55.:-bS-.:1.
Third ycu :..r voor c.•oprrati. n
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Tuesday, November 2, 2021 3:18 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oakgov.com>; Stafford, Leigh -
Anne <staffordl@oakgov.com>; Nelson, Jawun <nelsonjaw@oakgov.com>; Corporate Counsel
<corpcounsel@oakgov.com>; Mason, Heather L <masonh@oakgov.com>; McBroom, Diana E.
<mcbroomd@oakgov.com>; Erlenbeck, Robert Carl <erlenbeckr@oakgov.com>; Sonkiss, Lynn C
<sonkissl @oal<gov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oal<gov.com>; Conforti, Holly M <confortih@oakgov.com>;
Elgrably, Kim K <elgrablyk@oakgov.com>; Jen, Kyle Isaac <jenk@oakgov.com>; Joss, Edward P
<josse@oakgov.com>; Shih, Julie <shihj@oakgov.com>; Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Stringfellow, JoAnn <stringfellowj@oakgov.com>; Stolzenfeld, Tracy
<stolzenfeldt@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Guzzy, Scott N
<guzzys@oakgov.com>, Matthews, Halley <matthewshd@oakgov.com>; Powers, Andrea
<powersa@oakgov.com>; Sanchez, Kristina L <sanchezk@oakgov.com>; Snover, Aaron G.
<snovera@oakgov.com>; Srogi, Connie L<srogic@oakgov.com>; Winter, Barbara
<winterb@oakgov.com>; Worthington, Pamela L <worthingtorikgov.corl Zhou, Jenny
<zhouj@oal<gov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division- FY 2022 EMERGING
THREATS LOCAL HEALTH DEPARTMENT AGREEMENT - Amendment #1less than 15%
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal Services
for personnel changes and/or budget amendment
Oakland County, Michigan
Health and Human Services - Health Division FY2022 Emerging Threats Grant
Schedule "A" DETAIL
1 Fund FY 2022 FY 2023 FY 2024
RIE Fund Name Division Name Fund # I Division # I Affiliate I Program # I Account# Account Title Amendment Amendment Amendment
COVID 1 2 6
GRANT G OUN01118, Bud Ref 2022 Activity: GLB Analysis GLB
R
COVID 15
Health Administration
28630
1060201
133095
610313
Federal Operating Grants
$ 1,113,527
Total Revenue
$ 1,113,527
E
COVID 19
Health Administration
28630
1060201
133095
702010
Salaries Regular
97,725
E
COVID 19
Health Administration
28630
1060201
133095
722740
Fringe Benefits
46,673
E
COVID 19
Health Administration
28630
1060201
133095
730072
Advertising
1,000
E
COVID 19
Health Administration
28630
1060201
133095
730373
Contractual
594,590
E
COVID 19
Health Administration
28630
1060201
133095
730646
Equipment Maintenance
3,000
E
COVID 19
Health Administration
28630
1060201
133095
730772
Freight and Express
1,000
E
COVID 19
Health Administration
28630
1060201
133095
730926
Indirect Costs
13,508
E
COVID 19
Health Administration
28630
1060201
133095
73145B
Professional Services
65,000
E
COVID 19
Health Administration
28630
1060201
133095
732018
Travel and Conference
2,000
E
COVID 19
Health Administration
28630
1060201
133095
750154
Expendable Equipment
81,134
E
COVID 19
Health Administration
28630
1060201
133095
750294
Material and Supplies
98,500
E
COVID 19
Health Administration
28630
1060201
133095
760157
Equipment
50,000
E
COVID 19
Health Administration
28630
1060201
133095
774636
Info Tech Operations
56,399
E
COVID 19
Health Administration
28630
1060201
133095
774677
Insurance Fund
3,000
Total Expenditures
$ 1,113,527
10J1412021
• _ f
Amendment Number: Ito 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 $9,502,413 to $10,615,940, 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:
Emerging Threats- Local Health Department-2022, Date: 10/14/2021 Page: 1 of 8
10/14/2021
1. ELC Sewer Network - New
2. Lead Response- New
3. Reopening Schools HRA - New
4. Water Response- Giardia - 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
T�mou—ni amount �mou—nT
Performance Level Adjustments
N/A
Budget category Adjustments
It is understood and agreed that all other conditions of the original agreement remains
the same.
Emerging Threats- Local Health Department- 2022, Date 10/14/2021 Page: 2 of 8
10/14120"21
? Signing this ame ndmwA
c y
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
Andrea Powers
Administrator
Name (please print) Title
For the Michigan Department of Health and Human Services
Christine H. Sanches
10/14/2021
Christine H. Sanches, Director Date
Bureau of Purchasing
Emerging Threats- Local Health Department- 2022, Date: 10114/2021 Page: 3 of 8
10/14/2021
'�a�sat'acnrr: e its
Attachment I - Instructions for the Annual Budget
Attachment III - Program Specific Assurances and Requirements
Emerging Threats- Local Health Department- 2022, Date10/14/2021 Page: 4 of 8
Contract# Date 10M412021
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Emerging Threats- Local Health Department- 2022
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
MDHHS
Fed/St
Funding Reimbursement
Performance
Total (c)
State A
State Funded Minimum Contracbr I
(a)
Source
Amount Method
Target
Perform
Funded
Subrece.lent
(b)
Output
Expect
Target
Performance
Percent (f)
Measurement
Perform
Number (a)
COVJD Immunization
Reg. Alloc.
F
5,163,603 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
ELC Contact Tracing,
Reg. Alloc.
F
3,488,890 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Investigation, Testing Coord.,
Reimbursement
Monitoring and Wrap Around
ELC COVID-19 Infection
Reg. Alloy
F
337,500 Actual Cost
N/A
N/A
N/A
N/A
NIA Subrecepient
Prevention
Reimbursement
ELC Regional Lab
Reg. Alloy
F
512,420 Actual Cost
N/A
N/A
N/A
N/A
N/A Recepie it
Reimbursement
TOTAL MDHHS FUNDING 9,502,413
*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT
Attachment IV Notes
Emerging Threats- Local Health Department- 2022, Date. 10/14/2021 Page . 5 of 8
__--_ - _ _ __F_—
Contract # Date. 10/14/2021
Emerging Threats- Local Health Department- 2022, Date 10/14/2021 Page: 6 of 8
Contract # Date, 10/14/2021
Proiect Budaets
Summary of Budget
PROGRAM I PROJECT
DATE PREPARED
Emerging Threats- Local Health Department- 2022 /
10/14/2021
Emerqinq Threats- Local Health Department- 2022
11
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
l
AMENDMENT # 1
1200 N. Telegraph Rd.
l` Original r Amendment
1
34 East
j1
CIZIP CODE
ATE 148341-
FEDERAL ID NUMBER
Pontiac MI 032
38-6004876
Category
Total I
Amount
DIRECT EXPENSES
Program Expenses
I1 Salary & Wages
4,326,923.00
4,326,923.00
12 Fringe Benefits
195,014.00
195,014.00
13 Cap. Exp. for Equip & Fac.
12,420.00
12,420.00
14 Contractual
4,181,563.00
4,181,563.00
15 Supplies and Materials
80,775.00
80,775.00 1�
16 Travel
3,920.00
3,920.00 11
17 Communication
30,000.00
30,000.001
18 All Others (ADP, Con. Employees, Misc.)
243,000.00
243,000.00
(Total Program Expenses
9,073,615 00
9,073,615.00
(TOTAL DIRECT EXPENSES
9,073,615.00
9,073,615.00
INDIRECT EXPENSES
(Indirect Costs
11 (Cost Allocation Plan / Other
428,798.00
1�
428,798.00 I
(Total Indirect Costs
428,79800
428,798.001�
(TOTAL INDIRECT EXPENSES
428,798.00
428,798.00 I
(TOTAL EXPENDITURES
9,502,413.00
9,502,413.00,
SOURCE OF FUNDS
Category Total Amount
Cash Inkind I
li Fees and Collections - 1 st and 2nd 0.00 0.00
0.00 0.00�
If Party
1
12 Fees and Collections - 3rd Party 0.00 0.00
0.00 0.001
Emerging Threats- Local Health Department- 2022, Date' 10/1412021
Page: 7 of 8
Contract #
Date 10/14/2021
Ir-Fed
at a! or State jJz;. UE i IIIC)
9.00
n nn
OLW
n nnI
14
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
15
Federally Provided Vaccines
0.00
0.00
0.00
0.00
16
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
17
Required Match - Local
0.00
0.00
0.00
0.00
18
Local Non-ELPHS
0.00
0.00
0.00
0.00
19
Local Non-ELPHS
0.00
0.00
0.00
0.001
110
Local Non-ELPHS
0.00
0.00
0.00
0.001
I11
Other Non-ELPHS
0.00
0.00
0.00
0.001
112
MDHHS Non Comprehensive
0.00
0.00
0.00
0.001
113
MDHHS Comprehensive
9,502,413.00
9,502,413.00
0.00
0,001
114
MCH Funding
0.00
0.00
0.00
0.001
I15
Local Funds - Other
0.00
0.00
0.00
0.001
116
Inkind Match
0.00
0.00
0.00
0.001
117
MDHHS Fixed Unit Rate
0.00
0.00
0.00
0.00j
TOTAL
9,502,413.00
9,502,413.00
0.00
0.001
Emerging Threats- Local Health Department- 2022, Date 10/14/2021 Page: 8 of 8
ATTACHMENT I
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Local Health Department Agreement
October 1, 2021- September 30, 2022
Fiscal Year 2022
INSTRUCTIONS
FOR THE
ANNUALBUDGET
INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH DEPARTMENT SERVICES
TABLE OF CONTENTS
I. INTRODUCTION............................................................................................................2
II. MINIMUM BUDGETING REQUIREMENTS................................................................... 2
III. REIMBURSEMENT CHART........................................................................................... 3
IV. LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTSICOST ALLOCATION
PROCEDURES.............................................................................................................. 3
V. FORM PREPARATION - GENERAL.............................................................................. 4
VI. FORM PREPARATION - EXPENDITURE CATEGORIES ............................................. 4
VII. FORM PREPARATION -SOURCE OF FUNDS............................................................. 6
VIII. SPECIAL BUDGET INSTRUCTIONS
A. Public Health Emergency Preparedness(PHEP).................................................... 9
B. Program Budget Detail- Cost Detail Schedule Preparation .................................... 10
C. Immunization 317 and VFC Allowable Expenditures ............................................ 18
1
INSTRUCTIONS FOR THE
ANNUAL BUDGET
FOR LOCAL HEALTH SERVICES
1. 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 for the receipt of Federal funds; or
provide financial assistance to any entity other than a public or nonprofit private entity.
C. Expenditure and Funding Source Breakdown - For purposes of development, analysis
and negotiation activities must be budgeted at the individual expenditure and funding
source category level on the Annual Budget for Local Health Services.
D. Special Budqet Requirements for Certain Cateqorical Proqram 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 SuppoA).-
III. REIMBURSEMENT CHART
A. Program Element/Funding 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. Tvpe of Project
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-Federai 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 foreach 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 a?W Procedures for Developing Cost Allocation Plans and Indirect
Cost Rates for Agreements with the Federal Government.
3
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 Wages -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 other similar benefits for all permanent
and part-time employees assigned to the specified elements.
C. Cap Exp for Equip & 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 maybe
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
PYpPncac
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.
2. 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.
5. As a Subrecipient of federal funds from MDHHS, a Local Health Department that has
5
never received a negotiated indirect cost rate, your Local Health Department may elect to
charoe 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 Budqet
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 any cost
distribution or allocation based upon 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:
6
A. gees & Colfeciions - Fees i=' & 2"d Fdriv—
i. 15t party funds projected to be received from private payers, including patients, source
users and any member of the general population receiving services.
ii. 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 - 3rd Party — 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 Fundinq (Non-MDHHS) - 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. Required 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 not to
be reasonable; and, expenditures in excess of the maximum state share of funds
available.
2. Any losses arising from uncollectible accounts and other related claims. Under -recovery
of reimbursable expenditures from, orfailure 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
r- ,-1"
lic served by the Grantee An exam ' Pip wnj NJ he kee '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.
8. Fines, penalties and interest on borrowings.
9. Capital Expenditures - Local capital outlay for purchase of facilities and equipment
(assets) are excluded from ELPHS funding.
I. 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 — Drinkinq Water - This section includes all funding projected to be due under
8
Comprehensive Agreement specific to the ELPHS Drinking Water program and has to equal
tha FI PHC nrinkinn Wntor aIlnrafinn
Q. ELPHS — On -site Sewaqe - 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 Fundinq -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.
Vlll. 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 Fundinq Contractor
Public Health Emergency U.S. Department of Health & Human Services, Centers for Disease Control
Preparedness
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 Emerciencv Preparedness (PHEP) Special Budqet Requirements
Local Health Departments will receive the initial FY 21/22 allocation of the CDC Public
Health Emergency Preparedness (PHEP) funds in nine equal prepayments for the period
October 1, 2021 through June 30, 2022. 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)
Costs Allowable Only With Prior Approval - The following costs are allowable only
withprior 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
a,.,.c—prshed by providing appropriate detail in the htidgPt rpgi last 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. Accountinq and Auditing Services - performed by private sector firms under
professional service contracts for purposes of preparation or audit of program
and financial records/reports.
E. Other Professional Services -rendered by individuals or organizations, not 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.
F. Training and Education -provided for employee development, which directly or
indirectly benefits the grant program, to the extent that such training is contracted
for or involves out -of -service training over extended periods of time.
G. Building Space and Related Facilities - the cost to buy, lease or rent space in
privately or publicly owned buildings for the benefit of the program.
H. Non -Fringe Insurance and Indemnification Costs
All charges to WIC must be necessary, reasonable, allowable and allocable for
the proper and efficient administration of the program. Further information and
cost standards are provided in federal instructions including Title 2 CFR, Part
200 and 7 CFR Part 3015.
B. Program Budget - Online Detail Budget 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).
1. Salary and Wages -
a. Position Description -Select from the expenditure row look -up all position titles
orjob 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
otherthan a full-time position is budgeted, it is necessary to have a basis in terms
10
of time reports to support time charged to the program.
c. AmounI— I ne ivYr E-Grai iib Sybil I GallallatuJ U iC oaiai y wi Il is pubiuvn icyuncJ
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. Fringe 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. Equipment - Enter a description of the equipment being purchased (including
number of units and the unit value), the total by type of equipment and total of all
equipment 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).
5. Supplies 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
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 Exp. - MI E-grants totals the amount of all positions required and records it on
the Budget Summary.
Program Budget -Cost Detail Schedule Preparation
11
B'I Attachment B1-Program Budqet Summary
Tent-Tent -
Agencv PEr HeallO DaPadment
-g
Program.
Cemprehenme Agreement-FVZOA(
�ppr rlFamlil P13rnmq-SEPICes H9MPLE
Ehe,v Dccumznla i
F.tresM1eet terUnwcona &Neat
Mmo.ilaneous ImAr
Xclose
:� �;f7 Validate ,_
da PW NCUPY
B.dIt Surnmarr
I:
EDIRE:TEXPENSLS
Program Expenses
Szlar/4'b'ages
0341200
83,41900 000 000�
Rmge Bene5ts
Te nt--
3e 20200,
- Tent- - Te nt
3420200 00u UOOI
- .
',Cap 6'p Ic Egmp AFaC
ani Idatenale
Cmnu rogra"n
cou"`;'Cdy C"'ml Sre¢es
opts cost -
All Others tAOP Con Einrletee; klz9t
'Total Propam Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Irl0irect Casts
Indpett Coate
(Other Cnete Oistnbwione
Totsl imrect costs
(TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
23,27500
3,:{000
- Tent 7,262 aD
10,131 pJ
389�00-
1655£3 W
165523 c0
23,275,00
3,34000
726200
0 00„
0 m)
0 D0
000
000
G 00
D gv
29,40500
P9,zw580
-Oou
- 1,605-00
1,68-100
D00
31,090W
31,0900Q
000
31090 TO
2109000
coo
---1966130n
196,61309
Don
0001
Tent--- -000,
_ Tent
ODD
000
0 00
0 g0
0 no
00D
03P
0 00
0 00
12
Source of Funds
Faceeneao Crmr�cavons B0,11
Fx CmsP 1
Fo sa,e vabaare _
Per �C or, DI
1: >n a.. n e
"r • 0 1
Soolce o"a
TOTAL EXPENDITURES
196,51300
000
0.00
196,613.00
—
1
Sov¢eatFunas
_ Fees and Colletlmns-1st and<nd Pad,
Ono
00)
D00
Duo
X Pew and Go Ptlmne-3rd Part
000
66.00000
0001
WON 00''.
• Federal or State tNOR MUCH)
00a
_ _ 000
Doc
000
>' Federal Cc at based Reim6orament
_ OGO,
1.3.000 CN,
000
_19,0to.00
0
_ Federally Pleaded Vac01Des
000
00J
000
door
U
FederalLledicaW
0
000
-- -
-_
0W'�
---
------
troll
d
RecD0ed Batch - Local
9on
000,
- 00o
-000
0
Local tIon-ELPHS
3 00
Local ❑on ELPHS
000'
--
__-0oo,
- 06 - --
- D
DOD
_ -o-.00
0
Other Ncn-ELPHS
a00
000, ---
000
000
0
IADCH Non COmprshenslre
aDo
C00
a00'
000
;
> MUCH Corrgrehenene
9E31300
000
000
66,01300
ELPHS-MO:H Heannc
un0
Don
000
coo
0
ELPHS- LIDCH VIsIpn
� 000
D00
o00.I
OOOi
FJ L...
ELPHS-61DGH Vth,l
000
000
Red
0.00
ELPHS-Food
000
0on
rFw
000
'I
ELPHS-Odd6mg Naler
- D00
000
-- - goo
--- 000
ELPHS-On- Site £eha9e
0OF
000
000
000
61GH Fundinn
- -- 0001
-- -
000
--
D00
- 0,00
-Local funds -Other
000,
LJ 00000
D00'
<4Bud 00
In1md ldatch
_ 000'
- 000
000
- 0Do
• MUCH Fixed Unit Rate
p�
-_-DDD
DDD•
OaD'
000'
g@
13
B2 Attachment B2-Proaram Budqet Cost Detail
f.'tcesheet CertJmaWns Bwlget F9s�llaneev5 title%
--1WPDE acovr
Buaget Detail
Celeg.ry PuuI.nn E%peasas-Salary&4Ne... T.pe ErpendOne
Classlfcab.n Seq 1 Sub Type Doed
Instructlece seketiFe pozamn vz u; rlan Cteo,.t,I,,leIrs-s IaenNy The re„s_av
tYl
`-
❑> Ilwse Precdoner -- - -"--- a19 91000000-FTE I�
1729000
1729Q On ODD ano brJ
- - ❑ --- 04, 34932430 FTE S
("!' Public Health florae -
16 U6900'
10,069 C0 - --000 Ono C�J
_-_ -
_ -- - -000
_ F1G3e UOg'FTE �
y Cn.:dlnat.r 41 0
- -
?092500 OOO UUO �)
❑ Y Clete E-1 103 2672921U FTE '
�
-1(t,9E500,
29, 1.500
£9,13500 000 000 ?7A
��avr _®Sa�e< DYY 6rtateI �31•UE q-3 tupY
='[hnw_ic� la•Ift:
Budget neM]
'Caiegcry Program Epenses Cap ErF.xor Egbip&Ff- Tfpe
E+pentldure
I�Classflcatl,n Ee9.. 1 Sit TPe
Direct
Narrawa.
�InSlmdiGns' E,w;,.'tn celnce-Pe co=1: fasngL nem erkcI at bS 00. ar cirri, ane ri tlna n»tnl4+e
et core tM1an
orr yzar C-ts=_t a,P ,uaz Ai, tzm antl er,j
epelu-bEt eafzn'es-rc a=-Mllahnn ccsis rrantenaare fees atc tl^ns cestu:gB+st,,aFfill,
speed
teaigrKl tnW ih, aver des atn mat•Lo N f,
r
❑
�7
❑
1"
B—e esa.e^ jI-1a Yalidato = l PRAF; [Tj curly
Budget Mail
-- - - ----� - - --- "-
i pategon Pnegram 6peuzas-Cenhactoal -- Trpe
6vendlture
IClessifl.ber,sey.. 1 SUG Trpe
Direct
Narrab:e 0
' gap,asoc Conimdoahelersto aerontlary reoi[ept e•gaar�4�ee cnl+ Flease e9taT'he car(act:rfenrahen
RnauFan's anc cup^.orim3'ar+'cz subrrnimds enouM Ce bebgeieo un:er Ne N.M1n r+pence
un
❑ E
p1)
B SaYa BSrnco ICz V"Iltlaxo fa�POFI �CORy
1'SM1ow F� 1):
Beget new
---
Gategors Pm rsm Er n.Gs-Su tees aN i.latenels Type-
-g pc "
Emenddure
� Gl assl Seq 1 Level Vern r C.t.geQ Sub Type
-ved
Narta4re Q
Instf,shens t-cis Thai"'t ass Pen r' 10,
❑ h PtlNing -- L --_
IDJ 00
IOU CO UOJ 000
-_ - -
----
- - - L-..
El >' Postage - -- l
'CUD
I09 La pO, 0on Yl
®�
budget Damp
Caleg.rt' Program Ppenses-Travel TrOe E,pendlt_ura
Ciavllcahca Seq 1 Le+el- "Llnellem"`Cale,., Sub T.pe Dived W.,re6s
Instrucb.ns
> M1UI�a a 300Jfp 000 900 L�_J
. g ❑ 00000
❑ y conferences- 34000MCO 060 - 000
14
®Sate LB tee, tJ E31' Rd.Rie �� ,y PDF aL_PJ
Bndyetoetan -`-
• Caieggp Program 6psnses-Gummun¢aoon
❑abormebgn See 1 LevelLIee Item �_>Cetegm}
I"mrutllpue
❑ s other
phones eed,T Ilnes
0 Save B Sareo . 99 VaUdhte I I --:,"l PDF Ib[�ConT
Budgel DetaO
Category' Program 6penses- Count,-CN Cement 'eve",
Clarselleation See 1 LfVEI- '•. Joe Item Gaco.rt
Instrun.ns
El
�a S.— LalLa_"tt lx3PDF 1 I Coti
Bumacelad
CateooD Program Erpenses-Since. Core
ClacsrAcdLon Sep 1 Level 4, Line Item Camgcg
_hoe E.pendiWre
Sub Tlpa Died
J 26200
- Show Trre - >'
-------- -
IJanahie U1
e 00
P show Treed ICI>•
T:Re EsPendtlure --- '
Sub$Pe Direct PJer.11 e
-B
Type Ependdare
Sub RPe Direct
❑ i Rent - U - _5.9210] 6.923 DD -
❑o timer 2e00 00, 200e 0a
Uhht•aE
Il el sa tI 05a.cVahrlaw I`" _ L1.i PDF kCPP'I
aunaget Detail _ -
Categgre Plegra,Erpansee -Alt D(_hers!>PP, Con Emplayeee. hllcr_ Tape" Evpendliure
ClaeSlficahon Son t LeVPI 'Llne lien 0 Criegon' tub T,pe Direct
Inslmcten,
❑ > Lahr s u 3Do o0 3o00e
I —I Y'nth,, I I 'on on znn in
e 5.,r, Le sa.e:J LEIV d.R,,j__-___.J IRPDF RlchnrJ
Bud9ei Detail
Crt.VN" Indirect Costs-Iptllrea Wa. Type Bpendreire
Clas f;fi[at,ce See 3 Sub Tpe, Indlred
Inslruci
Flseal l"ear Rate �], 2E g0Ut ^5210 294U506, -940500
®Sams �®9are>: Ci Yalydate��� �^3 PDFI[jj COPJ -
Bed9etDeter)
; C'degole :ndnectCitne Dlher Costs Dlstnbnfiuus T:P. Ependlture
•Classlficahon 9eq e SPGT;pe Inbred
n'IfJ rilpn5
❑ f lursngidreDistributionEl
--
t e3500 I,
=Show h_�
irJ l>•
Narrative:
0,00 a00 Y_
000- coo ?
sno,. T_e art
tlarrailr'e
000= 000 Pi
000= Goo
nrn nnl RI
I sne.-rre j
_ IJarra6ee.
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show Trea :±a •,>-i
IJana6ae 0 I
i
i
9
15
I. budget Preparation
A. 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.
B. 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 section on this document.
C. 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.
II. 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.
1. Required Match - Local
Should be used to report the local match for Medicaid Outreach, both the federal
and local amounts must match.
2. 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
16
appropriate line has indicated in the Comprehensive Budget Instructions -
Attachment I I n3r. ELPHS cr L^ a-Funds—Otror).
Total Source of Funds must equal Total Expenditures.
III. Comprehensive Local Health Department Aqreement Obliqation Report — filed in.
September.
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.
1*7
Object Class Calegon"'Expense's
NFC-only+site visits
AFIX-only site visits
C ombincd (AFI-' & VFC'site visit-pt
Perir�atal hospital rcoDrd rcvim s
Allowable
Allowable i.Allawahle
Allowable
'-Alloswable %, A1lom ble with
i! Allowabe ,
with 1117
With VFC with N TfC`
with
with Pan VFC Distribution
;. with pPRF
operations
oprrttion 1, ordering
°4 UAM
Flafuuds fonds
fn.nds
funds
s funds 4 fimcls�
funds
rPvhereu� pfietrhtr)
Y
Y
t J
✓
!
I J '
J
R7acf�ln:.9 for V' iGl nc ordd riml
4'aUci: e sroraTc cqui}+ini~i;t for WC
1'aCilnC ;
Copy machines
I 'iL'y'I7ititrant: [.v7 cJ'tiW12 r�'"trartgr`6te
77pF7�.t)7Ftt1�p�';� 1�rrcc�Yrttl �7'UGt?P ��i',76Yi'1llj;
7 wfiid i!fe U7 n7o)v Man one war f8rfd iR7
ffCt]L'LRtF!Oti c'r?.si of $5,O(I(t;)r r}}QYi-' (1r.r
� ..11 t1 C{].Pl is 6chf tb' i � ;7e' ll7rKs'!'tti.'ci j
amount,, it&tn 7@i;' ik? dJ!cluded in
Supplies
'ace ne adrnin:stration stlpplics !
I finclvding, but not limited -xi: nasal
pl a yngeal swibs,• syringes to
epic: cnry vaccination clinics}
L7liirc supplies -car putcr.;, -enrol afisce
(Pc s, ImPer, Paper dip , e:t;.}, ink
Cat[ridpcs, calculators
( '- monal cornputcr5,' Larim-'`.s r TaWel I
°ink I'�oo4;s. Re $oo�s,. 5'ellay. 3c,, ;wLL M1
f'rinitirs
9VI 6-t-21) 16
I
✓ J ;
�'` 11fJY
,
J
i
j
I
f+aetion 1—Tlie Basics p,2'
IPCiM If) 17
Object ctaseC:ascgorvl7' ct s Allowable
with'317
operations
funds
Lahorator'suPplics(inflalcazacultures
i
grid PClts, culutres anu rnoic.itlar, lab
�
media serotyping) _
Divital data logger � lth ti nlid ccf ,cats
of 4a�IE�Ciltif.+1/t?i!i1.il.Illh; lt:S11I1 , report
iV@ccine
,
+'J lillpi ZI S' S.t. pplies (SEUrdr;
v
i
4onlaitacrs, kx packs,'cubbIc ,Arap, &c.i
Contractual--
i
Sugtu!luCal cOnfcrcncvS exrense`.i
(confera..Cc citoj n',3tarials pr;min Lg, ho!rl
k�
aeccsrluta'uations expenses, spcakcr fees)
food cost is nut c.rkmvabl2,
ltegicnnt,locat rnminga
K ✓
Gtmcrai cuntiactt'lal stn,iccs {c... Fr1Ps,
kxc�l health deparmr m (s, commezursl
titaff, aciviscrr} cnanmitle: mcdia,
lmti�ider trainin-�s;
CI .A Contractual services (CDC
✓
n:anake�#'l
C)her III L:Cnl]'acrL'3l ircernents
(support, cnbaitcettncn-L up.;TPdes)
✓
Fivanc:ial AssisOnec (i''AL
`.lion -CDC Contract vaccit es
31 "• ',a .:ine funds muse Er mques[rdin running
apFcrxtgn fe,&AMSi ander: l? TA %-, nnes
Allowable AllowableAllowahle AII;Ww laic Allowable with Allowable
with VAC Mt2t'4'�'`C ! with f rc ith ]'an 'YFi: DSstrihntlQfa ;with 'PHI
operation ordering. ; 17FOAFI.X P#u funds fund, funds
cfnnds foods .: funds j (wholeaapplioa,
I
!
i
i
y + ✓ d
i
i
(h4 vn°%i
i
✓ I 2.vrna�e;thrss � ✓
»OLlw!%
Section I—T7te Basics ll:?3
r IPOM 2017
N
O
Object glass Cateprysrl nmises ; Allowable"
"Mrnvable -Allowable
rltlowabie Allovoabie '"
Allowable wli6,
Alcor+'ahL s
with 317 .
witli 4'FC ; ;Stith VFC
with
with Pan '.
4TC Distribution
with PPH o
operation-s.
operation .ordering
VFCANFIN
Flufunds 1
Cunds
funds
funds
,- - _-
s Funds funds
funds
I
fwherearpplicable)
Indirect
la;direetclvt. r
✓
J
r'
/
J
-_�_ _ k�'l.l5'L`P.lI•r1 tiEU i7S'
� �
-
�
'tCcountlne scnlCCS
v
Advertising (restricted tc recruitment of
stxiTi or txainocs, prC!CGLdFri t;t of ECods
✓
and smkcs, displisal o scrap x s:irplu
materiKlsj
Aadit Fees
BRFSS Sltry ey
i�cYnitliit2e to :ilE1Si I�.CtisiYl rental.
eq uiprrcnt rental. e.lc.)
CUtrimunkation (cicmcnn Cc'sri' pu=
m:nsmmal, me;senget. postag. local ani
✓
lon° disUmce [elcphonc)
C_OnSLImcr itificrmation ac'ivTfics
L e nsLIMer / provider bound paxticipsti on
(travel reimbumm-1ni)
Datn pTocer,Sinu
LLbaraton) Scnices 1.CCtS ccmducied for
l`r munizatif)n pr S7pi'3llr.ij
Total 5 Ica loll evy bcltvit1e5
?'l8 ntemgncG operalicn,!repnrs
V
�`li Il?YuiGtltiC IRSll niCC fOt Vo'lUnttM
.A'lC7Lt l?GT3ilf^r S: siLbSl'C1UI:L[1S
'�
ws Oversamplin.�L;
J
d'
F'a,*ersrcell �hur.as ; d � ✓ +� �`
..,. ,
F'nnttng t�Cvacc.ir.�c. sccla:intsnu:n forn;s j J ✓ �
$;'16P01 f) Smkm 1—The leas;cs 7,24
9110l~4 �4i1
Object Class Catego yrr, clteoses
Allowable
Allowable! -Allowable
Allowable
with317,
with VF'C y with' TC
with
operation-
operation '.. 4rdering
IvTCYAFt.'1
.
funds
s funtds fun ds
��i" R9�3
funds'
Pru�cssic>palsi'rti�ecustsciir�c:`�vrrlt;tetl
to :m-nunizatior. activitics. { :mitcd tecr;i
s'.afti,=�Ytr;rsret'C3ett�;rai Cifiree5er�ice5
PL�liC rclat .ns
✓
Pub] ioation'printing costs (a11 ether
immiunization related ^njb ication and
printing e pcnsts)
Rent rc,.lt ires explanation ol'+.why these
CL,Srs Ire not InOluticd in the ittdirer t cc sl'
ratc agmcrncnt orcosf allocation plant
Ship.^,im for materials (other : fan
✓
� a"ine)
((i+fu: s:irlEk njll'P3�i1 � i
.
5a- aTe licci:seeRcnmals (ORACLE,
✓
etc")
Slip, cnd Mrnbursconcnts
Fot1-fire phone lines for •. at nine
✓
✓ f
ordering
iriizii 4 doers'- StatclYlde, staff,
pro'wtders
l Cclpcl att0115 4`Tr105,31trip t]i1.l�C1t1181-,:
✓
_\��li:•Ie €e,;L4e (i'e;€CMiCd TCr awari`Eees',' i-,h
policin thzz prohibit local travel
rein:l,ttrselnent)
%IFC enrol€ment rtiazerials
f
v
\FC:I.. fe± ,T"flck sin ve%:
41 tfis'01ti
N
N
Allowable Aila.wablewith Allowable'.
with Pan 'v C Distrihutlon with PPHY ;
Flu funds funds funds
rw%ere,aplaficahfe}
r
, i
if'; ��".'ail
y'
✓
v'
I
I
I I
4
section i---"Che 132sics p 25
TONI 2017
Non -Allowable Expenses with Federal
Immunization Funds
j Expense NOT IaIIlown[ le with11 fed er.rl
irn rrinrt i'X,a#ion funds
Flr�nz,raria ✓ j
` r'4due raising .:nsis ('ir v„ r:tHn�r:ry+Y��drs', rii.:a.•L.rt�.c, �si'r;hit:•, rn,:.:;r`a_±.,,
mearr,N[rn+ddra, �iff,X .r, urc�. ntra'J
Alcoholic ltcverages
Fiatildin ttur•chasc,c, cons ,trtmrion, capita' impmt•ements
Latt�i j7rts•chtrso;r
Lc�;i sieui w r., lrth�r��in ; net i v it iet
E3ond in
Depredation ort u,,e eh.irgc-s _._.
� €=ultcEsaisire�
Interr:s# on lvttr;s 1Vr the ajk' {uiaidutl t:civ% rooklemizadon of
an costing huiidinR
clinieil i,arc �j(F»r-iRL3rr+3]tsRfrnR .s:'t'rrersl
Payment of had dcht
Dry clemiina
vebMe. Purchase
Promotional vnd,'ov Incentive Ma',riak te.;., pmagar-r r'nti,irzt; a jd
prynBrrCOtUYUHII4'iiCMS sui:r trs p�'fs, rvrr•!,`.t':<idj>s. �iJi.lt'r .Yjiirti ns, hrrrp:U'aa',
i Urt7<+rrn.','i` 'rUt�,YJ
Purch isu ul i6od lzmler. ,n�rt r>freyar+ire:f rrirneFyc�r'rt:e;rri e.vrrr7
Other resttktiotm which mnsl lie 1a:1;en intr, itccinttt: while ovd6 ,g the hiLdget:
f ur`.cta Inly be slt'nt klWy for tsctivilit , aittl cl,sl� that, Arc directly rel;tted to the
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ATTACHMENT III
MICHIGAN
DEPARTMENT OF
; HUMAN SERI_'ICJ
LOCAL DEPARTMENT
October121 — September 30, 2022
Fiscal Year 2022
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.
Special requirements are applicable for the program elements listed in the attached pages.
Attachment IV Reimbursement Chart
The Program Element indicates currently funded Department programs that are included in
the Comprehensive Local Health Department Agreement.
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:
w• +
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 starting from the last year's negotiated target and the most recent year's
actual numbers except for programs in which caseload targets are directly tied to funding
formulas/annual allocations. Other considerations in setting performance targets include
changes in state allocations from past years, local fiscal and programmatic factors requiring
adjustment of caseloads, etc. Once total performance targets are negotiated, a minimum state
funded performance target percentage is applied (typically 90% unless otherwise specified). If
local 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.
A reimbursement method by which local health departments are reimbursed a specific amount
for each output actually delivered and reported.
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.
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 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.
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.
• Normally operates in a competitive environment.
• 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
Request Due Date
FY 2022
Original Agreement Completed by
Program office
Amendment #1 - New Completed by
Projects Only program office
Amendment #2 February 1, 2022
Amendment #3 May 13, 2022
Key Terms
Anticipated
Consolidation Date
August 31, 2021
October 19. 2021
April 21, 2022
July 15, 2022
New Project Start /
Effective Date
October 1, 2021
November 1, 2021
May 1, 2022
August 1,2022
• Amendment Request Due Date —The date amendment requests are due to the
program office.
a. Budget category amendment requests need to be submitted to the program
office.
• Anticipated Consolidation Date —The day the agreement (original/amendment) will
be released to the health department for final signature.
• New Project Start/Effective Date — The date new projects are expected to start, unless
otherwise communicated by the program office.
PROJECT
COVID Immunization
COVID-19 Mobile Testing
ELC Contact Tracing, Testing Coordination, Monitoring, and Wraparound
ELC COVID-19 infection Prevention
ELC Regional Lab
ELC Sewer Network
Lead Response
Reopening Schools HRA
Water Response- Giarma
PROGRAM CONTACT
EMAIL
Ismail Fathallah
fathallahi@m¢higan.gov
Brenda Jegede
legedeb@michigan gov
Laura de Is Rambelle
DelaRambeljeL@michigan.gov
Joseph Coyle
coylej@michigan.gov
Marty Soehnlen
soehnlenm@michigan.gov
Mary Stobierski
stoblerskim@michigan gov
Laura tie la Rambelle
DelaRambelleL@michigan gov
Joseph Coyle
coylej@michigan.gov
Laura de la Rambelje
DelaRambelleL@michigan.gov
PROJECT: COVID IMMUNIZATION
Beginning Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis:
This grant should be directed to increase COVID vaccination within Michigan. will be
used to support awardee and local Health Department (HD) staffing, communications
campaigns, pandemic preparedness, mass vaccination and all COVID-19 vaccine
response work.
Reporting Requirements (if different than contract language)
Completion of the Vaccination Situation Report.
Any additional requirements (if applicable)
Allowable expenses include staffing, communications, and supplies to support COVID-19
vaccination events, including PPE, vaccine refrigerators, data loggers, vaccine coolers,
and indirect costs for COVID-19 related work.
Are not allowable expenses: Vehicles purchasing, Food, Alcoholic beverages, Building
purchases, construction, capital improvements, Entertainment Cost, Goods and services
for personal use and Promotional and/or Incentive Material such as: Mugs/Cups, Pens, or
Bags.
PROJECT: COVID-19 Mobile Testing
Beginning Date: 10/1/ 2021
End Date: 9/30/2022
Project Synopsis
Mobile testing deployment to high -risk areas of need. Walk or drive up testing.
Partnerships with community organizations. Eliminate barriers by offering no
appointments or prescription. Testing and include vaccinations and health screening.
Services include social determinant assessments and linkage to services and care.
Reporting Requirements (if different than contract language)
Quarterly Financial Status Reports (FSR)
FSRs should be submitted no later than thirty (30) days after the close of each quarter
and must reflect actual program expenditures, regardless of the source of funds.
Quarterly Narrative Progress Report
Submit quarterly narrative progress reports via email to Shronda Grigsby at
Griasbvs1(a,Michigan.Qov in accordance with the following dates:
Reporting Time Period Due Date
October 1, 2021 — December 31, 2021 January 31, 2022
January 1, 2022 —{March 31, 2022 April 30, 2022
April 1, 2022—June 30, 2022 July 31, 2022
July 1, 2022 — September 30, 2022 October 31, 2022
Any additional requirements (if applicable)
1. Ensure that activities implemented under this grant award are in accordance with
established MDHHS program standards, as well as State and Federal policy and
statutes, including HIPAA.
2. Adhere to timelines and work plans, budgets, and staffing plans submitted and
approved by MDHHS. Deviations from approved timelines, work plans, budgets
and staffing plans must receive advance authorization from MDHHS. Failure to
make reasonable progress in program development may result in revocation or
reduction of the grant award.
3. Collaborate with and build on other MDHHS COVID-19 response programs
wherever possible, rather than duplicating or rebuilding efforts.
4. Ensure that services and materials are culturally and linguistically appropriate to
meet the needs of the respective client populations.
5. Utilize results from the Social Vulnerability Index/mortality analysis from the State
of Michigan at the census tract level for Southeast Michigan to help identify priority
areas for the mobile testing program within high priority census tracts, and share
data maps of COVID-19 "hot spots" with MDHHS.
6. Assess insurance status of each individual being tested. Bill relevant insurers,
including private insurers, Medicaid health plans, and the Health Resources and
Services Administration for COVID-19 testing costs when possible.
7. Store, refuel, and maintain vehicles to ensure optimum vehicle performance. Take
all reasonable precautions to keep vehicles safe against fire, water, and traffic
damage, and maintain cleanliness of the vehicles. Submit documentation and
billing for storage, fuel, and maintenance reimbursement.
As part of any vaccination activities, follow all relevant MDHHS protocols, including
record and account of all doses of vaccine administered in the Michigan Care
Improvement Registry (MCIR) and assuring vaccines are stored at recommended
temperatures at all times.
a) Reports from temperature data logger showing temperatures within
recommended range may be requested at any time by MDHHS.
The terms below are in addition to the standard terms in the County Health
Department Agreement, and apply only to this specific project:
Insurance Requirements. Grantee, at its sole expense, must maintain the insurance
coverage identified below. All required insurance must: (i) protect the State from claims
that arise out of, are alleged to arise out of, or otherwise result from Grantee's
performance; (ii) be primary and non-contributing to any comparable liability insurance
(including self-insurance) carried by the State; and (iii) be provided by a company with an
A.M. Best rating of "A-" or better, and a financial size of VII or better.
Required Limits I Additional Requirements
Commercial General Liability Insurarce
Minimum Limits
$1,000,000 Each Occurrence
$1,000,000 Personal & Advertising
Injury
$2,000,000 Products/Completed
Operations
$2,000,000 General Aggregate
Coverage must not have
exclusions or limitations related
to sexual abuse and molestation
liability.
I
Automobile Liability Insurance
Minimum Limits:
$1,000,000 Per Accident
Workers' Compensation Insurance
Minimum Limits:
Coverage according to applicable
laws governing work activities
Employers Liability Insurance
Minimum Limits:
$500,000 Each Accident
$500,000 Each Employee by Disease
$500,000 Aggregate Disease
Policy must include Hired and
Non -Owned Automobile
coverage.
Waiver of subrogation, except
where waiver is prohibited by
law.
Privacy and Security Liability (Cyber Liability) Insurance
Minimum Limits:
$1,000,000 Each Occurrence
$1,000,000 Annual Aggregate
Medical Malpractice Insurance
Minimum Limits:
$1,000,000 Each Occurrence
$3,000,000 Annual Aggregate
Policy must cover information
security and privacy liability,
privacy notification costs,
regulatory defense and penalties,
and website media content
liability.
a) If any required policies provide claims -made coverage, the Grantee must: (i)
provide coverage with a retroactive date before the Effective Date of the Grant or
the beginning of Grant Activities; (ii) maintain coverage and provide evidence of
coverage for at least three (3) years after completion of the Grant Activities; and
(iii) if coverage is cancelled or not renewed, and not replaced with another claims -
made policy form with a retroactive date prior to the Effective Date of this Grant,
Grantee must purchase extended reporting coverage for a minimum of three (3)
years after completion of work.
b) Grantee must: (i) provide insurance certificates to the Grant Administrator,
containing the agreement or delivery order number, at Grant formation and within
twenty (20) calendar days of the expiration date of the applicable policies; (ii)
require that subgrantees maintain the required insurances contained in this
Section; (iii) notify the Grant Administrator within five (5) business days if any
policy is cancelled; and (iv) waive all rights against the State for damages covered
by insurance. Failure to maintain the required insurance does not limit this waiver.
c) This Section is not intended to and is not to be construed in any manner as
waiving, restricting, or limiting the liability of either party for any obligations under
this Grant (including any provisions hereof requiring Grantee to indemnify, defend
and hold harmless the State).
PROJECT: ELC (Epi Lab Capacity) Contact Tracing, Testing Coordination,
Monitoring, and Wraparound Services
Beginning Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis:
For COVID-19 funding from ELC Supplemental for Case Investigations, Contact Tracing
and wraparound services. 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 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, EMR 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.
Wraparound Services
This funding only may be used to support Isolation/Quarantine for families including rent,
mortgage, utilities, groceries, etc.
Any additional requirements (if applicable)
PROJECT: ELC (Epi Lab Capacity) COVID-19 Infection Prevention
Beginning Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis:
This project aims to provide local health departments with resources to support
investigation and mitigation of COVID-19 and other emerging pathogens in healthcare
facilities — including the ability for LHD staff to perform onsite infection prevention
assessments and review of facility policies, procedures, and practices to ensure
observation of best practice guidelines.
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(>a michioan.gov.
• LHDs shall submit ICARs to MDHHS at
https:l/dhhshivstd.ladi.civaltrics.com/ife/form/SV Odhlux70o256K6B7
This data will be reported quarterly and sent to program office via email. 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: ELC Regional Lab
Beginning Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis
ELC Regional Lab funds are dedicated to developing lab, epi, and other public health
efforts to modernize and expand testing and response capabilities of pandemics with
special emphasis on the responses to COVID-19. The Regional laboratory system is
intended to serve as a "hub -and -spoke" model in conjunction with the state public health
laboratory to rapidly respond to community needs. Funding is expected in personnel,
equipment, overhead (discreationary of county or district needs if in support of public
health), and lab supplies/consumables or materials that directly support sampling for
return to the lab.
Reporting Requirements (if different than contract language)
None, but sites may be asked to provide tally counts of testing if not directly available
from StarLIMS or to answer occasional question from CDC on capabilities.
Any additional requirements (if applicable)
PROJECT: ELC SEWER Network
Beginning Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis
The State of Michigan SARS-CoV-2 Epidemiology - Wastewater Evaluation and
Reporting Network, also known as the SEWER Network, is a wastewater monitoring
project that utilizes locally coordinated projects to conduct surveillance for SARS-CoV-2
virus shed into Michigan public sewer systems. The overarching goal of the Michigan
SEWER Network is to rapidly detect circulation of SARS-CoV-2 virus within specific
communities via wastewater testing. The SEWER Network is designed to support local
project participation through the collection, transportation, and testing of wastewater
samples, analysis and reporting of results, coordination and communications within local
projects and with state agencies, and submission of results to MDHHS and EGLE. The
emphasis for this funding is that the funded activities provide useful, timely, and
consistent wastewater data to support local COVID-19 public health responses.
Reporting Requirements (if different than contract language)
All local projects may be required to submit a weekly summary of project activities to
MDHHS via email or uploading to the existing Microsoft Teams site for the project. This
could include information on sample collection, testing, data reporting and utility, and
partner communication. A template for this report will be provided by MDHHS. MDHHS
will communicate any changes in reporting requirements to project participants.
Quarterly workplan updates will be required from all local projects. Lead agencies who
are not local health departments will be required to complete a quarterly workplan report
in EGrAMS that details the activities and objectives during that time period. LHD leads for
local projects will submit quarterly workplan reports directly to MDHHS project staff.
Failure to implement project requirements or submit required financial and performance
reports in accordance with this agreement may result in reduction of funds or non -
renewal of future contracts.
Any additional requirements (if applicable)
This agreement reflects the sampling commitments written in the proposal. Any changes
in the sampling plan need to be discussed with SEWER Network project staff.
PROJECT TITLE: Lead Response
Start Date: 10/1/2021
End Date: 9/30/2022
Project Synopsis:
Lead Action Level Exceedance (ALE) response capacity encompasses public outreach,
including education on water testing and results, water filter usage, flushing
recommendations, and the interim provision of water filtration systems.
The Michigan Department of Health and Human Services (MDHHS), through a legislative
funding allocation, can provide lead -reducing water filter systems and replacement
cartridges if the local water supply cannot provide them, and if the LHD or local unit of
government doesn't have the resources to provide them.
Filters from MDHHS can be offered at no cost to low-income households that meet these
criteria:
Requirement 1: To qualify for a filter, both requirements must be met:
o Household receives water from the ALE Community Water Supply
o Household has NOT received a water filter from ALE Community Water Supply, the
Local Health Department, or the Michigan Department of Health and Human
Services.
Requirement 2: To qualify for a filter, one requirement must be met:
o A child under age 18 lives at the applicant's address.
o A child under age 18 spends a few hours a day and several days a week at the
applicant's address for at least 3 months of the year.
o A pregnant woman lives at the applicant's address.
Requirement 3: To qualify for a filter, one requirement must be met:
o Household includes a person who receives WIC benefits or Medicaid insurance.
o Household attests they can't afford a filter and replacement cartridges (filters cost
about $35 and replacement cartridges cost about $15.)
If an eligible household's water test result is above the action level (AL = 15 ppb) for lead,
or the resident's home is on the public water system experiencing an ALE for lead, a
faucet mount filter and 2 replacement cartridges will be offered. A pitcher filter and 3
replacement cartridges may be offered, when necessary (e.g., faucet mount does not fit
their faucet).
These measures will be provided until a permanent solution can be identified and
implemented, as resources allow, or a determination is made by MDHHS Division of
Environmental Health that filtration is no longer recommended or advised.
Reporting Requirements
By Wednesday at noon each week, grantees are required to enter all data collected on
the Water Filter Request Forms in the attached Excel file. The file will be submitted to
Gabriella Dionise, at dioniseg1CLbmichiaan.gov.
Additional Requirements:
Requesting Funding
Local Health Departments requesting funds for Lead ALE response will provide an
estimated budget, as well as a description of expenses on Form DCH-0385(E) and DCH-
0386(E).
Lead ALE response funds are not capacity building funds but are limited -term funding to
achieve a critical public health response on behalf of the MDHHS for environmental
public health needs related to lead in drinking water.
Eligible Expenses Include:
• Staff time and fringe dedicated to Lead ALE response in association with the
interim response;
o Eligible staff activities for Lead ALE response include filtration system
distribution, home visits, organizing and hosting town hall meetings or other
public education, phone banks, water sample collection or other activities
approved by and conducted in collaboration with MDHHS Division of
Environmental Health.
• Printing materials associated with ALE response;
• Mileage associated with lead ALE response and MDHHS-provided training;
• Lead and copper analysis fees for health departments with certified drinking water
laboratories when costs are in alignment with the Michigan Department of
Environment, Great Lakes, and Energy's (EGLE) Drinking Water Laboratory fees
($26/sample).
• Other items as need is determined, such as public meeting venue rental or phone
bank expenses.
Other expenses that are not on this list must receive prior approval by DEH before
submission to Division of Local Health Services. Any deviation or amendment to existing
Lead ALE response projects requires DEH approval. Local Health Departments submit
all budget requests to DEH Community Engagement Unit.
Ineligible Expenses Include:
• Training;
• Association membership fees; and
• Travel not associated with direct Lead ALE service delivery.
Providing Interim Filtration Systems
When distributing water filters to residents, health departments will obtain a signed Water
Filter Request Form from each resident. A site -specific form will be provided as a Tillable
PDF. Health Departments may choose to type resident's information into the fillable PDF
or print off the form. Residents will complete Page 1 of the form, and health department
staff (or their designees) will complete Page 2 of the form. Grantees are requested to
maintain hard copies of the Water Filter Request Forms for audit purposes. Completion of
the Water Filter Request Form is NOT intended to be a barrier to the provision of filtration
systems for households with pregnant women and children under age 18.
- A note here: sometimes the filter distributions happen at CE events that are not
run by LHDs, in that case, Lakecia holds onto the PDF forms.
PROJECT: Reopening Schools HRA
Beginning Date: 10/01/2021
End Date: 09/30/2022
Project Synopsis
The Michigan Department of Health and Human Services (MDHHS) is offering a
voluntary program to provide rapid antigen and/or pooled PCR testing to educators,
staff, and students at public and private schools. In addition, MDHHS is providing funds
to school districts that have indicated they need additional technical support and intent
to participate in testing, among other factors, so they can hire health resource
advocates (HRAs). These HRAs will provide front-line support for COVID testing and
reporting, help districts identify emerging COVID-related health concerns, and amplify
best health practices.
Reporting Requirements (if different than contract language)
Monthly reports by school district to include the following:
1. Total enrollment
2. PCR tests conducted
3. Antigen tests conducted
4. Total positive cases
5. # HRAs hired
6. Qualitative feedback on:
• barriers
• successes
• lessons learned
• verification of funding use for HRA positions
Reports should be submitted via email to Danielle Lepar at LeParD1(a.michioan.gov
and Jason Wilkinson at WilkinsonJ50.michigan.gov
Any additional requirements (if applicable)
Funding may only be used for hiring an HRA(s). The funding shall not be used for any
other purpose beyond hiring and/or funding an HRA(s), which may include supporting
existing positions. These funds must also be accompanied by a plan to conduct
COVID-19 testing in school settings.
PROJECT TITLE: Water Response- Giardia
Start Date: 10/1/2021
End Date: 9/30/2022
Project Purpose
This funding is necessary due to the threat of giardia to residents served by the Ironwood
water supply. Current cases of giardia indicate they could be associated with the
Ironwood water supply system. The funding covers staff time and expenses to collect
water samples.
Additional Reporting Requirements (if applicable)
Additional Requirements
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F pp (NO and Budg reement a s, actua\ n e\ernents ust� eats wi\\ ed
al Re{er to P\an kef cOmPrehe UC ement methods'k IDNo compete year by the rat`°tu°�a �u\at` ont'�ej{ormance base
Refer t betty °f these re\mb
of the Pas wrc\\ � rkor
rfiOrman�e EXPeOGN p41p LmDH S re\mbursemen
bl a0lca rn the average N
M ntco\umn'
cl Ne9°Bated staff g� p\ytn9 2e t Sot \ eE kPde Eby \or, funds and manse, co\umn by th e' p\anatXon regard\n9 thes
dl Ca\cu\at `DCN p410, k` post, equ}Pme ° her
r
fund`n9or Una\\o aae\ stain91 Funded E\ement�arg stP dons Package fior fort
made ed ur, t r to ent and budget m
_ f\X the "sta
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el u\ated aster comPrehensi�e agreem
Ca\c
defs gnat ons budgeting Pro e\ements•
s dand \J\s\or' are s�X
ua\ program' r by MDNNmg for GoOrd"nation.
Baring . entfo T`sourcesl.
m,ede\re eel oi E Oft requ re a marked estab\;shed
d d emenkw
nd um
to ref\et<a d other case\oa ka afire a rnaX`m
cation be ono s�,\ er\ s an et DN to
N\o Sourc e Ma`s fret fee ass tarp $g of M d uP
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t41 Sun State arcs sts e th r ea Oo
ubleotto is f\rste� to actuaenttargetwi\\ bmdl °f �1 fo Per N\� test Gated funds'
�5) state funding subs bursem hard Or in' 11 00 P 1\0
at � \r t°ta\ a a 10 /O
�61 ed un`t rate ce re`m rnent ursed access the ect to
l?l the Pe aarnr,atch regon�CaGt am°ant. ents ere mb X to acc �a �s sub\ ent
N\\\ b users 30 a Ng
th s
l91 Subie k to \irn`ted to er farMl Departm e Of lit\e ded by �unGoope tN cO\um for
101 F xe sx t6i v}s is P nded \ 5ea\th um PerGentaX users. st be exPenss IPNSPIepOrt IFS? ,
Up to °r Ga\\y t SeN e a mi n\ ne rota\ �ft\a, ng gP 1 m Prepared e Status R ,
l` Non2 p00 annu agency aN muses d to deters �Pf EPea\th Em ergeuarter\y F�nan
of h de\egate data w\\\ be Prepared he PO c budget and a q _ --
�13� kn
sac
HeaR E en gas sped\f tda nine,m°mth
�14) Puatch rec\ r NDs must sub
Gu�danoeetement'
program
tember 30, is
and Jury '—Sep Rp� Cooperafive
er 1_June 30, preparedness (R port (FSR)
for October ergenrY ciai Status
pHEpi {m jne public Health E uarterw Finan
tiredness ( and a q
SmergencY prep ecthvefie6 budget a section 2p0'g7
ealth uirement as sp three -Ill CFR� ents.
(15) public N i 0/0 match req ust submit a -[Itie 2 uirem
ect to a ce, LHDs m defined by and gpecific Req
subj ent �,uidan ram element• mgnt criteria as Assurances
Agree n for this prop and Develop program
colum etsthe Research Attachment 111-
o b) project meabie ent as specified in
Not P, match requirem enrY
0.) Subject to i to this a9
NOTE, Some footnotes maY not app Y