HomeMy WebLinkAboutReports - 2023.09.21 - 40567
AGENDA ITEM: Acceptance from the Michigan Department of Health and Human Services for the
FY 2024 Local Health Department Emerging Threats Agreement
DEPARTMENT: Health & Human Services
MEETING: Board of Commissioners
DATE: Thursday, September 21, 2023 9:30 AM - Click to View Agenda
ITEM SUMMARY SHEET
COMMITTEE REPORT TO BOARD
Resolution #2023-3306
Motion to approve the Fiscal Year 2024 Emerging Threats Local Health Department Agreement
from the Michigan Department of Health and Human Services totaling $6,263,627 for the period
October 1, 2023 through September 30, 2024 and authorize the Chair of the Board of
Commissioners to execute the agreement upon final review by Corporate Counsel; further, amend
the FY 2024 budget as detailed in the attached Schedule A.
ITEM CATEGORY SPONSORED BY
Grant Penny Luebs
INTRODUCTION AND BACKGROUND
The Michigan Department of Health and Human Services (MDHHS) has awarded the Oakland
County Health Division funding through the Fiscal Year 2024 Emerging Threats Local Health
Department Agreement in the amount of $6,263,627 for the period October 1, 2023 through
September 30, 2024. Funding will support COVID-19 Immunization, Contact Tracing, Investigation,
Testing Coordination, Monitoring, and Infection Prevention, ELC SEWER Network, PFAS
Response, and Home Visitation. Funding will also continue to support the development of a
Regional Lab in an effort to modernize and expand COVID-19 testing and response capabilities.
POLICY ANALYSIS
It is requested to continue one (1) Full-Time Eligible (FTE) Special Revenue (SR) Public Health
Nurse III position (#15618) and one (1) Part-Time Non-Eligible (PTNE) 1,000 hours per year Special
Revenue (SR) Medical Technologist Position (#14866), and one (1) Full-Time Eligible (FTE) Special
Revenue (SR) Medical Technologist Position (#15845).
No County match is required and this grant Agreement has completed the Grant Review Process in
accordance with the Grants Policy. 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.
BUDGET AMENDMENT REQUIRED: Yes
Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at
248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional
information.
CONTACT
Leigh-Anne Stafford, Director Health & Human Services-APP
ITEM REVIEW TRACKING
Aaron Snover, Board of Commissioners Created/Initiated - 9/21/2023
AGENDA DEADLINE: 09/21/2023 9:30 AM
ATTACHMENTS
1. PH&S Health FY2024 Emerging Threats_Schedule A
2. Grant Acceptance Review Sign-Off Emerging Threats
3. Contract (6)
4. Att I (10)
5. ATT III (11)
6. ATT IV (12)
7. ATT V (1)
COMMITTEE TRACKING
2023-09-19 Public Health & Safety - Recommend and Forward to Finance
2023-09-20 Finance - Recommend to Board
2023-09-21 Full Board - Adopt
Motioned by: Commissioner Charles Cavell
Seconded by: Commissioner Yolanda Smith Charles
Yes: David Woodward, Michael Spisz, Karen Joliat, Kristen Nelson, Christine Long, Robert
Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia Gershenson, Janet Jackson,
Yolanda Smith Charles, Charles Cavell, Brendan Johnson, Ajay Raman (15)
No: None (0)
Abstain: None (0)
Absent: William Miller III, Gary McGillivray, Michael Gingell, Penny Luebs (4)
Passed
Oakland County, Michigan
HEALTH AND HUMAN SERVICES DEPARTMENT/HEALTH DIVISION - FY 2024 EMERGING THREATS LOCAL HEALTH DEPARTMENT AGREEMENT
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 2024
Amendment
FY 2025
Amendment
FY 2026
Amendment
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003904 610000 Federal Operating Grants $(189,404)$(189,404)$(189,404)
Total Revenues $(189,404)$(189,404)$(189,404)
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003904 702000 Salaries $(84,942)$(84,942)$(84,942)
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003904 722000 Fringe Benefits (44,099)(44,099)(44,099)
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003904 730000 Indirect Costs (11,739)(11,739)(11,739)
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003904 730000 Personal Mileage (625)(625)(625)
E Human Services Grants Health FND11007 CCN1060201 SC732018 PRG133095 GRN-1003904 730000 Travel and Conference (3,462)(3,462)(3,462)
E Human Services Grants Health FND11007 CCN1060201 SC731997 PRG133095 GRN-1003904 730000 Client Transportation (10,650)(10,650)(10,650)
E Human Services Grants Health FND11007 CCN1060201 SC750245 PRG133095 GRN-1003904 750000 Incentives (28,754)(28,754)(28,754)
E Human Services Grants Health FND11007 CCN1060201 SC774677 PRG133095 GRN-1003904 770000 Insurance Fund (457)(457)(457)
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003904 770000 IT Operations (3,376)(3,376)(3,376)
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003904 770000 Telephone Communications (1,300)(1,300)(1,300)
Total Expenditures $(189,404)$(189,404)$(189,404)
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003905 610000 Federal Operating Grants $(5,163,603)$(5,163,603)$(5,163,603)
Total Revenues $(5,163,603)$(5,163,603)$(5,163,603)
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003905 702000 Salaries $(1,971,154)$(1,971,154)$(1,971,154)
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003905 722000 Fringe Benefits (888,399)(888,399)(888,399)
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003905 730000 Indirect Costs (272,413)(272,413)(272,413)
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003905 730000 Personal Mileage (31,250)(31,250)(31,250)
E Human Services Grants Health FND11007 CCN1060201 SC750399 PRG133095 GRN-1003905 750000 Office Supplies (2,951)(2,951)(2,951)
E Human Services Grants Health FND11007 CCN1060201 SC750077 PRG133095 GRN-1003905 750000 Disaster Supplies (18,000)(18,000)(18,000)
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003905 750000 Material and Supplies (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060201 SC731388 PRG133095 GRN-1003905 730000 Printing (20,000)(20,000)(20,000)
E Human Services Grants Health FND11007 CCN1060201 SC750301 PRG133095 GRN-1003905 750000 Medical Supplies (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060201 SC731626 PRG133095 GRN-1003905 730000 Rent (200,000)(200,000)(200,000)
E Human Services Grants Health FND11007 CCN1060201 SC731458 PRG133095 GRN-1003905 730000 Professional Services (1,118,236)(1,118,236)(1,118,236)
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133095 GRN-1003905 730000 Advertising (4,000)(4,000)(4,000)
E Human Services Grants Health FND11007 CCN1060201 SC731059 PRG133095 GRN-1003905 730000 Laundry & Cleaning (200)(200)(200)
E Human Services Grants Health FND11007 CCN1060201 SC730982 PRG133095 GRN-1003905 730000 Interpreter Fees (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060201 SC731997 PRG133095 GRN-1003905 730000 Transportation of Clients (4,000)(4,000)(4,000)
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003905 770000 IT Operations (374,000)(374,000)(374,000)
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003905 770000 Telephone Communications (250,000)(250,000)(250,000)
Total Expenditures $(5,163,603)$(5,163,603)$(5,163,603)
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003906 610000 Federal Operating Grants $(172,605)$(172,605)$(172,605)
Total Revenues $(172,605)$(172,605)$(172,605)
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003906 730000 Personal Mileage $(313)$(313)$(313)
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003906 750000 Material and Supplies (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060201 SC731458 PRG133095 GRN-1003906 730000 Professional Services (159,692)(159,692)(159,692)
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003906 770000 IT Operations (4,000)(4,000)(4,000)
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003906 770000 Telephone Communicatins (3,600)(3,600)(3,600)
Total Expenditures $(172,605)$(172,605)$(172,605)
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003907 610000 Federal Operating Grants $(3,826,390)$(3,826,390)$(3,826,390)
Total Revenues $(3,826,390)$(3,826,390)$(3,826,390)
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003907 702000 Salaries $(384,615)$(384,615)$(384,615)
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003907 722000 Fringe Benefits (192,308)(192,308)(192,308)
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003907 730000 Indirect Costs (53,154)(53,154)(53,154)
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133095 GRN-1003907 730000 Personal Mileage (1,875)(1,875)(1,875)
E Human Services Grants Health FND11007 CCN1060201 SC750399 PRG133095 GRN-1003907 750000 Office Supplies (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003907 750000 Materail and Supplies (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060201 SC731388 PRG133095 GRN-1003907 730000 Printing (10,000)(10,000)(10,000)
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133095 GRN-1003907 770000 Telephone Communications (8,000)(8,000)(8,000)
E Human Services Grants Health FND11007 CCN1060201 SC731458 PRG133095 GRN-1003907 730000 Professional Services (2,966,438)(2,966,438)(2,966,438)
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003907 770000 IT Operations (177,000)(177,000)(177,000)
E Human Services Grants Health FND11007 CCN1060201 SC750392 PRG133095 GRN-1003907 750000 Postage (15,000)(15,000)(15,000)
E Human Services Grants Health FND11007 CCN1060201 SC731997 PRG133095 GRN-1003907 730000 Transportation of Clients (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060201 SC730982 PRG133095 GRN-1003907 730000 Interpeter Fees (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133095 GRN-1003907 730000 Advertising (5,000)(5,000)(5,000)
Total Expenditures $(3,826,390)$(3,826,390)$(3,826,390)
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003908 610000 Federal Operating Grants $(512,420)$(512,420)$(512,420)
Total Revenues $(512,420)$(512,420)$(512,420)
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003908 702000 Salaries $(82,143)$(82,143)$(82,143)
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003908 722000 Fringe Benefits (37,944)(37,944)(37,944)
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003908 730000 Indirect Costs (11,352)(11,352)(11,352)
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003908 750000 Material and Supplies (35,953)(35,953)(35,953)
E Human Services Grants Health FND11007 CCN1060201 SC750168 PRG133095 GRN-1003908 750000 Equipment (12,420)(12,420)(12,420)
E Human Services Grants Health FND11007 CCN1060201 SC730646 PRG133095 GRN-1003908 730000 Equipment Maintenance (21,500)(21,500)(21,500)
E Human Services Grants Health FND11007 CCN1060201 SC760160 PRG133095 GRN-1003908 760000 Furniture and Fixtures (311,108)(311,108)(311,108)
Total Expenditures $(512,420)$(512,420)$(512,420)
R Human Services Grants Health FND11007 CCN1060201 RC610313 PRG133095 GRN-1003909 610000 Federal Operating Grants $(909,057)$(909,057)$(909,057)
Total Revenues $(909,057)$(909,057)$(909,057)
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133095 GRN-1003909 702000 Salaries $(97,725)$(97,725)$(97,725)
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133095 GRN-1003909 722000 Fringe Benefits (46,673)(46,673)(46,673)
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133095 GRN-1003909 730000 Indirect Costs (13,506)(13,506)(13,506)
E Human Services Grants Health FND11007 CCN1060201 SC750399 PRG133095 GRN-1003909 750000 Office Supplies (3,500)(3,500)(3,500)
E Human Services Grants Health FND11007 CCN1060201 SC750049 PRG133095 GRN-1003909 750000 Computer Supplies (10,000)(10,000)(10,000)
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133095 GRN-1003909 750000 Material and Supplies (200,000)(200,000)(200,000)
E Human Services Grants Health FND11007 CCN1060201 SC731388 PRG133095 GRN-1003909 730000 Printing (430)(430)(430)
E Human Services Grants Health FND11007 CCN1060201 SC750301 PRG133095 GRN-1003909 750000 Medical Supplies (22,057)(22,057)(22,057)
E Human Services Grants Health FND11007 CCN1060201 SC750567 PRG133095 GRN-1003909 750000 Training-Educational Supplies (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060201 SC750168 PRG133095 GRN-1003909 750000 Equipment (50,000)(50,000)(50,000)
E Human Services Grants Health FND11007 CCN1060201 SC731458 PRG133095 GRN-1003909 730000 Professional Services (315,000)(315,000)(315,000)
E Human Services Grants Health FND11007 CCN1060201 SC774636 PRG133095 GRN-1003909 770000 IT Operations (56,032)(56,032)(56,032)
E Human Services Grants Health FND11007 CCN1060201 SC730646 PRG133095 GRN-1003909 730000 Equipment Maintenance (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060201 SC750154 PRG133095 GRN-1003909 750000 Expendible Equipment (81,134)(81,134)(81,134)
E Human Services Grants Health FND11007 CCN1060201 SC774677 PRG133095 GRN-1003909 770000 Insurance Fund (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060201 SC730772 PRG133095 GRN-1003909 730000 Freight & Express (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133095 GRN-1003909 730000 Advertising (1,000)(1,000)(1,000)
Total Expenditures $(909,057)$(909,057)$(909,057)
R Human Services Grants Health FND11007 CCN1060220 RC615571 PRG134220 GRN-1003910 615000 State Operating Grants $(60,390)$(60,390)$(60,390)
Total Revenues $(60,390)$(60,390)$(60,390)
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG134220 GRN-1003910 702000 Salaries $(5,136)$(5,136)$(5,136)
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG134220 GRN-1003910 722000 Fringe Benefits (2,671)(2,671)(2,671)
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG134220 GRN-1003910 730000 Indirect Costs (709)(709)(709)
E Human Services Grants Health FND11007 CCN1060220 SC731346 PRG134220 GRN-1003910 730000 Personal Mileage (50)(50)(50)
E Human Services Grants Health FND11007 CCN1060220 SC731458 PRG134220 GRN-1003910 730000 Professional Services (51,824)(51,824)(51,824)
Total Expenditures $(60,390)$(60,390)$(60,390)
R Human Services Grants Health FND11007 CCN1060220 RC615571 PRG134220 GRN-1003911 615000 State Operating Grants $(1,197)$(1,197)$(1,197)
Total Revenues $(1,197)$(1,197)$(1,197)
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG134220 GRN-1003911 702000 Salaries $(440)$(440)$(440)
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG134220 GRN-1003911 722000 Fringe Benefits (229)(229)(229)
E Human Services Grants Health FND11007 CCN1060220 SC731346 PRG134220 GRN-1003911 730000 Personal Mileage (50)(50)(50)
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG134220 GRN-1003911 730000 Indirect Costs (61)(61)(61)
E Human Services Grants Health FND11007 CCN1060220 SC731458 PRG134220 GRN-1003911 730000 Professional Services (417)(417)(417)
Total Expenditures $(1,197)$(1,197)$(1,197)
Acct Acct Description WD Acct
Acc
Summary ARP
COVID
Immuniz
ELH
Sewer
ELH Reg
Lab
RC 610313 Federal Operating GrantsRC610313 610000
RC 615463 Grant Fees and CollectionsRC615463 615000
RC 615571 State Operating GrantsRC615571 615000
RC 615675 Health State SubsidyRC615675 615000
RC 665882 Planned Use of BalanceRC665882 665882
SC 702010 Salaries Regular SC702010 702000 83,106 61,538 93,907 67,978
SC 722740 Fringe Benefits SC722740 722000 49,719 41,815 48,654 40,909
SC 730072 Advertising SC730072 730000
SC 730373 Contracted Services SC730373 730000
SC 730646 Equipment MaintenanceSC730646 730000 100,000
SC 730772 Freight and Express SC730772 730000
SC 730926 Indirect Costs SC730926 730000 8,498 12,969 9,388
SC 730982 Interpreter Fees SC730982 730000 5,000 5,000
SC 731031 Laboratory Fees SC731031 730000
SC 731059 Laundry and CleaningSC731059 730000
731213 Membership Dues SC731213
SC 731339 Periodicals Books Publ SubSC731339 730000
SC 731346 Personal Mileage SC731346 730000 1,310 328 1,000
SC 731388 Printing SC731388 730000 1,000
SC 731458 Professional ServicesSC731458 730000 1,025,310 600,000 159,725
SC 731626 Rent SC731626 730000
SC 731941 Training SC731941 730000
SC 731997 Client TransportationSC731997 730000 10,650
SC 732018 Travel and ConferenceSC732018 730000 3,462 3,000 2,000
SC 732165 Workshops and MeetingSC732165 730000
SC 750049 Computer Supplies SC750049 750000
SC 750077 Disaster Supplies SC750077 750000
SC 750154 Expendable EquipmentSC750154 750000
SC 750168 Equipment SC750168 750000
SC 750245 Incentives SC750245 750000 57,007
SC 750280 Laboratory Supplies SC750280 750000
SC 750294 Material and SuppliesSC750294 750000 20,000 153,527 19,000
SC 750301 Medical Supplies SC750301 750000 5,000
SC 750392 Metered Postage SC750392 750000 5,000
SC 750399 Office Supplies SC750399 750000 1,000
SC 750448 Postage - Standard MailingSC750448 750000
SC 750539 Testing Materials SC750539 750000
SC 750567 Training-Educational SuppliesSC750567 750000
760157 Lab Equipment SC760157 100,000
SC 760160 Furniture and FixturesSC760160 760000
SC 770631 Bldg Space Cost AllocationSC770631 770000
SC 770667 Convience Copier SC770667 770000
SC 774636 Info Tech OperationsSC774636 770000 3,352 206,000
SC 774637 Info Tech Managed Print SvcsSC774637 770000
SC 774677 Insurance Fund SC774677 770000 1,710
SC 775754 Maintenance Dept.ChargesSC775754 770000
SC 778675 Telephone CommunicationsSC778675 770000 1,020 4,500
SC 731780 Software Support MaintenanceSC731780 730000
SC 776661 Motor Pool SC776661 770000
SC 750112 Drugs SC750112 750000
216,336 1,387,989 909,057 500,000
PFAS
Resp.
Airport
PFAS
Resp. Falk
Rd
ELC Contact
Tracing
5,562 353
2,912 183
30,000
768
49
5,000
148 27 3,275
20,000
51,000 585 2,800,000
20,000
20,000
20,000
5,000
45,383
10,000
20,000
20,000
5,000
150,000
15,000
60,390 1,197 3,188,658
WD Acct
RC610313 Federal Operating Grants
RC615463 Grant Fees and Collections
RC615571 State Operating Grants
RC615675 Health State Subsidy
RC665882 Planned Use of Balance
SC702010 Salaries Regular
SC722740 Fringe Benefits
SC730072 Advertising
SC730373 Contracted Services
SC730646 Equipment Maintenance
SC730772 Freight and Express
SC730926 Indirect Costs
SC730982 Interpreter Fees
SC731031 Laboratory Fees
SC731059 Laundry and Cleaning
SC731213 Membership Dues
SC731339 Periodicals Books Publ Sub
SC731346 Personal Mileage
SC731388 Printing
SC731458 Professional Services
SC731626 Rent
SC731941 Training
SC731997 Client Transportation
SC732018 Travel and Conference
SC732165 Workshops and Meeting
SC750049 Computer Supplies
SC750077 Disaster Supplies
SC750154 Expendable Equipment
SC750168 Equipment
SC750245 Incentives
SC750280 Laboratory Supplies
SC750294 Material and Supplies
SC750301 Medical Supplies
SC750392 Metered Postage
SC750399 Office Supplies
SC750448 Postage - Standard Mailing
SC750539 Testing Materials
SC750567 Training-Educational Supplies
SC760157 Lab Equipment
SC760160 Furniture and Fixtures
SC770631 Bldg Space Cost Allocation
SC770667 Convience Copier
SC774636 Info Tech Operations
SC774637 Info Tech Managed Print Svcs
SC774677 Insurance Fund
SC775754 Maintenance Dept.Charges
SC778675 Telephone Communications
SC731780 Software Support Maintenance
SC776661 Motor Pool
SC750112 Drugs
GRANT REVIEW SIGN-OFF – Health & Human Services / Health Division
GRANT NAME: FY 2024 Emerging Threats - Local Health Department Agreement
FUNDING AGENCY: Michigan Department of Health & Human Services
DEPARTMENT CONTACT: Stacey Smith 248-452-2151
STATUS: Acceptance (Greater than $50,000)
DATE: 09/18/2023
Please be advised that the captioned grant materials have completed internal grant review. Below are the returned
comments.
The Board of Commissioners’ liaison committee resolution and grant pre-acceptance package (which should include this
sign-off and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of
the appropriate Board of Commissioners’ committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved– Sheryl Johnson (08/31/2023)
Human Resources:
Approved by Human Resources. Continues positions with no changes. HR action not needed – Heather Mason
(08/30/2023)
Risk Management:
Approved. Contract allows for self-insurance and waives the additional insured requirement for self-insureds.
If section ATT III applies it must be modified to allow for self-insurance– Robert Erlenbeck (09/05/2023)
Corporation Counsel:
In brief, the issue with the LHD and Emerging Threats grant agreements are sections S. (State Data) and T.
(Data Privacy and Information Security) (see pages 25-29), which are new to the grant agreement. These added
sections are problematic for the County, and we will be negotiating the language in these sections with the
State. As of 9/18/2023 still awaiting approval from Corp Counsel Sharon Kessler
Agreement #: 20240194-00
Agreement Between
Michigan Department of Health and Human Services
hereinafter referred to as the "Department"
and
County of Oakland
hereinafter referred to as the "Local Governing Entity"
on Behalf of Health Department
Oakland County Department of Health and Human Services/ Health Division
1200 N. Telegraph Rd. 34 East
Pontiac MI 48341 1032
Federal I.D.#: 38-6004876, Unique Entity Identifier: HZ4EUKDD7AB4
hereinafter referred to as the "Grantee"
for
The Delivery of Public Health Services under
the Local Health Department Agreement
Part 1
1.Purpose
This Agreement is entered into for the purpose of setting forth a joint and cooperative
Grantee/Department relationship and basis for facilitating the delivery of public health
services to the citizens of Michigan under their jurisdiction, as described in the
attached Annual Budget, established Minimum Program Requirements, and all other
applicable federal, state and local laws and regulations pertaining to the Grantee and
the Department. Public health services to be delivered under this Agreement include
Essential Local Public Health Services (ELPHS) and Categorical Programs as
specified in the attachments to this Agreement.
2.Period of Agreement
This Agreement will commence on the date of the Grantee's signature or October 1,
2023, whichever is later, and continue through September 30, 2024. Throughout the
Agreement, the date of the Grantee’s signature or October 1, 2023, whichever is
later, will be referred to as the start date. This Agreement is in full force and effect for
the period specified.
3.Program Budget and Agreement Amount
A.Agreement Amount
In accordance with Attachment IV - Funding/Reimbursement Matrix, the total
State budget and amount committed for this period for the program elements
covered by this Agreement is $6,263,627.00.
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B.Equipment Purchases and Title
Any Grantee equipment purchases supported in whole or in part through this
Agreement must be listed in the supporting Equipment Inventory Schedule
which should be attached to the Final Financial Status Report. Equipment
means tangible, non-expendable, personal property having a useful life of
more than one year and an acquisition cost of $5,000 or more per unit. Title to
items having a unit acquisition cost of less than $5,000 will vest with the
Grantee upon acquisition. The Department reserves the right to retain or
transfer the title to all items of equipment having a unit acquisition cost of
$5,000 or more, to the extent that the Department’s proportionate interest in
such equipment supports such retention or transfer of title.
C.Budget Transfers and Adjustments
1.Transfers between categories within any program element budget
supported in whole or in part by state/federal categorical sources of
funding will be limited to increases in an expenditure budget category by
$10,000 or 15% whichever is greater. This transfer authority does not
authorize purchase of additional equipment items or new subcontracts
with state/federal categorical funds without prior written approval of the
Department.
2.Except as otherwise provided, any transfers or adjustments involving
state/federal categorical funds, other than those covered by C.1,
including any related adjustment to the total state amount of the budget,
must be made in writing through a formal amendment executed by all
parties to this Agreement in accordance with Section IX. A. of Part 2.
3.The C.1 and C.2 provisions authorizing transfers or changes in local
funds apply also to the Family Planning program, provided statewide
local maintenance of effort is not diminished in total.
Any statewide diminishing of total local effort for family planning and/or
any related funding penalty experienced by the Department will be
recovered proportionately from each local Grantee that, during the
course of the Agreement period, chose to reduce or transfer local funds
from the Family Planning program.
4.Agreement Attachments
A.The following documents are attachments to this Agreement Part 1 and Part 2
- General Provisions, which are part of this Agreement:
1. Attachment I - Annual Budget
2. Attachment III - Program Specific Assurances and Requirements
3. Attachment IV - Funding/Reimbursement Matrix
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5.Statement of Work
The Grantee agrees to undertake, perform and complete the activities described in
Attachment III - Program Specific Assurances and Requirements and the other
applicable attachments to this Agreement which are part of this Agreement.
6.Financial Requirements
The financial requirements must be followed as described in Part 2 and Attachment I
- Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part
of this Agreement.
7.Performance/Progress Report Requirements
The progress reporting methods, as applicable, must be followed as described in part
2 and Attachment III, Program Specific Assurances and Requirements, which are part
of this Agreement.
8.General Provisions
The Grantee agrees to comply with the General Provisions outlined in Part 2, which is
part of this Agreement.
9.Administration of the Agreement
The person acting for the Department in administering this Agreement (hereinafter
referred to as the Contract Consultant) is:
Name: Carissa Reece
Title: Department Analyst
E-Mail Address ReeceC@michigan.gov
The financial contact acting on behalf of the Grantee for this Agreement is:
KATHLEEN MCLERNON Accountant
___________________________________________________________________
Name Title
LANEK@OAKGOV.COM (248) 858-1216
___________________________________________________________________
E-Mail Address Telephone No.
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10.Special Conditions
A.This Agreement is valid upon approval and execution by the Department which
may be contingent upon approval by the State Administrative Board and
signature by the Grantee.
B.This Agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C.Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D.The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this Agreement.
E.The Grantee is required by 2004 PA 533 to receive payments by electronic
funds transfer.
11.Special Certification
The individual or officer signing this Agreement certifies by their signature that they
are authorized to sign this Agreement on behalf of the responsible governing board,
official or Grantee.
12.Signature Section
For Oakland County Department of Health and Human Services/ Health Division
Andrea Powers Administrator
___________________________________________________________________
Name Title
For the Michigan Department of Health and Human Services
Christine H. Sanches 08/23/2023
___________________________________________________________________
Christine H. Sanches, Director Date
Bureau of Grants and Purchasing
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Part 2
General Provisions
I.Responsibilities - Grantee
The Grantee, in accordance with the general purposes and objectives of this
Agreement, must:
A.Publication Rights
1.Copyright materials only when the Grantee exclusively develops books,
films or other such copyrightable materials through activities supported
by this Agreement. The copyrighted materials cannot include recipient
information or personal identification data. Grantee provides the
Department a royalty-free, non-exclusive and irrevocable license to
reproduce, publish and use such materials copyrighted by the Grantee
and authorizes others to reproduce and use such materials.
2.Obtain prior written authorization from the Department’s Office of
Communications for any materials copyrighted by the Grantee or
modifications bearing acknowledgment of the Department's name prior
to reproduction and use of such materials. The state of Michigan may
modify the material copyrighted by the Grantee and may combine it with
other copyrightable intellectual property to form a derivative work. The
state of Michigan will own and hold all copyright and other intellectual
property rights in any such derivative work, excluding any rights or
interest granted in this Agreement to the Grantee. If the Grantee ceases
to conduct business for any reason or ceases to support the
copyrightable materials developed under this Agreement, the state of
Michigan has the right to convert its licenses into transferable licenses
to the extent consistent with any applicable obligations the Grantee has.
3.Obtain written authorization, at least 14 days in advance, from the
Department’s Office of Communications and give recognition to the
Department in any and all publications, papers and presentations
arising from the Agreement activities.
4.Notify the Department’s Bureau of Grants and Purchasing 30 days
before applying to register a copyright with the U.S. Copyright Office.
The Grantee must submit an annual report for all copyrighted materials
developed by the Grantee through activities supported by this
Agreement and must submit a final invention statement and certification
within 60 days of the end of the Agreement period.
5.Not make any media releases related to this Agreement, without prior
written authorization from the Department’s Office of Communications.
B.Fees
1.Guarantee that any claims made to the Department under this
Agreement will not be financed by any sources other than the
Department under the terms of this Agreement. If funding is received
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through any other source, the Grantee agrees to budget the additional
source of funds and reflect the source of funding on the Financial Status
Report.
2.Make reasonable efforts to collect 1st and 3rd party fees, where
applicable, and report those collections on the Financial Status Report.
Any under recoveries of otherwise available fees resulting from failure to
bill for eligible activities will be excluded from reimbursable
expenditures.
C.Grant Program Operation
Provide the necessary administrative, professional and technical staff for
operation of the grant program. The Grantee must obtain and maintain all
necessary licenses, permits or other authorizations necessary for the
performance of this Agreement.
Use an accounting system that can identify and account for the funds received
from each separate grant, regardless of funding source, and assure that grant
funds are not commingled.
D.Reporting
Utilize all report forms and reporting formats required by the Department at the
start date of this Agreement and provide the Department with timely review
and commentary on any new report forms and reporting formats proposed for
issuance thereafter.
E.Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source
documentation, to support program activities and all expenditures made under
the terms of this Agreement, as required. The Grantee must assure that all
terms of the Agreement will be appropriately adhered to and that records and
detailed documentation for the grant project or grant program identified in this
Agreement will be maintained for a period of not less than four years from the
date of termination, the date of submission of the final expenditure report or
until litigation and audit findings have been resolved. This section applies to
the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
F.Authorized Access
1.Permit within 10 calendar days of providing notification and at
reasonable times, access by authorized representatives of the
Department, Federal Grantor Agency, Inspector Generals, Comptroller
General of the United States and State Auditor General, or any of their
duly authorized representatives, to records, papers, files, documentation
and personnel related to this Agreement, to the extent authorized by
applicable state or federal law, rule or regulation.
2.Acknowledge the rights of access in this section are not limited to the
required retention period. The rights of access will last as long as the
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records are retained.
3.Cooperate and provide reasonable assistance to authorized
representatives of the Department and others when those individuals
have access to the Grantee’s grant records.
G.Audits
1.Single Audit
The Grantee must submit to the Department a Single Audit consistent
with the regulations set forth in Title 2 Code of Federal Regulations
(CFR) Part 200, Subpart F. The Single Audit reporting package must
include all components described in Title 2 Code of Federal
Regulations, Section 200.512 (c) including a Corrective Action Plan, and
management letter (if one is issued) with a response to the Department.
The Grantee must assure that the Schedule of Expenditures of Federal
Awards includes expenditures for all federally-funded grants.
2.Other Audits
The Department or federal agencies may also conduct or arrange for
agreed upon procedures or additional audits to meet their needs.
3.Due Date and Where to Send
The required audit and any other required submissions (i.e., corrective
action plan, and management letter with a corrective action plan),
and/or Audit Exemption Notice must be submitted to the Department
within the earlier of 30 calendar days after receipt of the auditor’s
report(s) or nine months after the end of the Grantee’s fiscal year by e-
mail to MDHHS-AuditReports@michigan.gov. Single Audit reports
must be submitted simultaneously to the Department and Federal
Audit Clearinghouse, in accordance with 2 CFR 200.512(a). The
required submissions must be assembled in PDF files and compatible
with Adobe Acrobat (read only). The subject line must state the
agency name and fiscal year end. The Department reserves the right
to request a hard copy of the audit materials if for any reason the
electronic submission process is not successful.
4.Penalty
a.Delinquent Single Audit or Financial Related Audit
If the Grantee does not submit the required Single Audit
reporting package, management letter (if one is issued) with a
response, and Corrective Action Plan within nine months after
the end of the Grantee’s fiscal year and an extension has not
been approved by the cognizant or oversight agency for audit,
the Department may withhold from the current funding an
amount equal to five percent of the audit year’s grant funding
(not to exceed $200,000) until the required filing is received by
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the Department. The Department may retain the amount
withheld if the Grantee is more than 120 days delinquent in
meeting the filing requirements and an extension has not been
approved by the cognizant or oversight agency for audit. The
Department may terminate the current grant if the Grantee is
more than 180 days delinquent in meeting the filing
requirements and an extension has not been approved by the
cognizant or oversight agency for audit.
b.Delinquent Audit Exemption Notice
Failure to submit the Audit Exemption Notice, when required,
may result in withholding payment from Department to Grantee
an amount equal to one percent of the audit year’s grant
funding until the Audit Exemption Notice is received.
H.Subrecipient/Contractor Monitoring
1.When passing federal funds through to a subrecipient (if the Agreement
does not prohibit the passing of federal funds through to a subrecipient),
the Grantee must:
a.Ensure that every subaward is clearly identified to the
subrecipient as a subaward and includes the information
required by 2 CFR 200.332.
b.Ensure the subrecipient complies with all the requirements of
this Agreement.
c.Evaluate each subrecipient’s risk for noncompliance as required
by 2 CFR 200.332(b).
d.Monitor the activities of the subrecipient as necessary to ensure
that the subaward is used for authorized purposes, in
compliance with federal statutes, regulations and the terms and
conditions of the subawards; that subaward performance goals
are achieved; and that all monitoring requirements of 2 CFR
200.332(d) are met including reviewing financial and
programmatic reports, following up on corrective actions and
issuing management decisions for audit findings.
e.Verify that every subrecipient is audited as required by 2 CFR
200 Subpart F.
2.Develop a subrecipient monitoring plan that addresses the above
requirements and provides reasonable assurance that the subrecipient
administers federal awards in compliance with laws, regulations and the
provisions of this Agreement, and that performance goals are achieved.
The subrecipient monitoring plan should include a risk-based
assessment to determine the level of oversight and monitoring activities,
such as reviewing financial and performance reports, performing site
visits and maintaining regular contact with subrecipients.
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3.Establish requirements to ensure compliance for for-profit subrecipients
as required by 2 CFR 200.501(h), as applicable.
4.Ensure that transactions with subrecipients/contractors comply with
laws, regulations and provisions of contracts or grant agreements.
I.Notification of Modifications
Provide timely notification to the Department, in writing, of any action by its
governing board or any other funding source that would require or result in
significant modification in the provision of activities, funding or compliance with
operational procedures.
J.Software Compliance
Ensure software compliance and compatibility with the Department’s data
systems for activities provided under this Agreement, including but not limited
to stored data, databases and interfaces for the production of work products
and reports. All required data under this Agreement must be provided in an
accurate and timely manner without interruption, failure or errors due to the
inaccuracy of the Grantee’s business operations for processing data. All
information systems, electronic or hard copy, that contain state or federal data
must be protected from unauthorized access.
K.Human Subjects
Comply with Federal Policy for the Protection of Human Subjects, 45 CFR 46.
The Grantee agrees that prior to the initiation of the research, the Grantee will
submit Institutional Review Board (IRB) application material for all research
involving human subjects, which is conducted in programs sponsored by the
Department or in programs which receive funding from or through the state of
Michigan, to the Department’s IRB for review and approval, or the IRB
application and approval materials for acceptance of the review of another
IRB. All such research must be approved by a federally assured IRB, but the
Department’s IRB can only accept the review and approval of another
institution’s IRB under a formally approved interdepartmental agreement. The
manner of the review will be agreed upon between the Department’s IRB
Chairperson and the Grantee’s authorized official.
L.Mandatory Disclosures
1.Disclose to the Department in writing within 14 days of receiving notice
of any litigation, investigation, arbitration or other proceeding
(collectively, “Proceeding”) involving Grantee, a subcontractor or an
officer or director of Grantee or subcontractor that arises during the term
of this Agreement including:
a.All violations of federal and state criminal law involving fraud,
bribery, or gratuity violations potentially affecting the
Agreement.
b.A criminal Proceeding;
c.A parole or probation Proceeding;
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d.A Proceeding under the Sarbanes-Oxley Act;
e.A civil Proceeding involving:
A claim that might reasonably be expected to
adversely affect Grantee’s viability or financial stability;
or
1.
A governmental or public entity’s claim or written
allegation of fraud; or
2.
Any complaint filed in a legal or administrative
proceeding alleging the Grantee or its subcontractors
discriminated against its employees, subcontractors,
vendors, or suppliers during the term of this
Agreement; or
3.
f.A Proceeding involving any license that Grantee is required to
possess in order to perform under this Agreement.
2.Notify the Department, at least 90 calendar days before the effective
date, of a change in Grantee’s ownership or executive management.
M.Minimum Program Requirements
Comply with Minimum Program Requirements established in accordance with
Section 2472.3 of 1978 PA 368 as amended, MCL 333.2472 (3), MSA 14.15
(2472.3), for each applicable program element funded under this Agreement.
N.Annual Budget and Plan Submission
Submit an Annual Budget and Plan request to the Department, in accordance
with instructions established by the Department, to serve as the basis for
completion of specific details for Attachments I, III, and IV of this Agreement
via Grantee/Department negotiated amendment(s). Failure to submit a
complete Annual Budget and Plan by the due date through MI E-Grants will
result in the deferral of Department payments until these documents are
submitted.
O.Maintenance of Effort
Comply with maintenance of effort requirements for Essential Local Public
Health Services (ELPHS), as defined in the current Department appropriation
act, and Family Planning in accordance with federal requirements, except as
noted in Section 3.C.3 of Part I.
P.Accreditation
1.Comply with the local public health accreditation standards and follow
the accreditation process and schedule established by the Department
to achieve full accreditation status.
a.Failure to meet all accreditation requirements or implement
corrective plans of action within the prescribed time period will
result in the status of “Not Accredited.” Grantees designated as
“Not Accredited” may have their Department allocations
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reduced for costs incurred in the assurance of service delivery.
b.Submit a written request for inquiry to the Department should
the Grantee disagree with on-site review findings or their
accreditation status. The request must identify the
disagreement and resolution sought. The inquiry participants
will be comprised of Grantee staff, Department staff, the
Accreditation Commission Chair, and the Accreditation
Coordinator as needed. Participants will clarify facts, verify
information and seek resolution.
2.Consent Agreements/Administrative Compliance
Orders/Administrative Hearings for "Not Accredited" Grantees:
a.If designated as “Not Accredited”, the Grantee will receive a
Consent Agreement Package from the Department. Grantees
and their local governing entities will be given 75 days to review
the package, meet with the Department, and sign and return the
Consent Agreement.
b.Fulfillment of the terms and conditions of the Consent
Agreement will not affect accreditation status, but impacts the
Grantees’ ability to fulfill its contractual obligations under the
Local Health Department Grant Agreement. Grantees
designated as “Not Accredited”, will retain this designation until
the subsequent accreditation cycle.
c.Failure to fulfill the terms and conditions of the Consent
Agreement within the prescribed time period will result in the
issuance of an Administrative Compliance Order by the
Department.
d.Within 60 working days after receipt of an Administrative
Compliance Order and proposed compliance period, a local
governing entity may petition the Department for an
administrative hearing. If the local governing entity does not
petition the Department for a hearing within 60 days after
receipt of an Administrative Compliance Order, the order and
proposed compliance date will be final. After a hearing, the
Department may reaffirm, modify, or revoke the order or modify
the time permitted for compliance.
e.If the local governing entity fails to correct a deficiency for which
a final order has been issued within the period permitted for
compliance, the Department may petition the appropriate circuit
court for a writ of mandamus to compel correction.
Q.Medicaid Outreach Activities Reimbursement
Report allowable costs and request reimbursement for the Medicaid Outreach
activities it provides in accordance with 2 CFR, Part 200 and the requirements
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in Medicaid Bulletin number: MSA 05-29.
Submit a Cost Allocation Plan Certification to the Department to bill for the
Medicaid Outreach Activities. The Cost Allocation Plan Certification is valid
until a change is made to the cost allocation plan or the Department
determines it is invalid.
Submit quarterly FSRs for the Medicaid Outreach activities and an annual FSR
for the Children with Special Health Care Services Medicaid Outreach
activities in accordance with the instructions contained in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, agree to target Medicaid
outreach effort toward Department established priorities. For fiscal year 2024,
the Department priorities are: lead testing, outreach and enrollment for the
Family Planning waiver, and outreach for pregnant women, mothers and
infants for the Maternal and Infant Health Program. The Grantee will submit a
report using the MDHHS Local Health Department Medicaid Outreach form
describing their outreach activities targeting the priorities 30 days after the end
of a fiscal year quarter and at the same time as the final FSR is due to the
Department. The Local Health Department Medicaid Outreach reports are to
be sent through MI E-Grants as an attachment report to the Financial Status
Report.
R.Conflict of Interest and Code of Conduct Standards
1.Be subject to the provisions of 1968 PA 317, as amended, 1973 PA
196, as amended, and 2 CFR 200.318 (c)(1) and (2).
2.Uphold high ethical standards and be prohibited from the following:
a.Holding or acquiring an interest that would conflict with this
Agreement;
b.Doing anything that creates an appearance of impropriety with
respect to the award or performance of this Agreement;
c.Attempting to influence or appearing to influence any state
employee by the direct or indirect offer of anything of value; or
d.Paying or agreeing to pay any person, other than employees
and consultants working for Grantee, any consideration
contingent upon the award of this Agreement.
3.Immediately notify the Department of any violation or potential violation
of these standards. This section applies to Grantee, any parent, affiliate
or subsidiary organization of Grantee, and any subcontractor that
performs activities in connection with this Agreement.
S.Travel Costs
1.Be reimbursed for travel costs (including mileage, meals, and lodging)
budgeted and incurred related to services provided under this
Agreement.
a.If the Grantee has a documented policy related to travel
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reimbursement for employees and if the Grantee follows that
documented policy, the Department will reimburse the Grantee
for travel costs at the Grantee’s documented reimbursement
rate for employees. Otherwise, the State of Michigan travel
reimbursement rate applies.
b.State of Michigan travel rates may be found at the following
website: https://www.michigan.gov/dtmb/0,5552,7-358-
82548_13132---,00.html.
c.International travel must be preapproved by the Department
and itemized in the budget.
T.Insurance Requirements
1.Maintain at least a minimum of the insurances or governmental self-
insurances listed below and be responsible for all deductibles. All
required insurance or self-insurance must:
a.Protect the state of Michigan from claims that may arise out of,
are alleged to arise out of, or result from Grantee’s or a
subcontractor’s performance;
b.Be primary and non-contributing to any comparable liability
insurance (including self-insurance) carried by the state; and
c.Be provided by a company with an A.M. Best rating of “A-” or
better and a financial size of VII or better.
2.Insurance Types
a.Commercial General Liability Insurance or Governmental Self-
Insurance: Except for Governmental Self-Insurance, policies
must be endorsed to add “the state of Michigan, its
departments, divisions, agencies, offices, commissions,
officers, employees, and agents” as additional insureds using
endorsement CG 20 10 11 85, or both CG 2010 12 19 and CG
20 37 12 19.
If the Grantee will interact with children, schools, or the
cognitively impaired, the Grantee must maintain appropriate
insurance coverage related to sexual abuse and molestation
liability.
b.Workers’ Compensation Insurance or Governmental Self-
Insurance: Coverage according to applicable laws governing
work activities. Policies must include waiver of subrogation,
except where waiver is prohibited by law.
c.Employers Liability Insurance or Governmental Self-Insurance.
d.Privacy and Security Liability (Cyber Liability) Insurance: cover
information security and privacy liability, privacy notification
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costs, regulatory defense and penalties, and website media
content liability.
3.Require that subcontractors maintain the required insurances contained
in this Section.
4.This Section is not intended to and is not to be construed in any manner
as waiving, restricting or limiting the liability of the Grantee from any
obligations under this Agreement.
5.Each Party must promptly notify the other Party of any knowledge
regarding an occurrence which the notifying Party reasonably believes
may result in a claim against either Party. The Parties must cooperate
with each other regarding such claim.
U.Fiscal Questionnaire
1.Complete and upload the yearly fiscal questionnaire to the EGrAMS
agency profile within three months of the start of the Agreement.
2.The fiscal questionnaire template can be found in EGrAMS documents.
V.Criminal Background Check
1.Conduct or cause to be conducted a search that reveals information
similar or substantially similar to information found on an Internet
Criminal History Access Tool (ICHAT) check and a national and state
sex offender registry check for each new employee, employee,
subcontractor, subcontractor employee, or volunteer who under this
Agreement works directly with clients or has access to client
information.
a.ICHAT: http://apps.michigan.gov/ichat
b.Michigan Public Sex Offender Registry:
http://www.mipsor.state.mi.us
c.National Sex Offender Registry: http://www.nsopw.gov
2.Conduct or cause to be conducted a Central Registry (CR) check for
each employee, subcontractor, subcontractor employee, or volunteer
who, under this Agreement works directly with children.
a.Central Registry: https://www.michigan.gov/mdhhs/0,5885,7-
339-73971_7119_50648_48330-180331--,00.html
3.Require each new employee, employee, subcontractor, subcontractor
employee or volunteer who, under this Agreement, works directly with
clients or who has access to client information to notify the Grantee in
writing of criminal convictions (felony or misdemeanor), pending felony
charges, or placement on the Central Registry as a perpetrator, at hire
or within 10 days of the event after hiring.
4.Determine whether to prohibit any employee, subcontractor,
subcontractor employee, or volunteer from performing work directly with
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clients or accessing client information related to clients under this
Agreement, based on the results of a positive ICHAT response or
reported criminal felony conviction or perpetrator identification.
5.Determine whether to prohibit any employee, subcontractor,
subcontractor employee or volunteer from performing work directly with
children under this Agreement, based on the results of a positive CR
response or reported perpetrator identification.
6.Require any employee, subcontractor, subcontractor employee or
volunteer who may have access to any databases of information
maintained by the federal government that contain confidential or
personal information, including but not limited to federal tax information,
to have a fingerprint background check performed by the Michigan State
Police.
II.Responsibilities - Department
The Department in accordance with the general purposes and objectives of this
Agreement will:
A.Reimbursement
Provide reimbursement in accordance with the terms and conditions of this
Agreement based upon appropriate reports, records, and documentation
maintained by the Grantee.
B.Report Forms
Provide any report forms and reporting formats required by the Department at
the start date of this Agreement and provide to the Grantee any new report
forms and reporting formats proposed for issuance thereafter at least 90 days
prior to their required usage in order to afford the Grantee an opportunity to
review.
C.Notification of Modifications
Notify the Grantee in writing of modifications to federal or state laws, rules and
regulations affecting this Agreement.
D.Identification of Laws
Identify for the Grantee relevant laws, rules, regulations, policies, procedures,
guidelines and state and federal manuals, and provide the Grantee with copies
of these documents to the extent they are not otherwise available to the
Grantee.
E.Modification of Funding
Notify the Grantee in writing within 30 calendar days of becoming aware of the
need for any modifications in Agreement funding commitments made
necessary by action of the federal government, the governor, the legislature or
the Department of Technology Management and Budget on behalf of the
governor or the legislature. Implementation of the modifications will be
determined jointly by the Grantee and the Department.
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F.Monitor Compliance
Monitor compliance with all applicable provisions contained in federal grant
awards and their attendant rules, regulations and requirements pertaining to
program elements covered by this Agreement.
G.Technical Assistance
Make technical assistance available to the Grantee for the implementation of
this Agreement.
H.Accreditation
Adhere to the accreditation requirements including the process for “Not
Accredited” Grantees. The process includes developing and monitoring
consent agreements, issuing and monitoring administrative compliance orders,
participating in administrative hearings and petitioning appropriate circuit
courts.
I.Medicaid Outreach Activities Reimbursement
Agrees to reimburse the Grantee for all allowable Medicaid Outreach activities
that meet the standards of the Medicaid Bulletin: MSA 05-29 including the cost
allocation plan certification and that are billed in accordance with the
requirements in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, the Department will
identify each fiscal year the Medicaid Outreach priorities and establish a
reporting requirement for the Grantee.
III.Assurances
The following assurances are hereby given to the Department:
A.Compliance with Applicable Laws
The Grantee will comply with applicable federal and state laws, guidelines,
rules and regulations in carrying out the terms of this Agreement. The Grantee
will also comply with all applicable general administrative requirements, such
as 2 CFR 200, covering cost principles, grant/agreement principles and audits,
in carrying out the terms of this Agreement. The Grantee will comply with all
applicable requirements in the original grant awarded to the Department if the
Grantee is a subgrantee. The Department may determine that the Grantee has
not complied with applicable federal or state laws, guidelines, rules and
regulations in carrying out the terms of this Agreement and may then terminate
this Agreement under Part 2, Section V.
B.Anti-Lobbying Act
The Grantee will comply with the Anti-Lobbying Act (31 U.S.C. 1352) as
revised by the Lobbying Disclosure Act of 1995 (2 U.S.C. 1601 et seq.),
Federal Acquisition Regulations 52.203.11 and 52.203.12, and Section 503 of
the Departments of Labor, Health & Human Services, and Education, and
Related Agencies section of the current fiscal year Omnibus Consolidated
Appropriations Act. Further, the Grantee must require that the language of this
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assurance be included in the award documents of all subawards at all tiers
(including subcontracts, subgrants, and contracts under grants, loans and
cooperative agreements) and that all subrecipients must certify and disclose
accordingly.
C.Non-Discrimination
1.The Grantee must comply with the Department’s non-discrimination
statement: The Michigan Department of Health and Human Services will
not discriminate against any individual or group because of race, sex,
religion, age, national origin, color, height, weight, marital status, gender
identification or expression, sexual orientation, partisan considerations,
or a disability or genetic information that is unrelated to the person’s
ability to perform the duties of a particular job or position. The Grantee
further agrees that every subcontract entered into for the performance
of any contract or purchase order resulting therefrom, will contain a
provision requiring non-discrimination in employment, activity delivery
and access, as herein specified, binding upon each subcontractor. This
covenant is required pursuant to the Elliot-Larsen Civil Rights Act (1976
PA 453, as amended; MCL 37.2101 et seq.) and the Persons with
Disabilities Civil Rights Act (1976 PA 220, as amended; MCL 37.1101 et
seq.), and any breach thereof may be regarded as a material breach of
this Agreement.
2.The Grantee will comply with all federal statutes relating to
nondiscrimination. These include but are not limited to:
a.Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which
prohibits discrimination based on race, color or national origin;
b.Title IX of the Education Amendments of 1972, as amended (20
U.S.C. 1681-1683, 1685-1686), which prohibits discrimination
based on sex;
c.Section 504 of the Rehabilitation Act of 1973, as amended (29
U.S.C. 794), which prohibits discrimination based on
disabilities;
d.The Age Discrimination Act of 1975, as amended (42 U.S.C.
6101-6107), which prohibits discrimination based on age;
e.The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination based on drug
abuse;
f.The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment, and Rehabilitation Act of 1970 (P.L. 91-616) as
amended, relating to nondiscrimination based on alcohol abuse
or alcoholism;
g.Sections 523 and 527 of the Public Health Service Act of 1944
(42 U.S.C. 290dd-2), as amended, relating to confidentiality of
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alcohol and drug abuse patient records;
h.Any other nondiscrimination provisions in the specific statute(s)
under which application for federal assistance is being made;
and,
i.The requirements of any other nondiscrimination statute(s)
which may apply to the application.
3.Additionally, assurance is given to the Department that proactive efforts
will be made to identify and encourage the participation of minority-
owned and women-owned businesses, and businesses owned by
persons with disabilities in contract solicitations. The Grantee must
include language in all contracts awarded under this Agreement which
(1) prohibits discrimination against minority-owned and women-owned
businesses and businesses owned by persons with disabilities in
subcontracting; and (2) makes discrimination a material breach of
contract.
D.Debarment and Suspension
The Grantee will comply with federal regulation 2 CFR 180 and certifies to the
best of its knowledge and belief that it, its employees and its subcontractors:
1.Are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by
any federal department or contractor;
2.Have not within a five-year period preceding this Agreement been
convicted of or had a civil judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (federal, state, or local) or
private transaction or contract under a public transaction; violation of
federal or state antitrust statutes or commission of embezzlement, theft,
forgery, bribery, falsification or destruction of records, making false
statements, tax evasion, receiving stolen property, making false claims,
or obstruction of justice;
3.Are not presently indicted or otherwise criminally or civilly charged by a
government entity (federal, state or local) with commission of any of the
offenses enumerated in section 2;
4.Have not within a five-year period preceding this Agreement had one or
more public transactions (federal, state or local) terminated for cause or
default; and
5.Have not committed an act of so serious or compelling a nature that it
affects the Grantee’s present responsibilities.
E.Federal Requirement: Pro-Children Act
1.The Grantee will comply with the Pro-Children Act of 1994 (P.L. 103-
227; 20 U.S.C. 6081, et seq.), which requires that smoking not be
permitted in any portion of any indoor facility owned or leased or
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contracted by and used routinely or regularly for the provision of health,
day care, early childhood development activities, education or library
activities to children under the age of 18, if the activities are funded by
federal programs either directly or through state or local governments,
by federal grant, contract, loan or loan guarantee. The law also applies
to children’s activities that are provided in indoor facilities that are
constructed, operated, or maintained with such federal funds. The law
does not apply to children’s activities provided in private residences;
portions of facilities used for inpatient drug or alcohol treatment; activity
providers whose sole source of applicable federal funds is Medicare or
Medicaid; or facilities where Women, Infants, and Children (WIC)
coupons are redeemed. Failure to comply with the provisions of the law
may result in the imposition of a civil monetary penalty of up to $1,000
for each violation and/or the imposition of an administrative compliance
order on the responsible entity. The Grantee also assures that this
language will be included in any subawards which contain provisions for
children’s activities.
2.The Grantee also assures, in addition to compliance with P.L. 103-227,
any activity funded in whole or in part through this Agreement will be
delivered in a smoke-free facility or environment. Smoking must not be
permitted anywhere in the facility, or those parts of the facility under the
control of the Grantee. If activities are delivered in facilities or areas that
are not under the control of the Grantee (e.g., a mall, restaurant or
private work site), the activities must be smoke-free.
F.Hatch Act and Intergovernmental Personnel Act
The Grantee will comply with the Hatch Act (5 U.S.C. 1501-1508, 5 U.S.C.
7321-7326), and the Intergovernmental Personnel Act of 1970 (P.L. 91-648)
as amended by Title VI of the Civil Service Reform Act of 1978 (P.L. 95-454).
Federal funds cannot be used for partisan political purposes of any kind by any
person or organization involved in the administration of federally assisted
programs.
G.Employee Whistleblower Protections
The Grantee will comply with 41 U.S.C. 4712 and must insert this clause in all
subcontracts.
H.Clean Air Act and Federal Water Pollution Control Act
The Grantee will comply with the Clean Air Act (42 U.S.C. 7401-7671(q)) and
the Federal Water Pollution Control Act (33 U.S.C. 1251-1388), as amended.
This Agreement and anyone working on this Agreement will be subject to the
Clean Air Act and Federal Water Pollution Control Act and must comply with
all applicable standards, orders or regulations issued pursuant to these Acts.
Violations must be reported to the Department.
I.Victims of Trafficking and Violence Protection Act
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The Grantee will comply with the Victims of Trafficking and Violence Protection
Act of 2000 (P.L. 106-386), as amended.
This Agreement and anyone working on this Agreement will be subject to P.L.
106-386 and must comply with all applicable standards, orders or regulations
issued pursuant to this Act. Violations must be reported to the Department.
J.Procurement of Recovered Materials
The Grantee will comply with section 6002 of the Solid Waste Disposal Act of
1965 (P.L. 89-272), as amended.
This Agreement and anyone working on this Agreement will be subject to
section 6002 of P.L. 89-272, as amended, and must comply with all applicable
standards, orders or regulations issued pursuant to this act. Violations must be
reported to the Department.
K.Subcontracts
For any subcontracted activity or product, the Grantee will ensure:
1.That a written subcontract is executed by all affected parties prior to the
initiation of any new subcontract activity or delivery of any
subcontracted product. Exceptions to this policy may be granted by the
Department if the Grantee asks the Department in writing within 30 days
of execution of the Agreement.
2.That any executed subcontract to this Agreement must require the
subcontractor to comply with all applicable terms and conditions of this
Agreement. In the event of a conflict between this Agreement and the
provisions of the subcontract, the provisions of this Agreement will
prevail.
A conflict between this Agreement and a subcontract, however, will not
be deemed to exist where the subcontract:
a.Contains additional non-conflicting provisions not set forth in
this Agreement;
b.Restates provisions of this Agreement to afford the Grantee the
same or substantially the same rights and privileges as the
Department; or
c.Requires the subcontractor to perform duties and services in
less time than that afforded the Grantee in this Agreement.
3.That the subcontract does not affect the Grantee’s accountability to the
Department for the subcontracted activity.
4.That any billing or request for reimbursement for subcontract costs is
supported by a valid subcontract and adequate source documentation
on costs and services.
5.That the Grantee will submit a copy of the executed subcontract if
requested by the Department.
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6.That subcontracts in support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government in excess of $10,000 must contain provisions or conditions
that will:
a.Allow the Grantee or Department to seek administrative,
contractual or legal remedies in instances in which the
subcontractor violates or breaches contract terms, and provide
for such remedial action as may be appropriate.
b.Provide for termination by the Grantee, including the manner by
which termination will be effected and the basis for settlement.
7.That all subcontracts in support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government of amounts in excess of $100,000 must contain a provision
that requires compliance with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act of 1970 (42 USC
1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368),
Executive Order 11738 and Environmental Protection Agency
regulations (40 CFR Part 15).
8.That all subcontracts and subgrants in support of programs or elements
utilizing funds provided by the Department, the State of Michigan or the
federal government in excess of $2,000 for construction or repair,
awarded by the Grantee must include a provision:
a.For compliance with the Copeland "Anti-Kickback" Act (18
U.S.C. 874) as supplemented in Department of Labor
regulations (29 CFR, Part 3).
b.For compliance with the Davis-Bacon Act (40 U.S.C. 276a to a-
7) and as supplemented by Department of Labor regulations
(29 CFR, Part 5) (if required by Federal Program Legislation).
c.For compliance with Section 103 and 107 of the Contract Work
Hours and Safety Standards Act (40 U.S.C. 327-330) as
supplemented by Department of Labor regulations (29 CFR,
Part 5). This provision also applies to all other contracts in
excess of $2,500 that involve the employment of mechanics or
laborers.
L.Procurement
1.Grantee will ensure that all purchase transactions, whether negotiated
or advertised, are conducted openly and competitively in accordance
with the principles and requirements of 2 CFR 200.
2.Funding from this Agreement must not be used for the purchase of
foreign goods or services.
3.Preference must be given to goods and services manufactured or
provided by Michigan businesses, if they are competitively priced and of
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comparable quality.
4.Preference must be given to goods and services that are manufactured
or provided by Michigan businesses owned and operated by veterans, if
they are competitively priced and of comparable quality.
5.Records must be sufficient to document the significant history of all
purchases and must be maintained for a minimum of four years after the
end of the Agreement period.
M.Health Insurance Portability and Accountability Act
To the extent that the Health Insurance Portability and Accountability Act
(HIPAA) is applicable to the Grantee under this Agreement, the Grantee
assures that it is in compliance with requirements of HIPAA including the
following:
1.The Grantee must not share any protected health information provided
by the Department that is covered by HIPAA except as permitted or
required by applicable law, or to a subcontractor as appropriate under
this Agreement.
2.The Grantee will ensure that any subcontractor will have the same
obligations as the Grantee not to share any protected health data and
information from the Department that falls under HIPAA requirements in
the terms and conditions of the subcontract.
3.The Grantee must only use the protected health data and information
for the purposes of this Agreement.
4.The Grantee must have written policies and procedures addressing the
use of protected health data and information that falls under the HIPAA
requirements. The policies and procedures must meet all applicable
federal and state requirements including the HIPAA regulations. These
policies and procedures must include restricting access to the protected
health data and information by the Grantee’s employees.
5.The Grantee must have a policy and procedure to immediately report to
the Department any suspected or confirmed unauthorized use or
disclosure of protected health information that falls under the HIPAA
requirements of which the Grantee becomes aware. The Grantee will
work with the Department to mitigate the breach and will provide
assurances to the Department of corrective actions to prevent further
unauthorized uses or disclosures. The Department may demand
specific corrective actions and assurances and the Grantee must
provide the same to the Department.
6.Failure to comply with any of these contractual requirements may result
in the termination of this Agreement in accordance with Part 2, Section
V.
7.In accordance with HIPAA requirements, the Grantee is liable for any
claim, loss or damage relating to unauthorized use or disclosure of
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protected health data and information, including without limitation the
Department’s costs in responding to a breach, received by the Grantee
from the Department or any other source.
8.The Grantee will enter into a business associate agreement should the
Department determine such an agreement is required under HIPAA.
N.Home Health Services
If the Grantee provides Home Health Services (as defined in Medicare Part B),
the following requirements apply:
1.The Grantee must not use State ELPHS or categorical grant funds
provided under this Agreement to unfairly compete for home health
services available from private providers of the same type of services in
the Grantee’s service area.
2.For purposes of this Agreement, the term “unfair competition” will be
defined as offering of home health services at fees substantially less
than those generally charged by private providers of the same type of
services in the Grantee’s area, except as allowed under Medicare
customary charge regulations involving sliding fee scale discounts for
low-income clients based upon their ability to pay.
3.If the Department finds that the Grantee is not in compliance with its
assurance not to use state ELPHS and categorical grant funds to
unfairly compete, the Department will follow the procedure required for
failure by local health departments to adequately provide required
services set forth in Sections 2497 and 2498 of 1978 PA 368 as
amended (Public Health Code), MCL 333.2497 and 2498, MSA 14.15
(2497) and (2498).
O.Website Incorporation
The Department is not bound by any content on Grantee’s website or other
internet communication platforms or technologies, unless expressly
incorporated directly into this Agreement. The Department is not bound by any
end user license agreement or terms of use unless specifically incorporated in
this Agreement or any other agreement signed by the Department. The
Grantee must not refer to the Department on the Grantee’s website or other
internet communication platforms or technologies without the prior written
approval of the Department.
P.Survival
The provisions of this Agreement that impose continuing obligations will
survive the expiration or termination of this Agreement.
Q.Non-Disclosure of Confidential Information
1.The Grantee agrees that it will use confidential information solely for the
purpose of this Agreement. The Grantee agrees to hold all confidential
information in strict confidence and not to copy, reproduce, sell, transfer
or otherwise dispose of, give or disclose such confidential information to
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third parties other than employees, agents, or subcontractors of a party
who have a need to know in connection with this Agreement or to use
such confidential information for any purpose whatsoever other than the
performance of this Agreement. The Grantee must take all reasonable
precautions to safeguard the confidential information. These
precautions must be at least as great as the precautions the Grantee
takes to protect its own confidential or proprietary information.
2.Meaning of Confidential Information
For the purpose of this Agreement the term “confidential information”
means all information and documentation that:
a.Has been marked “confidential” or with words of similar
meaning, at the time of disclosure by such party;
b.If disclosed orally or not marked “confidential” or with words of
similar meaning, was subsequently summarized in writing by
the disclosing party and marked “confidential” or with words of
similar meaning;
c.Should reasonably be recognized as confidential information of
the disclosing party;
d.Is unpublished or not available to the general public; or
e.Is designated by law as confidential.
3.The term “confidential information” does not include any information or
documentation that was:
a.Subject to disclosure under the Michigan Freedom of
Information Act (FOIA);
b.Already in the possession of the receiving party without an
obligation of confidentiality;
c.Developed independently by the receiving party, as
demonstrated by the receiving party, without violating the
disclosing party’s proprietary rights;
d.Obtained from a source other than the disclosing party without
an obligation of confidentiality; or
e.Publicly available when received or thereafter became publicly
available (other than through an unauthorized disclosure by,
through or on behalf of, the receiving party).
4.The Grantee must notify the Department within one business day after
discovering any unauthorized use or disclosure of confidential
information. The Grantee will cooperate with the Department in every
way possible to regain possession of the confidential information and
prevent further unauthorized use or disclosure.
R.Cap on Salaries
None of the funds awarded to the Grantee through this Agreement will be used
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to pay, either through a grant or other external mechanism, the salary of an
individual at a rate in excess of Executive Level II. The current rates of pay for
the Executive Schedule are located on the United States Office of Personnel
Management web site, http://www.opm.gov, by navigating to Policy — Pay &
Leave — Salaries & Wages. The salary rate limitation does not restrict the
salary that a Grantee may pay an individual under its employment; rather, it
merely limits the portion of that salary that may be paid with funds from this
Agreement.
S.State Data
1.Ownership. The Department’s data (“State Data,” which will be treated
by Grantee as Confidential Information) includes: (a) the Department’s
data, user data, and any other data collected, used, processed, stored,
or generated as the result of this Agreement; (b) personally identifiable
information (“PII“) collected, used, processed, stored, or generated as
the result of this Agreement, including, without limitation, any
information that identifies an individual, such as an individual’s social
security number or other government-issued identification number, date
of birth, address, telephone number, biometric data, mother’s maiden
name, email address, credit card information, or an individual’s name in
combination with any other of the elements here listed; and, (c)
protected health information (“PHI”) collected, used, processed, stored,
or generated as the result of this Agreement, which is defined under the
Health Insurance Portability and Accountability Act (HIPAA) and its
related rules and regulations. State Data is and will remain the sole and
exclusive property of the Department and all right, title, and interest in
the same is reserved by the Department.
2.Grantee Use of State Data. Grantee is provided a limited license to
State Data for the sole and exclusive purpose of providing the activities
outlined in the Agreement’s Statement of Work, including a license to
collect, process, store, generate, and display State Data only to the
extent necessary in the provision of the Agreement’s Statement of
Work. Grantee must: (a) keep and maintain State Data in strict
confidence, using such degree of care as is appropriate and consistent
with its obligations as further described in this Agreement and
applicable law to avoid unauthorized access, use, disclosure, or loss;
(b) use and disclose State Data solely and exclusively for the purpose of
providing the activities described in the Statement of Work, such use
and disclosure being in accordance with this Agreement, any applicable
Statement of Work, and applicable law; (c) keep and maintain State
Data in the continental United States and (d) not use, sell, rent, transfer,
distribute, commercially exploit, or otherwise disclose or make available
State Data for Grantee’s own purposes or for the benefit of anyone
other than the Department without the Department’s prior written
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consent. Grantee's misuse of State Data may violate state or federal
laws, including but not limited to MCL 752.795.
3.Extraction of State Data. Grantee must, within five business days of the
Department’s request, provide the Department, without charge and
without any conditions or contingencies whatsoever (including but not
limited to the payment of any fees due to Grantee), an extract of the
State Data in the format specified by the Department.
4.Backup and Recovery of State Data. Grantee is responsible for
maintaining a backup of State Data and for an orderly and timely
recovery of such data. Grantee must maintain a contemporaneous
backup of State Data that can be recovered within two hours at any
point in time.
5.Loss or Compromise of Data. In the event of any act, error or omission,
negligence, misconduct, or breach on the part of Grantee that
compromises or is suspected to compromise the security,
confidentiality, or integrity of State Data or the physical, technical,
administrative, or organizational safeguards put in place by Grantee that
relate to the protection of the security, confidentiality, or integrity of
State Data, Grantee must, as applicable: (a) notify the Department as
soon as practicable but no later than 24 hours of becoming aware of
such occurrence; (b) cooperate with the Department in investigating the
occurrence, including making available all relevant records, logs, files,
data reporting, and other materials required to comply with applicable
law or as otherwise required by the Department; (c) in the case of PII or
PHI, at the Department’s sole election, (i) with approval and assistance
from the Department, notify the affected individuals who comprise the
PII or PHI as soon as practicable but no later than is required to comply
with applicable law, or, in the absence of any legally required notification
period, within five calendar days of the occurrence; or (ii) reimburse the
Department for any costs in notifying the affected individuals; (d) in the
case of PII, provide third-party credit and identity monitoring services to
each of the affected individuals who comprise the PII for the period
required to comply with applicable law, or, in the absence of any legally
required monitoring services, for no less than 24 months following the
date of notification to such individuals; (e) perform or take any other
actions required to comply with applicable law as a result of the
occurrence; (f) pay for any costs associated with the occurrence,
including but not limited to any costs incurred by the Department in
investigating and resolving the occurrence, including reasonable
attorney’s fees associated with such investigation and resolution; (g)
without limiting Grantee’s obligations of indemnification as further
described in this Agreement, indemnify, defend, and hold harmless the
Department for any and all claims, including reasonable attorneys’ fees,
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costs, and incidental expenses, which may be suffered by, accrued
against, charged to, or recoverable from the Department in connection
with the occurrence; (h) be responsible for recreating lost State Data in
the manner and on the schedule set by the Department without charge
to the Department; and, (i) provide to the Department a detailed plan
within 10 calendar days of the occurrence describing the measures
Grantee will undertake to prevent a future occurrence. Notification to
affected individuals, as described above, must comply with applicable
law, be written in plain language, not be tangentially used for any
solicitation purposes, and contain, at a minimum: name and contact
information of Grantee’s representative; a description of the nature of
the loss; a list of the types of data involved; the known or approximate
date of the loss; how such loss may affect the affected individual; what
steps Grantee has taken to protect the affected individual; what steps
the affected individual can take to protect himself or herself; contact
information for major credit card reporting agencies; and, information
regarding the credit and identity monitoring services to be provided by
Grantee. The Department will have the option to review and approve
any notification sent to affected individuals prior to its delivery.
Notification to any other party, including but not limited to public media
outlets, must be reviewed, and approved by the Department in writing
prior to its dissemination. The parties agree that any damages relating
to a breach of this section are to be considered direct damages and not
consequential damages.
6.Surrender of Confidential Information upon Termination. Upon
termination or expiration of this Contract or a Statement of Work, in
whole or in part, each party must, within 5 Business Days from the date
of termination, return to the other party any and all Confidential
Information received from the other party, or created or received by a
party on behalf of the other party, which are in such party’s possession,
custody, or control. Upon confirmation from the State, of receipt of all
data, Grantee must permanently sanitize or destroy the State’s
Confidential Information, including State Data, from all media including
backups using National Security Agency (“NSA”) and/or National
Institute of Standards and Technology (“NIST”) (NIST Guide for Media
Sanitization 800-88) data sanitization methods or as otherwise
instructed by the State. If the State determines that the return of any
Confidential Information is not feasible or necessary, Grantee must
destroy the Confidential Information as specified above. The Grantee
must certify the destruction of Confidential Information (including State
Data) in writing within 5 Business Days from the date of confirmation
from the State. Any requirement on the Grantee’s part to retain data
beyond the end of this contract must be authorized by the State.
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T.Data Privacy and Information Security
1.Undertaking by Grantee. Without limiting Grantee’s obligation of
confidentiality as further described, Grantee is responsible for
establishing and maintaining a data privacy and information security
program, including physical, technical, administrative, and
organizational safeguards, that is designed to: (a) ensure the security
and confidentiality of the State Data; (b) protect against any anticipated
threats or hazards to the security or integrity of the State Data; (c)
protect against unauthorized disclosure, access to, or use of the State
Data; (d) ensure the proper disposal of State Data; and (e) ensure that
all employees, agents, and subcontractors of Grantee, if any, comply
with all of the foregoing. In no case will the safeguards of Grantee’s data
privacy and information security program be less stringent than the
safeguards used by the Department, and Grantee must at all times
comply with all applicable State policies and standards, which are
available to Grantee upon request.
2.Audit by Grantee. No less than annually, Grantee must conduct a
comprehensive independent third-party audit of its data privacy and
information security program and provide such audit findings to the
Department.
3.Right of Audit by the State. Without limiting any other audit rights of the
Department, the Department has the right to review Grantee’s data
privacy and information security program prior to the commencement of
the Agreement’s Statement of Work and from time to time during the
term of this Agreement. During the providing of the Agreement’s
Statement of Work, on an ongoing basis from time to time and without
notice, the Department, at its own expense, is entitled to perform, or to
have performed, an on-site audit of Grantee’s data privacy and
information security program. In lieu of an on-site audit, upon request by
the Department, Grantee agrees to complete, within 45 calendar days of
receipt, an audit questionnaire provided by the Department regarding
Grantee’s data privacy and information security program.
4.Audit Findings. Grantee must implement any required safeguards as
identified by the Department or by any audit of Grantee’s data privacy
and information security program.
IV.Financial Requirements
A.Operating Advance
Under the pre-payment reimbursement method, no additional operating
advances will be issued.
B.Payment Method
1.Prepayments
a.The Department will make monthly prepayments equal to
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1/12th of the Agreement amount for each non-fee-for-service
program contained in Attachment IV of this Agreement. One
single payment covering all non-fee-for-service programs will
be made within the first week of each month. The Grantee
can view their monthly prepayment within the MI E-Grants
system.
b.Prepayments for the months of October thru January will be
based upon the initial Agreement amounts in Attachment IV.
Subsequent monthly prepayments may be adjusted based upon
Agreement amendments or Grantee adjustment requests.
c.If the sum of the prepayments does not equal at least 90% of
the Grantee’s expenditures for a quarter of the contract period,
the Grantee may submit documentation for an adjustment to the
monthly prepayment amount via the following process:
i.Submit a written request for the adjustment to the
Department’s Accounting Expenditure Operations Division.
ii.The adjustment request must be itemized by program and
must list the amount received from the Department, the
expenditure amount reported per the quarterly Financial
Status Report (FSR), and the difference. The amount
received from the Department and the expenditures must
be for the same reporting quarterly FSR period.
iii.The Department will review the requests and if an
adjustment is approved, it will be included in the next
scheduled monthly prepayment.
iv.Adjustment requests will not be accepted prior to
submission of the FSR for the quarter ending December
31. No adjustments will be made prior to the February
monthly prepayment.
v.The ability of the Department to approve adjustments may
be limited by the quarterly allotments of spending authority
in the Department’s appropriation account mandated by
the Office of the State Budget Director. The quarterly
allotment limits the amount of each account (program) that
the Department may expend during each fiscal quarter.
2.Fixed Fee Reimbursement
a.Quarterly reimbursement for fixed fee projects is based on
Attachment IV and approved quarterly Financial Status Reports.
C.Financial Status Report Submission
1.The Grantee must electronically prepare and submit FSRs to the
Department via the EGrAMS website (http://egrams-mi.com/mdhhs).
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A Financial Status Report (FSR) must be submitted on a quarterly basis
no later than 30 days after the close of the calendar quarter for all
programs listed on Attachment IV and fee for services project budgeted.
Failure to meet financial reporting responsibilities as identified in this
Agreement may result in withholding future payments.
2.FSR’s must report total actual program expenditures regardless of the
source of funds. The Department will reimburse the Grantee for
expenditures in accordance with the terms and conditions of this
Agreement. Failure to comply with the reporting due dates will result in
the deferral of the Grantee’s monthly prepayment.
3.The Grantee representative who submits the FSR is certifying to the
best of their knowledge and belief that the report is true, complete and
accurate and the expenditures, disbursements, and cash receipts are
for the purposes and objectives set forth in the terms and conditions of
this Agreement. The individual submitting the FSR should be aware
that any false, fictitious, or fraudulent information, or the omission of any
material facts, may subject them to criminal, civil or administrative
penalties for fraud, false statements, false claims or otherwise.
4.The instructions for completing the FSR form are available on the
website http://egrams-mi.com/dch. Send FSR questions to
FSRMDHHS@michigan.gov.
D.Reimbursement Method
The Grantee will be reimbursed in accordance with the reimbursement
methods for applicable program elements described as follows:
1.Performance Reimbursement - A reimbursement method by which
Grantees are reimbursed based upon the understanding that a certain
level of performance (measured by outputs) must be met in order to
receive full reimbursement of costs (net of program income and other
earmarked sources) up to the contracted amount of state funds. Any
local funds used to support program elements operated under such
provisions of this Agreement may be transferred by the Grantee within,
among, to or from the affected elements without Department approval,
subject to applicable provisions of Sections 3.B. and 3.C.3 of Part 1. If
Grantee's performance falls short of the expectation by a factor greater
than the allowed minimum performance percentage, the state
maximum allocation will be reduced equivalent to actual performance
in relation to the minimum performance.
2.Actual Cost Reimbursement - A reimbursement method by which
Grantees are reimbursed based upon the understanding that state
dollars will be paid up to total costs in relation to the state's share of
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the total costs and up to the total state allocation as agreed to in the
approved budget. This reimbursement approach is not directly
dependent upon whether a specified level of performance is met by the
local health department. Department funding under this
reimbursement method is allocable as a source before any local
funding requirement unless a specific local match condition exists.
3.Fixed Unit Rate Reimbursement - A reimbursement method by which
Grantee is reimbursed a specific amount for each output actually
delivered and reported.
4.Essential Local Public Health Services (ELPHS) - A reimbursement
method by which Grantees are reimbursed a share of reasonable and
allowable costs incurred for required services, as noted in the current
Appropriations Act.
E.Reimbursement Mechanism
All Grantees must sign up through the on-line vendor registration process to
receive all State of Michigan payments as Electronic Funds Transfers
(EFT)/Direct Deposits. Vendor registration information is available through
the Department of Technology, Management and Budget’s web site:
http://www.michigan.gov/sigmavss
F.Unobligated Funds
Any unobligated balance of funds held by the Grantee at the end of the
Agreement period will be returned to the Department or treated in accordance
with instructions provided by the Department.
G.Final Obligation Reporting Requirements
An Obligation Report, based on annual guidelines, must be submitted by the
due date using the format provided by the Department through MI E-Grants.
The Grantee must provide, by program, an estimate of total expenditures for
the entire Agreement period (October 1 through September 30). This report
must represent the Grantee’s best estimate of total program expenditures for
the Agreement period. The information on the report will be used to record the
Department’s year-end accounts payables and receivables by program for this
Agreement. The report assists the Department in reserving sufficient funding
to reimburse the final expenditures that will be reported on the Final FSR
without materially overstating or understating the year-end obligations for this
Agreement. The Department compares the total estimated expenditures from
this report to the total amount reimbursed to the Grantee in the monthly
prepayments and quarterly fee-for-service payments to establish accounts
payable and accounts receivable entries at fiscal year-end. The Department
recognizes that based upon payment adjustments and timing of Agreement
amendments, the Grantee may owe the Department funding for overpayment
of a program and may be due funds from the Department for underpayment of
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a program at fiscal year-end.
Within 60 days after the Agreement fiscal year-end, the Grantee must liquidate
any unpaid year-end commitments and obligations. Any obligation remaining
unliquidated after 60 days from the end of the Agreement period will revert to
the Department for disposition in accordance with applicable state and/or
federal requirements, except as specifically authorized in writing by the
Department.
H.Final Financial Status Reporting Requirements
Final FSRs are due on the following dates following the Agreement period
end date:
Project Final FSR Due Date
Public Health Emergency Preparedness 11/15/2024
All Remaining Projects 11/30/2024
Upon receipt of the final FSR electronically through MI E-Grants, the
Department will determine by program, if funds are owed to the Grantee or if
the Grantee owes funds to the Department. If funds are owed to the Grantee,
payment will be processed. However, if the Grantee underestimated their
year-end obligations in the Obligation Report as compared to the final FSR
and the total reimbursement requested does not exceed the Agreement
amount that is due to the Grantee, the Department will make every effort to
process full reimbursement to the Grantee per the final FSR. Final payment
may be delayed pending final disposition of the Department’s year-end
obligations.
If funds are owed to the Department, it will generally not be necessary for
Grantee to send in a payment. Instead, the Department will make the
necessary entries to offset other payments and as a result the Grantee will
receive a net monthly prepayment. When this does occur, clarifying
documentation will be provided to the Grantee by the Department’s Bureau of
Finance and Accounting.
I.Penalties for Reporting Noncompliance
For failure to submit the final total Grantee FSR report by November 30,
through MI E-Grants after the Agreement period end date, the Grantee may be
penalized with a one-time reduction in their current ELPHS allocation for
noncompliance with the fiscal year-end reporting deadlines. Any penalty funds
will be reallocated to other Local Health Department Grantees. Reductions will
be one-time only and will not carryforward to the next fiscal year as an ongoing
reduction to a Grantee’s ELPHS allocation. Penalties will be assessed based
upon the submitted date in MI E-Grants:
ELPHS Penalties for Noncompliance with Reporting Requirements:
1.1% - 1 day to 30 days late;
2.2% - 31 days to 60 days late;
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3.3% - over 60 days late with a maximum of 3% reduction in the
Grantee’s ELPHS allocation.
J.Indirect Costs and Cost Allocations/Distribution Plans
The Grantee is allowed to use approved federal indirect rate, 10% de minimis
indirect rate or cost allocation/distribution plans in their budget calculations.
1.Costs must be consistently charged as indirect, direct or cost allocated,
but may not be double charged or inconsistently charged.
2.If the Grantee does not have an existing approved federal indirect rate,
they may use a 10% de minimis rate in accordance with Title 2 Code of
Federal Regulations (CFR) Part 200 to recover their indirect costs.
3.Grantees using the cost allocation/distribution method must develop
certified plan in accordance with the requirements described in Title 2
CFR, Part 200 which includes detailed budget narratives and is retained
by the Grantee and subject to Department review.
4.There must be a documented, well-defined rationale and audit trail for
any cost distribution or allocation based upon Title 2 CFR, Part 200
Cost Principles and subject to Department review.
V.Agreement Termination
This Agreement may be terminated without further liability or penalty to the
Department for any of the following reasons:
A.By either party by giving 30 days written notice to the other party stating the
reasons for termination and the effective date.
B.By either party with 30 days written notice upon the failure of either party to
carry out the terms and conditions of this Agreement, provided the alleged
defaulting party is given notice of the alleged breach and fails to cure the
default within the 30-day period.
C.Immediately if the Grantee or an official of the Grantee or an owner is
convicted of any activity referenced in Part 2 Section III. D. of this Agreement
during the term of this Agreement or any extension thereof.
Further, this Agreement may be terminated or modified immediately upon a finding by
the Department in accordance with MCL 333.2235 that the Grantee local health
department for the delivery of public health services under this Agreement is unable or
unwilling to provide any or all of the services as provided in this Agreement, and the
Department may redirect funds as necessary to ensure that the public health services
are provided within the Grantee's jurisdiction.
VI.Stop Work Order
The Department may suspend any or all activities under this Agreement at any time.
The Department will provide the Grantee with a written stop work order detailing the
suspension. Grantee must comply with the stop work order upon receipt. The
Department will not pay for activities, Grantee’s incurred expenses or financial losses,
or any additional compensation during a stop work period.
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VII.Final Reporting upon Termination
Should this Agreement be terminated by either party, within 30 days after the
termination, the Grantee must provide the Department with all financial, performance
and other reports required as a condition of this Agreement. The Department will
make payments to the Grantee for allowable reimbursable costs not covered by
previous payments or other state or federal programs. The Grantee must immediately
refund to the Department any funds not authorized for use and any payments or funds
advanced to the Grantee in excess of allowable reimbursable expenditures.
VIII.Severability
If any part of this Agreement is held invalid or unenforceable by any court of
competent jurisdiction, that part will be deemed deleted from this Agreement and the
severed part will be replaced by agreed upon language that achieves the same or
similar objectives. The remaining parts of the Agreement will continue in full force and
effect.
IX.Amendments
A.Except as otherwise provided, any changes to this Agreement will be valid
only if made in writing and accepted by all parties to this Agreement.
In the event that circumstances occur that are not reasonably foreseeable, or
are beyond the Grantee's or Department's control, which reduce or otherwise
interfere with the Grantee's or Department's ability to provide or maintain
specified services or operational procedures, immediate written notification
must be provided to the other party. Any change proposed by the Grantee
which would affect the state funding of any project, in whole or in part as
provided in Part 1, Section 3.C. of the Agreement, must be submitted in writing
to the Department for approval immediately upon determining the need for
such change. The proposed change may be implemented upon receipt of
written notification from the Department.
B.Except as otherwise provided, amendments to this Agreement will be made
within thirty days after receipt and approval of a change proposed by the
Grantee.
Amendments of a routine nature including applicable changes in budget
categories, modified indirect rates, and similar conditions which do not modify
the Agreement scope, amount of funding to be provided by the Department or,
the total amount of the budget may be submitted by the Grantee, in writing, at
any time prior to June 7. The Department will provide a written response within
30 calendar days.
All amendments must be submitted to the Department within three weeks of
receipt through MI E-Grants to assure the amendment can be executed prior
to the end of the Agreement period.
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X.Liability
A.All liability to third parties, loss, or damage as a result of claims, demands,
costs, or judgments arising out of activities, such as direct service delivery, by
the Grantee, Grantee’s subcontractors or anyone directly or indirectly
employed by the Grantee in the performance of this Agreement will be the
responsibility of the Grantee, and not the responsibility of the Department.
Nothing herein will be construed as a waiver of any governmental immunity
that has been provided to the Grantee or its employees by law.
B.In the event that liability to third parties, loss, or damage arises as a result of
activities conducted jointly by the Grantee and the Department in fulfillment of
their responsibilities under this Agreement, such liability, loss, or damage will
be borne by the Grantee and the Department in relation to each party's
responsibilities under these joint activities, provided that nothing herein will be
construed as a waiver of any governmental immunity by the Grantee, the
state, its agencies (the Department) or their employees, respectively, as
provided by statute or court decisions.
XI.Waiver
Failure to enforce any provision of this Agreement will not constitute a waiver.
Any clause or condition of this Agreement found to be an impediment to the intended
and effective operation of this Agreement may be waived in writing by the Department
or the Grantee, upon presentation of written justification by the requesting party. Such
waiver may be temporary or for the life of the Agreement and may affect any or all
program elements covered by this Agreement.
XII.State of Michigan Agreement
This Agreement is governed, construed, and enforced in accordance with Michigan
law, excluding choice-of-law principles, and all claims relating to or arising out of this
Agreement are governed by Michigan law, excluding choice-of-law principles. Any
dispute arising from this Agreement must be resolved in the Michigan Court of Claims.
Complaints against the State must be initiated in Ingham County, Michigan. Grantee
waives any objections, such as lack of personal jurisdiction or forum non conveniens.
Grantee must appoint an agent in Michigan to receive service of process.
XIII.Funding
A.State funding for this Agreement will be provided from the applicable and
available Department appropriations for the current fiscal year. The
Department provided funds will be as stated in the approved Annual Budget -
Attachment I Instructions for the Annual Budget, Attachment III, Program
Specific Assurances and Requirements, and as outlined in Attachment IV,
Funding/Reimbursement Matrix.
B.The funding provided through the Department for this Agreement will not
exceed the amount shown for each federal and state categorical program
element except as adjusted by amendment. The Grantee must advise the
Department in writing by May 1, if the amount of Department funding may not
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be used in its entirety or appears to be insufficient for any program element.
ELPHS transfer requests between MDHHS, MDARD and MDEQ must also be
requested in writing by May 1. All ELPHS required services must be
maintained throughout the entire period of the Agreement.
C.The Department may periodically redistribute funds between agencies during
the Agreement period in order to ensure that funds are expended to meet the
varying needs for services.
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AA Attachments
A1 Attachment I - Instructions for the Annual Budget
Attachment I - Instructions for the Annual Budget
A2 Attachment III - Program Specific Assurances and Requirements
Attachment III - Program Specific Assurances and Requirements
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Contract # 20240194-00 Date: 08/23/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Emerging Threats- Local Health Department- 2024CONTRACT 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.F216,336Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientCOVID ImmunizationReg. Alloc.F1,387,989Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientELC Contract Tracing,Investigation, Testing Coord., andInfection PreventionReg. Alloc.F3,188,658Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientELC Regional LabReg. Alloc.F500,000Actual 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 FUNDING6,263,627*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENTAttachment IV NotesAttachment IV NotesDate: 08/23/2023Contract # 20240194-00, Oakland County Department of Health and Human Services/ Health Division, Emerging Threats- Local Health Department- 2024 ________________________________________________________________________________________________________________Page: 38 of 70
Contract # 20240194-00 Date: 08/23/2023
Attachment V
Oakland County FY Agreement Addendum A
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Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 /
American Rescue Plan
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 9/30/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 83,106.00 83,106.00
2 Fringe Benefits 49,719.00 49,719.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 48,290.00 48,290.00
6 Travel 15,422.00 15,422.00
7 Communication 1,020.00 1,020.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)18,779.00 18,779.00
Total Program Expenses 216,336.00 216,336.00
TOTAL DIRECT EXPENSES 216,336.00 216,336.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 0.00 0.00
Total Indirect Costs 0.00 0.00
TOTAL INDIRECT EXPENSES 0.00 0.00
TOTAL EXPENDITURES 216,336.00 216,336.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
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Contract # 20240194-00 Date: 08/23/2023
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 216,336.00 216,336.00 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 216,336.00 216,336.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
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Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : POS #P00015618 K Hill
PH Nurse III
0.7500 82457.000 0.000 FTE 61,843.00
Supervisor
Notes : Health Program
Supervisor
Position # P00004736
M. Maloff
0.2000 106316.000 0.000 FTE 21,263.00
Total for Salary & Wages 83,106.00
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 59.826 83106.000 49,719.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Pre-paid Grocery Cards 0.0000 0.000 0.000 48,290.00
6 Travel
Mileage
Notes : 2,000 miles * 0.655 per
mile
0.0000 0.000 0.000 1,310.00
Conferences 0.0000 0.000 0.000 3,462.00
Client Transporttion 0.0000 0.000 0.000 10,650.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
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Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
Total for Travel 15,422.00
7 Communication
Telephone 0.0000 0.000 0.000 1,020.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 3,352.00
Insurance 0.0000 0.000 0.000 1,710.00
Interpretation Fees 0.0000 0.000 0.000 5,000.00
Client Support Materials 0.0000 0.000 0.000 8,717.00
Total for All Others (ADP, Con. Employees, Misc.)18,779.00
Total Program Expenses 216,336.00
TOTAL DIRECT EXPENSES 216,336.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 216,336.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
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Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / COVID
Immunization
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 9/30/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 61,538.00 61,538.00
2 Fringe Benefits 41,815.00 41,815.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 32,000.00 32,000.00
6 Travel 3,328.00 3,328.00
7 Communication 4,500.00 4,500.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)1,236,310.00 1,236,310.00
Total Program Expenses 1,379,491.00 1,379,491.00
TOTAL DIRECT EXPENSES 1,379,491.00 1,379,491.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 8,498.00 8,498.00
Total Indirect Costs 8,498.00 8,498.00
TOTAL INDIRECT EXPENSES 8,498.00 8,498.00
TOTAL EXPENDITURES 1,387,989.00 1,387,989.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 44 of 70
Contract # 20240194-00 Date: 08/23/2023
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 1,387,989.00 1,387,989.00 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 1,387,989.00 1,387,989.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 45 of 70
Contract # 20240194-00 Date: 08/23/2023
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.
0.7692 80002.000 0.000 FTE 61,538.00
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 67.950 61538.000 41,815.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Printing 0.0000 0.000 0.000 1,000.00
Medical Supplies 0.0000 0.000 0.000 5,000.00
Materials & Supplies
Notes : This will include items
needs to host outreach COVID
clinics. In order to increase
access to services, clinics are
often help within the community.
Items such as general office
supplies, containers for supplies,
clip boards for registration
0.0000 0.000 0.000 20,000.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 46 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
documentation, table clothes,
etc.
Postage 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 32,000.00
6 Travel
Mileage
Notes : 500miles @ 0.655 per
mile
0.0000 0.000 0.000 328.00
Conferences 0.0000 0.000 0.000 3,000.00
Total for Travel 3,328.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 4,500.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Professional Services - Entech
Staffing
0.0000 0.000 0.000 1,025,310.00
Interpretation Fees 0.0000 0.000 0.000 5,000.00
IT Operations
Notes : This will include
computers or tablets used for
specific COVID outreach clinics.
This also includes software
expense to support the
registration and vaccine
documentation.
0.0000 0.000 0.000 206,000.00
Total for All Others (ADP, Con. Employees, Misc.)1,236,310.00
Total Program Expenses 1,379,491.00
TOTAL DIRECT EXPENSES 1,379,491.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan 0.0000 0.000 0.000 8,498.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 47 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
Notes : 13.81%
Total Indirect Costs 8,498.00
TOTAL INDIRECT EXPENSES 8,498.00
TOTAL EXPENDITURES 1,387,989.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 48 of 70
Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / ELC
Contract Tracing, Investigation, Testing Coord., and Infection
Prevention
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 7/31/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 0.00 0.00
2 Fringe Benefits 0.00 0.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 80,000.00 80,000.00
6 Travel 23,275.00 23,275.00
7 Communication 15,000.00 15,000.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)3,070,383.00 3,070,383.00
Total Program Expenses 3,188,658.00 3,188,658.00
TOTAL DIRECT EXPENSES 3,188,658.00 3,188,658.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 0.00 0.00
Total Indirect Costs 0.00 0.00
TOTAL INDIRECT EXPENSES 0.00 0.00
TOTAL EXPENDITURES 3,188,658.00 3,188,658.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 49 of 70
Contract # 20240194-00 Date: 08/23/2023
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 3,188,658.00 3,188,658.00 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 3,188,658.00 3,188,658.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 50 of 70
Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 20,000.00
Printing 0.0000 0.000 0.000 20,000.00
Computer Supplies 0.0000 0.000 0.000 5,000.00
Materials & Supplies 0.0000 0.000 0.000 10,000.00
Postage 0.0000 0.000 0.000 20,000.00
Educational Supplies 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 80,000.00
6 Travel
Mileage
Notes : 5,000 Miles @ 0.655 per
mile
0.0000 0.000 0.000 3,275.00
Conferences 0.0000 0.000 0.000 20,000.00
Total for Travel 23,275.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 15,000.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 150,000.00
Professional Services 0.0000 0.000 0.000 2,800,000.00
Membership 0.0000 0.000 0.000 5,000.00
Incentives 0.0000 0.000 0.000 45,383.00
Workshops & Meetings 0.0000 0.000 0.000 20,000.00
Advertising 0.0000 0.000 0.000 30,000.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 51 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
Staff Training 0.0000 0.000 0.000 20,000.00
Total for All Others (ADP, Con. Employees, Misc.)3,070,383.00
Total Program Expenses 3,188,658.00
TOTAL DIRECT EXPENSES 3,188,658.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 3,188,658.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 52 of 70
Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / ELC
Regional Lab
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 7/31/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 67,978.00 67,978.00
2 Fringe Benefits 40,909.00 40,909.00
3 Cap. Exp. for Equip & Fac.100,000.00 100,000.00
4 Contractual 0.00 0.00
5 Supplies and Materials 19,000.00 19,000.00
6 Travel 3,000.00 3,000.00
7 Communication 0.00 0.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)259,725.00 259,725.00
Total Program Expenses 490,612.00 490,612.00
TOTAL DIRECT EXPENSES 490,612.00 490,612.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 9,388.00 9,388.00
Total Indirect Costs 9,388.00 9,388.00
TOTAL INDIRECT EXPENSES 9,388.00 9,388.00
TOTAL EXPENDITURES 500,000.00 500,000.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 53 of 70
Contract # 20240194-00 Date: 08/23/2023
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 500,000.00 500,000.00 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 500,000.00 500,000.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 54 of 70
Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Medical Technologist
Notes : Position # P00015845 J
McChristian
1.0000 67978.000 0.000 FTE 67,978.00
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 60.180 67978.000 40,909.00
3 Cap. Exp. for Equip & Fac.
Equipment - Lab 0.0000 0.000 0.000 100,000.00
4 Contractual
5 Supplies and Materials
Materials and Supplies 0.0000 0.000 0.000 19,000.00
6 Travel
Mileage 0.0000 0.000 0.000 1,000.00
Conferences 0.0000 0.000 0.000 2,000.00
Total for Travel 3,000.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Professional Services 0.0000 0.000 0.000 159,725.00
Equipment Maintenance 0.0000 0.000 0.000 100,000.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 55 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
Total for All Others (ADP, Con. Employees, Misc.)259,725.00
Total Program Expenses 490,612.00
TOTAL DIRECT EXPENSES 490,612.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 13.81%
0.0000 0.000 0.000 9,388.00
Total Indirect Costs 9,388.00
TOTAL INDIRECT EXPENSES 9,388.00
TOTAL EXPENDITURES 500,000.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 56 of 70
Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / ELC
Sewer Network
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 7/31/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 93,907.00 93,907.00
2 Fringe Benefits 48,654.00 48,654.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 153,527.00 153,527.00
6 Travel 0.00 0.00
7 Communication 0.00 0.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)600,000.00 600,000.00
Total Program Expenses 896,088.00 896,088.00
TOTAL DIRECT EXPENSES 896,088.00 896,088.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 12,969.00 12,969.00
Total Indirect Costs 12,969.00 12,969.00
TOTAL INDIRECT EXPENSES 12,969.00 12,969.00
TOTAL EXPENDITURES 909,057.00 909,057.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 57 of 70
Contract # 20240194-00 Date: 08/23/2023
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 909,057.00 909,057.00 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 909,057.00 909,057.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 58 of 70
Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Epidemiologist
Notes : Position # 07258
M. Swain
0.2500 92241.000 0.000 FTE 23,060.00
Supervisor
Notes : Laboratory Supervisor
Position # 00399
B. Carter
0.1000 106316.000 0.000 FTE 10,632.00
Chief PH
Notes : Position # 11973
K. Snowden
0.2500 111632.000 0.000 FTE 27,908.00
Administrator
Notes : Administrator PH
Position # 14250
K..Guzman
0.2500 129227.000 0.000 FTE 32,307.00
Total for Salary & Wages 93,907.00
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 51.811 93907.000 48,654.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Materials and Supplies 0.0000 0.000 0.000 153,527.00
6 Travel
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 59 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Professional Services - Entech 0.0000 0.000 0.000 600,000.00
Total Program Expenses 896,088.00
TOTAL DIRECT EXPENSES 896,088.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 13.81% of Salaries
0.0000 0.000 0.000 12,969.00
Total Indirect Costs 12,969.00
TOTAL INDIRECT EXPENSES 12,969.00
TOTAL EXPENDITURES 909,057.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 60 of 70
Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / PFAS
Response - Airport
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 9/30/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 5,562.00 5,562.00
2 Fringe Benefits 2,912.00 2,912.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 0.00 0.00
6 Travel 148.00 148.00
7 Communication 0.00 0.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)51,000.00 51,000.00
Total Program Expenses 59,622.00 59,622.00
TOTAL DIRECT EXPENSES 59,622.00 59,622.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 768.00 768.00
Total Indirect Costs 768.00 768.00
TOTAL INDIRECT EXPENSES 768.00 768.00
TOTAL EXPENDITURES 60,390.00 60,390.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 61 of 70
Contract # 20240194-00 Date: 08/23/2023
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 60,390.00 60,390.00 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 60,390.00 60,390.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 62 of 70
Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Sanitarian - Senior
Notes : Pos#P00000746 M
Hansell
0.0192 111800.000 0.000 FTE 2,147.00
Public Health Supervisor
Notes : Pos#P00002505 C
Fedototszkin
0.0192 106500.000 0.000 FTE 2,045.00
PH Sanitarian - Senior
Notes : Pos#P00007361 A
Plevinski
0.0096 96432.000 0.000 FTE 927.00
Epidemiologist
Notes : Pos#P00007258 M
Swain
0.0048 92241.000 0.000 FTE 443.00
Total for Salary & Wages 5,562.00
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 52.360 5562.000 2,912.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
Mileage
Notes : 226 miles @ 0.655per
mile
0.0000 0.000 0.000 148.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 63 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Professional Services - Andrew
Zeigler
0.0000 0.000 0.000 51,000.00
Total Program Expenses 59,622.00
TOTAL DIRECT EXPENSES 59,622.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : Indirect Cost Rate
13.81%
0.0000 0.000 0.000 768.00
Total Indirect Costs 768.00
TOTAL INDIRECT EXPENSES 768.00
TOTAL EXPENDITURES 60,390.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 64 of 70
Contract # 20240194-00 Date: 08/23/2023
1 Program Budget Summary
PROGRAM / PROJECT
Emerging Threats- Local Health Department- 2024 / PFAS
Response - Falk Rd
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2023 To : 9/30/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 353.00 353.00
2 Fringe Benefits 183.00 183.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 0.00 0.00
6 Travel 27.00 27.00
7 Communication 0.00 0.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)585.00 585.00
Total Program Expenses 1,148.00 1,148.00
TOTAL DIRECT EXPENSES 1,148.00 1,148.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 49.00 49.00
Total Indirect Costs 49.00 49.00
TOTAL INDIRECT EXPENSES 49.00 49.00
TOTAL EXPENDITURES 1,197.00 1,197.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 65 of 70
Contract # 20240194-00 Date: 08/23/2023
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 1,197.00 1,197.00 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 1,197.00 1,197.00 0.00 0.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 66 of 70
Contract # 20240194-00 Date: 08/23/2023
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
PH Sanitarian - Senior 161000.000
0
0.001 0.000 FTE 161.00
PH Sanitarian Supervisor
Notes : Pos#00002505 C
Fedototszkin
102000.000
0
0.001 0.000 FTE 102.00
Chief Public Health 46000.0000 0.001 0.000 FTE 46.00
Epidemiologist
Notes : Pos#00007258 M Swain
44000.0000 0.001 0.000 FTE 44.00
Total for Salary & Wages 353.00
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 51.840 353.000 183.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
Mileage
Notes : 41 miles x .0655 per mile
0.0000 0.000 0.000 27.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 67 of 70
Contract # 20240194-00 Date: 08/23/2023
Line Item Qty Rate Units UOM Total
Professional Services - Andrew
Zeigler
0.0000 0.000 0.000 585.00
Total Program Expenses 1,148.00
TOTAL DIRECT EXPENSES 1,148.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : Inidrect Cost Rate
13.81%
0.0000 0.000 0.000 49.00
Total Indirect Costs 49.00
TOTAL INDIRECT EXPENSES 49.00
TOTAL EXPENDITURES 1,197.00
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 68 of 70
Contract # 20240194-00 Date: 08/23/2023
Summary of Budget
PROGRAM / PROJECT
Emerging Threats- Local Health Department-
2024 / Emerging Threats- Local Health
Department- 2024
DATE PREPARED
8/23/2023
CONTRACTOR NAME
Oakland County Department of Health and
Human Services/ Health Division
BUDGET PERIOD
From : 10/1/2023 To : 9/30/2024
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
34 East
BUDGET AGREEMENT
Original Amendment
AMENDMENT #
0
CITY
Pontiac
STATE
MI
ZIP CODE
48341-
1032
FEDERAL ID NUMBER
38-6004876
Category Total Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 312,444.00 312,444.00
2 Fringe Benefits 184,192.00 184,192.00
3 Cap. Exp. for Equip & Fac.100,000.00 100,000.00
4 Supplies and Materials 332,817.00 332,817.00
5 Travel 45,200.00 45,200.00
6 Communication 20,520.00 20,520.00
7 All Others (ADP, Con. Employees, Misc.)5,236,782.00 5,236,782.00
Total Program Expenses 6,231,955.00 6,231,955.00
TOTAL DIRECT EXPENSES 6,231,955.00 6,231,955.00
INDIRECT EXPENSES
Indirect Costs
1 Cost Allocation Plan / Other 31,672.00 31,672.00
Total Indirect Costs 31,672.00 31,672.00
TOTAL INDIRECT EXPENSES 31,672.00 31,672.00
TOTAL EXPENDITURES 6,263,627.00 6,263,627.00
SOURCE OF FUNDS
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 69 of 70
Contract # 20240194-00 Date: 08/23/2023
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
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 6,263,627.00 6,263,627.0
0
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 6,263,627.00 6,263,627.0
0
0.00 0.00
Source of Funds
Date: 08/23/2023 Contract # 20240194-00, Oakland County Department of Health and Human Services/
Health Division, Emerging Threats- Local Health Department- 2024
__________________________________________________________________________
Page: 70 of 70
ATTACHMENT I
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Local Health Department Agreement
October 1, 2023- September 30, 2024
Fiscal Year 2024
INSTRUCTIONS
FOR THE
ANNUAL BUDGET
INSTRUCTIONS FOR THE ANNUAL BUDGET FOR LOCAL HEALTH DEPARTMENT
SERVICES
TABLE OF CONTENTS
Page
INTRODUCTION ............................................................................................................................ 1
MINIMUM BUDGETING REQUIREMENTS ................................................................................... 1
REIMBURSEMENT CHART ........................................................................................................... 2
LOCAL ACCOUNTING SYSTEM STRUCTURE OF ACCOUNTS/COST ALLOCATION
PROCEDURES .............................................................................................................................. 3
BUDGET PREPARATION DETAIL……………………………………………………………………....3
General Information…………………………………………………………………………………3
Expense Line-Item Detail…………………………………………………………………………..4
Source of Funds……………………………………………………………………………..…….15
SPECIAL BUDGET and REPORTING INSTRUCTIONS…………………………………………….18
1. Public Health Emergency Preparedness (PHEP) .................................................... 19
2. WIC ......................................................................................................................... 19
3. Family Planning ..................................................................................................... 21
4. Breast and Cervical Cancer ................................................................................... 22
5. WISEWOMAN……………………………………………………………………………...24
5. Medicaid Outreach Activities Reimbursement Procedures ..................................... 24
Medicaid…………………………………………………………………………………..25
Nurse Family Partnership Services Medicaid Outreach…………………………….25
CSHCS Medicaid Outreach…………………………………………………………….26
6. Immunization 317 and VFC Allowable Expenditures .............................................. 29
1
INTRODUCTION
The Annual Budget for Local Health Services is completed on a state fiscal year basis and is used
to establish budgets for many Department programs. In the Annual Budget, the Department
consolidates many of its categorical programs’ funding and Essential Local Public Health Services
(ELPHS) 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.
The MI E-Grants System is an 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.
MINIMUM BUDGETING REQUIREMENTS
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.
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
2
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.
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.
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). See special budget and reporting section below section.
Local MCH
Local MCH funds can be used to support the health of women, children, and families in
communities across Michigan. Funding addresses one or more Title V Maternal and Child Health
Block Grant national and state priority areas and/or a local MCH priority need identified through a
needs assessment process. Priority areas are developed into Local MCH Work Plans which are
described in the Annual Local MCH Plan. These funds are to be budgeted as a funding source in
two project categories. The Local MCH projects need to be budgeted separately. Please note only
two LMCH project titles can be used:
• MCH – Children
• MCH – All Other
These funding sources cannot be used under the WIC element except in extreme circumstances
where a waiver is requested in advance of expenditures, and evidence is provided that the
expenditures satisfy all funding requirements. Local health departments are encouraged to select
only one to two performance measures and delve deeper into the strategies in an effort to “move
the needle.”
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.
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
3
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.
LOCAL ACCOUNTING SYSTEM STRUCTION 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.
BUDGET PREPERATION DETAIL
1. Budgeted expenditures are to be entered for each program element, project, or group of
services by applicable major category.
4
2. The Budget should reflect all planned expenditures and revenues associated with the
program. Funding source revenues include Federal funding sources, fees and collections,
local, state, and other sources.
3. When developing the budget, it is important to note that total program expenditures must
equal total program revenues.
4. Although a Grantee’s budget is approved, it does not mean expenses are approved.
Reported expenses are subject to audit and must comply with Federal regulations, the
terms of the agreement, and other policy impacting the allowability of expenses. Certain
expenses may require prior approval, which should be in writing from MDHHS.
5. It is the Grantee’s responsibility to ensure budgeted expenses comply with Federal
regulations, the terms of the agreement, and other policy impacting the allowability of
expenses, and have documented prior approval, as needed, when the budget is submitted
for review.
EXPENSE LINE- ITEM CATEGORIES
1. Salaries and Wages
a. This category includes compensation paid to permanent and part-time employees on the
payroll of the Grantee who work in the program. Is reasonable for the services rendered
and conforms to the established written policy of the Grantee consistently applied to both
Federal and non-Federal activities.
b. This category may include the cost of leave/paid time off (e.g., vacation, sick, holiday,
bereavement, military) or the cost of leave/paid time off may be included as a fringe benefit,
based on the Grantee’s written policy. See Section 2, Fringe Benefits. Leave/paid time off
cannot be included in both categories and must be consistently budgeted and expensed for
all Federally and non-Federally funded programs and activities of the Grantee.
c. This category does not include personnel hired on a private contract basis or through a
personnel service, contractual services, or professional fees. Consulting services,
professional fees or personnel hired on a private contracting basis should be included in
Contractual – Professional Services.
d. Charges to salaries and wages must be based on records that accurately reflect the work
performed. The records must:
5
1) Reflect the total activity for which the employee is compensated by the non-federal
entity, not to exceed 100 percent.
2) Encompass federally assisted and all other activities compensated by the non-
federal entity on an integrated basis but may include the use of subsidiary records
as defined in the non-federal entity’s written policy.
3) Support the distribution of the salaries or wages among specific activities or cost
objectives if the employee works on more than one federal or non-federal program;
an indirect cost activity and a direct cost activity; more than one indirect activity
which are allocated using different distribution bases; or an allowable and
unallowable activity.
e. See Title 2 CFR 200.430 for salaries and wages regulations.
2. Fringe Benefits
a. Fringe benefits include, but are not limited to, the costs of leave/paid time off (e.g.,
vacation, sick, holiday, bereavement, military), employee insurance (e.g., employer paid
portion of health, dental, vision, life), pensions, employer contribution to a retirement
account, bonuses, health stipends in lieu of health insurance, unemployment, workers
compensation, social security.
b. The cost of leave/paid time off, and other taxable income (e.g., bonuses, health stipends in
lieu of health insurance) may be included in salaries/wages, . See Item 1 above. It cannot
be included in both categories and must be consistently budgeted and expensed for all
Federally and non-Federally funded programs and activities of the Grantee.
c. The cost of fringe benefits is allowable provided they are reasonable and are required by
law, or a Grantee-employee agreement or established in the Grantee’s written policy.
d. Fringe benefit costs must be equitably allocated to all activities (Federal award activity and
non-Federal award activity).
e. See Title 2 CFR 200.431 for fringe benefit regulations.
3. Employee Travel and Training
a. This category includes the cost of travel and training for full and part-time employees
working in the program.
6
b. This category does not include travel and training costs for personnel hired on a private
contract basis or through a personnel service, for contractual services, or for volunteers.
c. This category includes the cost of mileage, lodging, per diem, meals, tips, modes of
transportation, approved registration fees for conferences, seminars, and other types of
training related to the program.
d. The costs must be consistent with the Grantee’s written policy and procedures to be
allowable.
e. See Title 2 CFR 200.474 for travel expense requirements.
4. Supplies and Materials
a. This category includes consumable and short-term items costing less than five thousand
dollars ($5,000).
b. Examples include office supplies, office furniture, computers, computer software, printers,
printing, postage, janitorial supplies, educational supplies, medical supplies, etc. according
to the requirements of the program.
c. This category does not include the cost of supplies and materials related to operating a
shelter or other emergency housing.
d. Purchases of materials and supplies must be charged at the actual price, net of applicable
credits.
e. For budgeting purposes, when the Supplies and Materials line item budget will not exceed
10 percent of the total budgeted grant expenses, specific detail will not be required. Detail
is required only when the Supplies and Materials line item budget will exceed 10 percent.
5. Subawards – Subrecipient Services
a. This category includes the cost of an agreement (subaward) between the Grantee and
another organization for the purpose of carrying out a portion of the Grant program. A
subaward is a subrecipient relationship.
b. See below to differentiate between a subrecipient and a contractor.
SUBRECIPIENT AND CONTRACTOR DETERMINATION FACTORS
Title 2 CFR 200.331states that a pass-through entity (in this case the Grantee) must make case
by case determinations whether an agreement it makes for the disbursement of Federal funds
casts the party receiving the funds in the role of a subrecipient or contractor.
7
In determining whether an agreement casts the role of party receiving the Federal funds from the
Grantee as a subrecipient or contractor, the substance of the relationship is more important than
the form of the agreement. All characteristics listed below may not be present in all cases and the
Grantee must use judgement when determining if the agreement is a subaward or a procurement
contract.
Subrecipient Characteristics
A subaward is for the purpose of carrying out a portion of a Federal award and creates a Federal
assistance relationship with the subrecipient. Characteristics of a subrecipient include:
1. In accordance with its agreement, uses the Federal awards to carry out a public purpose
specified in authorizing statute, as opposed to providing goods and services for the benefit
of the pass-through entity.
2. Is responsible for adherence to applicable Federal program requirements specified in the
Federal award.
3. Has responsibility for programmatic decision making.
4. Determines who is eligible to receive what Federal assistance.
5. Has its performance measured in relation to whether objectives of the Federal program are
met.
Contractor Characteristics
A contract is for the purpose of obtaining goods or services for the non-Federal entity’s own use
and creates a procurement relationship with the contractor. Characteristics of a contractor include:
1. Provides goods and services within normal business operations.
2. Provides similar goods and services to many different purchasers.
3. Normally operates in a competitive environment.
4. Provides goods or services that are necessary to support the operation of the Federal
program.
5. Is not subject to compliance requirements of the Federal program as a result of the
agreement although similar requirements may apply of other reasons.
6. Contractual – Professional and Personnel Services
8
a. This category includes the costs of professional and personnel services rendered by
members of a particular profession or possess a certain skill set and are not employees of
the Grantee.
b. This category includes the costs of services such as accounting, auditing, payroll,
consulting, services, contract employees, etc.
c. Grantees generally hire contract employees in place of part-time or full-time staff because
of the need for specialized skills or budgetary reasons.
d. The Grantee is not responsible for taxes, social security, workers compensation,
unemployment, health benefits, sick or vacation time for contract employees.
e. Travel expenses may be included when it is part of the contract terms between the Grantee
and the contractor.
f. Training expenses may be included when it is part of the contract terms between the
Grantee and the contractor.
7. Communications
a. This category includes the cost of telephone services (cell and/or land lines), hotline, data
lines, internet services, cloud services, copy machine, and website necessary for the
operation of the program.
b. The cost of certain telecommunication and video surveillance services or equipment are
prohibited in accordance with Title 2 CFR 200.216.
c. For budgeting purposes, when the Communications line item budget will not exceed 10
percent of the total budgeted grant expenses, specific detail will not be required. Detail is
required only when the Communications line item budget will exceed 10 percent.
8. Grantee Rent Expense
a. This category includes the cost of rent/leases by the Grantee for space related to the
operation of the program.
b. This category does not include the cost of client rent assistance or equipment
rentals/leases.
9. Space Expenses
a. This category includes costs to maintain a facility related to the operation of the program.
Costs include electricity, heating and air conditioning, maintenance and repairs, lawncare
9
and snowplowing, janitorial services, insurance, security system, depreciation (when the
space is owned by the Grantee), etc.
b. These costs must be allocated equitably to all Federal and non-Federal activities related to
the space.
c. Shelter Expenses – The costs associated with operating a shelter. Includes such things as
rent or depreciation, insurance, utilities, maintenance and repairs, snow removal, lawn
care, trash removal, security system etc.
10. Capital Expenditures – Equipment and Other
a. Capital Expenditures – Equipment
1) Equipment is defined as an article of non-expendable property having a useful live of
more than one year and acquisition cost of $5,000 or more per unit. Items with an
acquisition cost of less than $5,000 classified as supplies and materials.
2) The cost of single a single unit or piece of equipment includes the necessary
accessories and installation costs.
3) When the Grantee’s definition and threshold differs from the definition above, the
Grantee will budget and report only those equipment purchases of $5,000 or more, on
the Capital Expenditures – Equipment and Other line item.
4) Equipment purchases must have prior written approval from MDHHS if the item will be
expensed in the year of purchase. The approved Budget does not qualify as prior
written approval. When equipment purchases are not expensed in the year of purchase,
the Grantee may only expense the deprecation calculated in accordance with its written
policy.
b. Capital Expenditures – Other
1) This category includes capital outlay for capital assets other than equipment.
10
CAPITAL ASSETS AND DEPRECIATION
Title 2 CFR 200.1 defines capital assets as tangible or intangible assets used in operations having
a useful life of more than one year which are capitalized in accordance with Generally Accepted
Accounting Principles and includes:
• Land, buildings (facilities), equipment, and intellectual property (including software) whether
acquired by purchase, construction, manufacture, exchange, or through a lease accounted
for as financial purchase under GASB or a finance lease under FASB.
Additions, improvements, modifications, replacements, rearrangements, reinstallations,
renovations, or alterations to capital assets that materially increase their value or useful life.
Title 2 CFR 200.439(b) includes the following rules of allowability for equipment and other capital
expenditures.
1. Capital expenditures for general purpose equipment, building, and land are unallowable as
direct charges, except with the prior written approval of the Federal awarding agency or the
pass-through entity.
2. Capital expenditures for special purpose equipment are allowable as direct costs, provided
that items with a cost of $5,000 or more have prior written approval of the Federal awarding
agency or the pass-through entity.
3. Capital expenditures for improvements to land, buildings, or equipment which materially
increase their value or useful life are unallowable as a direct cost except with prior written
approval from the Federal awarding agency or the pass-through entity.
4. When approved as a direct charge, capital expenditures will be charged in the period in
which the expenditure is incurred.
5. The unamortized portion of any equipment written off as a result of a change in
capitalization levels may be recovered by continuing to claim the otherwise allowable
depreciation on the equipment or by amortizing the amount to be written off over a period of
years negotiated with the Federal cognizant agency for indirect cost.
6. Cost of equipment disposal is allowable if the non-Federal entity is instructed by the
Federal awarding agency to otherwise dispose or transfer the equipment.
7. Equipment and other capital assets are unallowable as indirect costs.
Title 2 CFR 200.1 defines capital assets as tangible or intangible assets used in operations having
a useful life of more than one year which are capitalized in accordance with Generally Accepted
Accounting Principles and includes:
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• Land, buildings (facilities), equipment, and intellectual property (including software) whether
acquired by purchase, construction, manufacture, exchange, or through a lease accounted
for as financial purchase under GASB or a finance lease under FASB.
• Additions, improvements, modifications, replacements, rearrangements, reinstallations,
renovations, or alterations to capital assets that materially increase their value or useful life.
11. Client Assistance – Rent
a. This category includes the cost of rental assistance provided for eligible clients in
accordance with the program requirements.
b. The Grantee must account for rental assistance separate from all other client assistance.
12. Client Assistance – All Other
a. This category includes the costs of providing assistance for eligible clients in accordance
with program requirements. The guidance below is not meant to be comprehensive, and
some costs may not be allowable for a particular program. It is the Grantee’s responsibility
to budget and report expenses in accordance with the program requirements.
b. Examples include:
1. Gift Cards/Prepaid Cards/E-Cards/Store Cards/Vouchers – The cost various types of
purchase cards (e.g., gas, phone, food), vouchers (e.g., laundry vouchers for a local
laundromat), and public transportation cards/tokens, etc. in accordance with program
requirements.
2. Transportation – The cost of taxis, Uber, Lyft, etc. for eligible clients when necessary for
the health and safety for eligible clients in accordance with program requirements.
3. Utilities – The costs associated with heat, electricity, water, etc. for eligible clients in
accordance with program requirements.
4. Personal Care – The costs associated with food, formula, clothing, diapers, toiletries,
medication, medical equipment, etc. for eligible clients in accordance with program
requirements.
5. Safety – The cost of changing windows and doors or locks, cost of short-term
alternative housing (e.g., hotel due to shelter capacity), security cameras, assistance for
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obtaining long-term housing for a victim (regardless of distance, based on safety needs)
etc. for eligible clients in accordance with program requirements.
6. Other – The cost of assistance not specifically identified above for eligible clients in
accordance with program requirements
.
13. Other Expenses
a. This cost category includes expenses not previously identified on other line items
purchased for the operation of the program.
b. If the Grantee will claim the DeMinimis Indirect rate, the Grantee’s accounting records must
clearly identify the following excluded expenses which are included as Other Expenses for
budget and FSR purposes and excluded when determining Total Modified Direct Costs.
1. Charges for Patient Care – Medical, social, and educational services to patients relating
to prevention, diagnosis, and treatment. Includes medical fees, laboratory, pharmacy,
and other health inpatient care, home care services, treatments, professional and
consultation fees and related travel costs, transportation of patients including
accompanying parents or guardians (or other escort), and for sundry related support
such as meals and housing.
2. Participant Support Costs – Direct costs for such items for stipends or subsistence
allowances, travel allowances, and registration fees paid to or on behalf of participants
or trainees (not employees) in connection with conferences or training projects.
2 CFR 200.201
3. Tuition Remission – Refers to ways that a college or university pays tuition costs for
students. Includes tuition waivers and tuition payments. Does not include tuition
reimbursement for employees when the Grantee offers tuition reimbursement as an
employee fringe benefit.
4. Scholarships and Fellowships – A scholarship is generally an amount paid or allowed to
a student at an educational institution for the purpose of study. A fellowship grant is
generally an amount paid or allowed to an individual for the purpose of study or
research.
www.irs.gov
c. This cost category does not include indirect expenses which are included below.
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14. County / City Central Services
a. These are costs associated with central support activities of the local governing unit
allocated to the local health department accordance with Title 2 CFR, part 200.
15. General and Administrative Indirect Expenses
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.
5. As a Subrecipient of federal funds from MDHHS, a Local Health Department that has never
received a negotiated indirect cost rate, your Local Health Department may 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,
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scholarships and fellowships, participant support costs, and portions sub contractual and/or
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.
County-City Central Services Cost Allocation Plan
a. This category includes the allocation of central services costs allocated to the program.
b. Central service departments are within the county or city government that exist to provide
support services to other operating departments within that unit of government.
c. Examples of central service departments include finance, accounting, facilities
maintenance, information technology, human resources, purchasing, motor pools, etc.
d. All costs and data used the distribute the costs included in the plan must be supported by
formal accounting and other records that support the propriety of the costs assigned to
Federal awards.
e. Each central service cost allocation plan is required to be certified by the local government.
f. See Title 2 CFR Part 200 Appendix V, State/Local Governmentwide Central Service Cost
Allocation Plans for specific requirements.
Other Indirect Cost Distributions
a. This category includes various contributing activity costs to appropriate program areas
based on a documented allocation methodology in accordance with Title 2 CFR 200.
b. This category is generally associated with governmental entities that utilize a City-County
Central.
c. 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
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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.
d. 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.
e. Federal Provided Vaccine Value should be reported on a separate line and clearly identified.
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.
1. MDHHS Comprehensive
Funding (Federal and/or State dollars) provided by MDHHS for this grant agreement.
2. Fees and Collections – 1st and 2nd Party
a. 1st party funds received from private payers, including patients, source users, and any
member of the general public receiving services.
b. 2nd party funds received from organizations, private or public, who might reimburse
services for a group or under a special plan.
c. Revenues will be reported when earned (accrual basis of accounting) or when received
(cash basis of accounting).
3. Fees and Collections – 3rd Party
a. 3rd Party funds received from private insurances, Medicaid, Medicare, or other applicable
titles of the Social Security Act directly related to the cost of providing patient care or other
services.
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b. Revenues will be reported when earned (accrual basis of accounting) or when received
(cash basis of accounting).
4. Local Funds
All local support in the appropriate element, project, or service group column. This may include
local property tax, and other local revenue. Does not include fees.
5. Federal or State (Non MDHHS)
Funds provided to directly to the Grantee from the State of Michigan or the Federal government
(other than MDHHS) to support the program.
6. Other
Funding provided by foundation grants, United Way grants, private donations, fund-raising,
charitable contributions, etc. that provide support to the program.
7. In-Kind Match
Represents the value of donated services (e.g., accounting, legal, medical, etc.), donated
materials and supplies, donated space, etc. that support the program.
8. MDHHS Fixed Unit Rate
Select the type of fee-for-services from the lookup button to correspond with the program element.
9. MCH Funding
This section includes all the funding projected to be due under Comprehensive Agreement
specific to the CMH eligible program elements. Please note: the MI E-Grants System validates the
MCH budgeted funds across the appliable program elements to assure the agreement does not
exceed the MCH allocation.
10. 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.)
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12. 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.
13. Federally Provided Vaccines
The projected value of federally provided vaccines.
14. 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.
3. However, no exclusion is required where the local jurisdiction has made and documented a
decision to have local funds underwrite:
a. The cost of uncollectible accounts or bad debts incurred in support of providing
required or allowable health services. An example of this condition would be for
services provided to indigents who are billed as a matter of procedure with little chance
for receipt of payment.
b. Potential recoveries or under-recoveries from other sources for the principal purpose
of providing required and allowable health services at free or reduced cost to the public
served by the Grantee. An example would be keeping fees for services at a reduced
level for the benefit of the people served by the Grantee while recognizing that to do
so limits recovery from third parties for the same types of services.
4. Contributions to a contingency reserve or any similar provisions for unforeseen events.
5. Charitable contributions and donations.
6. Salaries and other incidental expenditures of the chief executive of a political subdivision (i.e.,
county executive and mayor). Legislative expenditures, such as, salaries and other incidental
18
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.
15. 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).
16. Federal Cost Based Reimbursement
Funds received from Federal Cost Based Reimbursement must be budgeted and reported in the
program in which they were earned. See MCBR Budget and FSR MDHHS Guidance for reporting
requirements.
SPECIAL BUDGET AND REIMBURSEMENT PROCEDURE INSTRUCTIONS
Certain elements are supported by federal or other categorical program funds for which special
budgeting requirements are placed upon grantees and subgrantees.
Element Federal or Other Funding Contractor
Public Health Emergency
Preparedness
U.S. Department of Health & Human Services, Centers for Disease Control
WIC U.S. Department of Agriculture, Food & Nutrition Service
Family Planning U.S. Department of Health & Human Services, Public Health Service
Breast and Cervical Cancer U.S. Department of Health & Human Services, Centers for Disease Control
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CSHCS Outreach &
Advocacy
Michigan Department of Health & Human Services
Medicaid Outreach Activities Centers for Medicare and Medicaid Services
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.
1. Public Health Emergency Preparedness
Local Health Departments will receive the initial FY 23/24 allocation of the CDC Public Health
Emergency Preparedness (PHEP) funds in nine equal prepayments for the period October 1, 2023
through June 30, 2024. 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:
• Public Health Emergency Preparedness (PHEP) (October 1 – June 30)
• Public Health Emergency Preparedness (PHEP)– Cities of Readiness (October 1 –June 30)
• Laboratory Services - Bioterrorism (October 1 – September 30)
2. WIC Special Budget Requirements
WIC licensing MOUs are in the show documents section in the EGrAMS system for review.
The following local budget breakdowns are required to fulfill WIC grant application budget
requirements each fiscal year:
• Salaries & Fringe Benefits
• Automated Management Systems
• Space Utilization Costs
• Equipment
• Supplies
• Communications & Travel
• All Other Direct Costs
• Indirect Costs
• All Funding Sources by Type
The WIC cost/funding categories and supporting budget detail requirements are satisfied by
completion of an application budget form in the MI E-Grants System.
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Agencies receiving WIC-USDA Infrastructure grants must budget these funds as a separate
element. Agencies must track and report expenditures separately on the FSR.
Agencies receiving WIC-USDA Breastfeeding Peer Counselor funds must budget these funds as
a separate element. Agencies must track and report expenditures separately on the FSR and
comply with special reporting requirements.
• Costs Allowable Only With Prior Approval - The following costs are allowable only with
prior review/approval of the Michigan Department of Health & Human Services as specified
by the U.S. Department of Agriculture, Food and Nutrition Service (Ref.: 7 CFR Part 246,
and USDA-WIC Administrative Cost Handbook 3/86). Prior approval is accomplished by
providing appropriate detail in the budget request approved by MDHHS or subsequently in a
written request approved in writing by MDHHS.
A. Automated Information 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
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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.
3. Family Planning Special Budget Requirements
The following local budget breakdowns are required to fulfill Family Planning grant application
budget requirements each fiscal year:
• Salaries & Wages
• Fringe Benefits
• Travel
• Equipment
• Supplies
• Contractual
• Construction
• All Other Direct Costs
• Indirect Costs
• All Funding Sources by Type
The Family Planning cost/funding categories and supporting budget detail requirements are
satisfied by completion of an application budget in the MI E-Grants System.
• Costs Allowable Only With Prior Approval - The following costs are allowable only with
prior review/approval of MDHHS. Prior approval is accomplished by providing appropriate
detail in the budget request approved by MDHHS or subsequently in a written request
approved in writing by MDHHS.
A. Alterations and Renovations - to change the interior arrangements or other
physical characteristics of existing facilities or installed equipment, to the
extent that such changes cost more than $1,000 each.
B. Audiovisual Materials and Activities - acquired, produced, presented, or
disseminated to the general public.
C. Consultant Contracts for General Support Services - including equipment and
supplies, that will cost in excess of $25,000 or 10% of the total direct cost
budget (whichever is greater).
D. Equipment - including general purpose and special equipment (e.g., air
conditioning) costing $5,000 or more per unit.
E. Insurance - contributions to a reserve for a self-insurance program.
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F. Public Information Service Costs – for the cost of providing public information
services.
G. Publication and Printing Costs - for the cost of publications.
H. Capital Expenditures - for land or buildings.
I. Indemnification Against Third Parties Costs - insurance against potential
liabilities.
J. Mass Severance Pay - involving grant-supported personnel.
K. Organization/Reorganization Costs - allocable to the program.
L. Overtime Premium - involving grant-supported personnel.
M. Patient Care Costs – re-budgeting out of or reduction in patient care costs
(considered a change in scope).
N. Professional Services - in connection with Patent/Copyright Infringement
Litigation.
O. Trailers or Modular Units – for costs of trailers and modular units.
P. Transfers Between Construction and Non-construction - for approved
construction funds.
Q. Transfers Between Indirect and Direct Costs - for amounts awarded for
indirect costs to absorb increases in direct costs.
R. Transfers for Substantive Programmatic Work - to a third party, by contracting,
or any other means used for the actual performance of substantive
programmatic work.
All charges to Family Planning must be necessary, reasonable, allowable, and
allocable, for the proper and efficient administration of the program. Further
information and cost standards are provided in federal instructions including 2
CFR, Part 225 (OMB Circular A-87), A-102 Common Rule and 2 CFR, Part 215
(OMB Circular A-110)
4. Breast and Cervical Cancer Control Coordination Program Special Budget Requirements
The Breast and Cervical Cancer Control Navigation Program (BC3NP) budget is to be developed
based on specific responsibilities of Local Health Departments (LHDs) participating in the Breast
and Cervical Cancer Control Navigation Program. LHDs agreeing to participate in the program fall
into two categories: LHDs agreeing to participate as Local Coordinating Agencies (LCAs) and
LHDs agreeing to participate as Local Community Partners (LCPs).
A. LHDs agreeing to participate as Local Coordinating Agencies (LCAs) – LCAs are
responsible in assuring implementation of all program requirements and policies and
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procedures. This includes client outreach and recruitment into BC3NP to achieve yearly
targeted caseload allocations, financial monitoring of program expenses and claims for
provision of client clinical services, obtaining results of client services and entry of client
data into the program’s secure statewide database to monitor timeliness and completeness
of care delivery and authorize payment for services, and assuring appropriate providers are
contracted with the program to provide screening and diagnostic services to enrolled
clients. Only coordination expenses will be reimbursed through the Comprehensive
Agreement. No clinical services will be reimbursed through the Comprehensive
Agreement. All clinical service claims must be billed to the MDHHS Cancer Prevention
and Control Section for claim processing. The LCA and/or direct service providers with
contracts or letters of agreement with the LCA will be responsible for billing clinical services
claims to the MDHHS Cancer Prevention and Control Section. The Coordination amount of
$205-$210 per woman is based on achievement of a target caseload established for each
LCA by MDHHS. Requirements. Each LCAs target caseload is evaluated yearly based on
the BC3NP Tiered Program Performance requirements. There is no longer a match
requirement. Match is recorded by the program and reported to MDHHS in EGrAMS.
B. LHDs agreeing to participate as Community Partners (LCPs) – LCPs are responsible for
implementing strategies to identify and recruit clients eligible for the BC3NP, enroll clients
into the program, and arrange for provision of screening and diagnostic clinical services
through contracted providers. LCPs will obtain results of all clinical services provided to
BC3NP clients and send this information to MDHHS for data entry into the secure
program’s statewide database. Information entered into the database will be reviewed by
MDHHS staff to evaluate timeliness and completeness of care delivery and authorize
payment for services. MDHHS staff will oversee financial monitoring of program expenses
and claims for provision of client clinical services. LCPs will be awarded a base award (to
be determined yearly by MDHHS) that is to be used to implement strategies to recruit a
minimum target caseload of BC3NP women established for these agencies by
MDHHS. No clinical services will be reimbursed through the Comprehensive
Agreement. All clinical service claims must be billed to the MDHHS Cancer Prevention
and Control Section for claim processing. The LCP and/or direct service providers with
contracts or letters of agreement with the LCP will be responsible for billing clinical service
claims to the MDHHS Cancer Prevention and Control Section. There is no longer a match
requirement. Match is recorded by the program and reported to MDHHS in EGrAMS.
For specific billing requirements refer to the most recent BC3NP Participation Manual. For
specific program requirements, including current fiscal year Direct Service Reimbursement
Rates refer to the current fiscal year Unit Cost Reimbursement Rate Schedule for the
BC3NP issued in August of each fiscal year. The above referenced documents are available
at https://michigan.gov/BC3NP
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5. The Well-Integrated Screening and Evaluation for Women Across the Nation
(WISEWOMAN) budget is to be developed in the following way:
1. WISEWOMAN Coordination and Screening should be used to budget costs associated with
coordination of the program and delivery of the initial screening and risk reduction counseling
to WISEWOMAN participants. This includes collecting answers to health intake questions,
WISEWOMAN screening services (height, weight, body mass index, 2 blood pressure
readings, total cholesterol, HDL cholesterol, and fasting glucose or A1C), and delivery of risk
reduction counseling.
2. All Direct Service claims must be billed to the MDHHS Cancer Prevention and Control Section
for claim processing. The Local Coordinating Agency (LCA) and/or direct service providers
with contracts or letters of agreements with the LCA will be responsible for billing Direct
Service claims to the MDHHS Cancer Prevention and Control Section. This includes follow-
up fasting lipid panel, fasting glucose, A1c, and one diagnostic exam. No Direct Services
expenses will be reimbursed through the Comprehensive Agreement. The Coordination and
Screening amount is $150 per woman based on a target caseload established by MDHHS.
3. Performance reimbursement will be based upon the understanding that a certain level of
performance (measured by outputs) must be met. There is a 95% caseload performance
requirement for this project.
For specific billing requirements refer to the most recent Billing Manual. For specific program
requirements, including current fiscal year Direct Service Reimbursement rates and documentation
related to the match requirement, refer to the current fiscal year Special Budgeting and other
Program instructions for the WISEWOMAN Program issued in August of each fiscal year. The above
referenced documents are available at www.michigan.gov/ wisewoman.
6. Medicaid Outreach Activities and Reimbursement Procedures
Medicaid Outreach Activities that are funded by local dollars and meet federal requirements are
eligible for reimbursement at a 50% federal administrative match rate. Local Health Departments
must maintain proper documentation of the activities performed and those activities must conform
with the activities outlined in MSA Bulletin 05-29. Medicaid Outreach Activities funding is a
subrecipient relationship.
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Budget Preparation
A. Medicaid Outreach Activities
Complete the MI E-Grants application and budget forms for the application Medicaid
Outreach Activities that occur during the fiscal year: 10/1-09/30. Reimbursable activities
included in the budget must conform to the requirements as specified in the MSA Bulletin
05-29. Complete the MI E-Grants application and budget forms for this program.
1. Expenditure Category Tab
Enter the expenditures budgeted for the fiscal year 10/1-9/30 Expenses budgeted for
each of the listed expenditure categories are allowable and must be specific to the
Medicaid program as described in MSA Bulletin 05-29. Outreach activities must not
be part of direct service. Expenditures must be reflected in the cost allocation plan.
2. Source of Funds Tab
Budget the amount expected from the federal government for allowable Medicaid
Outreach Activities. Federal Medicaid Outreach represents the anticipated 50%
federal administrative match of local contributions. Budget the local contribution.
Required Match - Local represents the 50% matching local contribution for
Medicaid Outreach activities. These two amounts must match.
3. Sources of Local Funds Types
Local Health Departments may utilize their county appropriation, any earned
income, funds received from local or private foundations, local contributors or
donators, and from other non-state/non-federal grant agreements that are specific to
Medicaid outreach or are to be used at the discretion of the Health Department as a
source for matching funds. Other state and/or federal grant awards for Medicaid
Outreach must be recorded on the appropriate line as indicated in the
Comprehensive Budget Instructions - Attachment I.
B. Nurse-Family Partnership Outreach
Expenditures related to Nurse-Family Partnership Medicaid Outreach should be reflected
under one program element. The budget should reflect the entire fiscal year period: 10/1-
09/30.
1. Federal Medicaid Outreach
Fifty percent (50%) of local funds after the percentage of Medicaid clients enrolled in
the LHD Nurse-Family Partnership program has been applied. The formula for
calculating the federal funding is as follows:
Federal funding = (Local funds x % of Medicaid Participation Rate) x 50% Federal
Administrative Match rate)
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2. Required Match - Local
Represents the 50% match of local contributions. Budget the local match contribution in
Required Match – Local. Federal Medicaid Outreach and Required Match – Local must
equal each other. Additional local contribution related to service provision for non-
Medicaid eligible participants which are not eligible for the 50% federal match
should be reported in Local Funds – Other.
3. Sources of Local Fund 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.
C. CSHCS Medicaid Outreach
Complete the MI E-Grants application and budget forms for the application titled CSHCS
Medicaid Outreach for the timeframe: 10/01-09/30.
Expenditures related to CSHCS Medicaid Outreach should be reflected under one program
element and adhere to Section IV, Special Instruction Section found in the Comprehensive
Budget Instructions - Attachment I. The budget should reflect the entire fiscal year period:
10/1-09/30.
1. Federal Medicaid Outreach
Fifty percent (50%) of local funds after the percentage of Medicaid clients enrolled in
the LHD CSHCS program has been applied. A table containing each health jurisdiction
Medicaid Participation Rate is located in the MI E-Grants site. The formula for
calculating the federal funding is as follows:
Federal funding = (Local funds x % of Medicaid Participation Rate) x 50% Federal
Administrative Match rate)
2. Required Match - Local
Represents the 50% match of local contributions. Budget the local match contribution.
Federal Medicaid Outreach and Required Match – Local must equal each other.
Additional local contribution that is not eligible for the 50% federal match should
be reported on the Local Funds – Other line.
27
3. 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 to be
used at the discretion of the health department as a source for matching funds.
4. Comprehensive CSHCS Outreach and Advocacy and Case Management/Care
Coordination Funds
Should be reported in a separate program element.
Indirect Costs
There are three (3) options for indirect costs. They are:
1. an approved federal or state indirect rate;
2. a 10% de minimis rate; or
3. a cost allocation/distribution plan
Most Health Departments will use the cost allocation plan for indirect costs. For further
detail, go to VI. Form Preparation, L. Indirect Cost, on page 5 of this document.
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.
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.
28
1. Federal Medicaid Outreach
Should be used to request the 50% federal administrative match for Medicaid
Outreach.
2. Required Match - Local
Should be used to report the local match for Medicaid Outreach. Both the
federal and local amounts must match.
3. 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
appropriate line has indicated in the Comprehensive Budget Instructions -
Attachment I (e.g., Local non-ELPHS or Local Funds – Other).
Total Source of Funds must equal Total Expenditures.
B. Nurse-Family Partnership Medicaid Outreach – Quarterly and Final FSRs
For Quarters 1-3, LHDs must reflect the actual Medicaid Outreach expenses incurred in a
separate program element titled Medicaid Outreach. Actual expenses incurred for each of
the listed expenditure categories are allowable but must be specific to Medicaid Outreach
as defined by MSA Bulletin 05-29 and not part of a direct service. Expenses should be
supported by a time study or other federally approved methodology.
1. Federal Medicaid Outreach
Should be used to request the 50% federal administrative match. Match is
determined by multiplying local contribution for the program by the percentage of
Medicaid enrollees. This product is then multiplied by 50% in order to determine
the eligible federal administrative match.
2. Required Match - Local
Should be used to report the remaining portion of the local contribution for the
Medicaid Outreach Match. Both lines should equal. Additional local
contribution related to service provision for non-Medicaid eligible
participants which are not eligible for the 50% federal match should be
reported in Local Funds - Other.
3. Source of Funds Category
29
Other source of funds that are non-reimbursable for Medicaid Outreach (i.e., other
federal grants, other MDHHS grants, etc.) should be reported on the appropriate
line has indicated in the Comprehensive Budget Instructions - Attachment I (e.g.,
Local non-ELPHS or Local Funds – Other).
C. CSHCS Medicaid Outreach – Final FSR
CSHCS Medicaid Outreach billing may occur before the final FSR through the MI E-Grants
system after Comprehensive Agreement CSHCS Outreach and Advocacy funds have
been fully expended. Local contributions eligible for the Medicaid Outreach match
should be cost distributed to the CSHCS Medicaid Outreach program element from
the CSHCS Outreach and Advocacy program element and reported as indicated
below.
1. Federal Medicaid Outreach
Should be used to request the 50% federal administrative match. Match is
determined by multiplying local contribution for the program by the percentage of
Medicaid enrollees. This product is then multiplied by 50% in order to determine
the eligible federal administrative match.
2. Required Match - Local
Should be used to report the remaining portion of the local contribution for the
Medicaid Outreach Match. Additional local contribution that is not eligible for
the 50% federal match should be reported in Local Funds - Other.
3. Source of Funds 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 appropriate
line has indicated in the Comprehensive Budget Instructions - Attachment I.
4. Comprehensive CSHCS Outreach and Advocacy and Care Coordination
Should be billed as separate program element.
7. Immunization 317 and VFC Allowable Expenditures
Please reference the Immunization VFC and 317 Allowable expenditures chart located in the
documents section in EGrAMS. The information is provided from the “Immunization Program
Operations Manual” (known as the IPOM), published by CDC.
ATTACHMENT III
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
LOCAL HEALTH DEPARTMENT AGREEMENT
October 1, 2023 – September 30, 2024
Fiscal Year 2024
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.
PROJECT PROGRAM CONTACT EMAIL
American Rescue Plan Charisse Sanders sandersc2@michigan.gov
Aresnic Water Sampling Laura de la Rambelje delarambeljel@michigan.gov
COVID Immunization Amy Mills millsa12@michigan.gov
COVID-19 Mobile Testing Brenda Jegede jegedeb@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
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: 10/1/2023
End Date: 9/30/2024
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’s reporting requirements. See the Michigan Department of Health and
Human Services’ (MDHHS) Home Visiting Unit (HVU) Guidance Manual for details about
what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVU 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: Due annually on June 30 to the HVU Model Consultant for preapproval.
Upon approval, upload the Work Plan to Groupsite. See the MDHHS Home Visiting Unit
Guidance Manual for requirements related to Work Plan development and reporting.
c. Work Plan Reports: Must be uploaded to Groupsite within 30 days of the end of
each quarter (January 30, April 30, July 30 and October 30).
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 will be provided. All ARP
Quarterly Reports should be submitted to the MDHHS Home Visiting Program Analyst.
Additional Requirements
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: Arsenic Water Sampling
Start Date: 10/1/2023
End Date: 9/30/2024
Project Synopsis:
To protect the health of residents in Middleton, the health department will conduct a sampling
event of 20 homes served by private drinking water wells. Using information collected from this
initial sampling event, it will be determined if there is a threat to the drinking water source
serving the Middleton community. Additional rounds of sampling may be needed based on the
testing results.
Reporting Requirements (if different than contract language):
The agency will submit a report that includes the following information:
• background
• data evaluation
• trends
• conclusions
• recommendations
Eligible expenses Include:
• Staff time
• lab sampling costs
• lab courier
• travel costs
• printing costs
Expenses not listed above must receive prior approval by MDHHS before submission.
Any additional requirements (if applicable)
Each well will be required to have a well log entered in wellogic.
.
PROJECT: COVID Immunization
Start Date: 10/1/2023
End Date: 6/30/2024
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 Supplemental Quarterly Workplan 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.
Not allowable expenses: vehicles, food, alcoholic beverages, building purchases,
construction, capital improvements, entertainment costs, goods and services for personal
use, and promotional and/or incentive material.
Additional Requirements
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: COVID-19 Mobile Testing
Start Date: 10/1/2023
End Date: 7/31/2024
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).
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: ELC (Epi Lab Capacity) Contact Tracing, Case Investigation,
Testing Coordination, and Infection Prevention
Start Date: 10/1/2023
End Date: 7/31/2024
Project Synopsis:
For COVID-19 and Mpox funding from ELC Supplemental for Case Investigations and
Contact Tracing and Infection Prevention.
Reporting Requirements (if different than contract language)
*Reporting requirements, if applicable, are noted in the individual sections below.
Any additional requirements (if applicable)
•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.
•The inability to meet quality standards will elicit the following response from
MDHHS related to this funding:
a.Technical assistance
b.Corrective action/performance improvement plans with MDHHS
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, printed materials, outreach, supports to
cases for isolation and quarantine (not including wraparound services). Funding
cannot be used for clinical care, vaccine administration, or research. Local health
departments should ensure staff are trained to conduct culturally competent
interviews.
Related to Contact Tracing:
• Dependent on MDHHS guidance, LHDs will collaborate with MDHHS to assure
timely contact notification and education of close contacts (named or associated
with an event or outbreak) of a COVID-19 or mpox case. Local health
departments should ensure contact tracing for COVID-19 and mpox is culturally
competent. Contact tracing data will be documented in OMS (COVID-19) or
MDSS (mpox)
Related to testing:
• LHDs will provide staffing and support for testing activities related to outbreak
response. This funding can be used to staff testing or outreach events, shipping
and handling of specimens, mobile units, or assure testing strategies are
completed.
Related to Infection Prevention (i.e. MI-ECHO Project):
• Technical assistance can be requested by LHD Infection Prevention personnel
including, but not limited to:
a. train-the-trainer models
b. job shadowing
c. assistance with onsite and virtual facility assessments
d. pre-and post-visit consultation and follow-up
e. cluster/outbreak reporting
f. response and containment
• The LHD will designate a staff member or members responsible for leading virtual
and onsite infection prevention assessments:
1. Proactive IP assessments (preparedness)
2. Assessments in response to an outbreak/cluster
• A list of LHD IP team members and contact information will be available to
MDHHS.
• Team members will participate in a Project kickoff meeting and routinely
scheduled coordination calls with MDHHS.
• Dedicated LHD staff will complete Project FirstLine Training provided by CDC
and/or MDHHS.
• Dedicated LHD staff will participate in an APIC training sponsored by MDHHS.
• 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.
** High risk settings include but are not limited to healthcare settings (hospitals, nursing
homes, other long term care facilities), jails, prisons, and shelters.
• 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):
a) # of LHD staff completing Project FirstLine Training
b) # of LHD staff completing APIC training
c) # of proactive virtual site visits conducted
d) # of proactive onsite visits conducted
e) # of outbreak/cluster site visits conducted
f) # of trainings coordinated by LHD personnel
g) # of infection prevention consultations conducted
h) # 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, vaccine administration, or research.
For local health departments:
• Use staffing to collaborate to conduct contact tracing, contact notification, outreach
and mitigation for high-priority settings like schools, jails, dorms, congregate
settings, etc.
• LHDs will report to MDHHS the number of clusters/outbreaks investigated with
supported staff
• LHDs should report to MDHHS, on a quarterly basis, which non-COVID-19
conditions were investigated by staff supported under this award.
• LHD’s will provide education to contacts on public health recommendations for
COVID-19, mpox, or other emerging communicable disease threats.
• LHDs will provide information to close contacts such as websites, printed
materials, social media, or hotlines.
• LHDs will provide timely and medically accurate linkage to treatment or PEP for
contacts and cases.
• Staffing can be used to support:
a. connecting people with supportive services and treatments when indicated
b. assisting with expanding public education and outreach
c. promoting vaccination — including scheduling and booster reminders
d. TPOXX outreach, provider education, and distribution
• Staff can be cross trained to support other communicable disease investigation
activities such as:
a. mpox
b. sexually transmitted infection and
c. HIV partner services,
d. Hepatitis C infection,
e. foodborne outbreak response,
f. tuberculosis investigations,
g. healthcare associated and antibiotic resistant organisms,
h. other programs that can benefit from the skills of this highly-trained
workforce.
• LHDs will support local public health staff impacted by COVID-19 and mpox by
providing development and training opportunities, including addressing the
physical and behavioral health impact of COVID-19 on the public health workforce.
• LHDs will support staff workforce development and training, including conference
fees and associated travel.
• 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, mpox, and/or
other infectious disease threats.
• Funding cannot be used for clinical care, vaccine or vaccine administration, or
research.
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: ELC Regional Lab
Start Date: 10/1/2023
End Date: 7/31/2024
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)
Smay 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)
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: ELC SEWER Network
Start Date: 10/1/2023
End Date: 7/31/2024
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.
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT TITLE: Lead Response
Start Date: 10/1/2023
End Date: 9/30/2024
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.
Activity 1: 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.
Activity 2: Incorporate ALE Ambassadors into dissemination of ALE communication into the
community.
Activity 3: Assist the MDHHS DEH to promote available lead services (lead inspection, lead
abatement and plumbing mitigation) to residents through one-on-one outreach and community
events. Through these means, also assist residents in completing the Lead Services Application
and submit to MDHHS. Each ambassador shall be responsible for reaching 5-10 households per
week to promote lead services and assist in filling out application when possible.
Reporting Requirements
Activity 1: 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.
Activity 2: ALE Ambassadors will assist BCHD and MDHHS with getting messages into the BH
community (i.e., messaging about filter use and maintenance, home lead inspections, etc.)
Activity 3: On a quarterly basis, BCHD will report the number of households reached to promote
lead services. Reports should be sent to MDHHS-DEH-FSO.
Additional Requirements:
Requesting Funding
• Local Health Departments requesting funds for Lead ALE response will provide an
estimated budget, as well as a description of expenses on Form DCH-0385(E) and
DCH-0386(E).
• Lead ALE response funds are not capacity building funds but are limited-term
funding to achieve a critical public health response on behalf of the MDHHS for
environmental public health needs related to lead in drinking water.
Eligible Expenses Include:
• Staff time and fringe dedicated to Lead ALE response in association with the
interim response.
a. Eligible staff activities for Lead ALE response include filtration system
distribution, home visits, organizing and hosting town hall meetings or other
public education, phone banks, water sample collection or other activities
approved by and conducted in collaboration with MDHHS Division of
Environmental Health.
• Printing materials associated with ALE response;
• Mileage associated with lead ALE response and MDHHS-provided training;
• Lead and copper analysis fees for health departments with certified drinking water
laboratories when costs are in alignment with the Michigan Department of
Environment, Great Lakes, and Energy’s (EGLE) Drinking Water Laboratory fees
($26/sample).
• Other items as need is determined, such as public meeting venue rental or phone
bank expenses.
• Blood Lead Screening regardless of age and/or insurance status for Benton
Harbor City residents.
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
• 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: 10/1/2023
End Date: 9/30/2024
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)
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
PROJECT: PFAS (Per- and Polyfluoroalkyl Substances) Response
Start Date: 10/1/2023
End Date: 9/30/2024
Project synopsis:
The Michigan Department of Health and Human Services (MDHHS) Division of Environmental
Health (DEH), in conjunction with local health departments, works to implement drinking water
recommendations in communities with residents on private residential wells which have been
or potentially are impacted by releases of PFAS to the environment. Local health departments
are eligible for PFAS Response funding when filtration or another alternate source of drinking
water is recommended as a health protective measure.
PFAS response encompasses the components below:
• Public education and outreach including, but not limited to, the health effects of
exposure to PFAS, drinking water testing results, and information on and distribution of
certified drinking water filter.
• Interim provision of certified water filtration systems or an alternate source(s) of water to
impacted residents until a determination is made by MDHHS DEH that the interim
provision is no longer recommended.
• Follow-up with residents who have received a certified 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 per the filter manufacturer’s instructions
and the residents’ water usage, e.g., every 800 gallons of filtered water for the
Aquasana AQ-5300+ Claryum 3-Stage Max Flow.
• 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:
o Distribution of certified water filtration systems and replacement cartridges.
o Coordination of water filter installation by a licensed plumber when requested by
the resident.
o 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 the interim provision is no
longer recommended.
o Documentation of water filter and replacement cartridge distribution.
o Data entry and submission to MDHHS DEH.
• When necessary, staff activities may include:
o Bottled water distribution.
o Home visits.
o Organizing and hosting town hall meetings or other public education.
o 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.
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 interim
recommendation for water filtration or use of an alternate water source.
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.
Acknowledgement of Receiving or Declining Water Filter Form
When providing a water filter to a resident, grantees will ensure residents 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.
Reporting requirements:
By the first Wednesday of each month, grantees are required to submit:
• Site-specific, updated tracking forms including:
o Site name.
o Resident’s name, address, contact information.
o Water filter or alternate water type provided.
o Water filter or alternate water quantity distributed.
o Filter replacement cartridges distributed.
o Date of each distribution.
o Filter declination.
o Dates filter replacement cartridge reminders were made.
o 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:
N/A
PROJECT: Reopening Schools HRA
Start Date: 10/1/2023
End Date: 7/31/2024
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.
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.
Additional Requirements
Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source documentation,
to support program activities and all expenditures made under the terms of this
Agreement, as required. The Grantee must assure that all terms of the Agreement will be
appropriately adhered to and that records and detailed documentation for the grant
project or grant program identified in this Agreement will be maintained for a period of not
less than seven years from the date of termination, the date of submission of the final
expenditure report or until litigation and audit findings have been resolved. This section
applies to the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
FOOTNOTES: FY 2023/2024
a) Refer to Plan and Budget Framework for element definitions.
b) Refer to master comprehensive agreement and program and budget instructions package for further explanation of applicability
of these reimbursement methods.
c) Negotiated starting from the average of the past two complete years' actual number where available.
d) Calculated by multiplying the "Total Performance Expectation" column by the ratio of the elements total State funding (DCH
0410, Line 24) to "Total Expenditures” DCH 0410, Line 17). Prior to calculation, adjustments will be made for unallowable cost,
equipment funded by local funds and MDHHS reimbursement not performance based (I.E., fixed unit rate, staffing).
e) Calculated by multiplying the "State Funded Element Target Performance" column by the "Percent" column.
f) Refer to master comprehensive agreement and budget instructions package for further explanation regarding these
designations.
1. CSHCS Care Coordination
A. Case Management
1. Maximum of six (6) services per year
2. Reimbursement - $201.58 per service provided face-to-face in the home setting.
2. CARE COORDINATION
A. LEVEL I PLAN OF CARE
1. Annual Plan of Care in the home or home-like setting that requires the Care Coordinator
to travel to a non-LHD site - $150
2. Annual Plan of Care over the telephone -$100
B. LEVEL II CARE COORDINATION
1. Level II Care Coordination is reimbursed at $30.00 per unit
2. A maximum of 15 units per beneficiary per eligibility year will be reimbursed.
(2) Reimbursement Chart for Fixed Rates
Body Art $303.43 / appl. annual license prior to July1
$151.72/ appl. annual license after July 1
$136.53 / appl. temporary license
$303.43 / appl. renewal prior to December 1
$455.15 / appl. renewal after December/1
$30.33 / duplicate license
CSHCS-Medicaid Elevated Blood Lead Case
Management
$201.58 per home visit, for up to 6 home visits
Fetal Infant Mortality Review (FIMR) Case
Abstractions
$270.00 per case, not to exceed the maximum set for each Grantee
Immunization Nurse Education $200 per session except Vaccines Across the Lifespan, which is to be
reimbursed at $250 per session, upon completion and submission of
Provider Contracts and Report Forms. Reimbursement can only be
made for one in-service module session per physician clinic site per
year.
Immunization VFC (only) Provider Site Visits $175 per site visit, not to exceed the maximum set for each individual
Grantee
Immunization Combined VFC/QI Provider Site
Visits
$350 for a Combined VFC/QI site visit or Birthing Hospital visit.
Informed Consent $50 per woman served, for each woman that expressly states that she
is seeking a pregnancy test or confirmation of a pregnancy for the
purpose of obtaining an abortion and is provided the services.
SIDS (FIMR Interviews) $125 for each family support visit. A maximum of six (6) visits per
infant death is reimbursable
Statewide Lead Case Management $204.58 per home visit. A maximum of six (6) visits per home.
$100 per community health worker visit, A maximum of 2.
(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.
Version: Comprehensive
1
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
FY 23/24 AGREEMENT ADDENDUM A
1. This addendum adds the following section to Part I and Renumbers existing 11
Special Certification to 12 and existing 12 Signature Section to 13:
Part I
11. Agreement Exceptions and Limitations
Notwithstanding any other term or condition in this Agreement including, but
not limited to, any provisions related to any services as described in the
Annual Action Plan, any Contractor (Oakland County) services provided
pursuant to this Agreement, or any limitations upon any Department funding
obligations herein, the Parties specifically intend and agree that the
Contractor may discontinue, without any penalty or liability whatsoever, any
Contractor services or performance obligations under this Agreement when
and if it becomes apparent that State or Department funds for any such
services will be no longer available. Notwithstanding any other term or
condition in this Agreement, the Parties specifically understand and agree
that no provision in this Agreement shall operate as a waiver, bar or limitation
of any kind, on any legal claim or right the Contractor may have at any time
under any Michigan constitutional provision or other legal basis (e.g., any
Headlee Amendment limitations) to challenge any State or Department
program funding obligations; and, the parties further agree that no term or
condition in this Agreement is intended and no such provision shall be
argued to state or imply that the Contractor voluntarily assumed or undertook
to provide any services as described in the Annual Action Plan, and thereby,
waived any rights the Contractor may have had under any legal theory, in law
or equity, without regard to whether or not the Contractor continued to
perform any services herein after any State or Department funding ends.
2. This addendum modifies the following sections of Part II, General Provisions:
Part II
I. Responsibilities-Grantee
J. Software Compliance. This section will be deleted in its entirety and
replaced with the following language:
Version: Comprehensive
2
The Michigan Department of Health and Human Services and the
County of Oakland will work together to identify and overcome
potential data incompatibility problems.
III. Assurances
A. Compliance with Applicable Laws. This first sentence of this
paragraph will be stricken in its entirety and replace with the following
language:
The Contractor will comply with applicable Federal and State laws,
and lawfully enacted administrative rules or regulations, in carrying out
the terms of this agreement.
M. Health Insurance Portability and Accountability Act. The
provisions in this section shall be deleted in their entirety and replaced
with the following language:
The Grantee agrees that it will comply with the Health Insurance
Portability and Accountability Act of 1996, and the lawfully enacted
and applicable Regulations promulgated there under.
X. Liability. Paragraph A. will be deleted in its entirety and replaced with the
following language.
A. Except as otherwise provided by law neither Party shall be
obligated to the other, or indemnify the other for any third party
claims, demands, costs, or judgments arising out of activities to be
carried out pursuant to the obligations of either party under this
Contract, nothing herein shall be construed as a waiver of any
governmental immunity for either party or its agencies, or officers
and employees as provided by statute or modified by court
decisions.