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HomeMy WebLinkAboutResolutions - 2024.11.21 - 41732 AGENDA ITEM: Subrecipient Agreement with Oakland Livingston Human Services Agency for Integrated Urgent Care DEPARTMENT: Health & Human Services MEETING: Board of Commissioners DATE: Thursday, November 21, 2024 1:46 PM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2024-4638 Motion to approve the subrecipient agreement between Oakland County and Oakland Livingston Human Services Agency for resource navigator staffing at the Integrated Urgent Care Walk-In Center in the amount of $300,000 for the period 1/1/2025 – 12/31/2026; further authorize the Chair of the Board of Commissioners to execute the agreement, upon final review by Purchasing and Corporation Counsel. ITEM CATEGORY SPONSORED BY Contract Penny Luebs INTRODUCTION AND BACKGROUND The COVID-19 pandemic has increased demand for physical and mental health services and created new barriers for people already suffering from mental illness and substance-use disorders. The Oakland County Health Division is partnering with local organizations to address the need for increased access to primary care and mental health services by creating an Urgent Primary and Behavioral Health Center in the City of Pontiac. The Board of Commissioners, via Miscellaneous Resolution #23-156, authorized the appropriation of American Rescue Plan Act – Local Fiscal Recovery Funds in an amount not-to-exceed $1,000,000 for the Urgent Primary and Behavioral Health Center in Pontiac. Further, M.R. #23-156 authorized the Director of Health and Human Services to enter into a contract for services subject to review by the Purchasing Division and Corporation Counsel and act as the contract administrator for the project. Oakland County Health and Human Services and Corporation Counsel drafted a subrecipient grant agreement (Attachment A) between Oakland County and Oakland Livingston Human Services Agency (OLHSA) for Resource Navigator staffing during all hours of operation at the Integrated Urgent Care Walk-In Center. The subrecipient agreement provides funding in the amount of $300,000 for the period 1/1/2025 – 12/31/2026 to support Resource Navigator staff that will address social determinants of health by connecting patients to relevant services and benefits, and following up to ensure the connection has been made. OLHSA has agreed to the terms included in the subrecipient agreement. BUDGET AMENDMENT REQUIRED: No Committee members can contact Barbara Winter, Policy and Fiscal Analysis Supervisor at 248.821.3065 or winterb@oakgov.com or the department contact persons listed for additional information. CONTACT Leigh-Anne Stafford, Director Health & Human Services ITEM REVIEW TRACKING Aaron Snover, Board of Commissioners Created/Initiated - 11/21/2024 AGENDA DEADLINE: 11/21/2024 9:30 AM ATTACHMENTS 1. ARPA Grant Agreement OLHSA 11.6.24 COMMITTEE TRACKING 2024-11-12 Public Health & Safety - Recommend to Board 2024-11-21 Full Board - Adopt Motioned by: None Seconded by: None Yes: None (0) No: None (0) Abstain: None (0) Absent: (0) Page 1 of 5 OAKLAND COUNTY EXECUTIVE, DAVID COULTER OAKLAND COUNTY AMERICAN RESCUE PLAN ACT (ARPA) GRANT AGREEMENT THIS GRANT AGREEMENT (this “Agreement”), effective as of the date it has been signed by both Parties as indicated on the first page of this Agreement (“Effective Date”), is between Oakland County (the “Grantor”), whose address is 2100 Pontiac Lake Road, Bldg. 41W, Waterford, Michigan 48328, and the Grantee Name identified below (the “Grantee” or “OHLSA”). As used in this Agreement, the Grantor and the Grantee are, individually, a “Party” and, collectively, the “Parties”. Grantee Name: Grantee Address: Grant Amount: The undersigned agree to the Agreement terms specified in Sections 1 through 14 herein and affirm that they have the authority to sign on behalf of their respective Parties. GRANTOR: COUNTY OF OAKLAND By: _________________________________ David T. Woodward Chairman, Board of Commissioners GRANTEE: _____________________________________ By: _________________________________ Oakland County Internal Processing Information: Fund: Dept:Payment approved by: Program: Account: Budget reference:By: __________________________ PCBU: Project ID: Activity ID: (A fully executed PDF copy of this Agreement will be emailed to you via EchoSign for your records.) Page 2 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER RECITALS A. On March 11, 2021, the President of the United States signed the American Rescue Plan Act of 2021 (“ARPA”) into law. Section 9901 of ARPA amended Title VI of the Social Security Act to add section 603, which establishes the Coronavirus Local Fiscal Recovery Fund. Oakland County has been allocated $244,270,949 in Local Fiscal Recovery Fund (“LFRF”) dollars under ARPA. B. The United States Department of Treasury has issued a final rule, and other guidance for qualified uses of LFRF. Those qualified uses include responding to the COVID-19 public health emergency or its negative economic impacts, including assistance to households, small businesses, and nonprofits, or aid to impacted industries such as tourism, travel, and hospitality. C. Oakland County has determined that this grant program is a qualified use of LFRF funds pursuant to the final rule and other applicable Department of Treasury guidance. Oakland County Board of Commissioners appropriated up to $300,000 in LFRF funds for Oakland Livingston Human Services Agency (OLHSA). The Parties agree: 1.Grant. Subject to the terms and conditions of this Agreement, and in reliance upon the Grantee affirmations set forth below, the Grantor agrees to make, and the Grantee agrees to accept, the grant funds. a. Grantor will distribute $300,000 in grant funds to Grantee. b. GRANTEE UNIQUE ENTITY IDENTIFIER: c. FEDERAL AWARD IDENTIFICATION NUMBER (FAIN): SLFRP2640 d. CATALOG OF FEDERAL DOMESTIC ASSISTANCE (CFDA) NUMBER: 21.027 e. FEDERAL AWARD DATE: May 28, 2021 f. SUBAWARD PERIOD OF PERFORMANCE START AND END DATE: December 1, 2024- December 21, 2026. g. AWARD IS NOT FOR RESEARCH & DEVELOPMENT (R&D): Funds cannot be used for research and development related expenditures. h. INDIRECT COST RATE FOR FEDERAL AWARD: Indirect Costs are not eligible for this Agreement. i. CONTACT PERSON FOR GRANTOR/PASS THROUGH ENTITY: Leigh-Anne Stafford, Director Health & Human Services. j. DEFINED USE OF FUNDS: All grant funds must be expended in accordance with the guidelines for ARPA funds. Grantee has outlined the following intended uses of grant funds: Page 3 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER Proposed Scope of Service: OLHSA will provide Resource Navigators to be co–located at the Integrated Care Walk-In Center during all hours of operation. The role of the Resource Navigator will be to address the social determinants of health by connecting patients to relevant services and benefits, and following up to ensure the connection has been made. The Resource Navigator is a key component in the overall goal of the Integrated Walk-In Center, which is to improve health outcomes for patients by addressing health inequities Services to be provided include but not limited to: •Direct financial assistance with payments such as utilities, water, mortgage, & property taxes, and rental assistance for special populations (contingent on household eligibility and available funds) •Navigation and Enrollment in: o ACA health plans o Mi Bridges programs such as Food Assistance, Medicaid, State Emergency Relief, and Cash Assistance o Medicare Part D for seniors •Internal referrals to OLHSA programs such as older adult services, financial counseling, housing counseling, supportive services for veterans or those living with HIV, weatherization, Head Start, WIC, and food programs •External resource navigation and linkages •SOAR enrollment for clients who are homeless or at risk of homelessness obtain SSI or SSDI •Bromberg on-demand translation services Engagement intensity will range from light-touch, one-off services to the establishment of a case management relationship to those with complex needs. No matter their presenting concern, all clients will be offered the opportunity to be screened and assessed for wider social needs. Our goal is to engage clients deeply to ensure that they learn about any resource or program that would benefit them or meet the needs they identify. Recognizing that some patients who have acute social needs may not be receptive this deeper conversation during the clinical visit, we will make all efforts to set up a follow-up session. During phase 1, OLHSA plans to place existing, seasoned staff on site a few days a week to pilot the integration model. During this phase, OLHSA’s resource navigators will serve patients while assessing the scope and volume of presenting needs of patients, studying how the Honor and OCHN teams utilize them, and providing input on any suggested modification to work-flow. By testing the integration process in reality, we can determine how and when OLHSA can position itself to be most impactful and efficient. We are eager to develop ways that OLHSA can support the team in other ways too. During this phase, OLHSA will be recruiting, orienting, and training its permanent staff for the 2 positions. The goal is to build the new Resource Navigators’ core competencies with OLHSA service provision and have them complete all formal training and certification programs prior to placement at the clinic. Page 4 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER During phase 2, OLHSA’s Resource Navigators will start full coverage at the clinic’s final location and will be prepared to responsively fulfill the needs that have been identified of our role during phase 1. We plan to have one Resource Navigator on site during open hours (Monday-Friday, possible weekend coverage); the other Resource Navigator will be off site working following up with the clients on their caseload. History and Capacity: For over a decade, OLHSA has had Ryan White early intervention service workers (certified community health workers) and medical case managers embedded at primary care providers such as Honor. We have worked closely with OCHD Partner Services in linking newly diagnosed individuals with primary care and providing the navigation, linkages, and education needed to facilitate and promote success in managing their health. OLHSA is experienced in addressing the health-related factors that are upstream from the clinical encounter. OLHSA’s staff have connected and linked patients visiting the clinics to our transportation services, housing assistance, support groups, food bank and medical nutritional therapy as well as to external providers throughout the HIV continuum of care. They have helped countless patients sign up for Medicaid and ADAP. We have long known the necessity of addressing the social barriers to health. Our clients living with HIV cannot stay engaged in care or remain adherent to their treatment regiments if they don’t have food, housing, or transportation. All of our social support programs measure their success by clinical health outcomes such as viral load and medical gap. Potential Transportation Assistance: We are willing to model a pilot medical transportation program after our Ryan White transportation program Transportation assistance for follow up appointments with Honor or OCHN core providers (gas cards, bus tickets, or ride shares). We plan to reach out to Pontiac Community Foundation to learn more about their transportation services to see if they can meet any need for medical transportation. If a gap still exists, we can utilize our non-profit uber account and hired drivers along with gas vouchers and bus tickets. We also routinely help clients learn to access any medical transportation benefits included in their health plans. 2.Grantee Affirmations: a. Grantee affirms that any and all representations made to Grantor in connection with this grant were accurate, truthful and complete and remain so. Grantee acknowledges that all representations and information provided have been relied on by the Grantor to provide funding under this Agreement. Grantee shall promptly notify Grantor, in writing, of the occurrence of any event or any material change in circumstances which would make any Grantee representation or information untrue or incorrect or otherwise impair Grantee’s ability to fulfill its obligations under this Agreement. b. Grantee may not use grant funds for expenses for which the Grantee has received any other federal funds or emergency COVID-19 supplemental funding, whether it be state, federal, or private in nature, for the same expense. No portion of grant funds may be used for the purpose of obtaining additional Federal funds under any other law of the United States, except if authorized by law. Grantee shall promptly notify Grantor if it receives insurance proceeds or other disaster assistance (public or private) that duplicates the funding received under this Agreement. Grant funds may not be used to cover expenses that were reimbursed by insurance. c. Grantee shall not carry out any activities under this Agreement that results in a prohibited duplication of benefits as defined by Section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155) and in accordance with Section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Page 5 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER Law 115–254; 132 Stat. 3442), which amended Section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155). If the Grantee receives duplicate benefits from another source for projects related to this disaster, the Grantee must refund the benefits provided by the Grantor to the Grantor. Duplication of benefits occurs when Federal financial assistance is provided to a person or entity through a program to address losses resulting from a Federally-declared emergency or disaster, and the person or entity has received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance), and the total amount received exceeds the total need for those costs. d. Grantee shall use all grant funds it receives under this Agreement by December 31, 2026. Any grant funds not used by that date must be returned to Grantor. e. Grantee will provide Grantor with reports determined by the Director of Health and Human Services and Executive Director of OLHSA. 3.Repayment/Remedies. Grantee is subject to repayment to the Grantor of an amount equal to the grant funds received by Grantee in the event Grantee has made material misrepresentations to the Grantor, voluntary bankruptcy or insolvency proceedings are commenced against the Grantee and not set aside within sixty (60) days, or the Grantee fails to otherwise comply with the requirements of this Agreement. In the event Grantor later determines the information Grantee provided in conjunction with this grant, or that Grantee was ineligible for this grant, or that Grantee’s use of the grant funds following receipt was contrary to this Agreement, Grantee agrees to repay the grant funds to Grantor in full. Grantor further retains all rights and remedies allowed in law or equity, including seeking payment of its reasonable costs and expenses incurred enforcing its rights and remedies. 4.Grantee Indemnification. Grantee shall indemnify, defend and hold Grantor and its elected and appointed officials harmless from all claims incurred or asserted against Grantor and its elected and appointed officials, by any person or entity, which are alleged to have been caused directly or indirectly form the acts or omissions of Grantee or Grantee’s employees. Grantee further agrees to indemnify and hold Grantor harmless for the payment of any tax or withholding payments, including any penalty assessed it may owe under this Agreement as described in Section 6. 5.No Indemnification from Grantor. Grantee shall have no rights against Grantor for indemnification, contribution, subrogation, or any other right against Grantee unless expressly provided herein. 6.Tax Liability. Grantor and Grantee agree that to the extent that any part of the aforementioned funds are deemed to be taxable, that Grantee agrees to be fully responsible for the payment of any taxes, including withholding payments, social security, or other funds which are required to be withheld. Grantee agrees to provide Grantor with all information and cooperation necessary to execute a completed 1099-G form which Grantor will file with the United States Internal Revenue Service. Grantee acknowledges that Grantee will consult with a tax professional regarding the tax implications, if any, of the grant funds, and/or hereby waives the option to do so. 7.Conflict of Interest. Pursuant to Public Act 317 and 318 of 1968, as amended (MCL 15.301, et seq. and MCL 15.321, et seq.), to avoid any real or perceived conflict of interest, Grantee shall disclose to Grantor the identity of all Grantee employees and all relatives of Grantee employees who: a) are employed by the Grantor or are elected or appointed officials of the Page 6 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER Grantor, on the date the Grant is executed; and b) becomes employed or appointed by the Grantor or becomes an elected official of Grantor during the term of the Grant. 8.Access to Records and Audit. Grantee shall maintain all records pertinent to the Agreement and any amendments, including backup copies, for a period of five (5) years. The records shall be kept in accordance with generally accepted accounting practices, and the Grantee shall utilize adequate internal controls and maintain necessary documentation for all costs incurred, including documentation and an inventory of all equipment purchased with grant funds. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). In addition to Grantor, the U.S. Department of Treasury, or their authorized representatives, shall be provided the right to audit all records pertaining to the expenditure and use of grant funds. All records with respect to any matters covered by this Agreement shall be made available to Grantor, the Federal awarding agency, and the Comptroller General of the United States or any of their authorized representatives, at any time during normal business hours, as often as deemed necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any deficiencies noted in audit reports must be fully cleared by Grantee within 30 days after receipt by the Grantee. Failure of Grantee to comply with the audit requirements will constitute a violation of this Agreement. Grantee must establish and maintain effective internal control over the Federal award that provides reasonable assurance that they are managing the award in compliance with Federal statutes, regulations, and the terms and conditions of the award. Grantee shall provide a final report that is due to Grantor upon February 15, 2027. Grantee agrees to submit a detailed and timely grant report covering expenses related to each outlined purpose. 9.Compliance with Laws. Grantee shall comply with all federal, state, and local laws, statutes, ordinances, regulations, and all requirements applicable to its activities under this Grant. This includes the following: a. Grantee must take reasonable measures to safeguard protected personally identifiable information, as defined in 2 C.F.R. 200.82, and other information Grantor designates as sensitive or the Grantee considers sensitive consistent with applicable Federal, state, and local laws regarding privacy and obligations of confidentiality. b. Grantee must comply with 31 U.S.C. Chapter 38, Administrative Remedies for False Claims and Statements. Grantee will not pass-through grant funds to an entity listed in the SAM Exclusions. SAM Exclusions is the list maintained by the General Services Administration that contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. SAM exclusions can be accessed at www.sam.gov c. Grantee must register at sam.gov. d. Grantee must comply with Title VI of the Civil Rights Act of 1964, and any implementing regulations, which prohibits entities receiving Federal financial assistance from excluding from a program or activity, denying benefits or services, or Page 7 of 7 OAKLAND COUNTY EXECUTIVE, DAVID COULTER otherwise discriminating against a person on the basis of race, color, national origin (including limited English proficiency), disability, age, or sex (including sexual orientation and gender identity). All applicable U.S. Department of Treasury Title VI regulations are incorporated into this Agreement and made a part of this Agreement. e. Public Body must comply with 2 C.F.R. Part D, Post Federal Award Requirements, being 200.300 et seq., where applicable. 10.Assignment. Grantee may not assign any of its rights or obligations under this Agreement to any person or entity. 11.Severability. If a court of competent jurisdiction finds a term of this Grant to be illegal or invalid, then the term shall be deemed severed from this Grant. All other terms shall remain in full force and effect. Notwithstanding the above, if Grantee’s promise to indemnify or hold the Grantor harmless is found illegal or invalid, Grantee shall contribute the maximum it is permitted by law toward the payment and satisfaction of any claims against the Grantor. 12.Governing Law/Consent to Jurisdiction and Venue. This Grant shall be governed, interpreted and enforced by the laws of the State of Michigan. Except as otherwise required by law or court rule, jurisdiction and venue shall be in the Sixth Judicial Circuit Court of the State of Michigan or the 50th District of the State of Michigan. 13.Entire Agreement. This constitutes the entire understanding between the Parties concerning the use of the grant funds. 14.Electronic signatures. This Agreement may be signed in counterparts with the use of facsimile and electronic signatures, which shall be considered valid and binding on the Parties.