HomeMy WebLinkAboutResolutions - 2022.12.08 - 37786
AGENDA ITEM: Grant Amendment #1 from the Michigan Department of Health and Human
Services to the FY 2023 Local Health Department Emerging Threats Agreement
22-418
COMMITTEE MEETING: Board of Commissioners
DATE: Thursday, December 8, 2022 9:52 AM - Click to View Agenda
ITEM SUMMARY SHEET
DEPARTMENT SPONSORED BY
Health & Human Services - Health Division Penny Luebs
INTRODUCTION AND BACKGROUND
This is a request to accept amendment #1 to the FY 2023 Emerging Threats Local Health
Department Agreement from the Michigan Department of Health and Human Services, which
decreases the total amount of the agreement from $10,835,066 to $6,329,816. The original
agreement was adopted by the Board of Commissioners on September 29, 2022 via Miscellaneous
Resolution #22328.
BUDGET AMENDMENT REQUIRED: Yes
Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at
248.858.5115 (office) or andrewsmb@oakgov.com, or the department contact persons listed for
additional information.
CONTACT
Leigh-Anne Stafford, Director Health &
Human Services-APP
staffordl@oakgov.com
ITEM REVIEW TRACKING
Penny Luebs, Created/Initiated - 12/8/2022
David Woodward, Board of Commissioners Approved - 12/8/2022
Hilarie Chambers, Executive's Office Approved - 12/9/2022
Lisa Brown, Clerk/Register of Deeds Final Approval - 12/13/2022
AGENDA DEADLINE: 12/08/2022 11:15 AM
COMMITTEE TRACKING
2022-11-29 Public Health & Safety - Recommend and Forward to Finance
2022-11-30 Finance - Recommend to Board
2022-12-08 Full Board - Adopted
ATTACHMENTS
1. PH&S - Health FY2023 Emerging Threats #1_Schedule A
2. Grant Review Sign-Off
3. Att I
4. ATT III
5. ATT IV
6. Draft Contract
December 8, 2022
RESOLUTION #2022-2296 _ 22-418
Sponsored By: Penny Luebs
Health & Human Services - Health Division - Grant Amendment #1 from the Michigan
Department of Health and Human Services to the FY 2023 Local Health Department Emerging
Threats Agreement
Chairperson and Members of the Board:
WHEREAS Oakland County Health Division has received Amendment #1 to the Michigan
Department of Health and Human Services (MDHHS) Fiscal Year (FY) 2023 Emerging Threats Local
Health Department, and
WHEREAS the original agreement amount of $10,835,066 was approved by the BOC on September
29, 2022, via resolution #22-328; and
WHEREAS Amendment #1 decreases the total amount of the agreement from $10,835,066 to
$6,329,816 for the period October 1, 2022 to September 30, 2023, a net decrease of $4,509,190; and
WHEREAS Amendment #1 reflects a decrease in funding for COVID-19 immunizations and
additional funding in the amount of $3,940 to assist with home visiting programs responding to
immediate needs resulting from the impact of COVID-19; and
WHEREAS no positions are impacted and the County match is not required; and
WHEREAS Amendment #1 has completed the Grant Review Process in accordance with the Grants
Policy approved by the Board of Commissioners at their January 21, 2021, meeting.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby
approves Amendment #1 to the Fiscal Year 2023 Emerging Threats Local Health Department
Agreement in the amount of $6,329,816 for the period of October 1, 2022, through September 30,
2023.
BE IT FURTHER RESOLVED that 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 budget is amended as detailed in the attached Schedule A
budget amendment.
Chairperson, the following Commissioners are sponsoring the foregoing Resolution: Penny Luebs.
Date: December 08, 2022
David Woodward, Commissioner
Date: December 09, 2022
Hilarie Chambers, Deputy County Executive II
Date: December 13, 2022
Lisa Brown, County Clerk / Register of Deeds
COMMITTEE TRACKING
2022-11-29 Public Health & Safety - Recommend and Forward to Finance
2022-11-30 Finance - Recommend to Board
2022-12-08 Full Board - Adopted
VOTE TRACKING
Motioned by Commissioner Penny Luebs seconded by Commissioner Karen Joliat to adopt the
attached Grant Amendment: #1 from the Michigan Department of Health and Human Services to the
FY 2023 Local Health Department Emerging Threats Agreement.
Yes: David Woodward, Michael Gingell, Michael Spisz, Karen Joliat, Kristen Nelson, Eileen
Kowall, Christine Long, Philip Weipert, Gwen Markham, Angela Powell, Chuck Moss, Marcia
Gershenson, William Miller III, Yolanda Smith Charles, Charles Cavell, Penny Luebs, Janet
Jackson, Gary McGillivray, Robert Hoffman, Adam Kochenderfer (20)
No: None (0)
Abstain: None (0)
Absent: (0)
Passed
ATTACHMENTS
1. PH&S - Health FY2023 Emerging Threats #1_Schedule A
2. Grant Review Sign-Off
3. Att I
4. ATT III
5. ATT IV
6. Draft Contract
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true
and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on
December 8, 2022, with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at
Pontiac, Michigan on Thursday, December 8, 2022.
Lisa Brown, Oakland County Clerk / Register of Deeds
Oakland County, Michigan
HEALTH AND HUMAN SERVICES DEPARTMENT/HEALTH DIVISION - FY 2023 EMERGING THREATS LOCAL HEALTH DEPARTMENT AGREEMENT AMENDMENT #1
Schedule "A" DETAIL
R/E Fund Name Division Name
Fund #
(FND)Cost Center (CCN) #
Account #
(RC/SC)
Program #
(PRG)Grant ID (GRN) #
Project ID #
(PROJ)
Region
(REG)
Budget
Fund
Affiliate
(BFA)
Ledger
Account
Summary Account Title
FY 2023
Amendment
FY 2024
Amendment
FY 2025
Amendment
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003904 610000 Federal Operating Grants $3,940 $-$-
Total Revenues $3,940 $-$-
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003904 702000 Salaries $-$-$-
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003904 722000 Fringe Benefits ---
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003904 730000 Indirect Costs ---
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003904 730000 Personal Mileage 3,940 --
E Human Services Grants Health FND11007 CCN1060201 SC732018 PRG133095 GRN-1003904 730000 Travel and Conference ---
E Human Services Grants Health FND11007 CCN1060201 SC731997 PRG133095 GRN-1003904 730000 Client Transportation ---
E Human Services Grants Health FND11007 CCN1060201 SC750245 PRG133095 GRN-1003904 750000 Incentives ---
E Human Services Grants Health FND11007 CCN1060201 SC774677 PRG133095 GRN-1003904 770000 Insurance Fund ---
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003904 770000 IT Operations ---
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003904 770000 Telephone Communications ---
Total Expenditures $3,940 $-$-
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003905 610000 Federal Operating Grants $(4,509,190)$-$-
Total Revenues $(4,509,190)$-$-
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003905 702000 Salaries $(1,730,769)$-$-
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003905 722000 Fringe Benefits (780,057)--
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003905 730000 Indirect Costs (239,192)--
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003905 730000 Personal Mileage (31,250)--
E Human Services Grants Health FND11007 CCN1060201 SC750399 PRG133095 GRN-1003905 750000 Office Supplies (2,951)--
E Human Services Grants Health FND11007 CCN1060201 SC750077 PRG133095 GRN-1003905 750000 Disaster Supplies (18,000)--
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003905 750000 Material and Supplies (5,000)--
E Human Services Grants Health FND11007 CCN1060201 SC731388 PRG133095 GRN-1003905 730000 Printing (20,000)--
E Human Services Grants Health FND11007 CCN1060201 SC750301 PRG133095 GRN-1003905 750000 Medical Supplies (3,000)--
E Human Services Grants Health FND11007 CCN1060201 SC731626 PRG133095 GRN-1003905 730000 Rent (200,000)--
E Human Services Grants Health FND11007 CCN1060201 SC731458 PRG133095 GRN-1003905 730000 Professional Services (856,396)--
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133095 GRN-1003905 730000 Advertising (4,000)--
E Human Services Grants Health FND11007 CCN1060201 SC731059 PRG133095 GRN-1003905 730000 Laundry & Cleaning (200)--
E Human Services Grants Health FND11007 CCN1060201 SC730982 PRG133095 GRN-1003905 730000 Interpreter Fees (500)--
E Human Services Grants Health FND11007 CCN1060201 SC731997 PRG133095 GRN-1003905 730000 Transportation of Clients (875)--
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003905 770000 IT Operations (374,000)--
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003905 770000 Telephone Communications (243,000)--
Total Expenditures $(4,509,190)$-$-
GRANT REVIEW SIGN-OFF – Health & Human Services / Health Division
GRANT NAME: FY 2023 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 (Greater than 15% of Award)
DATE: 11/16/2022
Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments.
The Board of Commissioners’ liaison committee resolution and grant amendment package (which should include this
sign-off and the grant amendment with related documentation) may be requested to be placed on the agenda(s) of the
appropriate Board of Commissioners’ committee(s) for grant amendment by Board resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved. Fiscal Services – Sheryl Johnson (11/14/2022)
Human Resources:
Approved by Human Resources. No position implications. – Heather Mason (11/14/2022)
Risk Management:
As long as document ATT III is not applicable to this grant Risk Management has no objection to it moving
forward and approves. Robert Erlenbeck (11/16/2022)
Corporation Counsel:
There are no legal issues with the amendment. Sharon Kessler – (10/31/2022)
ATTACHMENT I
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Local Health Department Agreement
October 1, 2022- September 30, 2023
Fiscal Year 2023
INSTRUCTIONS
FOR THE
ANNUAL BUDGET
1
INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH DEPARTMENT SERVICES
TABLE OF CONTENTS
Page
I.INTRODUCTION ............................................................................................................ 2
II.MINIMUM BUDGETING REQUIREMENTS ................................................................... 2
III.REIMBURSEMENT CHART ........................................................................................... 3
IV.LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION
PROCEDURES .............................................................................................................. 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
2
INSTRUCTIONS FOR THE
ANNUAL BUDGET
FOR LOCAL HEALTH SERVICES
I.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.
II.MINIMUM BUDGETING REQUIREMENTS
A.Cost Principles - Types or items of cost which will be considered for reimbursement are
generally consistent with definitions contained in 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 Budget Requirements for Certain Categorical Program Elements - The
Annual Budget for Local Health Services is completed in the MI E-Grants System
through the application budget to include details for all program elements (excluding
Administration and Grantee Support).
3
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.Type 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-Federal entities. Research is
defined as a systematic study directed toward fuller scientific knowledge or
understanding of the subject studied. The term research also includes activities involving
the training of individuals in research techniques where such activities utilize the same
facilities as other research and development activities and where such activities are not
included in the instruction function. Development is the systematic use of knowledge and
understanding gained from research directed toward the production of useful materials,
devices, systems, or methods, including design and development of prototypes and
processes.
C.Reimbursement Chart
The Reimbursement Chart notes elements/funding sources, applicable payment
methods, target levels, output measures for each program/element having a performance
reimbursement option. In addition, the chart also provides the subrecipient, contractor, or
recipient designations, as in prior years:
IV.LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION
PROCEDURES
As in past years, no additional accounting system detail is being required beyond local uniform
accounting procedures prescribed by the Michigan Department of Treasury, Local Financial
Management System requirements, documentation requirements of categorical program funding
sources and any local requirements. Some agencies may already have separate cost centers in
their accounting system to directly identify costs and related funding of required services, but
such breakdowns are not essential to being able to meet minimum reporting requirements if
proper allocation procedures are used and adequate documentation is maintained. All
allocations must have clearly measurable bases that directly apply to the amounts being
allocated, must be documented with work papers that will provide an adequate audit trail and
must result in a representative reporting of costs and funding for affected programs. More
specific guidance can be found in Title 2 CFR, Part 200 Appendix V State/Local Government
and Indian Tribe-Wide Central Service Cost Allocation Plans and the brochure published by the
Department of Health and Human Services entitled “A Guide for State, Local and Indian Tribal
Governments: Cost Principles and Procedures for Developing Cost Allocation Plans and Indirect
Cost Rates for Agreements with the Federal Government.
4
V. FORM PREPARATION - GENERAL
The MI E-Grants System on-line application, including the budget entry forms, are utilized to
develop a budget summary for each program element administered by the local Grantee. The
system is designed to accommodate any number of local program elements including those
unique to a particular local Grantee. Applications, including budget forms, are completed for all
program elements, regardless of the reimbursement mechanism, including Agency
administration(s) fee for service program elements, categorical program elements, performance-
based program elements and Medicaid Outreach associated program elements. Budget entry is
required for each major expenditure and source of fund categories for which costs/funds are
identified.
VI. FORM PREPARATION - EXPENDITURE CATEGORIES
Budgeted expenditures are to be entered for each program element, project or group of
services by applicable major category.
A. Salaries and 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 may be
reported under this category. Small equipment items costing less than $5,000 are properly
classified as Supplies and Materials or Other Expenses. This category also includes capital
outlay for purchase or renovation of facilities.
D. Contractual (Subcontracts/Subrecipient) - Use for expenditures applicable to written
contracts or agreements with secondary recipient organizations such as cooperating service
delivery institutions or delegate agencies. Payments to individuals for consulting or
contractual services, or for vendor services are to be included under Other Expenses.
Specify subcontractor(s) address, amount by subcontractor and total of all subcontractors.
E. Supplies and Materials - Use for all consumable items and materials including equipment-
type items costing less than $5,000 each. This includes office, printing, janitorial, postage
and educational supplies; medical supplies; contraceptives and vaccines; tape and gauze;
prescriptions and other appropriate drugs and chemicals. Federal Provided Vaccine Value
should be reported and identified on in Other Cost Distributions category. Do not combine
with supplies.
F. Travel - Travel costs of permanent and part-time employees assigned to each program
element. This includes costs of mileage, per diem, lodging, meals, registration fees and
5
other approved travel costs incurred by the employee. Travel of private, non-employee
consultants should be reported under Other Expenses.
G.Communication Costs - These are costs for telephone, Internet, telegraph, data lines,
websites, fax, email, etc., when related directly to the operation of the program element.
H.County/City Central Services - These are costs associated with central support activities of
the local governing unit allocated to the local health department in accordance with Title 2
CFR, part 200.
I.Space Costs - These are costs of building space necessary for the operation of the
program.
J.All Others (Line 11) - These are costs for all other items purchased exclusively for the
operation of the program element and not appropriately included in any of the other
categories including items such as repairs, janitorial services, consultant services, vendor
services, equipment rental, insurance, Automated Data Processing (ADP) systems, etc.
K.Total Direct Expenditures – The MI E-Grants System sums the direct expenditures
budgeted for each program element, project or service grouping and records in the Total
Direct Expenditure line of the Budget Summary.
L.Indirect Cost – These cost categories are used to distribute costs of general administrative
operations that have not been directly charged to individual subrecipient programs. The
Indirect Cost expenditures distribute administrative overhead costs to each program element,
project or service grouping. Two separate local rates may apply to the agreement period
(i.e., one for each local fiscal year). Use Calendar Rate 1 to reflect the rate applicable to the
first part of the agreement period and Calendar Rate 2 for the rate applicable to the latter
part. Indirect costs are not allowed on programs elements designated as vendor relationship.
An indirect rate proposal and related supporting documentation must be retained for audit in
accordance with records retention requirements. In addition, these documents are reviewed
as part of the Single Audit, subrecipient monitoring visit, or other State of Michigan reviews.
Following is further clarification regarding indirect rate and/or cost allocation approval
requirements to distribute administrative overhead costs, in accordance with Title 2 CFR Part
200 (formerly Circular A-87 2 CFR Part 225, Appendix E), for Local Health Departments
budgeting indirect costs:
1.Local Health Departments receiving more than $35 million in direct Federal awards are
required to have an approved indirect cost rate from a Federal Cognizant Agency. If your
Local Health Department has received an approved indirect rate from a Federal
Cognizant agency, attach the Federal approval letter to your MI E-Grants Grantee Profile.
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
6
never received a negotiated indirect cost rate, your Local Health Department may elect to
charge a de minimis rate of 10% of modified total direct costs (MTDC) based on Title 2
CFR part 200 requirements.
MTDC includes all direct salaries and wages, fringe benefits, supplies and materials,
travel, services, and contractual expenses up to the first $25,000 of each contract.
MTDC excludes all equipment, capital expenditures, charges for patient care, rental
costs, tuition remission, scholarships and fellowships, participant support costs, and
portions subcontractual/subaward expenses in excess of $25,000 per contract.
Attach a current copy of the letter stating the applicable indirect costs rate or calculation
information justifying the de minimis rate calculation to you MI E-Grants Grantee profile.
Detail on how the indirect costs was calculated must be shown on the Budget
Detail Schedule.
The amount of Indirect Cost should be allocated to all appropriate program elements with the
total equivalent amount reflected as a credit or minus in the Administration projects.
M. Other Cost Distributions – Use to distribute various contributing activity costs to
appropriate program areas based upon activity counts, time study supporting data or other
reasonable and equitable means. An example of Other Cost Distributions is nursing
supervision. The distribution process permits costs reflected in a single program element to
be subsequently distributed, perhaps only in part, to other programs or projects as
appropriate. If an allocation is made, the charges must be reflected in the appropriate
program element and the offsetting credit reflected in the program element being distributed.
There must be a documented, well-defined rationale and audit trail for 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:
7
A. Fees & Collections - Fees 1st & 2nd Party–
i. 1st 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 Funding (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, or failure to bill, available funding sources that would
otherwise result in exclusions from ELPHS funding, if recovered.
However, no exclusion is required where the local jurisdiction has made and documented
a decision to have local funds underwrite:
a. The cost of uncollectible accounts or bad debts incurred in support of providing
required or allowable health services. An example of this condition would be for
services provided to indigents who are billed as a matter of procedure with little
chance for receipt of payment.
b. Potential recoveries or under-recoveries from other sources for the principal purpose
8
of providing required and allowable health services at free or reduced cost to the
public served by the Grantee. An example would be keeping fees for services at a
reduced level for the benefit of the people served by the Grantee while recognizing
that to do so limits recovery from third parties for the same types of services.
3. Contributions to a contingency reserve or any similar provisions for unforeseen events.
4. Charitable contributions and donations.
5. Salaries and other incidental expenditures of the chief executive of a political subdivision
(i.e., county executive and mayor).
6. Legislative expenditures, such as, salaries and other incidental expenditures of local
governing bodies (i.e., county commissioners and city councils). Do not enter board of
health expenses.
7. Expenditures for amusements, social activities and other incidental expenditures related
to, such as, meals, beverages, lodging, rentals, transportation and gratuities.
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 – Drinking Water - This section includes all funding projected to be due under
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Comprehensive Agreement specific to the ELPHS Drinking Water program and has to equal
the ELPHS Drinking Water allocation.
Q. ELPHS – On-site Sewage - This section includes all funding projected to be due under
Comprehensive Agreement specific to the ELPHS On-site Sewage program and has to equal
the ELPHS On-site Sewage allocation.
R. MCH Funding - 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.
VIII. 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 Funding Contractor
Public Health Emergency
Preparedness
U.S. Department of Health & Human Services, Centers for Disease Control
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 Emergency Preparedness (PHEP) Special Budget 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
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Part 246, and USDA-WIC Administrative Cost Handbook 3/86). Prior approval is
accomplished by providing appropriate detail in the budget request approved by MDHHS
or subsequently in a written request approved in writing by MDHHS.
A. Automated Information Systems - 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. Accounting and Auditing Services - performed by private sector firms under
professional service contracts for purposes of preparation or audit of program
and financial records/reports.
E. Other Professional Services - rendered by individuals or organizations, not a part
of the local 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 Entry
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
or job descriptions required to staff the program. If the position is missing from the
list, please use Other and type in the position in the drop-down field provided.
b. Positions Required - Enter the number of positions required for the program
corresponding to the specific position title or description. This entry may be
expressed as a decimal (e.g., Full-Time Equivalent – FTE) when necessary. If
other than a full-time position is budgeted, it is necessary to have a basis in terms
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of time reports to support time charged to the program.
c. Amount – The MI E-Grants System calculates the salary for the position required
and records it on the Budget Detail. Enter this amount in the Amount column.
d. Total Salary –The MI E-Grants System totals the amount of all positions required
and records it on the Budget Summary.
e. Notes - Enter any explanatory information that is necessary for the position
description. Include an explanation of the computation of Total Salary in those
instances when the computation is not straightforward (i.e., if the employee is
limited term and/or does not receive fringe benefits).
2. 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
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B1 Attachment B1-Program Budget Summary
13
Source of Funds
14
B2 Attachment B2-Program Budget Cost Detail
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I. Budget Preparation
A. Sources of Local Fund Types
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 Category
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
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appropriate line has indicated in the Comprehensive Budget Instructions -
Attachment I (e.g., Local non-ELPHS or Local Funds – Other).
Total Source of Funds must equal Total Expenditures.
III.Comprehensive Local Health Department Agreement Obligation 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.
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ATTACHMENT III
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
LOCAL HEALTH DEPARTMENT AGREEMENT
October 1, 2022 – September 30, 2023
Fiscal Year 2023
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
Program Element:
The Program Element indicates currently funded Department programs that are included in
the Comprehensive Local Health Department Agreement.
Reimbursement Methods
The Reimbursement Methods specifies the type of method used for each of the program
element/funding sources. Funding under the Comprehensive Local Health Department
Agreement can generally be grouped under four (4) different methods of reimbursement.
These methods are defined as follows:
Performance Reimbursement
A reimbursement method by which local agencies are reimbursed based upon the
understanding that a certain level of performance (measured by outputs) must be met in order
to receive full reimbursement of costs (net of program income and other earmarked sources)
up to the contracted amount of state funds prior to any utilization of local funds. Performance
targets are negotiated 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.
Fixed Unit Rate Reimbursement
A reimbursement method by which local health departments are reimbursed a specific amount
for each output actually delivered and reported.
ELPHS
A reimbursement method by which local health departments are reimbursed a share of
reasonable and allowable costs incurred for required Essential Local Public Health Services
(ELPHS), as noted in the current Appropriations Act.
Grant Reimbursement
A reimbursement method by which local health departments are reimbursed based upon the
understanding that State dollars will be paid up to total costs in relation to the State's share of
the total costs and up to the total state allocation as agreed to in the approved budget. This
reimbursement approach is not directly dependent upon whether a specified level of
performance is met by the local health department. Department funding under this
reimbursement method is allocable and a source before any local funding requirements unless
a special local match condition exists.
Performance Level If Applicable
The Performance Level column specifies the minimum state funded performance target
percentage for all program elements/funding sources utilizing the performance reimbursement
method (see above). If the program elements/funding source utilizes a reimbursement method
other than performance or if a target is not specified, N/A (not available) appears in the space
provided.
Performance Target Output Measures
Performance Target Output Measure column specifies the output indicator that is applicable for
the program elements/ funding source utilizing the performance reimbursement method. Output
measures are based upon counts of services delivered.
Relationship Designation
The Subrecipient, Contractor, or Recipient Designation column identifies the type of relationship
that exists between the Department and grantee on a program-by-program basis. Federal
awards expended as a subrecipient are subject to audit or other requirements of Title 2 Code of
Federal Regulations (CFR). Payments made to or received as a Contractor are not considered
Federal awards and are, therefore, not subject to such requirements.
Subrecipient
A subrecipient is a non-Federal entity that expends Federal awards received from a pass-
through entity to carry out a Federal program, but does not include an individual that is a
beneficiary of such a program; or is a recipient of other Federal awards directly from a
Federal Awarding agency. Therefore, a pass-through entity must make case-by-case
determinations whether each agreement it makes for the disbursement of Federal program
funds casts the party receiving the funds in the role of a subrecipient or a contractor.
Subrecipient characteristics include:
• Determines who is eligible to receive what Federal assistance;
• Has its performance measured in relation to whether the objectives of a Federal
program were met;
• Has responsibility for programmatic decision making;
• Is responsibility for adherence to applicable Federal program requirements specified
in the Federal award; and
• In accordance with its agreements uses the Federal funds to carry out a program for
a public purpose specified in authorizing status as opposed to providing goods or
services for the benefit of the pass-through entity.
Contractor
A Contractor is for the purpose of obtaining goods and services for the non-Federal entity’s
own user and creates a procurement relationship with the Grantee. Contractor
characteristics include:
• Provides the goods and services within normal business operations;
• Provides similar goods or services to many different purchasers.
• 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 Schedule
New for FY23, there will be a budget category amendment only, released in May. The timeline
and process to request the budget changes will be released to the Health Departments when
official process is determined.
Amendment Schedule will be added in first amendment.
Key Terms
• 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 PROGRAM CONTACT EMAIL
American Rescue Plan Tiffany Kostelec kostelect@michigan.gov
COVID Immunization Terri Adams adamst2@michigan.gov
COVID-19 Mobile Testing Brenda Jegede jegedeb@michigan.gov
COVID Workforce Development Laura de la Rambelje DelaRambeljeL@michigan.gov
ELC Contract Tracing, Investigation, Testing Coord., and Infection Prevention Laura de la Rambelje DelaRambeljeL@michigan.gov
ELC Regional Lab Marty Soehnlen soehnlenm@michigan.gov
ELC Sewer Network Mary Stobierski stobierskim@michigan.gov
Expanding Public Health Workforce Tedra Jackson jacksont7@michigan.gov
Lead Response Laura de la Rambelje DelaRambeljeL@michigan.gov
Local Public Health Nursing Case Management Expansion Carin Speidel speidelc@michigan.gov
PFAS Response (All Locations)Laura de la Rambelje DelaRambeljeL@michigan.gov
Reopening Schools HRA Joseph Coyle coylej@michigan.gov
PROJECT TITLE: American Rescue Plan
American Rescue Plan – HFA
American Rescue Plan – NFP
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis:
The American Rescue Plan (ARP) funding is federal funding issued to assist Home
Visiting programs and associated families with the means to respond to immediate needs
resulting from the impacts of COVID-19. This funding will assist Home Visiting programs
with addressing the impacts of COVID-19 by providing services and supplies to families
while also supporting the programmatic costs and training needs of Home Visiting
agencies.
Reporting Requirements (if different than agreement language):
The Local Implementing Agency (LIA) shall submit all required reports in accordance with
the Department reporting requirements. See the Michigan Department of Health and
Human Services’ (MDHHS) Home Visiting Guidance Manual for details about what must
be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the appropriate Model Consultant via e-mail and incorporate the change(s) into the budget and facesheet during the next amendment cycle as appropriate. The facesheet identifies the agency contacts and their assigned permissions related to the tasks they can perform in E-GrAMS. The assigned Project Director in E-GrAMS can make the facesheet changes once the agreement is available to be amended.
b. ARP Work Plan: By June 30, 2022, the LIA must submit a Work Plan to the MDHHS
Home Visiting mailbox (MDHHS-HVInitiative@michigan.gov) for preapproval. An ARP
Work Plan template will be provided. See the MDHHS Home Visiting Guidance Manual
for requirements related to Work Plan development and reporting.
c. Work Plan Reports: Must be submitted to the MDHHS Home Visiting mailbox
(MDHHS-HVInitiative@michigan.gov) within 30 days of the end of each quarter
(January 30, April 30, July 30 and October 30). The template mentioned in section
b. above can also be used for Work Plan Report submissions.
d. ARP Quarterly Report: This report is unique to ARP funding asking for specific
information relating to the allowable uses of ARP funds. These reports will assist the
MDHHS Home Visiting Unit in complying with HRSA requirements and are due on the 15th
of the month following each calendar quarter. The report template is available in EGrAMS.
All ARP Quarterly Reports should be submitted to the MDHHS Home Visiting mailbox
(MDHHS-HVInitiative@michigan.gov).
All reports and/or information (a-d), unless stated otherwise, shall be submitted
electronically to the MDHHS Home Visiting mailbox at MDHHS-
HVInitiative@michigan.gov.
PROJECT: COVID Immunization
Start Date: 10/1/2022
End Date: 9/30/2023
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 Workforce Development
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis:
Funding for COVID Workforce Development to establish, expand, and sustain a public
health workforce, including school nurses.
Reporting Requirements (if different than contract language)
Reporting requirements will be provided at a later date.
Any additional requirements (if applicable)
Eligible purchases include:
• Hiring personnel (including wages and benefits) for roles that may range from senior
leadership positions to early career or entry-level positions (including, but not limited
to permanent full-time and part-time staff, temporary or term-limited staff, fellows,
interns, and contractors or contracted employees). Examples of personnel include
professional or clinical staff, disease investigation staff, school nurses and school-
based health services personnel, program staff, administrative staff, and any other
positions that may be required to prevent, prepare for, and respond to COVID-19.
• Purchase of equipment and supplies necessary to support the expanded workforce
including personal protective equipment, equipment needed to perform the duties
of the position, computers, cell phones, internet costs, cybersecurity software, and
other costs associated with support of the expanded workforce (to the extent these
are not included in recipient indirect costs).
• Administrative support services necessary to implement activities funded under this
section, including travel and training (to the extent these are not included in recipient
indirect costs).
PROJECT: COVID-19 Mobile Testing
Start Date: 10/1/2022
End Date: 10/1/2023
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)
Monthly Project Updates
Please submit monthly project updates via email to Shronda Grigsby
Grigsbys1@michigan.gov and Nina Talarico TalaricoN@michigan.gov no later than the
15th of each calendar month.
Quarterly Narrative Progress Reports
Submit quarterly narrative progress reports utilizing the template provided via email to
Shronda Grigsby at Grigsbys1@Michigan.gov and Nina Talarico
TalaricoN@michigan.gov in accordance with the following schedule:
Reporting Period Report Due Date
October 1 - December 31 January 31
January -March 31 April 30
April 1 - June 30 July 31
October 1 - Septmeber 30 (entire FY) October 31
Any additional requirements (if applicable)
A. 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.
B. 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.
C. Collaborate with and build on other MDHHS COVID-19 response programs
wherever possible, rather than duplicating or rebuilding efforts.
D. Ensure that services and materials are culturally and linguistically appropriate
to meet the needs of the respective client populations.
E. 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.
F. 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.
G. 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.
H. 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.
1. 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 Additional Requirements
Commercial General Liability Insurance
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.
Automobile Liability Insurance
Minimum Limits:
$1,000,000 Per Accident
Policy must include Hired and
Non-Owned Automobile
coverage.
Workers' Compensation Insurance
Minimum Limits:
Coverage according to applicable
laws governing work activities
Waiver of subrogation, except
where waiver is prohibited by
law.
Employers Liability Insurance
Minimum Limits:
$500,000 Each Accident
$500,000 Each Employee by Disease
$500,000 Aggregate Disease
Privacy and Security Liability (Cyber Liability) Insurance
Minimum Limits:
$1,000,000 Each Occurrence
$1,000,000 Annual Aggregate
Policy must cover information
security and privacy liability,
privacy notification costs,
regulatory defense and penalties,
and website media content
liability.
Medical Malpractice Insurance
Minimum Limits:
$1,000,000 Each Occurrence
$3,000,000 Annual Aggregate
If any required policies provide claims-made coverage, the Grantee must:
1. Provide coverage with a retroactive date before the Effective Date of the Grant
or the beginning of Grant Activities;
2. Maintain coverage and provide evidence of coverage for at least three (3)
years after completion of the Grant Activities; and
3. 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.
Grantee must:
1. 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;
2. Require that subgrantees maintain the required insurances contained in this
Section;
3. 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.
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, Case Investigation,
Testing Coordination, and Infection Prevention
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis:
For COVID-19 funding from ELC Supplemental for Case Investigations and Contact
Tracing and Infection Prevention. The inability to meet quality standards 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.
COVID-19 activities must remain the primary purpose of this expansion and MPV is in
addition to the approved services provided and within scope. Please ensure these
activities are conducted concurrently. MPV ONLY activities are not allowable with
COVID-19 funding.
Reporting Requirements (if different than contract language)
Related to Case Investigation Quality:
LHD’s will continue to perform high quality case investigation and contact tracing for
Department-recommended priorities. Local health departments should focus on interview
completion, timeliness, and race and ethnicity completion, as well as effective
communication with providers, individuals, the general public, and businesses related to
isolation and quarantine. LHD’s shall focus work on outbreak investigations in
populations of interest. LHD’s can procure tools to increase case investigation quality
(people finding software, communications, printed materials for testing events, EMR
access, etc.).
Case investigation 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 (not including
wraparound services). Funding cannot be used for clinical care or research.
Related to Contact Tracing:
Dependent on MDHHS guidance, LHDs will collaborate with MDHHS to assure timely
contact notification and education of close contacts of a COVID-19 case or monkeypox
case.
Related to testing:
LHDs will provide staffing and support for testing activities related to outbreak response.
This funding can be used to staff testing events or assure testing strategies are
Deleted: .
completed.
Related to Infection Prevention:
MDHHS SHARP/IPRAT will serve as a statewide technical assistance provider to LHD
Infection Prevention personnel, including but not limited to train-the-trainer models, job
shadowing, assistance with onsite and virtual facility assessments, pre-and post-visit
consultation and follow-up, cluster/outbreak reporting, response and containment.
1. The LHD will designate a staff member or members responsible for leading virtual
and onsite infection prevention assessments:
a. Proactive IP assessments (preparedness)
b. Assessments in response to an outbreak/cluster
2. A list of LHD IP team members and contact information will be available to
MDHHS
3. Team members will participate in a Project kickoff meeting and routinely
4. scheduled coordination calls with MDHHS
5. Dedicated LHD staff will complete Project FirstLine Training provided by CDC
and/or MDHHS
6. Dedicated LHD staff will participate in an APIC training sponsored by MDHHS
7. LHDs will conduct ongoing outreach to high-risk settings to assess communicable
disease reporting and existing infection prevention resources, policies, practices,
processes and provide facilities with best practice recommendations for infection
prevention.
a. High risk settings include but are not limited to healthcare settings
(hospitals, nursing homes, other long term care facilities), jails, prisons, and
shelters.
8. LHDs shall submit ICARs to MDHHS at
https://dhhshivstd.iad1.qualtrics.com/jfe/form/SV_0dNux70o256K6B7
This data will be reported to MDHHS in a quarterly survey (Qualtrics/SurveyMonkey):
1. # of LHD staff completing Project FirstLine Training
2. # of LHD staff completing APIC training
3. # of proactive virtual site visits conducted
4. # of proactive onsite visits conducted
5. # of outbreak/cluster site visits conducted
6. # of trainings coordinated by LHD personnel
7. # of infection prevention consultations conducted
8. # of IP meetings coordinated by the LHD
Allowable expenses include staffing, IT, communications, computers and/or phones or
other office needs, travel, PPE, professional development/trainings/conferences for staff,
expenses related to hosting events/trainings.
Funding cannot be used for clinical care or research.
For local health departments:
Use staffing to collaborate to conduct contact tracing, contact notification, and mitigation
for high-priority settings like schools, jails, dorms, congregate settings, etc.
1. LHDs will report to MDHHS the number of clusters/outbreaks investigated with
supported staff
2. LHD’s will provide education to contacts on public health recommendations for
COVID-19 ,monkeypox, to other emerging communicable disease threats.
3. LHD will provide information to close contacts such as websites, printed materials,
social media, or hotlines.
Staffing can be used to support:
• connecting people with supportive services and treatments when indicated
• assisting with expanding public education and outreach
• promoting vaccination — including scheduling and booster reminders
• TPOXX outreach, provider education, and distribution
•
Staff can be cross trained to support other communicable disease investigation
activities such as:
• monkeypox
• sexually transmitted infection and
• HIV partner services,
• Hepatitis C infection,
• foodborne outbreak response,
• tuberculosis investigations,
• healthcare associated and antibiotic resistant organisms,
• other programs that can benefit from the skills of this highly-trained
workforce.
4. LHDs should report to MDHHS, on a quarterly basis, which non-COVID-19
conditions were investigated by staff supported under this award
5. LHDs will support local public health staff impacted by COVID-19 and monkeypox
by providing development and training opportunities, including addressing the
physical and behavioral health impact of COVID-19 on the public health workforce.
6. LHDs will support staff workforce development and training, including conference
fees and associated travel.
Formatted
Formatted
Allowable expenses include staffing, IT, communications, computers and or phones or
other office needs, access to people finding software or EMR, supports to cases and
contacts for isolation and quarantine for COVID-19, monkeypox, and/or other infectious
disease threats.
Any additional requirements (if applicable)
PROJECT: ELC Regional Lab
Start Date: 10/1/2022
End Date: 9/30/2023
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
Start Date: 10/1/2022
End Date: 9/30/2023
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: Expanding Public Health Workforce
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis
The Health Department will hire a ‘Disability Health Specialist’ to provide culturally affirmative and
linguistically accessible information, in plain language. They will also provide activities
that support public health and well being of people with developmental disabilities.
The community coordinator will:
• Develop specialized clinical training programs that will help health professionals
understand how to work with individuals with disabilities.
• Create an ADA guide for health professionals that include the latest regulations
and best practices for working with clients with disabilities.
Health and wellness education and information:
• The Health Department, in partnership with CRIO (ODA), will host community
education on health and wellness, customized for the disability population (e.g.,
hosting a workshop on signing up for ABLE Account, understanding
Medicaid/Medicare, SSDI).
• Additionally, hosting preventive health education in plain language that is easy to
follow
• Other activities that support the public health and wellbeing of people with disabilities
o Developing training and education to healthcare professionals • Conducting
evaluation to identify to identify gaps in services
o Advocating for people with disabilities' health and well-being, as well as access
to service providers and hospitals
o Collaborating with community partners to improve health equity of people with
disabilities.
Reporting Requirements (if different or in addition to contract language)
Required reports include semi-annual federal financial reports (FFR) and annual program
reports that include:
• Number of full-time equivalents (FTEs),
• Type of public health professional(s) hired, and
• The activities they are engaged in to advance public health
Any additional requirements (if applicable)
Participation in this funding opportunity requires any organization directly
involved in vaccine administration to follow the CDC COVID-19 Vaccination
Program Provider Agreement and the State of Michigan/MDHHS COVID-19 vaccine
guidance including (but not limited to):
• Maintaining enrollment in the CDC COVID-19 Vaccination Program
• Adhering to state vaccine prioritization guidance
• Following CDC/ACIP recommendations and clinical considerations
• Adhering to CDC/FDA/MDHHS/Manufacturer vaccine storage, handling,
and administration directions. Entering administered vaccines into MCIR in
the timeframe defined by MDHHS, including completing optional MCIR
fields such as race and ethnicity
• Following MDHHS, CMS, and HRSA billing guidelines for
vaccine administration
• Participating in ‘VaccineFinder’ inventory and VAERS reporting, as well as
‘VaccineFinder's’ "Find COVID-19 Vaccines Near You" tool
• Providing required patient education materials and vaccine record cards as
well as encouraging patients use of v-safe
Unallowable Costs/Services:
1. Purchase a vehicle to transport people with disabilities or older
adults to vaccination appointments
2. The provision of transportation stipends/vouchers to individuals
3. General equipment purchases for staff who are not involved in public
health activities, or for the organization
Non-Supplanting Use of Funds
Funds MAY NOT supplant existing funds. This means federal funds must be
used to supplement existing state or local funds for program activities and may
not replace state or local funds that have been appropriated or allocated for the
same purpose.
Publication Rights
All products, including, but not limited to: reports, training manuals, service models,
curricula, web sites, electronic information, videotapes, or files, which arise from grant
projects funded by the Michigan Developmental Disabilities Council shall contain the
following language:
“Production of this {Product Type} was supported by Grant {Grant #} from the Michigan
Developmental Disabilities Council, awarded pursuant to P.L. 106-402, as amended, the
Developmental Disabilities Assistance and Bill of Rights Act, through the Michigan
Department of Department of Health and Human Services, the Council’s designated state
administering agency.”
All dissemination of products, including, but not limited to: reports, training manuals, service
models, curricula, electronic information, videotapes, or films produced by grant projects
funded by Michigan Developmental Disabilities Council funds, shall be reviewed by the
Michigan Developmental Disabilities Council, or its designee, prior to dissemination.
PROJECT TITLE: Lead Response
Start Date: 10/1/2022
End Date: 9/30/2023
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 dioniseg1@michigan.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:
a) Staff time and fringe dedicated to Lead ALE response in association with the
interim response.
• 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.
b) Printing materials associated with ALE response;
c) Mileage associated with lead ALE response and MDHHS-provided training;
d) 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).
e) 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 fillable
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: Local Public Health Nurse Case Management
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis
The purpose of this project is to fund nursing case management support for children 6-16
years of age with elevated lead levels in Berrien County, as well as children under 6
years of age with an elevated blood lead level who are not enrolled in a Medicaid Health
Plan in Berrien County. This project also supports funding to InterCare FQHC, as
needed, for reimbursement blood lead sample analysis at $7.00 each. Finally, this
project supports efforts to increase blood lead testing within Berrien County, with high
priority to Benton Harbor. This funding can support Berrien County in identifying barriers
to blood lead testing, reduction strategies for these identified barriers and methods to
increase access to blood lead testing, focusing messaging on blood lead testing for
children and pregnant persons.
Reporting Requirements (if different than contract language)
N/A
Any additional requirements (if applicable)
N/A
PROJECT: PFAS Response (All Locations)
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis:
The Michigan Department of Health and Human Services (MDHHS) Division of Environmental
Health (DEH), in consultation and collaboration with local health departments, provides
drinking water recommendations to residents with private residential wells contaminated with
PFAS. Local health departments are eligible for PFAS Response funding when filtration or
another source of drinking water is recommended as a health protective measure.
PFAS Response encompasses the components below:
• Educational outreach such as, but not limited to, education regarding drinking water
testing and results.
• Interim provision of water filtration systems or an alternate source(s) of water until a
determination is made by MDHHS DEH that filtration or alternate water is no longer
recommended.
• Follow-up with residents who have received a water filter to offer free replacement filter
cartridges every six months.
Local health departments requesting funds for PFAS response will provide an estimated
budget as well as a description of expenses on forms DCH-0385E and -0386E.
PFAS Response funds are not capacity building funds but are limited-term funding to achieve
a critical public health response on behalf of MDHHS DEH for environmental public health
needs related to PFAS.
Eligible expenses Include:
• Water filters certified for PFAS reduction.
• Installation of certified water filters by a plumber licensed in the State of Michigan.
• Replacement water filter cartridges provided approximately every 6 months or after 800
gallons of water has been filtered, depending on residents’ water usage.
• Alternate water such as water coolers/dispensers or bottled water, as need is
determined and approved by MDHHS DEH.
• Mileage.
• Supplies.
• Staff time and fringe dedicated to PFAS response. Required staff activities for PFAS
response include:
a. Distribution of certified water filtration systems and replacement cartridges.
b. Coordination of water filter installation by a licensed plumber when requested by
the resident.
c. Provision of semi-annual filter replacement cartridge offers and reminders. These
offers and reminders are made to residents previously provided with water filters
until:
a determination is made by MDHHS DEH that water filtration is no longer
recommended.
d. Documentation of water filter and replacement cartridge distribution.
e. Data entry and submission to MDHHS DEH.
• When necessary, staff activities may include:
a. Bottled water distribution.
b. Home visits.
c. Organizing and hosting town hall meetings or other public education.
d. Phone banks.
e. Water sample collection support when requested by MDHHS DEH.
• Other items as need is determined such as public meeting venue rental or phone bank
expenses.
• Indirect costs.
Expenses not on this list must receive prior approval by MDHHS DEH before submission. Any
deviation from or amendment to existing PFAS response projects requires MDHHS DEH
approval.
Ineligible expenses include:
• Training.
• Association membership fees.
• Travel not associated with direct PFAS service delivery.
• The cost to remove filters unless the water filter is found to be defective and requires
replacement.
Reporting Requirements (if different than contract language):
By the first Wednesday of each month, grantees are required to submit:
• Site-specific, updated tracking forms including:
a. Site name.
b. Resident’s name, address, contact information.
c. Water filter or alternate water type provided.
d. Water filter or alternate water quantity distributed.
e. Filter replacement cartridges distributed.
f. Date of each distribution.
g. Permission to contact resident.
h. Filter declination.
i. Staff name.
• Site-specific updated information on number of bottles of water distributed.
Submit tracking forms to MDHHS DEH via email to MDHHS-DEHresponse@michigan.gov with
the subject line PFAS Alternate Water Tracker – (add reported month).
Any additional requirements (if applicable)
• Local health departments submit all budget requests to MDHHS DEH for approval.
• Application for funds in subsequent fiscal years is expected where there is an ongoing
recommendation for water filtration or an alternate water source.
• Local health department are to maintain number of staff hours expended on the grant.
Acknowledgement of Receiving or Declining Water Filter Form
When providing a water filter to a resident, grantees will complete the Acknowledgement of
Water Filter Receipt form, or similar acknowledgment form based on the grantee’s legal
review, including the resident’s signature. The forms will be retained by the grantees.
• Please note that an acknowledgement form is NOT intended to be a barrier to provision
of water assistance.
PROJECT: Reopening Schools HRA
Reopening Schools HRA -2
Start Date: 10/1/2022
End Date: 9/30/2023
Project Synopsis
The Michigan Department of Health and Human Services (MDHHS) is offering a
voluntary program to provide rapid antigen testing to educators, staff, and students at
public and private schools. In addition, MDHHS is providing funds to school districts that
have indicated the need for additional technical support with the intent to participate in
testing programs, among other factors. Funding provided will support hiring health
resource advocates (HRAs). Individuals serving in the role as an HRA will provide front-
line support for COVID-19 testing and reporting, help districts identify emerging COVID-
19 related health concerns, and amplify best health practices.
Any additional requirements (if applicable)
Reporting Requirements (if different than contract language)
Bi-Monthly reports by school district to include the following (additional information may
be requested):
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 MDHHS-HRAreporting@michigan.gov. For any,
additional questions or concerns can be submitted to MDHHS-
COVIDTestingSupport@michigan.gov.
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: U4U Tuberculosis Services
Start Date: 10/01/2022
End Date: 09/30/2023
Project Synopsis
Each recipient shall conduct activities for the purposes of tuberculosis (TB) testing,
evaluation, and treatment in Ukrainian Nationals resettling in Michigan under the Federal
Uniting for Ukraine (U4U) program.
Allowable costs include:
• Outpatient services related to TB control and clinical care (e.g., Interferon Gamma
Release Assay (IGRA) testing, tuberculin skin testing, chest radiography, medical
evaluation, treatment).
• Procurement and provision of medications for the treatment of TB infection and TB
disease.
• Reasonable program purposes, including personnel, travel, supplies, and services.
• Integration of services when it is intended to specifically reduce TB transmission or
improve TB screening, testing, or treatment in populations disproportionately
affected by other infections or comorbidities including diabetes mellitus, hepatitis B
or C virus, STDs, and HIV.
Reporting Requirements (if different than contract language)
MDHHS TB Program will collaborate with each recipient to track and monitor the
following:
• Number of people tested
• Number of people evaluated
• Number of people who start treatment for TB Infection
• Number of people who complete treatment for TB Infection
• Number of people who start treatment for TB Disease
• Number of people who complete treatment for TB Disease
Reporting for people diagnosed and treated for TB Disease will occur through MDSS
following standard process.
Processes for reporting and monitoring people with TB Infection will be developed and
communicated as soon as possible.
Any additional requirements (if applicable)
FOOTNOTES: FY 2022/2023
a)Refer to Plan and Budget Framework for element definitions.
b)Refer to master comprehensive agreement and program and budget instructions package for further explanation of
applicability of these reimbursement methods.
c)Negotiated starting from the average of the past two complete years' actual number where available.
d)Calculated by multiplying the "Total Performance Expectation" column by the ratio of the elements total State
funding (DCH 0410, Line 24) to "Total Expenditures” DCH 0410, Line 17). Prior to calculation, adjustments will be
made for unallowable cost, equipment funded by local funds and MDHHS reimbursement not performance based
(I.E., fixed unit rate, staffing).
e)Calculated by multiplying the "State Funded Element Target Performance" column by the "Percent" column.
f)Refer to master comprehensive agreement and budget instructions package for further explanation regarding these
designations.
(3)Allocation to be reflected in individual programs during budgeting process.
(4)Funding Source (not a single element). Hearing and Vision are single elements.
(5)Subject to Statewide Maintenance of Effort requirement for Title X.
(6)State funding is first source (after fees and other earmarked sources).
(7)Fixed unit rate subject to actual costs.
(8)The performance reimbursement target will be the base target caseload established by MDHHS.
(9)Subject to a match requirement (hard or in-kind) of $1 for each $3 of MDHHS agreement funding for Coordination.
(10)Fixed rate limited to contract amount.
(11)Up to six (6) visits per family.
(12)Non-categorically funded Health Departments will be reimbursed at $11.00 per HIV test conducted up to a maximum
of $2,000 annually.
(13)Each delegate agency must serve a minimum percentage of Title X users to access their total allocated funds. Semi-
annual FPAR data will be used to determine total Title X users.
(14)Public Health Emergency Preparedness (PHEP) funding BP1 must be expended by June 30 and is subject to a 10%
match requirement as specified in the Public Health Emergency Preparedness (PHEP) Cooperative Agreement
Guidance. LHDs must submit a nine-month budget and a quarterly Financial Status Report (FSR) column for this
program element.
(15)Public Health Emergency Preparedness (PHEP) funding for October 1–June 30, and July 1–September 30, is
subject to a 10% match requirement as specified in the Public Health Emergency Preparedness (PHEP) Cooperative
Agreement Guidance. LHDs must submit a three-month budget and a quarterly Financial Status Report (FSR)
column for this program element.
(16)Project meets the Research and Development criteria as defined by Title 2 CFR, Section 200.87.
(17)Not Applicable
(18)Subject to match requirement as specified in Attachment III - Program Assurances and Specific Requirements.
NOTE: Some footnotes may not apply to this agency.
DRAFT10/18/2022
Contract #: 20230195-00
Amendment Number: 1 to the
Between
Michigan Department of Health and Human Services
and
County of Oakland
hereinafter referred to as the "Local Governing Entity"
on Behalf of Health Department
Oakland County Department of Health and Human Services/ Health Division
AMENDMENT PURPOSE AND JUSTIFICATION
1.The purpose of this amendment is to:
1. Add/revise information in Attachment I - Annual Budget Instructions;
2. Add/revise information in Attachment III - Program Specific Assurance and
Requirements; and
3. Incorporate Attachment IV- Funding/Reimbursement Matrix as revised for the
Essential Local Public Health Service (ELPHS) and categorical budget details, output
measures and performance criteria.
4. Decrease the Department's agreement amount from $10,835,066 to $6,329,816,
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- 2023, Date: 10/18/2022
__________________________________________________________________________
Page: 1 of 15
DRAFT10/18/2022
1. ELC Contact Tracing, Testing, Coord., Infection Prevention
2. Expanding Public Health Workforce - New
3. U4U Tuberculosis Services - 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
Amount
Amended
Amount
New Project
Amount
American Rescue Plan 189,404 3,940 193,344
COVID Immunization 5,163,603 (4,509,190)654,413
Total Comprehensive Funding 5,353,007 (4,505,250)847,757
Performance Level Adjustments
N/A
Budget category Adjustments
It is understood and agreed that all other conditions of the original agreement remains
the same.
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3.Signing this amendment
The individual or officer sigining this amendment certifies by his or her signature that
he or she is authorized to sign this amedment on behalf of the reponsible governing
board official or agency.
Signature Section
For Oakland County Department of Health and Human Services/ Health Division
Andrea Powers Administrator
___________________________________________________________________
Name (please print) Title
For the Michigan Department of Health and Human Services
Christine H. Sanches 10/18/2022
___________________________________________________________________
Christine H. Sanches, Director Date
Bureau of Purchasing
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Attachments
Attachment I - Instructions for the Annual Budget
Attachment III - Program Specific Assurances and Requirements
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DRAFTContract # Date: 10/18/2022MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Emerging Threats- Local Health Department- 2023CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)American Rescue PlanReg. Alloc.F189,404Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientCOVID ImmunizationReg. Alloc.F5,163,603Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientCOVID Workforce DevelopmentReg. Alloc.F172,605Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientELC Contract Tracing,Investigation, Testing Coord., andInfection PreventionReg. Alloc.F3,826,390Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientELC Regional LabReg. Alloc.F512,420Actual CostReimbursementN/AN/AN/AN/AN/ARecepientELC Sewer NetworkReg. Alloc.F909,057Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientPFAS Response - AirportReg. Alloc.S60,390Actual CostReimbursementN/AN/AN/AN/AN/ARecepientPFAS Response - Falk RdReg. Alloc.S1,197Actual CostReimbursementN/AN/AN/AN/AN/ARecepientTOTAL MDHHS FUNDING10,835,066*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENTAttachment IV NotesEmerging Threats- Local Health Department- 2023, Date: 10/18/2022________________________________________________________________________________________________________________Page: 5 of 15
DRAFTContract # Date: 10/18/2022
Project Budgets
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2023 /
American Rescue Plan
DATE PREPARED
10/18/2022
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2022 To : 9/30/2023
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
1
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 84,942.00 84,942.00
2 Fringe Benefits 44,099.00 44,099.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 28,754.00 28,754.00
6 Travel 14,737.00 14,737.00
7 Communication 1,300.00 1,300.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)3,833.00 3,833.00
Total Program Expenses 177,665.00 177,665.00
TOTAL DIRECT EXPENSES 177,665.00 177,665.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 11,739.00 11,739.00
Total Indirect Costs 11,739.00 11,739.00
TOTAL INDIRECT EXPENSES 11,739.00 11,739.00
TOTAL EXPENDITURES 189,404.00 189,404.00
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DRAFTContract # Date: 10/18/2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category Total Amount Cash Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
0.00 0.00 0.00 0.00
Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00
Federal or State (Non MDHHS)0.00 0.00 0.00 0.00
Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00
Federally Provided Vaccines 0.00 0.00 0.00 0.00
Federal Medicaid Outreach 0.00 0.00 0.00 0.00
Required Match - Local 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Other Non-ELPHS 0.00 0.00 0.00 0.00
MDHHS Non Comprehensive 0.00 0.00 0.00 0.00
MDHHS Comprehensive 189,404.00 189,404.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 0.00 0.00 0.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 189,404.00 189,404.00 0.00 0.00
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DRAFTContract # Date: 10/18/2022
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : TBD
66487.0000 1.000 0.000 FTE 66,487.00
Coordinator
Notes : Health Program
Coordinator
Position # P00004736
M. Maloff
93680.0000 0.197 0.000 FTE 18,455.00
Total for Salary & Wages 84,942.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
DENTAL INS
WORK COMP
SHORT AND LONG TERM
DISABILITY
0.0000 51.917 84942.000 44,099.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Client pre-paid grocery cards
Notes : Incentives Breakdown:
Client pre-paid transportation -
$10,650
Client pre-paid phones - $1,500
Client pre-paid grocery cards -
$27,254
Total Incentives - $39,404
0.0000 0.000 0.000 27,254.00
Client pre-paid phone cards 0.0000 0.000 0.000 1,500.00
Total for Supplies and Materials 28,754.00
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DRAFTContract # Date: 10/18/2022
Line Item Qty Rate Units UOM Total
6 Travel
Mileage
Notes : 1,000 miles * 0.625 per
mile
0.0000 0.000 0.000 625.00
Conferences 0.0000 0.000 0.000 3,462.00
Client Transporttion 0.0000 0.000 0.000 10,650.00
Total for Travel 14,737.00
7 Communication
Telephone 0.0000 0.000 0.000 1,300.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 3,376.00
Insurance 0.0000 0.000 0.000 457.00
Total for All Others (ADP, Con. Employees, Misc.)3,833.00
Total Program Expenses 177,665.00
TOTAL DIRECT EXPENSES 177,665.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 13.82%
0.0000 0.000 0.000 11,739.00
Total Indirect Costs 11,739.00
TOTAL INDIRECT EXPENSES 11,739.00
TOTAL EXPENDITURES 189,404.00
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DRAFTContract # Date: 10/18/2022
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2023 / COVID
Immunization
DATE PREPARED
10/18/2022
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2022 To : 9/30/2023
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
1
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 1,971,154.00 1,971,154.00
2 Fringe Benefits 888,399.00 888,399.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 48,951.00 48,951.00
6 Travel 31,250.00 31,250.00
7 Communication 250,000.00 250,000.00
8 County-City Central Services 0.00 0.00
9 Space Costs 200,000.00 200,000.00
10 All Others (ADP, Con. Employees, Misc.)1,501,436.00 1,501,436.00
Total Program Expenses 4,891,190.00 4,891,190.00
TOTAL DIRECT EXPENSES 4,891,190.00 4,891,190.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 272,413.00 272,413.00
Total Indirect Costs 272,413.00 272,413.00
TOTAL INDIRECT EXPENSES 272,413.00 272,413.00
TOTAL EXPENDITURES 5,163,603.00 5,163,603.00
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DRAFTContract # Date: 10/18/2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category Total Amount Cash Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
0.00 0.00 0.00 0.00
Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00
Federal or State (Non MDHHS)0.00 0.00 0.00 0.00
Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00
Federally Provided Vaccines 0.00 0.00 0.00 0.00
Federal Medicaid Outreach 0.00 0.00 0.00 0.00
Required Match - Local 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Local Non-ELPHS 0.00 0.00 0.00 0.00
Other Non-ELPHS 0.00 0.00 0.00 0.00
MDHHS Non Comprehensive 0.00 0.00 0.00 0.00
MDHHS Comprehensive 5,163,603.00 5,163,603.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 0.00 0.00 0.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 5,163,603.00 5,163,603.00 0.00 0.00
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DRAFTContract # Date: 10/18/2022
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Various OCHD Positions
Notes : Various OCHD staff to
host COVID Outreach Clinics -
staff names unknown at this time
as various staff signs up for the
events.
1.0000 1971154.000 0.000 FTE 1,971,154.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
DENTAL INS
WORK COMP
SHORT AND LONG TERM
DISABILITY
0.0000 45.070 1971154.00
0
888,399.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 2,951.00
Materials and Supplies 0.0000 0.000 0.000 5,000.00
Disaster Supplies 0.0000 0.000 0.000 18,000.00
Printing 0.0000 0.000 0.000 20,000.00
Medical Supplies 0.0000 0.000 0.000 3,000.00
Total for Supplies and Materials 48,951.00
6 Travel
Mileage
Notes : 50,000 miles @ 0.625
per mile
0.0000 0.000 0.000 31,250.00
7 Communication
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DRAFTContract # Date: 10/18/2022
Line Item Qty Rate Units UOM Total
Telephone Communications 0.0000 0.000 0.000 250,000.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 200,000.00
10 All Others (ADP, Con. Employees, Misc.)
Professional Services - Entech
Staffing
0.0000 0.000 0.000 1,118,236.00
Laundry and Cleaning 0.0000 0.000 0.000 200.00
IT Operations 0.0000 0.000 0.000 374,000.00
Transportation of Clients 0.0000 0.000 0.000 4,000.00
Interpretation Fees 0.0000 0.000 0.000 1,000.00
Advertising 0.0000 0.000 0.000 4,000.00
Total for All Others (ADP, Con. Employees, Misc.)1,501,436.00
Total Program Expenses 4,891,190.00
TOTAL DIRECT EXPENSES 4,891,190.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 13.82%
0.0000 0.000 0.000 272,413.00
Total Indirect Costs 272,413.00
TOTAL INDIRECT EXPENSES 272,413.00
TOTAL EXPENDITURES 5,163,603.00
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DRAFTContract # Date: 10/18/2022
Summary of Budget
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2023 /
Emerging Threats- Local Health Department- 2023
DATE PREPARED
10/18/2022
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2022 To : 9/30/2023
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
1
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 2,626,155.00 2,626,155.00
2 Fringe Benefits 1,212,323.00 1,212,323.00
3 Cap. Exp. for Equip & Fac.62,420.00 62,420.00
4 Supplies and Materials 372,645.00 372,645.00
5 Travel 48,275.00 48,275.00
6 Communication 262,900.00 262,900.00
7 Space Costs 200,000.00 200,000.00
8 All Others (ADP, Con. Employees, Misc.)5,687,414.00 5,687,414.00
Total Program Expenses 10,472,132.00 10,472,132.00
TOTAL DIRECT EXPENSES 10,472,132.00 10,472,132.00
INDIRECT EXPENSES
Indirect Costs
1 Cost Allocation Plan / Other 362,934.00 362,934.00
Total Indirect Costs 362,934.00 362,934.00
TOTAL INDIRECT EXPENSES 362,934.00 362,934.00
TOTAL EXPENDITURES 10,835,066.00 10,835,066.00
SOURCE OF FUNDS
Category Total Amount Cash Inkind
1 Fees and Collections - 1st and 2nd
Party
0.00 0.00 0.00 0.00
2 Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00
3 Federal or State (Non MDHHS)0.00 0.00 0.00 0.00
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DRAFTContract # Date: 10/18/2022
4 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00
5 Federally Provided Vaccines 0.00 0.00 0.00 0.00
6 Federal Medicaid Outreach 0.00 0.00 0.00 0.00
7 Required Match - Local 0.00 0.00 0.00 0.00
8 Local Non-ELPHS 0.00 0.00 0.00 0.00
9 Local Non-ELPHS 0.00 0.00 0.00 0.00
10 Local Non-ELPHS 0.00 0.00 0.00 0.00
11 Other Non-ELPHS 0.00 0.00 0.00 0.00
12 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00
13 MDHHS Comprehensive 10,835,066.00 10,835,066.00 0.00 0.00
14 MCH Funding 0.00 0.00 0.00 0.00
15 Local Funds - Other 0.00 0.00 0.00 0.00
16 Inkind Match 0.00 0.00 0.00 0.00
17 MDHHS Fixed Unit Rate 0.00 0.00 0.00 0.00
TOTAL 10,835,066.00 10,835,066.00 0.00 0.00
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