HomeMy WebLinkAboutResolutions - 2024.09.19 - 41988
AGENDA ITEM: Grant Acceptance from the Michigan Department of Health and Human Services FY
2025 Local Health Department Comprehensive Agreement
DEPARTMENT: Health & Human Services
MEETING: Board of Commissioners
DATE: Thursday, September 19, 2024 9:30 AM - Click to View Agenda
ITEM SUMMARY SHEET
COMMITTEE REPORT TO BOARD
Resolution #2024-4440
Motion to accept the FY 2025 Local Health Department (Comprehensive) Agreement for funding in
the amount of $16,922,160 for the period of October 1, 2024 through September 30, 2025; further,
authorize the Chair of the Board of Commissioners to execute the agreement; further, delete one (1)
vacant SR position as identified in Schedule D – Deletions; further; create two (2) SR positions as
identified in Schedule E – Creation; further, amend the FY 2024 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 Oakland County
Health Division funding through the Fiscal Year (FY) 2025 Local Health Department
(Comprehensive) Agreement for the period October 1, 2024 through September 30, 2025 in the
amount of $16,922,160, which includes an allocation of $607,258 to continue the subrecipient
agreement for reimbursement of services provided to Woman, Infants and Children (WIC) program
participants through September 30, 2025.
It is requested to continue fifty-eight (58) Special Revenue (SR) positions as identified on the
attached Schedule B, delete one (1) vacant SR position as identified in Schedule D – Deletions, and
create two (2) SR positions as identified in Schedule E – Creation.
BUDGET AMENDMENT REQUIRED: Yes
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
Stacey Sledge, HHS Business Manager
ITEM REVIEW TRACKING
Aaron Snover, Board of Commissioners Created/Initiated - 9/19/2024
AGENDA DEADLINE: 09/19/2024 9:30 AM
ATTACHMENTS
1. FY25 LHD_ Schedule A
2. Grant Acceptance Review Sign-Off
3. FY2025 LHD Agreement Grant Acceptance HR Write Up
4. FY2025 LHD Agreement draft
5. FY2025 LHD Agreement Acceptance Schedule B - Continuations
6. FYY2025 LHD Agreement Acceptance Schedule E - Creation
7. FY2025 LHD Agreement Acceptance Schedule D - Deletions
8. FY2025 LHD Agreement Acceptance Addendum A
9. FY2025 LHD Agreement Acceptance ATT I
10. FY2025 LHD Agreement Acceptance ATT III
11. FY2025 LHD Agreement Acceptance ATT IV
COMMITTEE TRACKING
2024-09-10 Public Health & Safety - Recommend to Board
2024-09-19 Full Board - Adopt
Motioned by: Commissioner Penny Luebs
Seconded by: Commissioner Robert Hoffman
Yes: David Woodward, Michael Spisz, Michael Gingell, Penny Luebs, Karen Joliat, Christine
Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia Gershenson,
William Miller III, Yolanda Smith Charles, Charles Cavell, Brendan Johnson, Ann Erickson Gault,
Linnie Taylor (17)
No: None (0)
Abstain: None (0)
Absent: Kristen Nelson (1)
Passed
Oakland County, Michigan
HEALTH AND HUMAN SERVICES DEPARTMENT/HEALTH DIVISION - FY 2025 LOCAL HEALTH DEPARTMENT (COMPREHENSIVE) 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 2025
Amendment
FY 2026
Amendment
FY 2027
Amendment
R Greenall Fund - Grants Health FND10101 CCN1060220 RC615571 PRG134000 GRN-1004200 615000 State Operating Grants 1,004,035 1,004,035 1,004,035
R Greenall Fund - Grants Health FND10101 CCN1060201 RC615675 PRG133150 GRN-1004205 615000 Health State Subsidy 708,481 708,481 708,481
R Greenall Fund - Grants Health FND10101 CCN1060283 RC610313 PRG133930 GRN-1004228 610000 Federal Operating Grants (33,418)(33,418)(33,418)
R Greenall Fund - Grants Health FND10101 CCN1060237 RC615571 PRG133300 GRN-1004201 615000 State Operating Grants (253,969)(253,969)(253,969)
R Greenall Fund - Grants Health FND10101 CCN1060237 RC615571 PRG133310 GRN-1004202 615000 State Operating Grants (253,968)(253,968)(253,968)
R Greenall Fund - Grants Health FND10101 CCN1060283 RC615571 PRG133930 GRN-1004228 615000 State Operating Grants (36,847)(36,847)(36,847)
Total Revenues $1,134,314 $1,134,314 $1,134,314
E General Fund Non-DepartmentalFND10100 CCN9010101 SC796500 PRG196030 796500 Budgeted Equity Adjustments $1,134,314 $1,134,314 $1,134,314
Total Expenditures $1,134,314 $1,134,314 $1,134,314
R Human Services Grants Health FND11007 CCN1060234 RC615571 PRG133930 GRN-1004452 615000 State Operating Grants 73,000 73,000 73,000
Total Revenues $73,000 $73,000 $73,000
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133930 GRN-1004452 702000 Salaries Regular 44,104 44,104 44,104
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133930 GRN-1004452 722000 Fringe Benefits 18,548 18,548 18,548
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133930 GRN-1004452 730000 Indirect Costs 3,550 3,550 3,550
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133930 GRN-1004452 730000 Personal Mileage 2,010 2,010 2,010
E Human Services Grants Health FND11007 CCN1060234 SC731388 PRG133930 GRN-1004452 730000 Printing 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133930 GRN-1004452 750000 Medical Supplies 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133930 GRN-1004452 750000 Office Supplies 2,185 2,185 2,185
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133930 GRN-1004452 770000 Insurance Fund 603 603 603
Total Expenditures $73,000 $73,000 $73,000
R Human Services Grants Health FND11007 CCN1060290 RC615463 PRG115010 GRN-1004493 615000 Grant Fees and Collections 22,245 22,245 22,245
R Human Services Grants Health FND11007 CCN1060290 RC615571 PRG115010 GRN-1004493 615000 State Operating Grants 222,449 222,449 222,449
Total Revenues $244,694 $244,694 $244,694
E Human Services Grants Health FND11007 CCN1060290 SC702010 PRG115010 GRN-1004493 702000 Salaries Regular 114,907 114,907 114,907
E Human Services Grants Health FND11007 CCN1060290 SC722740 PRG115010 GRN-1004493 722000 Fringe Benefits 63,215 63,215 63,215
E Human Services Grants Health FND11007 CCN1060290 SC730926 PRG115010 GRN-1004493 730000 Indirect Costs 8,442 8,442 8,442
E Human Services Grants Health FND11007 CCN1060290 SC730982 PRG115010 GRN-1004493 730000 Interpreter Fees 1,307 1,307 1,307
E Human Services Grants Health FND11007 CCN1060290 SC731388 PRG115010 GRN-1004493 730000 Printing 1,307 1,307 1,307
E Human Services Grants Health FND11007 CCN1060290 SC731626 PRG115010 GRN-1004493 730000 Rent 6,673 6,673 6,673
E Human Services Grants Health FND11007 CCN1060290 SC731941 PRG115010 GRN-1004493 730000 Training 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060290 SC750077 PRG115010 GRN-1004493 750000 Disaster Supplies 29,616 29,616 29,616
E Human Services Grants Health FND11007 CCN1060290 SC750399 PRG115010 GRN-1004493 750000 Office Supplies 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060290 SC774636 PRG115010 GRN-1004493 770000 Info Tech Operations 11,100 11,100 11,100
E Human Services Grants Health FND11007 CCN1060290 SC774677 PRG115010 GRN-1004493 770000 Insurance Fund 868 868 868
E Human Services Grants Health FND11007 CCN1060290 SC778675 PRG115010 GRN-1004493 770000 Telephone Communications 2,259 2,259 2,259
Total Expenditures $244,694 $244,694 $244,694
R Human Services Grants Health FND11007 CCN1060291 RC615463 PRG134420 GRN-1004457 615000 Grant Fees and Collections 234,304 234,304 234,304
R Human Services Grants Health FND11007 CCN1060291 RC615571 PRG134420 GRN-1004457 615000 State Operating Grants 359,174 359,174 359,174
Total Revenues $593,478 $593,478 $593,478
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG134420 GRN-1004457 702000 Salaries Regular 301,295 301,295 301,295
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG134420 GRN-1004457 722000 Fringe Benefits 151,830 151,830 151,830
E Human Services Grants Health FND11007 CCN1060291 SC730072 PRG134420 GRN-1004457 730000 Advertising 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060291 SC730926 PRG134420 GRN-1004457 730000 Indirect Costs 24,254 24,254 24,254
E Human Services Grants Health FND11007 CCN1060291 SC730982 PRG134420 GRN-1004457 730000 Interpreter Fees 500 500 500
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG134420 GRN-1004457 750000 Incentives 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060291 SC731773 PRG134420 GRN-1004457 730000 Software Rental 4,000 4,000 4,000
E Human Services Grants Health FND11007 CCN1060291 SC731346 PRG134420 GRN-1004457 730000 Personal Mileage 655 655 655
E Human Services Grants Health FND11007 CCN1060291 SC731388 PRG134420 GRN-1004457 730000 Printing 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060291 SC731626 PRG134420 GRN-1004457 730000 Rent 30,966 30,966 30,966
E Human Services Grants Health FND11007 CCN1060291 SC731941 PRG134420 GRN-1004457 730000 Training 1,200 1,200 1,200
E Human Services Grants Health FND11007 CCN1060291 SC732018 PRG134420 GRN-1004457 730000 Travel and Conference 1,365 1,365 1,365
E Human Services Grants Health FND11007 CCN1060291 SC750154 PRG134420 GRN-1004457 750000 Expendable Equipment 155 155 155
E Human Services Grants Health FND11007 CCN1060291 SC750301 PRG134420 GRN-1004457 750000 Medical Supplies 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060291 SC750399 PRG134420 GRN-1004457 750000 Office Supplies 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060291 SC750448 PRG134420 GRN-1004457 750000 Postage - Standard Mailing 4,600 4,600 4,600
E Human Services Grants Health FND11007 CCN1060291 SC774636 PRG134420 GRN-1004457 770000 Info Tech Operations 49,280 49,280 49,280
E Human Services Grants Health FND11007 CCN1060291 SC774637 PRG134420 GRN-1004457 770000 Info Tech Managed Print Svcs 2,429 2,429 2,429
E Human Services Grants Health FND11007 CCN1060291 SC778675 PRG134420 GRN-1004457 770000 Telephone Communications 12,949 12,949 12,949
Total Expenditures $593,478 $593,478 $593,478
R Human Services Grants Health FND11007 CCN1060220 RC615571 PRG133020 GRN-1004446 615000 State Operating Grants 15,000 15,000 15,000
Total Revenues $15,000 $15,000 $15,000
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG133020 GRN-1004446 702000 Salaries Regular 8,748 8,748 8,748
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG133020 GRN-1004446 722000 Fringe Benefits 3,947 3,947 3,947
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG133020 GRN-1004446 730000 Indirect Costs 704 704 704
E Human Services Grants Health FND11007 CCN1060220 SC750294 PRG133020 GRN-1004446 750000 Material and Supplies 87 87 87
E Human Services Grants Health FND11007 CCN1060220 SC774677 PRG133020 GRN-1004446 770000 Insurance Fund 14 14 14
E Human Services Grants Health FND11007 CCN1060220 SC776661 PRG133020 GRN-1004446 770000 Motor Pool 1,500 1,500 1,500
Total Expenditures $15,000 $15,000 $15,000
R Human Services Grants Health FND11007 CCN1060234 RC615571 PRG133405 GRN-1004453 615000 State Operating Grants 191,000 191,000 191,000
Total Revenues $191,000 $191,000 $191,000
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133405 GRN-1004453 702000 Salaries Regular 85,264 85,264 85,264
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133405 GRN-1004453 722000 Fringe Benefits 53,863 53,863 53,863
E Human Services Grants Health FND11007 CCN1060234 SC730072 PRG133405 GRN-1004453 730000 Advertising 6,844 6,844 6,844
E Human Services Grants Health FND11007 CCN1060234 SC750245 PRG133405 GRN-1004453 750000 Incentives 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133405 GRN-1004453 730000 Indirect Costs 6,864 6,864 6,864
E Human Services Grants Health FND11007 CCN1060234 SC731031 PRG133405 GRN-1004453 730000 Laboratory Fees 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133405 GRN-1004453 730000 Personal Mileage 1,340 1,340 1,340
E Human Services Grants Health FND11007 CCN1060234 SC731941 PRG133405 GRN-1004453 730000 Training 500 500 500
E Human Services Grants Health FND11007 CCN1060234 SC732018 PRG133405 GRN-1004453 730000 Travel and Conference 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060234 SC750049 PRG133405 GRN-1004453 750000 Computer Supplies 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060234 SC750112 PRG133405 GRN-1004453 750000 Drugs 1,200 1,200 1,200
E Human Services Grants Health FND11007 CCN1060234 SC750294 PRG133405 GRN-1004453 750000 Material and Supplies 9,500 9,500 9,500
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133405 GRN-1004453 750000 Medical Supplies 8,823 8,823 8,823
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133405 GRN-1004453 750000 Office Supplies 2,500 2,500 2,500
E Human Services Grants Health FND11007 CCN1060234 SC750448 PRG133405 GRN-1004453 750000 Postage - Standard Mailing 500 500 500
E Human Services Grants Health FND11007 CCN1060234 SC750567 PRG133405 GRN-1004453 750000 Training-Educational Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060234 SC774636 PRG133405 GRN-1004453 770000 Info Tech Operations 3,352 3,352 3,352
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133405 GRN-1004453 770000 Insurance Fund 1,370 1,370 1,370
E Human Services Grants Health FND11007 CCN1060234 SC778675 PRG133405 GRN-1004453 770000 Telephone Communications 1,080 1,080 1,080
Total Expenditures $191,000 $191,000 $191,000
R Human Services Grants Health FND11007 CCN1060234 RC615571 PRG133120 GRN-1004470 615000 State Operating Grants 22,000 22,000 22,000
Total Revenues $22,000 $22,000 $22,000
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133120 GRN-1004470 702000 Salaries Regular 11,893 11,893 11,893
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133120 GRN-1004470 722000 Fringe Benefits 7,504 7,504 7,504
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133120 GRN-1004470 730000 Indirect Costs 957 957 957
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133120 GRN-1004470 750000 Medical Supplies 582 582 582
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133120 GRN-1004470 750000 Office Supplies 860 860 860
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133120 GRN-1004470 770000 Insurance Fund 204 204 204
Total Expenditures $22,000 $22,000 $22,000
R Human Services Grants Health FND11007 CCN1060237 RC615463 PRG133300 GRN-1004477 615000 Grant Fees and Collections 321,007 321,007 321,007
R Human Services Grants Health FND11007 CCN1060237 RC615571 PRG133300 GRN-1004477 615000 State Operating Grants 253,969 253,969 253,969
Total Revenues $574,976 $574,976 $574,976
E Human Services Grants Health FND11007 CCN1060237 SC702010 PRG133300 GRN-1004477 702000 Salaries Regular 416,361 416,361 416,361
E Human Services Grants Health FND11007 CCN1060237 SC722740 PRG133300 GRN-1004477 722000 Fringe Benefits 122,235 122,235 122,235
E Human Services Grants Health FND11007 CCN1060237 SC750154 PRG133300 GRN-1004477 750000 Expendable Equipment 100 100 100
E Human Services Grants Health FND11007 CCN1060237 SC730646 PRG133300 GRN-1004477 730000 Equipment Maintenance 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060237 SC730982 PRG133300 GRN-1004477 730000 Interpreter Fees 250 250 250
E Human Services Grants Health FND11007 CCN1060237 SC732020 PRG133300 GRN-1004477 730000 Travel Employee Taxable Meals 3,044 3,044 3,044
E Human Services Grants Health FND11007 CCN1060237 SC731346 PRG133300 GRN-1004477 730000 Personal Mileage 10,720 10,720 10,720
E Human Services Grants Health FND11007 CCN1060237 SC731388 PRG133300 GRN-1004477 730000 Printing 3,300 3,300 3,300
E Human Services Grants Health FND11007 CCN1060237 SC732018 PRG133300 GRN-1004477 730000 Travel and Conference 5,790 5,790 5,790
E Human Services Grants Health FND11007 CCN1060237 SC750301 PRG133300 GRN-1004477 750000 Medical Supplies 450 450 450
E Human Services Grants Health FND11007 CCN1060237 SC750392 PRG133300 GRN-1004477 750000 Metered Postage 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060237 SC750399 PRG133300 GRN-1004477 750000 Office Supplies 918 918 918
E Human Services Grants Health FND11007 CCN1060237 SC774677 PRG133300 GRN-1004477 770000 Insurance Fund 3,548 3,548 3,548
E Human Services Grants Health FND11007 CCN1060237 SC778675 PRG133300 GRN-1004477 770000 Telephone Communications 1,260 1,260 1,260
Total Expenditures $574,976 $574,976 $574,976
R Human Services Grants Health FND11007 CCN1060294 RC615571 PRG133990 GRN-1004449 615000 State Operating Grants 387,344 387,344 387,344
Total Revenues $387,344 $387,344 $387,344
E Human Services Grants Health FND11007 CCN1060294 SC702010 PRG133990 GRN-1004449 702000 Salaries Regular 214,000 214,000 214,000
E Human Services Grants Health FND11007 CCN1060294 SC722740 PRG133990 GRN-1004449 722000 Fringe Benefits 112,536 112,536 112,536
E Human Services Grants Health FND11007 CCN1060294 SC730072 PRG133990 GRN-1004449 730000 Advertising 5,326 5,326 5,326
E Human Services Grants Health FND11007 CCN1060294 SC730926 PRG133990 GRN-1004449 730000 Indirect Costs 20,904 20,904 20,904
E Human Services Grants Health FND11007 CCN1060294 SC731031 PRG133990 GRN-1004449 730000 Laboratory Fees 9,000 9,000 9,000
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133990 GRN-1004449 730000 Personal Mileage 1,340 1,340 1,340
E Human Services Grants Health FND11007 CCN1060294 SC731997 PRG133990 GRN-1004449 730000 Client Transportation 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133990 GRN-1004449 730000 Travel and Conference 4,000 4,000 4,000
E Human Services Grants Health FND11007 CCN1060294 SC750112 PRG133990 GRN-1004449 750000 Drugs 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133990 GRN-1004449 750000 Medical Supplies 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060294 SC730585 PRG133990 GRN-1004449 Employee License 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060294 SC760160 PRG133990 GRN-1004449 760000 Furniture and Fixtures 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133990 GRN-1004449 750000 Office Supplies 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133990 GRN-1004449 770000 Info Tech Operations 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060294 SC774677 PRG133990 GRN-1004449 770000 Insurance Fund 2,888 2,888 2,888
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133990 GRN-1004449 770000 Telephone Communications 2,850 2,850 2,850
Total Expenditures $387,344 $387,344 $387,344
R Human Services Grants Health FND11007 CCN1060294 RC615571 PRG133940 GRN-1004451 615000 State Operating Grants 425,000 425,000 425,000
Total Revenues $425,000 $425,000 $425,000
E Human Services Grants Health FND11007 CCN1060294 SC702010 PRG133940 GRN-1004451 702000 Salaries Regular 209,040 209,040 209,040
E Human Services Grants Health FND11007 CCN1060294 SC722740 PRG133940 GRN-1004451 722000 Fringe Benefits 99,638 99,638 99,638
E Human Services Grants Health FND11007 CCN1060294 SC730072 PRG133940 GRN-1004451 730000 Advertising 33,516 33,516 33,516
E Human Services Grants Health FND11007 CCN1060294 SC730926 PRG133940 GRN-1004451 730000 Indirect Costs 16,828 16,828 16,828
E Human Services Grants Health FND11007 CCN1060294 SC730982 PRG133940 GRN-1004451 730000 Interpreter Fees 200 200 200
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133940 GRN-1004451 730000 Personal Mileage 670 670 670
E Human Services Grants Health FND11007 CCN1060294 SC731388 PRG133940 GRN-1004451 730000 Printing 4,000 4,000 4,000
E Human Services Grants Health FND11007 CCN1060294 SC731626 PRG133940 GRN-1004451 730000 Rent 10,276 10,276 10,276
E Human Services Grants Health FND11007 CCN1060294 SC731339 PRG133940 GRN-1004451 730000 Subscriptions 800 800 800
E Human Services Grants Health FND11007 CCN1060294 SC731997 PRG133940 GRN-1004451 730000 Client Transportation 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133940 GRN-1004451 730000 Travel and Conference 6,000 6,000 6,000
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133940 GRN-1004451 750000 Medical Supplies 6,726 6,726 6,726
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133940 GRN-1004451 750000 Office Supplies 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060294 SC750448 PRG133940 GRN-1004451 750000 Postage - Standard Mailing 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060294 SC750567 PRG133940 GRN-1004451 750000 Training-Educational Supplies 7,014 7,014 7,014
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133940 GRN-1004451 770000 Info Tech Operations 16,360 16,360 16,360
E Human Services Grants Health FND11007 CCN1060294 SC774677 PRG133940 GRN-1004451 770000 Insurance Fund 3,732 3,732 3,732
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133940 GRN-1004451 770000 Telephone Communications 3,200 3,200 3,200
Total Expenditures $425,000 $425,000 $425,000
R Human Services Grants Health FND11007 CCN1060294 RC615571 PRG133390 GRN-1004454 615000 State Operating Grants 250,000 250,000 250,000
Total Revenues $250,000 $250,000 $250,000
E Human Services Grants Health FND11007 CCN1060294 SC702010 PRG133390 GRN-1004454 702000 Salaries Regular 80,151 80,151 80,151
E Human Services Grants Health FND11007 CCN1060294 SC722740 PRG133390 GRN-1004454 722000 Fringe Benefits 35,274 35,274 35,274
E Human Services Grants Health FND11007 CCN1060294 SC730072 PRG133390 GRN-1004454 730000 Advertising 15,000 15,000 15,000
E Human Services Grants Health FND11007 CCN1060294 SC730926 PRG133390 GRN-1004454 730000 Indirect Costs 6,452 6,452 6,452
E Human Services Grants Health FND11007 CCN1060294 SC731059 PRG133390 GRN-1004454 730000 Laundry and Cleaning 3,360 3,360 3,360
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133390 GRN-1004454 730000 Personal Mileage 670 670 670
E Human Services Grants Health FND11007 CCN1060294 SC731388 PRG133390 GRN-1004454 730000 Printing 2,500 2,500 2,500
E Human Services Grants Health FND11007 CCN1060294 SC731626 PRG133390 GRN-1004454 730000 Rent 36,000 36,000 36,000
E Human Services Grants Health FND11007 CCN1060294 SC731997 PRG133390 GRN-1004454 730000 Client Transportation 4,500 4,500 4,500
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133390 GRN-1004454 730000 Travel and Conference 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060294 SC750049 PRG133390 GRN-1004454 750000 Computer Supplies 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060294 SC750112 PRG133390 GRN-1004454 750000 Drugs 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060294 SC750294 PRG133390 GRN-1004454 750000 Material and Supplies 9,600 9,600 9,600
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133390 GRN-1004454 750000 Medical Supplies 24,069 24,069 24,069
E Human Services Grants Health FND11007 CCN1060294 SC750392 PRG133390 GRN-1004454 750000 Metered Postage 500 500 500
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133390 GRN-1004454 750000 Office Supplies 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060294 SC731773 PRG133390 GRN-1004454 730000 Software Rental 2,500 2,500 2,500
E Human Services Grants Health FND11007 CCN1060294 SC750567 PRG133390 GRN-1004454 750000 Training-Educational Supplies 1,999 1,999 1,999
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133390 GRN-1004454 770000 Info Tech Operations 6,704 6,704 6,704
E Human Services Grants Health FND11007 CCN1060294 SC776661 PRG133390 GRN-1004454 770000 Motor Pool 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133390 GRN-1004454 770000 Telephone Communications 4,721 4,721 4,721
Total Expenditures $250,000 $250,000 $250,000
R Human Services Grants Health FND11007 CCN1060218 RC615463 PRG133910 GRN-1004472 615000 Grant Fees and Collections 25,000 25,000 25,000
R Human Services Grants Health FND11007 CCN1060218 RC615571 PRG133910 GRN-1004472 615000 State Operating Grants 526,990 526,990 526,990
Total Revenues $551,990 $551,990 $551,990
E Human Services Grants Health FND11007 CCN1060218 SC702010 PRG133910 GRN-1004472 702000 Salaries Regular 320,228 320,228 320,228
E Human Services Grants Health FND11007 CCN1060218 SC722740 PRG133910 GRN-1004472 722000 Fringe Benefits 172,605 172,605 172,605
E Human Services Grants Health FND11007 CCN1060218 SC730926 PRG133910 GRN-1004472 730000 Indirect Costs 25,778 25,778 25,778
E Human Services Grants Health FND11007 CCN1060218 SC731346 PRG133910 GRN-1004472 730000 Personal Mileage 1,340 1,340 1,340
E Human Services Grants Health FND11007 CCN1060218 SC731626 PRG133910 GRN-1004472 730000 Rent 9,047 9,047 9,047
E Human Services Grants Health FND11007 CCN1060218 SC750049 PRG133910 GRN-1004472 750000 Computer Supplies 1,648 1,648 1,648
E Human Services Grants Health FND11007 CCN1060218 SC750399 PRG133910 GRN-1004472 750000 Office Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060218 SC750567 PRG133910 GRN-1004472 750000 Training-Educational Supplies 183 183 183
E Human Services Grants Health FND11007 CCN1060218 SC774636 PRG133910 GRN-1004472 770000 Info Tech Operations 13,132 13,132 13,132
E Human Services Grants Health FND11007 CCN1060218 SC774677 PRG133910 GRN-1004472 770000 Insurance Fund 4,349 4,349 4,349
E Human Services Grants Health FND11007 CCN1060218 SC778675 PRG133910 GRN-1004472 770000 Telephone Communications 3,180 3,180 3,180
Total Expenditures $551,990 $551,990 $551,990
R Human Services Grants Health FND11007 CCN1060234 RC615571 PRG133020 GRN-1004476 615000 State Operating Grants 2,500,000 2,500,000 2,500,000
Total Revenues $2,500,000 $2,500,000 $2,500,000
E Human Services Grants Health FND11007 CCN1060234 SC730072 PRG133020 GRN-1004476 730000 Advertising 11,000 11,000 11,000
E Human Services Grants Health FND11007 CCN1060234 SC730982 PRG133020 GRN-1004476 730000 Interpreter Fees 10,000 10,000 10,000
E Human Services Grants Health FND11007 CCN1060234 SC731031 PRG133020 GRN-1004476 730000 Laboratory Fees 20,000 20,000 20,000
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133020 GRN-1004476 730000 Personal Mileage 3,350 3,350 3,350
E Human Services Grants Health FND11007 CCN1060234 SC731388 PRG133020 GRN-1004476 730000 Printing 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060234 SC731458 PRG133020 GRN-1004476 730000 Professional Services 2,100,000 2,100,000 2,100,000
E Human Services Grants Health FND11007 CCN1060234 SC731941 PRG133020 GRN-1004476 730000 Training 20,000 20,000 20,000
E Human Services Grants Health FND11007 CCN1060234 SC732018 PRG133020 GRN-1004476 730000 Travel and Conference 25,000 25,000 25,000
E Human Services Grants Health FND11007 CCN1060234 SC750049 PRG133020 GRN-1004476 750000 Computer Supplies 20,000 20,000 20,000
E Human Services Grants Health FND11007 CCN1060234 SC750245 PRG133020 GRN-1004476 750000 Incentives 45,650 45,650 45,650
E Human Services Grants Health FND11007 CCN1060234 SC750294 PRG133020 GRN-1004476 750000 Material and Supplies 32,000 32,000 32,000
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133020 GRN-1004476 750000 Medical Supplies 10,000 10,000 10,000
E Human Services Grants Health FND11007 CCN1060234 SC731213 PRG133020 GRN-1004476 730000 Membership Dues 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133020 GRN-1004476 750000 Office Supplies 20,000 20,000 20,000
E Human Services Grants Health FND11007 CCN1060234 SC750567 PRG133020 GRN-1004476 750000 Training-Educational Supplies 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060234 SC732165 PRG133020 GRN-1004476 730000 Workships and Meetings 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060234 SC774636 PRG133020 GRN-1004476 770000 Info Tech Operations 150,000 150,000 150,000
E Human Services Grants Health FND11007 CCN1060234 SC778675 PRG133020 GRN-1004476 770000 Telephone Communications 15,000 15,000 15,000
Total Expenditures $2,500,000 $2,500,000 $2,500,000
R Human Services Grants Health FND11007 CCN1060291 RC615571 PRG133200 GRN-1004459 615000 State Operating Grants 70,000 70,000 70,000
Total Revenues $70,000 $70,000 $70,000
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG133200 GRN-1004459 702000 Salaries Regular 16,699 16,699 16,699
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG133200 GRN-1004459 722000 Fringe Benefits 8,480 8,480 8,480
E Human Services Grants Health FND11007 CCN1060291 SC730072 PRG133200 GRN-1004459 730000 Advertising 3,500 3,500 3,500
E Human Services Grants Health FND11007 CCN1060291 SC730926 PRG133200 GRN-1004459 730000 Indirect Costs 1,344 1,344 1,344
E Human Services Grants Health FND11007 CCN1060291 SC730982 PRG133200 GRN-1004459 730000 Interpreter Fees 250 250 250
E Human Services Grants Health FND11007 CCN1060291 SC731388 PRG133200 GRN-1004459 730000 Printing 8,000 8,000 8,000
E Human Services Grants Health FND11007 CCN1060291 SC731941 PRG133200 GRN-1004459 730000 Training 5,504 5,504 5,504
E Human Services Grants Health FND11007 CCN1060291 SC732018 PRG133200 GRN-1004459 730000 Travel and Conference 1,750 1,750 1,750
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG133200 GRN-1004459 750000 Incentives 4,900 4,900 4,900
E Human Services Grants Health FND11007 CCN1060291 SC750294 PRG133200 GRN-1004459 750000 Material and Supplies 250 250 250
E Human Services Grants Health FND11007 CCN1060291 SC750399 PRG133200 GRN-1004459 750000 Office Supplies 225 225 225
E Human Services Grants Health FND11007 CCN1060291 SC750448 PRG133200 GRN-1004459 750000 Postage - Standard Mailing 500 500 500
E Human Services Grants Health FND11007 CCN1060291 SC750567 PRG133200 GRN-1004459 750000 Training-Educational Supplies 13,206 13,206 13,206
E Human Services Grants Health FND11007 CCN1060291 SC732165 PRG133200 GRN-1004459 730000 Workshops and Training 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060291 SC774636 PRG133200 GRN-1004459 770000 Info Tech Operations 3,352 3,352 3,352
E Human Services Grants Health FND11007 CCN1060291 SC778675 PRG133200 GRN-1004459 770000 Telephone Communications 540 540 540
Total Expenditures $70,000 $70,000 $70,000
R Human Services Grants Health FND11007 CCN1060290 RC615571 PRG115140 GRN-1004489 615000 State Operating Grants 1,500 1,500 1,500
Total Revenues $1,500 $1,500 $1,500
E Human Services Grants Health FND11007 CCN1060290 SC750294 PRG115140 GRN-1004489 750000 Material and Supplies 1,500 1,500 1,500
Total Expenditures $1,500 $1,500 $1,500
R Human Services Grants Health FND11007 CCN1060241 RC615571 PRG133390 GRN-1004486 615000 State Operating Grants 70,000 70,000 70,000
Total Revenues $70,000 $70,000 $70,000
E Human Services Grants Health FND11007 CCN1060241 SC730072 PRG133390 GRN-1004486 730000 Advertising 12,100 12,100 12,100
E Human Services Grants Health FND11007 CCN1060241 SC731346 PRG133390 GRN-1004486 730000 Personal Mileage 50 50 50
E Human Services Grants Health FND11007 CCN1060241 SC731388 PRG133390 GRN-1004486 730000 Printing 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060241 SC731458 PRG133390 GRN-1004486 730000 Professional Services 52,970 52,970 52,970
E Human Services Grants Health FND11007 CCN1060241 SC732018 PRG133390 GRN-1004486 730000 Travel and Conference 750 750 750
E Human Services Grants Health FND11007 CCN1060241 SC750245 PRG133390 GRN-1004486 750000 Incentives 1,500 1,500 1,500
E Human Services Grants Health FND11007 CCN1060241 SC750294 PRG133390 GRN-1004486 750000 Material and Supplies 200 200 200
E Human Services Grants Health FND11007 CCN1060241 SC750567 PRG133390 GRN-1004486 750000 Training-Educational Supplies 380 380 380
E Human Services Grants Health FND11007 CCN1060241 SC732165 PRG133390 GRN-1004486 730000 Workshop and Meetings 50 50 50
Total Expenditures $70,000 $70,000 $70,000
R Human Services Grants Health FND11007 CCN1060230 RC615571 PRG133215 GRN-1004461 615000 State Operating Grants 843,113 843,113 843,113
Total Revenues $843,113 $843,113 $843,113
E Human Services Grants Health FND11007 CCN1060230 SC702010 PRG133215 GRN-1004461 702000 Salaries Regular 489,836 489,836 489,836
E Human Services Grants Health FND11007 CCN1060230 SC722740 PRG133215 GRN-1004461 722000 Fringe Benefits 269,689 269,689 269,689
E Human Services Grants Health FND11007 CCN1060230 SC730982 PRG133215 GRN-1004461 730000 Interpreter Fees 15,000 15,000 15,000
E Human Services Grants Health FND11007 CCN1060230 SC731346 PRG133215 GRN-1004461 730000 Personal Mileage 12,060 12,060 12,060
E Human Services Grants Health FND11007 CCN1060230 SC731388 PRG133215 GRN-1004461 730000 Printing 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060230 SC731941 PRG133215 GRN-1004461 730000 Training 3,140 3,140 3,140
E Human Services Grants Health FND11007 CCN1060230 SC732018 PRG133215 GRN-1004461 730000 Travel and Conference 7,649 7,649 7,649
E Human Services Grants Health FND11007 CCN1060230 SC750049 PRG133215 GRN-1004461 750000 Computer Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060230 SC750245 PRG133215 GRN-1004461 750000 Incentives 8,500 8,500 8,500
E Human Services Grants Health FND11007 CCN1060230 SC750301 PRG133215 GRN-1004461 750000 Medical Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060230 SC750392 PRG133215 GRN-1004461 750000 Metered Postage 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060230 SC750399 PRG133215 GRN-1004461 750000 Office Supplies 4,428 4,428 4,428
E Human Services Grants Health FND11007 CCN1060230 SC750567 PRG133215 GRN-1004461 750000 Training-Educational Supplies 6,761 6,761 6,761
E Human Services Grants Health FND11007 CCN1060230 SC732165 PRG133215 GRN-1004461 730000 Workshop and Meetings 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060230 SC774636 PRG133215 GRN-1004461 770000 Info Tech Operations 5,130 5,130 5,130
E Human Services Grants Health FND11007 CCN1060230 SC774637 PRG133215 GRN-1004461 770000 Info Tech Managed Print Svcs 7,860 7,860 7,860
E Human Services Grants Health FND11007 CCN1060230 SC774677 PRG133215 GRN-1004461 770000 Insurance Fund 1,600 1,600 1,600
E Human Services Grants Health FND11007 CCN1060230 SC778675 PRG133215 GRN-1004461 770000 Telephone Communications 5,460 5,460 5,460
Total Expenditures $843,113 $843,113 $843,113
R Human Services Grants Health FND11007 CCN1060232 RC615571 PRG134850 GRN-1004481 615000 State Operating Grants 110,597 110,597 110,597
Total Revenues $110,597 $110,597 $110,597
E Human Services Grants Health FND11007 CCN1060232 SC702010 PRG134850 GRN-1004481 702000 Salaries Regular 64,743 64,743 64,743
E Human Services Grants Health FND11007 CCN1060232 SC722740 PRG134850 GRN-1004481 722000 Fringe Benefits 3,239 3,239 3,239
E Human Services Grants Health FND11007 CCN1060232 SC730072 PRG134850 GRN-1004481 730000 Advertising 4,740 4,740 4,740
E Human Services Grants Health FND11007 CCN1060232 SC730926 PRG134850 GRN-1004481 730000 Indirect Costs 5,212 5,212 5,212
E Human Services Grants Health FND11007 CCN1060232 SC730982 PRG134850 GRN-1004481 730000 Interpreter Fees 2,011 2,011 2,011
E Human Services Grants Health FND11007 CCN1060232 SC731346 PRG134850 GRN-1004481 730000 Personal Mileage 3,015 3,015 3,015
E Human Services Grants Health FND11007 CCN1060232 SC731388 PRG134850 GRN-1004481 730000 Printing 3,220 3,220 3,220
E Human Services Grants Health FND11007 CCN1060232 SC731458 PRG134850 GRN-1004481 730000 Professional Services 4,300 4,300 4,300
E Human Services Grants Health FND11007 CCN1060232 SC732018 PRG134850 GRN-1004481 730000 Travel and Conference 500 500 500
E Human Services Grants Health FND11007 CCN1060232 SC750301 PRG134850 GRN-1004481 750000 Medical Supplies 7,995 7,995 7,995
E Human Services Grants Health FND11007 CCN1060232 SC750392 PRG134850 GRN-1004481 750000 Metered Postage 250 250 250
E Human Services Grants Health FND11007 CCN1060232 SC750399 PRG134850 GRN-1004481 750000 Office Supplies 1,055 1,055 1,055
E Human Services Grants Health FND11007 CCN1060232 SC750567 PRG134850 GRN-1004481 750000 Training-Educational Supplies 4,183 4,183 4,183
E Human Services Grants Health FND11007 CCN1060232 SC732165 PRG134850 GRN-1004481 730000 Workshops and Meetings 700 700 700
E Human Services Grants Health FND11007 CCN1060232 SC774636 PRG134850 GRN-1004481 770000 Info Tech Operations 4,828 4,828 4,828
E Human Services Grants Health FND11007 CCN1060232 SC774677 PRG134850 GRN-1004481 770000 Insurance Fund 121 121 121
E Human Services Grants Health FND11007 CCN1060232 SC778675 PRG134850 GRN-1004481 770000 Telephone Communications 485 485 485
Total Expenditures $110,597 $110,597 $110,597
R Human Services Grants Health FND11007 CCN1060201 RC615571 PRG133150 GRN-1004498 615000 State Operating Grants 200,000 200,000 200,000
Total Revenues $200,000 $200,000 $200,000
E Human Services Grants Health FND11007 CCN1060201 SC702010 PRG133150 GRN-1004498 702000 Salaries Regular 100,866 100,866 100,866
E Human Services Grants Health FND11007 CCN1060201 SC722740 PRG133150 GRN-1004498 722000 Fringe Benefits 66,836 66,836 66,836
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133150 GRN-1004498 730000 Advertising 4,745 4,745 4,745
E Human Services Grants Health FND11007 CCN1060201 SC730926 PRG133150 GRN-1004498 730000 Indirect Costs 8,120 8,120 8,120
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133150 GRN-1004498 730000 Personal Mileage 3,350 3,350 3,350
E Human Services Grants Health FND11007 CCN1060201 SC731388 PRG133150 GRN-1004498 730000 Printing 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060201 SC750245 PRG133150 GRN-1004498 750000 Incentives 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060201 SC750392 PRG133150 GRN-1004498 750000 Metered Postage 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060201 SC750399 PRG133150 GRN-1004498 750000 Office Supplies 1,000 1,000 1,000
E Human Services Grants Health FND11007 CCN1060201 SC773630 PRG133150 GRN-1004498 770000 Info Tech Development 6,704 6,704 6,704
E Human Services Grants Health FND11007 CCN1060201 SC774677 PRG133150 GRN-1004498 770000 Insurance Fund 1,299 1,299 1,299
E Human Services Grants Health FND11007 CCN1060201 SC778675 PRG133150 GRN-1004498 770000 Telephone Communications 1,080 1,080 1,080
Total Expenditures $200,000 $200,000 $200,000
R Human Services Grants Health FND11007 CCN1060283 RC615571 PRG133930 GRN-1004474 615000 State Operating Grants 170,265 170,265 170,265
Total Revenues $170,265 $170,265 $170,265
E Human Services Grants Health FND11007 CCN1060283 SC702010 PRG133930 GRN-1004474 702000 Salaries Regular 40,049 40,049 40,049
E Human Services Grants Health FND11007 CCN1060283 SC722740 PRG133930 GRN-1004474 722000 Fringe Benefits 24,474 24,474 24,474
E Human Services Grants Health FND11007 CCN1060283 SC730926 PRG133930 GRN-1004474 730000 Indirect Costs 3,224 3,224 3,224
E Human Services Grants Health FND11007 CCN1060283 SC731346 PRG133930 GRN-1004474 730000 Personal Mileage 655 655 655
E Human Services Grants Health FND11007 CCN1060283 SC731388 PRG133930 GRN-1004474 730000 Printing 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060283 SC731941 PRG133930 GRN-1004474 730000 Training 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060283 SC731997 PRG133930 GRN-1004474 730000 Client Transportation 2,000 2,000 2,000
E Human Services Grants Health FND11007 CCN1060283 SC732018 PRG133930 GRN-1004474 730000 Travel and Conference 10,000 10,000 10,000
E Human Services Grants Health FND11007 CCN1060283 SC750049 PRG133930 GRN-1004474 750000 Computer Supplies 12,000 12,000 12,000
E Human Services Grants Health FND11007 CCN1060283 SC750112 PRG133930 GRN-1004474 750000 Drugs 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060283 SC750245 PRG133930 GRN-1004474 750000 Incentives 1,700 1,700 1,700
E Human Services Grants Health FND11007 CCN1060283 SC750294 PRG133930 GRN-1004474 750000 Material and Supplies 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060283 SC750301 PRG133930 GRN-1004474 750000 Medical Supplies 17,000 17,000 17,000
E Human Services Grants Health FND11007 CCN1060283 SC750392 PRG133930 GRN-1004474 750000 Metered Postage 10,000 10,000 10,000
E Human Services Grants Health FND11007 CCN1060283 SC750399 PRG133930 GRN-1004474 750000 Office Supplies 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060283 SC750567 PRG133930 GRN-1004474 750000 Training-Educational Supplies 203 203 203
E Human Services Grants Health FND11007 CCN1060283 SC750581 PRG133930 GRN-1004474 750000 Uniforms 5,000 5,000 5,000
E Human Services Grants Health FND11007 CCN1060283 SC774636 PRG133930 GRN-1004474 770000 Info Tech Operations 20,000 20,000 20,000
E Human Services Grants Health FND11007 CCN1060283 SC778675 PRG133930 GRN-1004474 770000 Telephone Communications 3,960 3,960 3,960
Total Expenditures $170,265 $170,265 $170,265
R Human Services Grants Health FND11007 CCN1060220 RC615571 PRG133020 GRN-1004442 615000 State Operating Grants 9,000 9,000 9,000
Total Revenues $9,000 $9,000 $9,000
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG133020 GRN-1004442 702000 Salaries Regular 5,150 5,150 5,150
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG133020 GRN-1004442 722000 Fringe Benefits 2,486 2,486 2,486
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG133020 GRN-1004442 730000 Indirect Costs 415 415 415
E Human Services Grants Health FND11007 CCN1060220 SC732018 PRG133020 GRN-1004442 730000 Travel and Conference 107 107 107
E Human Services Grants Health FND11007 CCN1060220 SC774677 PRG133020 GRN-1004442 770000 Insurance Fund 14 14 14
E Human Services Grants Health FND11007 CCN1060220 SC776661 PRG133020 GRN-1004442 770000 Motor Pool 828 828 828
Total Expenditures $9,000 $9,000 $9,000
R Human Services Grants Health FND11007 RC615463 GRN-1004480 615000 Grant Fees and Collections 396,756 396,756 396,756
R Human Services Grants Health FND11007 RC615571 GRN-1004480 615000 State Operating Grants 253,968 253,968 253,968
Total Revenues $650,724 $650,724 $650,724
E Human Services Grants Health FND11007 SC702010 GRN-1004480 702000 Salaries Regular 482,747 482,747 482,747
E Human Services Grants Health FND11007 SC722740 GRN-1004480 722000 Fringe Benefits 125,066 125,066 125,066
E Human Services Grants Health FND11007 SC730646 GRN-1004480 730000 Equipment Maintenance 2,500 2,500 2,500
E Human Services Grants Health FND11007 SC730982 GRN-1004480 730000 Interpreter Fees 300 300 300
E Human Services Grants Health FND11007 SC731346 GRN-1004480 730000 Personal Mileage 16,200 16,200 16,200
E Human Services Grants Health FND11007 SC731388 GRN-1004480 730000 Printing 3,200 3,200 3,200
E Human Services Grants Health FND11007 SC732018 GRN-1004480 730000 Travel and Conference 8,328 8,328 8,328
E Human Services Grants Health FND11007 SC750294 GRN-1004480 750000 Material and Supplies 495 495 495
E Human Services Grants Health FND11007 SC750392 GRN-1004480 750000 Metered Postage 7,540 7,540 7,540
E Human Services Grants Health FND11007 SC750154 GRN-1004480 750000 Expendable Equipment 100 100 100
E Human Services Grants Health FND11007 SC750399 GRN-1004480 750000 Office Supplies 700 700 700
E Human Services Grants Health FND11007 SC774677 GRN-1004480 770000 Insurance Fund 3,548 3,548 3,548
Total Expenditures $650,724 $650,724 $650,724
R Human Services Grants Health FND11007 CCN1060234 RC615571 PRG133910 GRN-1004471 615000 State Operating Grants 105,347 105,347 105,347
Total Revenues $105,347 $105,347 $105,347
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133910 GRN-1004471 702000 Salaries Regular 58,560 58,560 58,560
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133910 GRN-1004471 722000 Fringe Benefits 37,848 37,848 37,848
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133910 GRN-1004471 730000 Indirect Costs 8,068 8,068 8,068
E Human Services Grants Health FND11007 CCN1060234 SC750294 PRG133910 GRN-1004471 750000 Material and Supplies 1 1 1
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133910 GRN-1004471 770000 Insurance Fund 870 870 870
Total Expenditures $105,347 $105,347 $105,347
R Human Services Grants Health FND11007 CCN1060284 RC615571 PRG133271 GRN-1004467 615000 State Operating Grants 267,619 267,619 267,619
Total Revenues $267,619 $267,619 $267,619
E Human Services Grants Health FND11007 CCN1060284 SC702010 PRG133271 GRN-1004467 702000 Salaries Regular 96,701 96,701 96,701
E Human Services Grants Health FND11007 CCN1060284 SC722740 PRG133271 GRN-1004467 722000 Fringe Benefits 71,409 71,409 71,409
E Human Services Grants Health FND11007 CCN1060284 SC730926 PRG133271 GRN-1004467 730000 Indirect Costs 7,784 7,784 7,784
E Human Services Grants Health FND11007 CCN1060284 SC730982 PRG133271 GRN-1004467 730000 Interpreter Fees 382 382 382
E Human Services Grants Health FND11007 CCN1060284 SC731346 PRG133271 GRN-1004467 730000 Personal Mileage 369 369 369
E Human Services Grants Health FND11007 CCN1060284 SC731388 PRG133271 GRN-1004467 730000 Printing 200 200 200
E Human Services Grants Health FND11007 CCN1060284 SC731458 PRG133271 GRN-1004467 730000 Professional Services 87,367 87,367 87,367
E Human Services Grants Health FND11007 CCN1060284 SC750294 PRG133271 GRN-1004467 750000 Material and Supplies 90 90 90
E Human Services Grants Health FND11007 CCN1060284 SC750392 PRG133271 GRN-1004467 750000 Metered Postage 5 5 5
E Human Services Grants Health FND11007 CCN1060284 SC750399 PRG133271 GRN-1004467 750000 Office Supplies 75 75 75
E Human Services Grants Health FND11007 CCN1060284 SC774677 PRG133271 GRN-1004467 770000 Insurance Fund 2,267 2,267 2,267
E Human Services Grants Health FND11007 CCN1060284 SC778675 PRG133271 GRN-1004467 770000 Telephone Communications 970 970 970
Total Expenditures $267,619 $267,619 $267,619
R Human Services Grants Health FND11007 CCN1060284 RC615571 PRG133270 GRN-1004468 615000 State Operating Grants 2,615,870 2,615,870 2,615,870
Total Revenues $2,615,870 $2,615,870 $2,615,870
E Human Services Grants Health FND11007 CCN1060284 SC702010 PRG133270 GRN-1004468 702000 Salaries Regular 1,129,164 1,129,164 1,129,164
E Human Services Grants Health FND11007 CCN1060284 SC722740 PRG133270 GRN-1004468 722000 Fringe Benefits 732,772 732,772 732,772
E Human Services Grants Health FND11007 CCN1060284 SC730072 PRG133270 GRN-1004468 730000 Advertising 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060284 SC730646 PRG133270 GRN-1004468 730000 Equipment Maintenance 850 850 850
E Human Services Grants Health FND11007 CCN1060284 SC730926 PRG133270 GRN-1004468 730000 Indirect Costs 90,898 90,898 90,898
E Human Services Grants Health FND11007 CCN1060284 SC730982 PRG133270 GRN-1004468 730000 Interpreter Fees 10,666 10,666 10,666
E Human Services Grants Health FND11007 CCN1060284 SC731059 PRG133270 GRN-1004468 730000 Laundry and Cleaning 600 600 600
E Human Services Grants Health FND11007 CCN1060284 SC731346 PRG133270 GRN-1004468 730000 Personal Mileage 335 335 335
E Human Services Grants Health FND11007 CCN1060284 SC731388 PRG133270 GRN-1004468 730000 Printing 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060284 SC731458 PRG133270 GRN-1004468 730000 Professional Services 519,891 519,891 519,891
E Human Services Grants Health FND11007 CCN1060284 SC731626 PRG133270 GRN-1004468 730000 Rent 51,169 51,169 51,169
E Human Services Grants Health FND11007 CCN1060284 SC731941 PRG133270 GRN-1004468 730000 Training 3,000 3,000 3,000
E Human Services Grants Health FND11007 CCN1060284 SC732018 PRG133270 GRN-1004468 730000 Travel and Conference 1,200 1,200 1,200
E Human Services Grants Health FND11007 CCN1060284 SC750049 PRG133270 GRN-1004468 750000 Computer Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060284 SC750245 PRG133270 GRN-1004468 750000 Incentives 750 750 750
E Human Services Grants Health FND11007 CCN1060284 SC750294 PRG133270 GRN-1004468 750000 Material and Supplies 800 800 800
E Human Services Grants Health FND11007 CCN1060284 SC750301 PRG133270 GRN-1004468 750000 Medical Supplies 9,000 9,000 9,000
E Human Services Grants Health FND11007 CCN1060284 SC750392 PRG133270 GRN-1004468 750000 Metered Postage 750 750 750
E Human Services Grants Health FND11007 CCN1060284 SC750399 PRG133270 GRN-1004468 750000 Office Supplies 1,650 1,650 1,650
E Human Services Grants Health FND11007 CCN1060284 SC750567 PRG133270 GRN-1004468 750000 Training-Educational Supplies 1,800 1,800 1,800
E Human Services Grants Health FND11007 CCN1060284 SC774636 PRG133270 GRN-1004468 770000 Info Tech Operations 32,568 32,568 32,568
E Human Services Grants Health FND11007 CCN1060284 SC774637 PRG133270 GRN-1004468 770000 Info Tech Managed Print Svcs 4,000 4,000 4,000
E Human Services Grants Health FND11007 CCN1060284 SC774677 PRG133270 GRN-1004468 770000 Insurance Fund 9,601 9,601 9,601
E Human Services Grants Health FND11007 CCN1060284 SC778675 PRG133270 GRN-1004468 770000 Telephone Communications 7,906 7,906 7,906
Total Expenditures $2,615,870 $2,615,870 $2,615,870
R Human Services Grants Health FND11007 CCN1060220 RC615571 PRG134870 GRN-1004444 615000 State Operating Grants 10,000 10,000 10,000
Total Revenues $10,000 $10,000 $10,000
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG134870 GRN-1004444 702000 Salaries Regular 4,989 4,989 4,989
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG134870 GRN-1004444 722000 Fringe Benefits 2,405 2,405 2,405
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG134870 GRN-1004444 730000 Indirect Costs 402 402 402
E Human Services Grants Health FND11007 CCN1060220 SC750294 PRG134870 GRN-1004444 750000 Material and Supplies 1,060 1,060 1,060
E Human Services Grants Health FND11007 CCN1060220 SC774677 PRG134870 GRN-1004444 770000 Insurance Fund 14 14 14
E Human Services Grants Health FND11007 CCN1060220 SC776661 PRG134870 GRN-1004444 770000 Motor Pool 1,130 1,130 1,130
Total Expenditures $10,000 $10,000 $10,000
R Human Services Grants Health FND11007 CCN1060201 RC615571 PRG133020 GRN-1004469 615000 State Operating Grants 6,500 6,500 6,500
Total Revenues $6,500 $6,500 $6,500
E Human Services Grants Health FND11007 CCN1060201 SC730072 PRG133020 GRN-1004469 730000 Advertising 200 200 200
E Human Services Grants Health FND11007 CCN1060201 SC731346 PRG133020 GRN-1004469 730000 Personal Mileage 402 402 402
E Human Services Grants Health FND11007 CCN1060201 SC750112 PRG133020 GRN-1004469 750000 Drugs 300 300 300
E Human Services Grants Health FND11007 CCN1060201 SC750294 PRG133020 GRN-1004469 750000 Material and Supplies 3,598 3,598 3,598
E Human Services Grants Health FND11007 CCN1060201 SC750301 PRG133020 GRN-1004469 750000 Medical Supplies 2,000 2,000 2,000
Total Expenditures $6,500 $6,500 $6,500
R Human Services Grants Health FND11007 CCN1060235 RC615571 PRG133970 GRN-1004448 615000 State Operating Grants 13,061 13,061 13,061
Total Revenues $13,061 $13,061 $13,061
E Human Services Grants Health FND11007 CCN1060235 SC730373 PRG133970 GRN-1004448 730000 Software Support 7,560 7,560 7,560
E Human Services Grants Health FND11007 CCN1060235 SC731059 PRG133970 GRN-1004448 730000 Laboratory Fees 2,501 2,501 2,501
E Human Services Grants Health FND11007 CCN1060235 SC732018 PRG133970 GRN-1004448 730000 Travel and Conference 3,000 3,000 3,000
Total Expenditures $13,061 $13,061 $13,061
R Human Services Grants Health FND11007 CCN1060290 RC615463 PRG115035 GRN-1004491 615000 Grant Fees and Collections 19,655 19,655 19,655
R Human Services Grants Health FND11007 CCN1060290 RC615571 PRG115035 GRN-1004491 615000 State Operating Grants 196,551 196,551 196,551
Total Revenues $216,206 $216,206 $216,206
E Human Services Grants Health FND11007 CCN1060290 SC702010 PRG115035 GRN-1004491 702000 Salaries Regular 107,274 107,274 107,274
E Human Services Grants Health FND11007 CCN1060290 SC722740 PRG115035 GRN-1004491 722000 Fringe Benefits 57,590 57,590 57,590
E Human Services Grants Health FND11007 CCN1060290 SC730926 PRG115035 GRN-1004491 730000 Indirect Costs 8,198 8,198 8,198
E Human Services Grants Health FND11007 CCN1060290 SC731346 PRG115035 GRN-1004491 730000 Personal Mileage 1,310 1,310 1,310
E Human Services Grants Health FND11007 CCN1060290 SC731626 PRG115035 GRN-1004491 730000 Rent 11,219 11,219 11,219
E Human Services Grants Health FND11007 CCN1060290 SC732018 PRG115035 GRN-1004491 730000 Travel and Conference 8,258 8,258 8,258
E Human Services Grants Health FND11007 CCN1060290 SC750049 PRG115035 GRN-1004491 750000 Computer Supplies 500 500 500
E Human Services Grants Health FND11007 CCN1060290 SC750301 PRG115035 GRN-1004491 750000 Medical Supplies 16,786 16,786 16,786
E Human Services Grants Health FND11007 CCN1060290 SC774636 PRG115035 GRN-1004491 770000 Info Tech Operations 2,514 2,514 2,514
E Human Services Grants Health FND11007 CCN1060290 SC774677 PRG115035 GRN-1004491 770000 Insurance Fund 886 886 886
E Human Services Grants Health FND11007 CCN1060290 SC778675 PRG115035 GRN-1004491 770000 Telephone Communications 1,671 1,671 1,671
Total Expenditures $216,206 $216,206 $216,206
New Award Rev $11,188,284 $11,188,284 $11,188,284
New Award Exp $11,188,284 $11,188,284 $11,188,284
R Human Services Grants Health FND11007 CCN1060234 RC610313 PRG133910 GRN-1004168 610000 Federal Operating Grants (6,500)(6,500)(6,500)
Total Revenues $(6,500)$(6,500)$(6,500)
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133910 GRN-1004168 702000 Salaries Regular (1,312)(1,312)(1,312)
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133910 GRN-1004168 722000 Fringe Benefits (466)(466)(466)
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133910 GRN-1004168 730000 Indirect Costs (181)(181)(181)
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133910 GRN-1004168 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN1060234 SC731458 PRG133910 GRN-1004168 730000 Professional Services (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060234 SC750245 PRG133910 GRN-1004168 750000 Incentives (1,213)(1,213)(1,213)
E Human Services Grants Health FND11007 CCN1060234 SC750294 PRG133910 GRN-1004168 750000 Material and Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133910 GRN-1004168 750000 Medical Supplies (500)(500)(500)
Total Expenditures $(6,500)$(6,500)$(6,500)
R Human Services Grants Health FND11007 CCN1060290 RC610313 PRG115035 GRN-1004181 610000 Federal Operating Grants (196,551)(196,551)(196,551)
R Human Services Grants Health FND11007 CCN1060290 RC615463 PRG115035 GRN-1004181 615000 Grant Fees and Collections (19,655)(19,655)(19,655)
Total Revenues $(216,206)$(216,206)$(216,206)
E Human Services Grants Health FND11007 CCN1060290 SC702010 PRG115035 GRN-1004181 702000 Salaries Regular (88,192)(88,192)(88,192)
E Human Services Grants Health FND11007 CCN1060290 SC722740 PRG115035 GRN-1004181 722000 Fringe Benefits (49,634)(49,634)(49,634)
E Human Services Grants Health FND11007 CCN1060290 SC730926 PRG115035 GRN-1004181 730000 Indirect Costs (10,909)(10,909)(10,909)
E Human Services Grants Health FND11007 CCN1060290 SC731346 PRG115035 GRN-1004181 730000 Personal Mileage (514)(514)(514)
E Human Services Grants Health FND11007 CCN1060290 SC731458 PRG115035 GRN-1004181 730000 Professional Services (25,000)(25,000)(25,000)
E Human Services Grants Health FND11007 CCN1060290 SC732018 PRG115035 GRN-1004181 730000 Travel and Conference (7,700)(7,700)(7,700)
E Human Services Grants Health FND11007 CCN1060290 SC750077 PRG115035 GRN-1004181 750000 Disaster Supplies (23,458)(23,458)(23,458)
E Human Services Grants Health FND11007 CCN1060290 SC750399 PRG115035 GRN-1004181 750000 Office Supplies (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060290 SC770631 PRG115035 GRN-1004181 770000 Bldg Space Cost Allocation (5,053)(5,053)(5,053)
E Human Services Grants Health FND11007 CCN1060290 SC774636 PRG115035 GRN-1004181 770000 Info Tech Operations (2,514)(2,514)(2,514)
E Human Services Grants Health FND11007 CCN1060290 SC774677 PRG115035 GRN-1004181 770000 Insurance Fund (558)(558)(558)
E Human Services Grants Health FND11007 CCN1060290 SC778675 PRG115035 GRN-1004181 770000 Telephone Communications (1,674)(1,674)(1,674)
Total Expenditures $(216,206)$(216,206)$(216,206)
R Human Services Grants Health FND11007 CCN1060291 RC610313 PRG134420 GRN-1004185 610000 Federal Operating Grants (147,201)(147,201)(147,201)
R Human Services Grants Health FND11007 CCN1060291 RC615463 PRG134420 GRN-1004185 615000 Grant Fees and Collections (234,794)(234,794)(234,794)
R Human Services Grants Health FND11007 CCN1060291 RC615571 PRG134420 GRN-1004185 615000 State Operating Grants (147,201)(147,201)(147,201)
Total Revenues $(529,196)$(529,196)$(529,196)
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG134420 GRN-1004185 702000 Salaries Regular (258,990)(258,990)(258,990)
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG134420 GRN-1004185 722000 Fringe Benefits (121,261)(121,261)(121,261)
E Human Services Grants Health FND11007 CCN1060291 SC730926 PRG134420 GRN-1004185 730000 Indirect Costs (35,767)(35,767)(35,767)
E Human Services Grants Health FND11007 CCN1060291 SC731346 PRG134420 GRN-1004185 730000 Personal Mileage (655)(655)(655)
E Human Services Grants Health FND11007 CCN1060291 SC731388 PRG134420 GRN-1004185 730000 Printing (5,600)(5,600)(5,600)
E Human Services Grants Health FND11007 CCN1060291 SC732018 PRG134420 GRN-1004185 730000 Travel and Conference (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG134420 GRN-1004185 750000 Incentives (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060291 SC750399 PRG134420 GRN-1004185 750000 Office Supplies (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060291 SC750448 PRG134420 GRN-1004185 750000 Postage - Standard Mailing (3,600)(3,600)(3,600)
E Human Services Grants Health FND11007 CCN1060291 SC770631 PRG134420 GRN-1004185 770000 Bldg Space Cost Allocation (30,966)(30,966)(30,966)
E Human Services Grants Health FND11007 CCN1060291 SC774636 PRG134420 GRN-1004185 770000 Info Tech Operations (49,280)(49,280)(49,280)
E Human Services Grants Health FND11007 CCN1060291 SC774637 PRG134420 GRN-1004185 770000 Info Tech Managed Print Svcs (5,928)(5,928)(5,928)
E Human Services Grants Health FND11007 CCN1060291 SC774677 PRG134420 GRN-1004185 770000 Insurance Fund (2,429)(2,429)(2,429)
E Human Services Grants Health FND11007 CCN1060291 SC778675 PRG134420 GRN-1004185 770000 Telephone Communications (9,720)(9,720)(9,720)
Total Expenditures $(529,196)$(529,196)$(529,196)
R Human Services Grants Health FND11007 CCN1060291 RC610313 PRG134420 GRN-1004186 610000 Federal Operating Grants (18,968)(18,968)(18,968)
Total Revenues $(18,968)$(18,968)$(18,968)
E Human Services Grants Health FND11007 CCN1060291 SC730772 PRG134420 GRN-1004186 730000 Freight and Express (200)(200)(200)
E Human Services Grants Health FND11007 CCN1060291 SC731346 PRG134420 GRN-1004186 730000 Personal Mileage (65)(65)(65)
E Human Services Grants Health FND11007 CCN1060291 SC731388 PRG134420 GRN-1004186 730000 Printing (400)(400)(400)
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG134420 GRN-1004186 750000 Incentives (1,896)(1,896)(1,896)
E Human Services Grants Health FND11007 CCN1060291 SC750294 PRG134420 GRN-1004186 750000 Material and Supplies (14,257)(14,257)(14,257)
E Human Services Grants Health FND11007 CCN1060291 SC750301 PRG134420 GRN-1004186 750000 Medical Supplies (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060291 SC750448 PRG134420 GRN-1004186 750000 Postage - Standard Mailing (150)(150)(150)
Total Expenditures $(18,968)$(18,968)$(18,968)
R Human Services Grants Health FND11007 CCN106220 RC610313 PRG134870 GRN-1004187 610000 Federal Operating Grants (15,000)(15,000)(15,000)
Total Revenues $(15,000)$(15,000)$(15,000)
E Human Services Grants Health FND11007 CCN106220 SC702010 PRG134870 GRN-1004187 702000 Salaries Regular (7,665)(7,665)(7,665)
E Human Services Grants Health FND11007 CCN106220 SC722740 PRG134870 GRN-1004187 722000 Fringe Benefits (3,749)(3,749)(3,749)
E Human Services Grants Health FND11007 CCN106220 SC730926 PRG134870 GRN-1004187 730000 Indirect Costs (1,059)(1,059)(1,059)
E Human Services Grants Health FND11007 CCN106220 SC731346 PRG134870 GRN-1004187 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN106220 SC750294 PRG134870 GRN-1004187 750000 Material and Supplies (199)(199)(199)
E Human Services Grants Health FND11007 CCN106220 SC776661 PRG134870 GRN-1004187 770000 Motor Pool (2,000)(2,000)(2,000)
Total Expenditures $(15,000)$(15,000)$(15,000)
R Human Services Grants Health FND11007 CCN1060234 RC610313 PRG133405 GRN-1004203 610000 Federal Operating Grants (166,000)(166,000)(166,000)
Total Revenues $(166,000)$(166,000)$(166,000)
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133405 GRN-1004203 702000 Salaries Regular (82,457)(82,457)(82,457)
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133405 GRN-1004203 722000 Fringe Benefits (52,459)(52,459)(52,459)
E Human Services Grants Health FND11007 CCN1060234 SC730072 PRG133405 GRN-1004203 730000 Advertising (5,000)(5,000)(5,000)
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133405 GRN-1004203 730000 Indirect Costs (11,387)(11,387)(11,387)
E Human Services Grants Health FND11007 CCN1060234 SC731031 PRG133405 GRN-1004203 730000 Laboratory Fees (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133405 GRN-1004203 730000 Personal Mileage (655)(655)(655)
E Human Services Grants Health FND11007 CCN1060234 SC731941 PRG133405 GRN-1004203 730000 Training (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060234 SC732018 PRG133405 GRN-1004203 730000 Travel and Conference (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060234 SC750112 PRG133405 GRN-1004203 750000 Drugs (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060234 SC750245 PRG133405 GRN-1004203 750000 Incentives (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133405 GRN-1004203 750000 Medical Supplies (1,184)(1,184)(1,184)
E Human Services Grants Health FND11007 CCN1060234 SC750392 PRG133405 GRN-1004203 750000 Metered Postage (56)(56)(56)
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133405 GRN-1004203 750000 Office Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060234 SC750567 PRG133405 GRN-1004203 750000 Training-Educational Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060234 SC774636 PRG133405 GRN-1004203 770000 Info Tech Operations (3,352)(3,352)(3,352)
E Human Services Grants Health FND11007 CCN1060234 SC774637 PRG133405 GRN-1004203 770000 Info Tech Managed Print Svcs (1,370)(1,370)(1,370)
E Human Services Grants Health FND11007 CCN1060234 SC778675 PRG133405 GRN-1004203 770000 Telephone Communications (1,080)(1,080)(1,080)
Total Expenditures $(166,000)$(166,000)$(166,000)
R Human Services Grants Health FND11007 CCN1060234 RC610313 PRG133120 GRN-1004207 610000 Federal Operating Grants (24,713)(24,713)(24,713)
Total Revenues $(24,713)$(24,713)$(24,713)
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133120 GRN-1004207 702000 Salaries Regular (13,478)(13,478)(13,478)
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133120 GRN-1004207 722000 Fringe Benefits (8,310)(8,310)(8,310)
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133120 GRN-1004207 730000 Indirect Costs (1,861)(1,861)(1,861)
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133120 GRN-1004207 750000 Office Supplies (860)(860)(860)
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133120 GRN-1004207 770000 Insurance Fund (204)(204)(204)
Total Expenditures $(24,713)$(24,713)$(24,713)
R Human Services Grants Health FND11007 CCN1060294 RC610313 PRG133390 GRN-1004208 610000 Federal Operating Grants (250,000)(250,000)(250,000)
Total Revenues $(250,000)$(250,000)$(250,000)
E Human Services Grants Health FND11007 CCN1060294 SC730072 PRG133390 GRN-1004208 730000 Advertising (4,500)(4,500)(4,500)
E Human Services Grants Health FND11007 CCN1060294 SC730982 PRG133390 GRN-1004208 730000 Interpreter Fees (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060294 SC731059 PRG133390 GRN-1004208 730000 Laundry and Cleaning (3,360)(3,360)(3,360)
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133390 GRN-1004208 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN1060294 SC731388 PRG133390 GRN-1004208 730000 Printing (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060294 SC731458 PRG133390 GRN-1004208 730000 Professional Services (125,000)(125,000)(125,000)
E Human Services Grants Health FND11007 CCN1060294 SC731626 PRG133390 GRN-1004208 730000 Rent (30,000)(30,000)(30,000)
E Human Services Grants Health FND11007 CCN1060294 SC731997 PRG133390 GRN-1004208 730000 Client Transportation (6,500)(6,500)(6,500)
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133390 GRN-1004208 730000 Travel and Conference (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060294 SC750049 PRG133390 GRN-1004208 750000 Computer Supplies (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060294 SC750112 PRG133390 GRN-1004208 750000 Drugs (2,500)(2,500)(2,500)
E Human Services Grants Health FND11007 CCN1060294 SC750245 PRG133390 GRN-1004208 750000 Incentives (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060294 SC750294 PRG133390 GRN-1004208 750000 Material and Supplies (9,000)(9,000)(9,000)
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133390 GRN-1004208 750000 Medical Supplies (40,988)(40,988)(40,988)
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133390 GRN-1004208 750000 Office Supplies (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060294 SC750448 PRG133390 GRN-1004208 750000 Postage - Standard Mailing (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060294 SC750567 PRG133390 GRN-1004208 750000 Training-Educational Supplies (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060294 SC770631 PRG133390 GRN-1004208 770000 Bldg Space Cost Allocation (2,400)(2,400)(2,400)
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133390 GRN-1004208 770000 Info Tech Operations (6,704)(6,704)(6,704)
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133390 GRN-1004208 770000 Telephone Communications (4,721)(4,721)(4,721)
Total Expenditures $(250,000)$(250,000)$(250,000)
R Human Services Grants Health FND11007 CCN1060294 RC610313 PRG133990 GRN-1004209 610000 Federal Operating Grants (350,000)(350,000)(350,000)
Total Revenues $(350,000)$(350,000)$(350,000)
E Human Services Grants Health FND11007 CCN1060294 SC702010 PRG133990 GRN-1004209 702000 Salaries Regular (151,366)(151,366)(151,366)
E Human Services Grants Health FND11007 CCN1060294 SC722740 PRG133990 GRN-1004209 722000 Fringe Benefits (86,814)(86,814)(86,814)
E Human Services Grants Health FND11007 CCN1060294 SC730926 PRG133990 GRN-1004209 730000 Indirect Costs (20,904)(20,904)(20,904)
E Human Services Grants Health FND11007 CCN1060294 SC731031 PRG133990 GRN-1004209 730000 Laboratory Fees (12,000)(12,000)(12,000)
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133990 GRN-1004209 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN1060294 SC731458 PRG133990 GRN-1004209 730000 Professional Services (48,000)(48,000)(48,000)
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133990 GRN-1004209 730000 Travel and Conference (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060294 SC750112 PRG133990 GRN-1004209 750000 Drugs (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133990 GRN-1004209 750000 Medical Supplies (6,000)(6,000)(6,000)
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133990 GRN-1004209 750000 Office Supplies (2,136)(2,136)(2,136)
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133990 GRN-1004209 770000 Info Tech Operations (16,404)(16,404)(16,404)
E Human Services Grants Health FND11007 CCN1060294 SC774677 PRG133990 GRN-1004209 770000 Insurance Fund (2,888)(2,888)(2,888)
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133990 GRN-1004209 770000 Telephone Communications (2,160)(2,160)(2,160)
Total Expenditures $(350,000)$(350,000)$(350,000)
R Human Services Grants Health FND11007 CCN1060294 RC610313 PRG133940 GRN-1004211 610000 Federal Operating Grants (452,245)(452,245)(452,245)
Total Revenues $(452,245)$(452,245)$(452,245)
E Human Services Grants Health FND11007 CCN1060294 SC702010 PRG133940 GRN-1004211 702000 Salaries Regular (250,197)(250,197)(250,197)
E Human Services Grants Health FND11007 CCN1060294 SC722740 PRG133940 GRN-1004211 722000 Fringe Benefits (120,002)(120,002)(120,002)
E Human Services Grants Health FND11007 CCN1060294 SC730926 PRG133940 GRN-1004211 730000 Indirect Costs (34,552)(34,552)(34,552)
E Human Services Grants Health FND11007 CCN1060294 SC730982 PRG133940 GRN-1004211 730000 Interpreter Fees (200)(200)(200)
E Human Services Grants Health FND11007 CCN1060294 SC731339 PRG133940 GRN-1004211 730000 Periodicals Books Publ Sub (1,800)(1,800)(1,800)
E Human Services Grants Health FND11007 CCN1060294 SC731346 PRG133940 GRN-1004211 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN1060294 SC731388 PRG133940 GRN-1004211 730000 Printing (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060294 SC732018 PRG133940 GRN-1004211 730000 Travel and Conference (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060294 SC750294 PRG133940 GRN-1004211 750000 Material and Supplies (890)(890)(890)
E Human Services Grants Health FND11007 CCN1060294 SC750301 PRG133940 GRN-1004211 750000 Medical Supplies (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060294 SC750392 PRG133940 GRN-1004211 750000 Metered Postage (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060294 SC750399 PRG133940 GRN-1004211 750000 Office Supplies (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060294 SC750567 PRG133940 GRN-1004211 750000 Training-Educational Supplies (1,608)(1,608)(1,608)
E Human Services Grants Health FND11007 CCN1060294 SC770631 PRG133940 GRN-1004211 770000 Bldg Space Cost Allocation (10,276)(10,276)(10,276)
E Human Services Grants Health FND11007 CCN1060294 SC774636 PRG133940 GRN-1004211 770000 Info Tech Operations (16,360)(16,360)(16,360)
E Human Services Grants Health FND11007 CCN1060294 SC774677 PRG133940 GRN-1004211 770000 Insurance Fund (3,732)(3,732)(3,732)
E Human Services Grants Health FND11007 CCN1060294 SC778675 PRG133940 GRN-1004211 770000 Telephone Communications (3,300)(3,300)(3,300)
Total Expenditures $(452,245)$(452,245)$(452,245)
R Human Services Grants Health FND11007 CCN1060234 RC610313 PRG133910 GRN-1004212 610000 Federal Operating Grants (105,347)(105,347)(105,347)
Total Revenues $(105,347)$(105,347)$(105,347)
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133910 GRN-1004212 702000 Salaries Regular (58,425)(58,425)(58,425)
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133910 GRN-1004212 722000 Fringe Benefits (37,865)(37,865)(37,865)
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133910 GRN-1004212 730000 Indirect Costs (8,068)(8,068)(8,068)
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133910 GRN-1004212 750000 Office Supplies (119)(119)(119)
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133910 GRN-1004212 770000 Insurance Fund (869)(869)(869)
Total Expenditures $(105,347)$(105,347)$(105,347)
R Human Services Grants Health FND11007 CCN1060218 RC615463 PRG133910 GRN-1004213 615000 Grant Fees and Collections (25,000)(25,000)(25,000)
R Human Services Grants Health FND11007 CCN1060218 RC615571 PRG133910 GRN-1004213 615000 State Operating Grants (526,990)(526,990)(526,990)
Total Revenues $(551,990)$(551,990)$(551,990)
E Human Services Grants Health FND11007 CCN1060218 SC702010 PRG133910 GRN-1004213 702000 Salaries Regular (300,752)(300,752)(300,752)
E Human Services Grants Health FND11007 CCN1060218 SC722740 PRG133910 GRN-1004213 722000 Fringe Benefits (179,425)(179,425)(179,425)
E Human Services Grants Health FND11007 CCN1060218 SC730926 PRG133910 GRN-1004213 730000 Indirect Costs (41,534)(41,534)(41,534)
E Human Services Grants Health FND11007 CCN1060218 SC750448 PRG133910 GRN-1004213 750000 Postage - Standard Mailing (571)(571)(571)
E Human Services Grants Health FND11007 CCN1060218 SC770631 PRG133910 GRN-1004213 770000 Bldg Space Cost Allocation (9,047)(9,047)(9,047)
E Human Services Grants Health FND11007 CCN1060218 SC774636 PRG133910 GRN-1004213 770000 Info Tech Operations (13,132)(13,132)(13,132)
E Human Services Grants Health FND11007 CCN1060218 SC774677 PRG133910 GRN-1004213 770000 Insurance Fund (4,349)(4,349)(4,349)
E Human Services Grants Health FND11007 CCN1060218 SC778675 PRG133910 GRN-1004213 770000 Telephone Communications (3,180)(3,180)(3,180)
Total Expenditures $(551,990)$(551,990)$(551,990)
R Human Services Grants Health FND11007 CCN1060291 RC610313 PRG133200 GRN-1004215 610000 Federal Operating Grants (70,000)(70,000)(70,000)
Total Revenues $(70,000)$(70,000)$(70,000)
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG133200 GRN-1004215 702000 Salaries Regular (11,860)(11,860)(11,860)
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG133200 GRN-1004215 722000 Fringe Benefits (5,974)(5,974)(5,974)
E Human Services Grants Health FND11007 CCN1060291 SC730072 PRG133200 GRN-1004215 730000 Advertising (3,500)(3,500)(3,500)
E Human Services Grants Health FND11007 CCN1060291 SC730926 PRG133200 GRN-1004215 730000 Indirect Costs (1,638)(1,638)(1,638)
E Human Services Grants Health FND11007 CCN1060291 SC730982 PRG133200 GRN-1004215 730000 Interpreter Fees (583)(583)(583)
E Human Services Grants Health FND11007 CCN1060291 SC731388 PRG133200 GRN-1004215 730000 Printing (8,882)(8,882)(8,882)
E Human Services Grants Health FND11007 CCN1060291 SC731941 PRG133200 GRN-1004215 730000 Training (9,000)(9,000)(9,000)
E Human Services Grants Health FND11007 CCN1060291 SC732018 PRG133200 GRN-1004215 730000 Travel and Conference (5,700)(5,700)(5,700)
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG133200 GRN-1004215 750000 Incentives (4,900)(4,900)(4,900)
E Human Services Grants Health FND11007 CCN1060291 SC750294 PRG133200 GRN-1004215 750000 Material and Supplies (646)(646)(646)
E Human Services Grants Health FND11007 CCN1060291 SC750399 PRG133200 GRN-1004215 750000 Office Supplies (225)(225)(225)
E Human Services Grants Health FND11007 CCN1060291 SC750448 PRG133200 GRN-1004215 750000 Postage - Standard Mailing (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060291 SC750567 PRG133200 GRN-1004215 750000 Training-Educational Supplies (12,200)(12,200)(12,200)
E Human Services Grants Health FND11007 CCN1060291 SC774636 PRG133200 GRN-1004215 770000 Info Tech Operations (3,352)(3,352)(3,352)
E Human Services Grants Health FND11007 CCN1060291 SC778675 PRG133200 GRN-1004215 770000 Telephone Communications (540)(540)(540)
Total Expenditures $(70,000)$(70,000)$(70,000)
R Human Services Grants Health FND11007 CCN1060290 RC610313 PRG115140 GRN-1004216 610000 Federal Operating Grants (1,500)(1,500)(1,500)
Total Revenues $(1,500)$(1,500)$(1,500)
E Human Services Grants Health FND11007 CCN1060290 SC750294 PRG115140 GRN-1004216 750000 Material and Supplies (1,500)(1,500)(1,500)
Total Expenditures $(1,500)$(1,500)$(1,500)
R Human Services Grants Health FND11007 CCN1060291 RC610313 PRG133190 GRN-1004218 610000 Federal Operating Grants (249,377)(249,377)(249,377)
Total Revenues $(249,377)$(249,377)$(249,377)
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG133190 GRN-1004218 702000 Salaries Regular (135,306)(135,306)(135,306)
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG133190 GRN-1004218 722000 Fringe Benefits (83,119)(83,119)(83,119)
E Human Services Grants Health FND11007 CCN1060291 SC730926 PRG133190 GRN-1004218 730000 Indirect Costs (18,686)(18,686)(18,686)
E Human Services Grants Health FND11007 CCN1060291 SC750245 PRG133190 GRN-1004218 750000 Incentives (5,694)(5,694)(5,694)
E Human Services Grants Health FND11007 CCN1060291 SC774636 PRG133190 GRN-1004218 770000 Info Tech Operations (3,352)(3,352)(3,352)
E Human Services Grants Health FND11007 CCN1060291 SC774677 PRG133190 GRN-1004218 770000 Insurance Fund (2,653)(2,653)(2,653)
E Human Services Grants Health FND11007 CCN1060291 SC778675 PRG133190 GRN-1004218 770000 Telephone Communications (567)(567)(567)
Total Expenditures $(249,377)$(249,377)$(249,377)
R Human Services Grants Health FND11007 CCN1060230 RC610313 PRG133215 GRN-1004222 610000 Federal Operating Grants (675,540)(675,540)(675,540)
Total Revenues $(675,540)$(675,540)$(675,540)
E Human Services Grants Health FND11007 CCN1060230 SC702010 PRG133215 GRN-1004222 702000 Salaries Regular (394,267)(394,267)(394,267)
E Human Services Grants Health FND11007 CCN1060230 SC722740 PRG133215 GRN-1004222 722000 Fringe Benefits (210,116)(210,116)(210,116)
E Human Services Grants Health FND11007 CCN1060230 SC730982 PRG133215 GRN-1004222 730000 Interpreter Fees (10,000)(10,000)(10,000)
E Human Services Grants Health FND11007 CCN1060230 SC731346 PRG133215 GRN-1004222 730000 Personal Mileage (7,860)(7,860)(7,860)
E Human Services Grants Health FND11007 CCN1060230 SC731388 PRG133215 GRN-1004222 730000 Printing (1,200)(1,200)(1,200)
E Human Services Grants Health FND11007 CCN1060230 SC731941 PRG133215 GRN-1004222 730000 Training (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060230 SC732018 PRG133215 GRN-1004222 730000 Travel and Conference (13,850)(13,850)(13,850)
E Human Services Grants Health FND11007 CCN1060230 SC750245 PRG133215 GRN-1004222 750000 Incentives (3,836)(3,836)(3,836)
E Human Services Grants Health FND11007 CCN1060230 SC750399 PRG133215 GRN-1004222 750000 Office Supplies (1,500)(1,500)(1,500)
E Human Services Grants Health FND11007 CCN1060230 SC750567 PRG133215 GRN-1004222 750000 Training-Educational Supplies (2,500)(2,500)(2,500)
E Human Services Grants Health FND11007 CCN1060230 SC774636 PRG133215 GRN-1004222 770000 Info Tech Operations (18,236)(18,236)(18,236)
E Human Services Grants Health FND11007 CCN1060230 SC774677 PRG133215 GRN-1004222 770000 Insurance Fund (5,575)(5,575)(5,575)
E Human Services Grants Health FND11007 CCN1060230 SC778675 PRG133215 GRN-1004222 770000 Telephone Communications (5,100)(5,100)(5,100)
Total Expenditures $(675,540)$(675,540)$(675,540)
R Human Services Grants Health FND11007 CCN1060230 RC610313 PRG133215 GRN-1004223 610000 Federal Operating Grants (110,597)(110,597)(110,597)
Total Revenues $(110,597)$(110,597)$(110,597)
E Human Services Grants Health FND11007 CCN1060230 SC702010 PRG133215 GRN-1004223 702000 Salaries Regular (43,404)(43,404)(43,404)
E Human Services Grants Health FND11007 CCN1060230 SC722740 PRG133215 GRN-1004223 722000 Fringe Benefits (20,075)(20,075)(20,075)
E Human Services Grants Health FND11007 CCN1060230 SC730072 PRG133215 GRN-1004223 730000 Advertising (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060230 SC730926 PRG133215 GRN-1004223 730000 Indirect Costs (5,994)(5,994)(5,994)
E Human Services Grants Health FND11007 CCN1060230 SC730982 PRG133215 GRN-1004223 730000 Interpreter Fees (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060230 SC731346 PRG133215 GRN-1004223 730000 Personal Mileage (2,620)(2,620)(2,620)
E Human Services Grants Health FND11007 CCN1060230 SC731388 PRG133215 GRN-1004223 730000 Printing (5,254)(5,254)(5,254)
E Human Services Grants Health FND11007 CCN1060230 SC731458 PRG133215 GRN-1004223 730000 Professional Services (12,800)(12,800)(12,800)
E Human Services Grants Health FND11007 CCN1060230 SC732018 PRG133215 GRN-1004223 730000 Travel and Conference (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060230 SC750294 PRG133215 GRN-1004223 750000 Material and Supplies (2,500)(2,500)(2,500)
E Human Services Grants Health FND11007 CCN1060230 SC750301 PRG133215 GRN-1004223 750000 Medical Supplies (8,500)(8,500)(8,500)
E Human Services Grants Health FND11007 CCN1060230 SC750392 PRG133215 GRN-1004223 750000 Metered Postage (250)(250)(250)
E Human Services Grants Health FND11007 CCN1060230 SC750399 PRG133215 GRN-1004223 750000 Office Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060230 SC750567 PRG133215 GRN-1004223 750000 Training-Educational Supplies (3,747)(3,747)(3,747)
E Human Services Grants Health FND11007 CCN1060230 SC774677 PRG133215 GRN-1004223 770000 Insurance Fund (913)(913)(913)
E Human Services Grants Health FND11007 CCN1060230 SC778675 PRG133215 GRN-1004223 770000 Telephone Communications (540)(540)(540)
Total Expenditures $(110,597)$(110,597)$(110,597)
R Human Services Grants Health FND11007 CCN1060290 RC610313 PRG115010 GRN-1004225 610000 Federal Operating Grants (222,449)(222,449)(222,449)
R Human Services Grants Health FND11007 CCN1060290 RC615463 PRG115010 GRN-1004225 615000 Grant Fees and Collections (22,245)(22,245)(22,245)
Total Revenues $(244,694)$(244,694)$(244,694)
E Human Services Grants Health FND11007 CCN1060290 SC702010 PRG115010 GRN-1004225 702000 Salaries Regular (123,254)(123,254)(123,254)
E Human Services Grants Health FND11007 CCN1060290 SC722740 PRG115010 GRN-1004225 722000 Fringe Benefits (67,081)(67,081)(67,081)
E Human Services Grants Health FND11007 CCN1060290 SC730926 PRG115010 GRN-1004225 730000 Indirect Costs (15,751)(15,751)(15,751)
E Human Services Grants Health FND11007 CCN1060290 SC730982 PRG115010 GRN-1004225 730000 Interpreter Fees (600)(600)(600)
E Human Services Grants Health FND11007 CCN1060290 SC750077 PRG115010 GRN-1004225 750000 Disaster Supplies (13,138)(13,138)(13,138)
E Human Services Grants Health FND11007 CCN1060290 SC750399 PRG115010 GRN-1004225 750000 Office Supplies (1,024)(1,024)(1,024)
E Human Services Grants Health FND11007 CCN1060290 SC770631 PRG115010 GRN-1004225 770000 Bldg Space Cost Allocation (7,643)(7,643)(7,643)
E Human Services Grants Health FND11007 CCN1060290 SC774636 PRG115010 GRN-1004225 770000 Info Tech Operations (11,100)(11,100)(11,100)
E Human Services Grants Health FND11007 CCN1060290 SC774637 PRG115010 GRN-1004225 770000 Info Tech Managed Print Svcs (2,250)(2,250)(2,250)
E Human Services Grants Health FND11007 CCN1060290 SC774677 PRG115010 GRN-1004225 770000 Insurance Fund (873)(873)(873)
E Human Services Grants Health FND11007 CCN1060290 SC778675 PRG115010 GRN-1004225 770000 Telephone Communications (1,980)(1,980)(1,980)
Total Expenditures $(244,694)$(244,694)$(244,694)
R Human Services Grants Health FND11007 CCN1060235 RC610313 PRG133970 GRN-1004229 610000 Federal Operating Grants (15,426)(15,426)(15,426)
Total Revenues $(15,426)$(15,426)$(15,426)
E Human Services Grants Health FND11007 CCN1060235 SC730373 PRG133970 GRN-1004229 730000 Contracted Services (7,440)(7,440)(7,440)
E Human Services Grants Health FND11007 CCN1060235 SC730982 PRG133970 GRN-1004229 730000 Interpreter Fees (300)(300)(300)
E Human Services Grants Health FND11007 CCN1060235 SC731031 PRG133970 GRN-1004229 730000 Laboratory Fees (3,011)(3,011)(3,011)
E Human Services Grants Health FND11007 CCN1060235 SC731997 PRG133970 GRN-1004229 730000 Client Transportation (200)(200)(200)
E Human Services Grants Health FND11007 CCN1060235 SC732018 PRG133970 GRN-1004229 730000 Travel and Conference (3,000)(3,000)(3,000)
E Human Services Grants Health FND11007 CCN1060235 SC750245 PRG133970 GRN-1004229 750000 Incentives (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060235 SC750301 PRG133970 GRN-1004229 750000 Medical Supplies (100)(100)(100)
E Human Services Grants Health FND11007 CCN1060235 SC750399 PRG133970 GRN-1004229 750000 Office Supplies (300)(300)(300)
E Human Services Grants Health FND11007 CCN1060235 SC750448 PRG133970 GRN-1004229 750000 Postage - Standard Mailing (75)(75)(75)
Total Expenditures $(15,426)$(15,426)$(15,426)
R Human Services Grants Health FND11007 CCN1060220 RC610313 PRG133020 GRN-1004230 610000 Federal Operating Grants (9,000)(9,000)(9,000)
Total Revenues $(9,000)$(9,000)$(9,000)
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG133020 GRN-1004230 702000 Salaries Regular (4,459)(4,459)(4,459)
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG133020 GRN-1004230 722000 Fringe Benefits (2,286)(2,286)(2,286)
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG133020 GRN-1004230 730000 Indirect Costs (616)(616)(616)
E Human Services Grants Health FND11007 CCN1060220 SC731346 PRG133020 GRN-1004230 730000 Personal Mileage (328)(328)(328)
E Human Services Grants Health FND11007 CCN1060220 SC750294 PRG133020 GRN-1004230 750000 Material and Supplies (237)(237)(237)
E Human Services Grants Health FND11007 CCN1060220 SC774677 PRG133020 GRN-1004230 770000 Insurance Fund (74)(74)(74)
E Human Services Grants Health FND11007 CCN1060220 SC776661 PRG133020 GRN-1004230 770000 Motor Pool (1,000)(1,000)(1,000)
Total Expenditures $(9,000)$(9,000)$(9,000)
R Human Services Grants Health FND11007 CCN1060220 RC610313 PRG134870 GRN-1004231 610000 Federal Operating Grants (10,000)(10,000)(10,000)
Total Revenues $(10,000)$(10,000)$(10,000)
E Human Services Grants Health FND11007 CCN1060220 SC702010 PRG134870 GRN-1004231 702000 Salaries Regular (3,810)(3,810)(3,810)
E Human Services Grants Health FND11007 CCN1060220 SC722740 PRG134870 GRN-1004231 722000 Fringe Benefits (1,954)(1,954)(1,954)
E Human Services Grants Health FND11007 CCN1060220 SC730926 PRG134870 GRN-1004231 730000 Indirect Costs (526)(526)(526)
E Human Services Grants Health FND11007 CCN1060220 SC731346 PRG134870 GRN-1004231 730000 Personal Mileage (665)(665)(665)
E Human Services Grants Health FND11007 CCN1060220 SC750294 PRG134870 GRN-1004231 750000 Material and Supplies (980)(980)(980)
E Human Services Grants Health FND11007 CCN1060220 SC750539 PRG134870 GRN-1004231 750000 Testing Materials (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060220 SC774677 PRG134870 GRN-1004231 770000 Insurance Fund (83)(83)(83)
E Human Services Grants Health FND11007 CCN1060220 SC776661 PRG134870 GRN-1004231 770000 Motor Pool (982)(982)(982)
Total Expenditures $(10,000)$(10,000)$(10,000)
R Human Services Grants Health FND11007 CCN1060284 RC610313 PRG133271 GRN-1004232 610000 Federal Operating Grants (267,619)(267,619)(267,619)
Total Revenues $(267,619)$(267,619)$(267,619)
E Human Services Grants Health FND11007 CCN1060284 SC702010 PRG133271 GRN-1004232 702000 Salaries Regular (91,455)(91,455)(91,455)
E Human Services Grants Health FND11007 CCN1060284 SC722740 PRG133271 GRN-1004232 722000 Fringe Benefits (74,462)(74,462)(74,462)
E Human Services Grants Health FND11007 CCN1060284 SC730373 PRG133271 GRN-1004232 730000 Contracted Services (84,867)(84,867)(84,867)
E Human Services Grants Health FND11007 CCN1060284 SC730926 PRG133271 GRN-1004232 730000 Indirect Costs (12,630)(12,630)(12,630)
E Human Services Grants Health FND11007 CCN1060284 SC730982 PRG133271 GRN-1004232 730000 Interpreter Fees (204)(204)(204)
E Human Services Grants Health FND11007 CCN1060284 SC731346 PRG133271 GRN-1004232 730000 Personal Mileage (59)(59)(59)
E Human Services Grants Health FND11007 CCN1060284 SC731388 PRG133271 GRN-1004232 730000 Printing (50)(50)(50)
E Human Services Grants Health FND11007 CCN1060284 SC750399 PRG133271 GRN-1004232 750000 Office Supplies (75)(75)(75)
E Human Services Grants Health FND11007 CCN1060284 SC750448 PRG133271 GRN-1004232 750000 Postage - Standard Mailing (50)(50)(50)
E Human Services Grants Health FND11007 CCN1060284 SC774677 PRG133271 GRN-1004232 770000 Insurance Fund (2,267)(2,267)(2,267)
E Human Services Grants Health FND11007 CCN1060284 SC778675 PRG133271 GRN-1004232 770000 Telephone Communications (1,500)(1,500)(1,500)
Total Expenditures $(267,619)$(267,619)$(267,619)
R Human Services Grants Health FND11007 CCN1060284 RC610313 PRG133270 GRN-1004233 610000 Federal Operating Grants (2,615,870)(2,615,870)(2,615,870)
Total Revenues $(2,615,870)$(2,615,870)$(2,615,870)
E Human Services Grants Health FND11007 CCN1060284 SC702010 PRG133270 GRN-1004233 702000 Salaries Regular (1,098,078)(1,098,078)(1,098,078)
E Human Services Grants Health FND11007 CCN1060284 SC722740 PRG133270 GRN-1004233 722000 Fringe Benefits (683,723)(683,723)(683,723)
E Human Services Grants Health FND11007 CCN1060284 SC730373 PRG133270 GRN-1004233 730000 Contracted Services (522,000)(522,000)(522,000)
E Human Services Grants Health FND11007 CCN1060284 SC730646 PRG133270 GRN-1004233 730000 Equipment Maintenance (850)(850)(850)
E Human Services Grants Health FND11007 CCN1060284 SC730926 PRG133270 GRN-1004233 730000 Indirect Costs (151,645)(151,645)(151,645)
E Human Services Grants Health FND11007 CCN1060284 SC730982 PRG133270 GRN-1004233 730000 Interpreter Fees (4,458)(4,458)(4,458)
E Human Services Grants Health FND11007 CCN1060284 SC731059 PRG133270 GRN-1004233 730000 Laundry and Cleaning (600)(600)(600)
E Human Services Grants Health FND11007 CCN1060284 SC731346 PRG133270 GRN-1004233 730000 Personal Mileage (524)(524)(524)
E Human Services Grants Health FND11007 CCN1060284 SC731388 PRG133270 GRN-1004233 730000 Printing (3,500)(3,500)(3,500)
E Human Services Grants Health FND11007 CCN1060284 SC731626 PRG133270 GRN-1004233 730000 Rent (19,285)(19,285)(19,285)
E Human Services Grants Health FND11007 CCN1060284 SC731941 PRG133270 GRN-1004233 730000 Training (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060284 SC732018 PRG133270 GRN-1004233 730000 Travel and Conference (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060284 SC750049 PRG133270 GRN-1004233 750000 Computer Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060284 SC750294 PRG133270 GRN-1004233 750000 Material and Supplies (500)(500)(500)
E Human Services Grants Health FND11007 CCN1060284 SC750301 PRG133270 GRN-1004233 750000 Medical Supplies (6,000)(6,000)(6,000)
E Human Services Grants Health FND11007 CCN1060284 SC750392 PRG133270 GRN-1004233 750000 Metered Postage (5,175)(5,175)(5,175)
E Human Services Grants Health FND11007 CCN1060284 SC750399 PRG133270 GRN-1004233 750000 Office Supplies (2,000)(2,000)(2,000)
E Human Services Grants Health FND11007 CCN1060284 SC750567 PRG133270 GRN-1004233 750000 Training-Educational Supplies (2,100)(2,100)(2,100)
E Human Services Grants Health FND11007 CCN1060284 SC770631 PRG133270 GRN-1004233 770000 Bldg Space Cost Allocation (37,892)(37,892)(37,892)
E Human Services Grants Health FND11007 CCN1060284 SC774636 PRG133270 GRN-1004233 770000 Info Tech Operations (42,440)(42,440)(42,440)
E Human Services Grants Health FND11007 CCN1060284 SC774637 PRG133270 GRN-1004233 770000 Info Tech Managed Print Svcs (3,500)(3,500)(3,500)
E Human Services Grants Health FND11007 CCN1060284 SC774677 PRG133270 GRN-1004233 770000 Insurance Fund (22,180)(22,180)(22,180)
E Human Services Grants Health FND11007 CCN1060284 SC778675 PRG133270 GRN-1004233 770000 Telephone Communications (7,920)(7,920)(7,920)
Total Expenditures $(2,615,870)$(2,615,870)$(2,615,870)
R Human Services Grants Health FND11007 CCN1060291 RC610313 PRG133190 GRN-1004234 610000 Federal Operating Grants (72,080)(72,080)(72,080)
Total Revenues $(72,080)$(72,080)$(72,080)
E Human Services Grants Health FND11007 CCN1060291 SC702010 PRG133190 GRN-1004234 702000 Salaries Regular (45,890)(45,890)(45,890)
E Human Services Grants Health FND11007 CCN1060291 SC722740 PRG133190 GRN-1004234 722000 Fringe Benefits (25,547)(25,547)(25,547)
E Human Services Grants Health FND11007 CCN1060291 SC731346 PRG133190 GRN-1004234 730000 Personal Mileage (643)(643)(643)
Total Expenditures $(72,080)$(72,080)$(72,080)
R Human Services Grants Health FND11007 CCN1060234 RC610313 PRG133930 GRN-1004243 610000 Federal Operating Grants (73,000)(73,000)(73,000)
Total Revenues $(73,000)$(73,000)$(73,000)
E Human Services Grants Health FND11007 CCN1060234 SC702010 PRG133930 GRN-1004243 702000 Salaries Regular (41,858)(41,858)(41,858)
E Human Services Grants Health FND11007 CCN1060234 SC722740 PRG133930 GRN-1004243 722000 Fringe Benefits (21,076)(21,076)(21,076)
E Human Services Grants Health FND11007 CCN1060234 SC730926 PRG133930 GRN-1004243 730000 Indirect Costs (5,781)(5,781)(5,781)
E Human Services Grants Health FND11007 CCN1060234 SC731346 PRG133930 GRN-1004243 730000 Personal Mileage (66)(66)(66)
E Human Services Grants Health FND11007 CCN1060234 SC731388 PRG133930 GRN-1004243 730000 Printing (573)(573)(573)
E Human Services Grants Health FND11007 CCN1060234 SC750301 PRG133930 GRN-1004243 750000 Medical Supplies (1,043)(1,043)(1,043)
E Human Services Grants Health FND11007 CCN1060234 SC750399 PRG133930 GRN-1004243 750000 Office Supplies (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060234 SC750567 PRG133930 GRN-1004243 750000 Training-Educational Supplies (1,000)(1,000)(1,000)
E Human Services Grants Health FND11007 CCN1060234 SC774677 PRG133930 GRN-1004243 770000 Insurance Fund (603)(603)(603)
Total Expenditures $(73,000)$(73,000)$(73,000)
GRANT REVIEW SIGN-OFF – Health & Human Services / Health Division
GRANT NAME: FY 2025 Local Health Department (Comprehensive) Agreement
FUNDING AGENCY: Michigan Department of Health & Human Services
DEPARTMENT CONTACT: Stacey Smith 248-452-2151
STATUS: Acceptance (Greater than $50,000)
DATE: 08/29/2024
Please be advised that the captioned grant materials have completed the 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) should be downloaded into Civic Clerk to be
placed on the next agenda(s) of the appropriate Board of Commissioners’ committee(s) for grant acceptance by Board
resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved– Sheryl Johnson (08/27/2024)
Human Resources:
Approved by Human Resources. Deletes 1 FTE position and creates 2 FTE positions. HR action is needed. –
Heather Mason (08/22/2024)
Risk Management:
Approved. Agreement allows self-insurance and waives additional insured requirement for. – Robert Erlenbeck
(08/22/2024)
Corporation Counsel:
Approved. Corp Counsel conducted a legal review of the provided documents and conferred with Health. There are no
unresolved issues at this time. - Heather Lewis 8/27/2024
REQUEST:
1. That the Oakland County Board of Commissioners hereby approves the FY 2025 Local Health Department
(Comprehensive) Agreement for funding in the amount of $16,922,160 for the period of October 1, 2024,
through September 30, 2025.
2. Continue fifty-eight (58) Special Revenue (SR) positions as identified in Schedule B – Continuations.
3. To delete one (1) SR position as identified in Schedule D – Deletions.
4. To create two (2) SR position as identified in Schedule E – Creation.
PROPOSED FUNDING:
2025 Emerging Threats Local Health Department Agreement.
OVERVIEW:
The Michigan Department of Health and Human Services (MDHHS) has awarded Oakland County Health Division
funding through the Fiscal Year (FY) 2025 Local Health Department (Comprehensive) Agreement for the period
October 1, 2024, through September 30, 2025, in the amount of $16,922,160. The FY 2025 award includes funding
in the amount of $607,258 to continue the subrecipient agreement for reimbursement of services provided to
Woman, Infants and Children (WIC) program participants for the period October 1, 2024, through September 30,
2025.
It is requested to continue fifty-eight (58) Special Revenue (SR) positions as identified in Schedule B, to delete one
(1) SR FTE Office Support Clerk Senior (#05204), create one (1) SR FTE Public health Clerk IIII position (#1060232),
and one (1) SR FTE Public Health Nurse III position (#1060230).
PERTINENT SALARIES FY 2024
*Note: Annual rates are shown for illustrative purposes only.
Class Gr Period Step 01 Step
12
Step
24
Step
36
Step
48
Step
60
Step
72
Step
84
Office
Support
Clerk Senior
109
Hourly
Bi-wkly
Annual
18.3505
1,468.04
38,169
19.2413
1,539.30
40,022
20.1321
1,610.57
41,875
21.0231
1,681.85
43,728
21.9139
1,753.11
45,581
22.8046
1,824.37
47,434
23.6954
1,895.63
49,286
24.5864
1,966.91
51,140
Public
Health
Clerk III
110
Hourly
Bi-wkly
Annual
19.2681
1,541.45
40,078
20.2034
1,616.27
42,023
21.1391
1,691.13
43,969
22.0743
1,765.94
45,914
23.0093
1,840.74
47,859
23.9451
1,915.61
49,806
24.8803
1,990.42
51,751
25.8154
2,065.23
53,696
Public
Health
Nurse III
048
/F
Hourly
Bi-wkly
Annual
30.7675
2,461.40
63,996
32.6133
2,609.06
67,836
34.5701
2,765.61
71,906
36.6441
2,931.53
76,220
38.8429
3,107.43
80,793
40.0315
3,202.52
83,266
SALARY AND FRINGE BENEFIT SAVINGS
**Note: Fringe benefit rates displayed are County averages. Annual costs are shown for illustrative purposes only.
Actual costs are reflected in the budget amendment.
Delete one (1) SR FTE Office Support Clerk Senior
position (#05204)
Salary @ step 12 40,022
Fringes @ 34.59%13,844
Direct Contract Charge 15,973
Savings (69,839)
Create one (1) SR FTE Public Health Clerk III
position (#1060232)
Salary @ step 12 42,023
Fringes @ 34.59%14,536
Direct Contract Charge 15,973
Cost 72,532
Create one (1) SR FTE Public Health Nurse III
position (#1060230)
Salary @ step 60 83,266
Fringes @ 34.59%28,802
Direct Contract Charge 15,973
Cost 128,041
Total Cost 130,734
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Agreement #:
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,
2024, whichever is later, and continue through September 30, 2025. Throughout the
Agreement, the date of the Grantee’s signature or October 1, 2024, 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 $16,922,160.00.
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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: Anita Miko
Title: Department Analyst
E-Mail Address mikoa@michigan.gov
The financial contact acting on behalf of the Grantee for this Agreement is:
Michelle Coburn Accountant
___________________________________________________________________
Name Title
coburnm@oakgov.com (248) 858-5468
___________________________________________________________________
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
David T. Woodward County Commissioner
___________________________________________________________________
Name Title
For the Michigan Department of Health and Human Services
Christine H. Sanches 08/15/2024
___________________________________________________________________
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
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Department under the terms of this Agreement. If funding is received
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 seven (7) 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
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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
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,
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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
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.
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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.
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 notification to the Department within 14 days or sooner if
circumstances warrant, 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. State or federal data includes
data and information provided to Grantee or Grantee’s Subcontractor by or on
behalf of the State or federal government, and all data and information derived
therefrom, is the exclusive property of the State or federal government.
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
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(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;
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.
g.Any criminal activity that occurs by an employee, agent, or
subcontractor of Grantee while conducting activities pursuant to
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 EGrAMS 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
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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.
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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
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
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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
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 EGrAMS 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
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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
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
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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
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-
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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
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.
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
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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.
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
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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
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.
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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
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
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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.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
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.
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G.Employee Whistleblower Protections
The Grantee will comply with 41 U.S.C. 4712 and must insert this clause in all
subcontracts.
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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
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
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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.
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
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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
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
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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
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
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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
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;
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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
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.
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
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 EGrAMS
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:
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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).
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
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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
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.
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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 EGrAMS. 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
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
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Upon receipt of the final FSR electronically through EGrAMS, 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 EGrAMS 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 EGrAMS:
ELPHS Penalties for Noncompliance with Reporting Requirements:
1.1% - 1 day to 30 days late;
2.2% - 31 days to 60 days late;
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.
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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.
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.
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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 EGrAMS to assure the amendment can be executed prior to
the end of the Agreement period.
X.Liability
The Grantee assumes all liability to third parties, loss, or damage because of claims,
demands, costs, or judgments arising out of activities, such as but not limited to direct
activity delivery, to be carried out by the Grantee in the performance of this
Agreement, under the following conditions:
A.The liability, loss, or damage is caused by, or arises out of, the actions of or
failure to act on the part of the Grantee, any of its subcontractors, anyone
directly or indirectly employed by the Grantee, or anyone performing activities
at the direction of the Grantee under this agreement.
B.Nothing herein will be construed as a waiver of any governmental immunity
that has been provided to the Grantee or its employees by statute or court
decisions.
The Department is not liable for consequential, incidental, indirect or special
damages, regardless of the nature of the action.
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C.In the event of an incident the Grantee must:
1.Cooperate with the Department in investigating the occurrence, 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;
2.In the case of unauthorized disclosure or breach of confidential
information, at the Department’s sole election, with approval and
assistance from the Department, notify the affected individuals with
comprised Personally Identifiable Information (PII) or Protected Health
Information (PHI) as soon as practicable but no later than is required to
comply with applicable law and provide third-party credit and identity
monitoring services to each of the affected individuals 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;
3.Perform or take any other actions required to comply with applicable law
as a result of the occurrence including pay for: any costs associated
with the occurrence, any costs incurred by the Department in
investigating and resolving the occurrence, reasonable attorney’s fees
associated with such investigation and resolution.
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,
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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
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 # Date: 08/15/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Adolescent STI Screening Reg. Alloc.F 73,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Body Art Fixed Fee Calc. Amt.S 0 Fixed Unit Rate (2)N/A N/A N/A N/A N/A Recepient
Children's Special Hlth Care
Services (CSHCS) Care
Coordination
Calc. Amt.S 0 Fixed Unit Rate (1),
(7)
N/A N/A N/A N/A N/A Subrecepient
Children's Special Hlth Care
Services (CSHCS) Outreach &
Advocacy
Reg. Alloc.F 179,587 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 179,587
CSHCS Medicaid Elevated Blood
Lead Case Mgmt
Calc. Amt.S 0 Fixed Unit Rate (2)N/A N/A N/A N/A N/A Subrecepient
CSHCS Medicaid Outreach Calc. Amt.F 0 Staffing (6)N/A N/A N/A N/A N/A Subrecepient
Eastern Equine Encephalitis Virus
Surveillance Project
Reg. Alloc.F 15,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
EGLE Drinking Water and Onsite
Wastewater Management
Reg. Alloc.S 985,042 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
Emerging Threats - Hepatitis C Reg. Alloc.S 191,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Fetal Infant Mortality Review
(FIMR) Case Abstraction
Calc. Amt.270.00/Vario
us
Fixed Unit Rate (2)N/A N/A N/A N/A N/A Subrecepient
FIMR Interviews Calc. Amt.S 0 Fixed Unit Rate (2),
(11)
N/A N/A N/A N/A N/A Subrecepient
Food ELPHS Reg. Alloc.S 2,180,647 ELPHS (3), (4)N/A N/A N/A N/A N/A Recepient
Gonococcal Isolate Surveillance
Project
Reg. Alloc.F 5,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 16,500
Harm Reduction Support Match Reg. Alloc.F 250,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Hearing ELPHS Reg. Alloc.L 253,969 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
HIV PrEP Clinic Reg. Alloc.F 379,597 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
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Contract # Date: 08/15/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Reg. Alloc.P 3,873
Reg. Alloc.S 3,874
HIV Prevention Reg. Alloc.F 21,250 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.P 21,250
Reg. Alloc.S 382,500
Immunization Action Plan (IAP)Reg. Alloc.F 526,990 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Immunization Fixed Fees Calc. Amt.S 0 Fixed Unit Rate (2),
(7)
N/A N/A N/A N/A N/A Subrecepient
Immunization Vaccine Quality
Assurance
Reg. Alloc.S 105,347 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Infant Safe Sleep Reg. Alloc.F 7,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 63,000
Infection Prevention and
Healthcare- Associated Infections
Response Support
Reg. Alloc.F 2,500,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Laboratory Services Bio Reg. Alloc.F 1,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Local Health Department (LHD)
Sharing Support
Reg. Alloc.F 70,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
MCH - All Other Reg. Alloc.F 0 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - All Other Local MCH S 247,461 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - Children Reg. Alloc.F 0 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - Children Local MCH S 73,996 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MDHHS-Essential Local Public
Health Services (ELPHS)
Reg. Alloc.S 3,265,697 ELPHS (3),(6)N/A N/A N/A N/A N/A Recepient
Medicaid Outreach Reg. Alloc.F 0 Reimbursement-
Medicaid
N/A N/A N/A N/A N/A Subrecepient
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Contract # Date: 08/15/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Mpox Mobile Unit Reg. Alloc.F 6,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Nurse Family Partnership
Services
Reg. Alloc.F 505,868 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 337,245
Oral Health- Kindergarten
Assessment
Reg. Alloc.S 110,597 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Public Health Emergency
Preparedness (PHEP) 10/1 - 6/30
Reg. Alloc.F 222,449 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Public Health Emergency
Preparedness (PHEP) CRI 10/1 -
6/30
Reg. Alloc.F 196,551 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Public Health Infrastructure Reg. Alloc.F 200,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Sexually Transmitted Infection
(STI) Control
Reg. Alloc.F 80,978 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 1,703
Reg. Alloc.S 87,584
Statewide Lead Case
Management - Fixed Fee
Calc. Amt.S 0 Fixed Unit Rate (7),
(11)
N/A N/A N/A N/A N/A Recepient
Tuberculosis (TB) Control Reg. Alloc.F 13,061 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Vector-Borne Surveillance &
Prevention
Reg. Alloc.S 9,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Vision ELPHS Reg. Alloc.L 253,968 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
West Nile Virus Community
Surveillance
Reg. Alloc.F 10,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
WIC Breastfeeding Reg. Alloc.F 267,619 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
WIC Resident Services Reg. Alloc.F 2,615,870 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Local Health Department - 2025, Date: 08/15/2024
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Contract # Date: 08/15/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
TOTAL MDHHS FUNDING 16,922,160
*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT
Attachment IV Notes
Attachment IV Notes
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Contract # Date: 08/15/2024
Attachment V
Oakland County FY Agreement Addendum A
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Administration
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 6,828,787.00 6,828,787.00
2 Fringe Benefits 3,786,586.00 3,786,586.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 146,794.00 146,794.00
5 Supplies and Materials 401,400.00 401,400.00
6 Travel 63,547.00 63,547.00
7 Communication 129,347.00 129,347.00
8 County-City Central Services 0.00 0.00
9 Space Costs 1,326,877.00 1,326,877.00
10 All Others (ADP, Con. Employees, Misc.)1,685,336.00 1,685,336.00
Total Program Expenses 14,368,674.00 14,368,674.00
TOTAL DIRECT EXPENSES 14,368,674.00 14,368,674.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 521,619.00 521,619.00
2 Cost Allocation Plan / Other -9,467,400.00 -9,467,400.00
Total Indirect Costs -8,945,781.00 -8,945,781.00
TOTAL INDIRECT EXPENSES -8,945,781.00 -8,945,781.00
TOTAL EXPENDITURES 5,422,893.00 5,422,893.00
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Contract # Date: 08/15/2024
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
511,950.00 0.00 511,950.00 0.00
Fees and Collections - 3rd Party 156,000.00 0.00 156,000.00 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
MDHHSComprehensive 0.00 0.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 4,754,943.00 0.00 4,754,943.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate 0.00 0.00 0.00 0.00
Total Source of Funds 5,422,893.00 0.00 5,422,893.00 0.00
Totals 5,422,893.00 0.00 5,422,893.00 0.00
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Contract # Date: 08/15/2024
3 Program Budget - Cost Detail
Line Item Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 6,828,787.00
2 Fringe Benefits 3,786,586.00
3 Cap. Exp. for Equip & Fac.0.00
4 Contractual 146,794.00
5 Supplies and Materials 401,400.00
6 Travel 63,547.00
7 Communication 129,347.00
8 County-City Central Services 0.00
9 Space Costs 1,326,877.00
10 All Others (ADP, Con. Employees, Misc.)1,685,336.00
Total Program Expenses 14,368,674.00
TOTAL DIRECT EXPENSES 14,368,674.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 521,619.00
2 Cost Allocation Plan / Other
Other Cost Distributions-Other Inf Disease/CD -1,878,215.00
Other Cost Distributions-Misc Distribution -1,073,755.00
Other Cost Distributions-SIDS fee -2,000.00
Health Adm Distribution -7,997,829.00
Other Cost Distributions-Education 1,484,399.00
Total for Cost Allocation Plan / Other -9,467,400.00
Total Indirect Costs -8,945,781.00
TOTAL INDIRECT EXPENSES -8,945,781.00
TOTAL EXPENDITURES 5,422,893.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Administration -
Environmental
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 7,221,719.00 7,221,719.00
2 Fringe Benefits 3,901,758.00 3,901,758.00
3 Cap. Exp. for Equip & Fac.35,000.00 35,000.00
4 Contractual 0.00 0.00
5 Supplies and Materials 60,300.00 60,300.00
6 Travel 257,940.00 257,940.00
7 Communication 59,597.00 59,597.00
8 County-City Central Services 0.00 0.00
9 Space Costs 118,163.00 118,163.00
10 All Others (ADP, Con. Employees, Misc.)516,891.00 516,891.00
Total Program Expenses 12,171,368.00 12,171,368.00
TOTAL DIRECT EXPENSES 12,171,368.00 12,171,368.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 581,348.00 581,348.00
2 Cost Allocation Plan / Other -5,942,790.00 -5,942,790.00
Total Indirect Costs -5,361,442.00 -5,361,442.00
TOTAL INDIRECT EXPENSES -5,361,442.00 -5,361,442.00
TOTAL EXPENDITURES 6,809,926.00 6,809,926.00
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Contract # Date: 08/15/2024
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
1,118,086.00 0.00 1,118,086.00 0.00
Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00
Federal or State (Non MDHHS)3,837,816.00 0.00 3,837,816.00 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 0.00 0.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 1,854,024.00 0.00 1,854,024.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate 0.00 0.00 0.00 0.00
Total Source of Funds 6,809,926.00 0.00 6,809,926.00 0.00
Totals 6,809,926.00 0.00 6,809,926.00 0.00
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Contract # Date: 08/15/2024
3 Program Budget - Cost Detail
Line Item Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 7,221,719.00
2 Fringe Benefits 3,901,758.00
3 Cap. Exp. for Equip & Fac.35,000.00
4 Contractual 0.00
5 Supplies and Materials 60,300.00
6 Travel 257,940.00
7 Communication 59,597.00
8 County-City Central Services 0.00
9 Space Costs 118,163.00
10 All Others (ADP, Con. Employees, Misc.)516,891.00
Total Program Expenses 12,171,368.00
TOTAL DIRECT EXPENSES 12,171,368.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 581,348.00
2 Cost Allocation Plan / Other
EH Adm Distribtions -7,892,289.00
Other Cost Distributions-Body Art Fees -58,708.00
Health Adm Distribution 1,903,639.00
Other Cost Distributions-Misc 104,568.00
Total for Cost Allocation Plan / Other -5,942,790.00
Total Indirect Costs -5,361,442.00
TOTAL INDIRECT EXPENSES -5,361,442.00
TOTAL EXPENDITURES 6,809,926.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Adolescent STI Screening
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 44,104.00 44,104.00
2 Fringe Benefits 18,548.00 18,548.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 4,185.00 4,185.00
6 Travel 2,010.00 2,010.00
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.)603.00 603.00
Total Program Expenses 69,450.00 69,450.00
TOTAL DIRECT EXPENSES 69,450.00 69,450.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 16,080.00 16,080.00
Total Indirect Costs 16,080.00 16,080.00
TOTAL INDIRECT EXPENSES 16,080.00 16,080.00
TOTAL EXPENDITURES 85,530.00 85,530.00
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Contract # Date: 08/15/2024
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 73,000.00 73,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 12,530.00 0.00 12,530.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 85,530.00 73,000.00 12,530.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : PH Nurse 3 S. Mullins
Position P00000738
Notes: This position is
responsible for testing clients in
OCJ, treatment of clients as
needed, and educational
support.
0.1346 85275.000 0.000 FTE 11,478.00
Public Health Nurse
Notes : PH Nurse 3 S. Mtevski
Position P00007565
Notes: This position is
responsible for testing clients in
OCJ, treatment of clients as
needed, and educational
support.
0.1346 85275.000 0.000 FTE 11,478.00
Clerk
Notes : Office Support Clerk
Senior S. Cloutier Position
P00006538
Notes: This position is
responsible for intake paperwork,
scheduling of clients, follow-up
with nurses and clients.
0.3846 54987.000 0.000 FTE 21,148.00
Total for Salary & Wages 44,104.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
0.0000 42.055 44104.000 18,548.00
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Line Item Qty Rate Units UOM Total
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Notes : Notes: Supplies and
materials needed for general
office use such as paper, pes,
envelopes, folders, etc.
0.0000 0.000 0.000 2,185.00
Medical Supplies
Notes : Notes: lancets, blood
tubes, specimen cups, gauze,
band aids, etc for speciman
collecting and handling $87/mo
*12 months
0.0000 0.000 0.000 1,000.00
Printing
Notes : Notes: Printing costs of
service for client charts,
treatment sheets, etc
0.0000 0.000 0.000 1,000.00
Total for Supplies and Materials 4,185.00
6 Travel
Mileage
Notes : 3,000 miles @ 0.67
0.0000 0.000 0.000 2,010.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 603.00
Total Program Expenses 69,450.00
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Line Item Qty Rate Units UOM Total
TOTAL DIRECT EXPENSES 69,450.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 16,080.00
Total Indirect Costs 16,080.00
TOTAL INDIRECT EXPENSES 16,080.00
TOTAL EXPENDITURES 85,530.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health Emergency
Preparedness (PHEP) 10/1 - 6/30
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 6/30/2025
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 114,907.00 114,907.00
2 Fringe Benefits 63,215.00 63,215.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 32,923.00 32,923.00
6 Travel 0.00 0.00
7 Communication 2,259.00 2,259.00
8 County-City Central Services 0.00 0.00
9 Space Costs 6,673.00 6,673.00
10 All Others (ADP, Con. Employees, Misc.)16,275.00 16,275.00
Total Program Expenses 236,252.00 236,252.00
TOTAL DIRECT EXPENSES 236,252.00 236,252.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 44,066.00 44,066.00
Total Indirect Costs 44,066.00 44,066.00
TOTAL INDIRECT EXPENSES 44,066.00 44,066.00
TOTAL EXPENDITURES 280,318.00 280,318.00
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Contract # Date: 08/15/2024
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 22,245.00 0.00 22,245.00 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 222,449.00 222,449.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 35,624.00 0.00 35,624.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 280,318.00 222,449.00 57,869.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Chief Public Health
Notes : PO00015362 Marci
Wiegers, Chief Public Health
Match $10,037
0.0923 108740.000 0.000 FTE 10,037.00
Supervisor
Notes : PO00003094 Samantha
Montney PH EP Supervisor
0.7500 101585.000 0.000 FTE 76,189.00
Specialist
Notes : PO00007416 Lyndsey
Chiasson Public Health
Emergency Preparedness
Specialist
0.3750 76482.000 0.000 FTE 28,681.00
Total for Salary & Wages 114,907.00
2 Fringe Benefits
Composite Rate
Notes : MATCH $5,535
FICA
Unemp Ins
Retirement
Hospital Ins
Life Ins
Vision Ins
Short/Long Term Disability
Dental Ins
Work Comp
0.0000 55.014 114907.000 63,215.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Disaster Supplies 0.0000 0.000 0.000 29,616.00
Office Supplies 0.0000 0.000 0.000 2,000.00
Printing 0.0000 0.000 0.000 1,307.00
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Line Item Qty Rate Units UOM Total
Total for Supplies and Materials 32,923.00
6 Travel
7 Communication
Telephone Communications 0.0000 0.000 0.000 2,259.00
8 County-City Central Services
9 Space Costs
Building Space Rental
Notes : MATCH $6,673
0.0000 0.000 0.000 6,673.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 868.00
IT Operations 0.0000 0.000 0.000 11,100.00
Print services 0.0000 0.000 0.000 3,000.00
Interpretation Fees 0.0000 0.000 0.000 1,307.00
Total for All Others (ADP, Con. Employees, Misc.)16,275.00
Total Program Expenses 236,252.00
TOTAL DIRECT EXPENSES 236,252.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 44,066.00
Total Indirect Costs 44,066.00
TOTAL INDIRECT EXPENSES 44,066.00
TOTAL EXPENDITURES 280,318.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Body Art Fixed Fee
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 58,708.00 58,708.00
Total Indirect Costs 58,708.00 58,708.00
TOTAL INDIRECT EXPENSES 58,708.00 58,708.00
TOTAL EXPENDITURES 58,708.00 58,708.00
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Contract # Date: 08/15/2024
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 0.00 0.00 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
Body Art Fee 58,708.00 58,708.00 0.00 0.00
Totals 58,708.00 58,708.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-from
Environmental Administration
0.0000 0.000 0.000 58,708.00
Total Indirect Costs 58,708.00
TOTAL INDIRECT EXPENSES 58,708.00
TOTAL EXPENDITURES 58,708.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Children's Special Hlth
Care Services (CSHCS) Care Coordination
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 234,304.00 234,304.00
Total Indirect Costs 234,304.00 234,304.00
TOTAL INDIRECT EXPENSES 234,304.00 234,304.00
TOTAL EXPENDITURES 234,304.00 234,304.00
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Contract # Date: 08/15/2024
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 0.00 0.00 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
CSHCS Care Coordination 234,304.00 234,304.00 0.00 0.00
Totals 234,304.00 234,304.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-from
CSHCS Outreach & Advoc
0.0000 0.000 0.000 234,304.00
Total Indirect Costs 234,304.00
TOTAL INDIRECT EXPENSES 234,304.00
TOTAL EXPENDITURES 234,304.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / CSHCS Medicaid
Outreach
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 243,126.00 243,126.00
Total Indirect Costs 243,126.00 243,126.00
TOTAL INDIRECT EXPENSES 243,126.00 243,126.00
TOTAL EXPENDITURES 243,126.00 243,126.00
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Contract # Date: 08/15/2024
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 94,795.00 94,795.00 0.00 0.00
Required Match - Local 94,795.00 0.00 94,795.00 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 0.00 0.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 53,536.00 0.00 53,536.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 243,126.00 94,795.00 148,331.00 0.00
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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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Distributions for Medicaid 0.0000 0.000 0.000 243,126.00
Total Indirect Costs 243,126.00
TOTAL INDIRECT EXPENSES 243,126.00
TOTAL EXPENDITURES 243,126.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / CSHCS Medicaid Elevated
Blood Lead Case Mgmt
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 75,000.00 75,000.00
Total Indirect Costs 75,000.00 75,000.00
TOTAL INDIRECT EXPENSES 75,000.00 75,000.00
TOTAL EXPENDITURES 75,000.00 75,000.00
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Contract # Date: 08/15/2024
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 0.00 0.00 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
CSHCS Medicaid Elevated Blood Lead
Case
75,000.00 75,000.00 0.00 0.00
Totals 75,000.00 75,000.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-Fees
for Lead Case Mgt
Notes : $40,000 non-Medicaid
home visits
$20,000 Medicaid home visits
$15,000 CHW visits
0.0000 0.000 0.000 75,000.00
Total Indirect Costs 75,000.00
TOTAL INDIRECT EXPENSES 75,000.00
TOTAL EXPENDITURES 75,000.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health Emergency
Preparedness (PHEP) CRI 10/1 - 6/30
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 6/30/2025
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 107,274.00 107,274.00
2 Fringe Benefits 57,590.00 57,590.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 17,286.00 17,286.00
6 Travel 9,568.00 9,568.00
7 Communication 1,671.00 1,671.00
8 County-City Central Services 0.00 0.00
9 Space Costs 11,219.00 11,219.00
10 All Others (ADP, Con. Employees, Misc.)3,400.00 3,400.00
Total Program Expenses 208,008.00 208,008.00
TOTAL DIRECT EXPENSES 208,008.00 208,008.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,171.00 41,171.00
Total Indirect Costs 41,171.00 41,171.00
TOTAL INDIRECT EXPENSES 41,171.00 41,171.00
TOTAL EXPENDITURES 249,179.00 249,179.00
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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 19,655.00 0.00 19,655.00 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 196,551.00 196,551.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 32,973.00 0.00 32,973.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 249,179.00 196,551.00 52,628.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Specialist
Notes : Emergency
Preparedness Specialist
T. Bravender Position
P00009999
0.7500 97541.000 0.000 FTE 73,156.00
Chief
Notes : PO00015362 M. Wiegers
Chief
Match
0.0500 108735.000 0.000 FTE 5,437.00
Specialist
Notes : PH Emerg Preparedness
Specialist
Pos#P00007416
L Chiasson
0.3750 76482.000 0.000 FTE 28,681.00
Total for Salary & Wages 107,274.00
2 Fringe Benefits
Composite Rate
Notes : MATCH $2,999
FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
0.0000 53.685 107274.000 57,590.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Disaster Supplies 0.0000 0.000 0.000 16,786.00
Office Supplies 0.0000 0.000 0.000 500.00
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Line Item Qty Rate Units UOM Total
Total for Supplies and Materials 17,286.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 1,310.00
Conferences 0.0000 0.000 0.000 8,258.00
Total for Travel 9,568.00
7 Communication
Telephone 0.0000 0.000 0.000 1,671.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs
Notes : MATCH $11,219
0.0000 0.000 0.000 11,219.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 886.00
IT Operations 0.0000 0.000 0.000 2,514.00
Total for All Others (ADP, Con. Employees, Misc.)3,400.00
Total Program Expenses 208,008.00
TOTAL DIRECT EXPENSES 208,008.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,171.00
Total Indirect Costs 41,171.00
TOTAL INDIRECT EXPENSES 41,171.00
TOTAL EXPENDITURES 249,179.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Children's Special Hlth
Care Services (CSHCS) Outreach & Advocacy
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 301,295.00 301,295.00
2 Fringe Benefits 151,830.00 151,830.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 8,100.00 8,100.00
6 Travel 2,020.00 2,020.00
7 Communication 9,720.00 9,720.00
8 County-City Central Services 0.00 0.00
9 Space Costs 30,966.00 30,966.00
10 All Others (ADP, Con. Employees, Misc.)65,292.00 65,292.00
Total Program Expenses 569,223.00 569,223.00
TOTAL DIRECT EXPENSES 569,223.00 569,223.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other -210,049.00 -210,049.00
Total Indirect Costs -210,049.00 -210,049.00
TOTAL INDIRECT EXPENSES -210,049.00 -210,049.00
TOTAL EXPENDITURES 359,174.00 359,174.00
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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 359,174.00 359,174.00 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 359,174.00 359,174.00 0.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Clerk
Notes : PH Clerk 2 - B. Smith
PO# 5129
1.0000 52163.000 0.000 FTE 52,163.00
Supervisor
Notes : PH Nursing Supervisor -
L. Bauer PO# 5130
1.0000 108442.000 0.000 FTE 108,442.00
Nurse
Notes : PH Nurse 3 - M.
Cresmen PO# 5163
0.4807 84943.000 0.000 FTE 40,832.00
Clerk
Notes : PH Clerk 2 - V.
Arrowsmith PO# 6824
1.0000 52163.000 0.000 FTE 52,163.00
Clerk
Notes : Auxiliary Health Clerk -
P. Lewis-Jones PO# 7839
0.4808 55420.000 0.000 FTE 26,646.00
Clerk
Notes : Office Support Clerk - S.
Doll PO# 12442
0.4808 43780.000 0.000 FTE 21,049.00
Total for Salary & Wages 301,295.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 50.392 301295.000 151,829.00
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Line Item Qty Rate Units UOM Total
Rounding 0.0000 100.000 1.000 1.00
Total for Fringe Benefits 151,830.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Postage 0.0000 0.000 0.000 4,600.00
Printing 0.0000 0.000 0.000 1,000.00
Medical Supplies 0.0000 0.000 0.000 1,500.00
Total for Supplies and Materials 8,100.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 655.00
Conferences 0.0000 0.000 0.000 1,365.00
Total for Travel 2,020.00
7 Communication
Telephone 0.0000 0.000 0.000 9,720.00
8 County-City Central Services
9 Space Costs
Building Space Rental 0.0000 0.000 0.000 30,966.00
10 All Others (ADP, Con. Employees, Misc.)
IT Print Services 0.0000 0.000 0.000 5,928.00
Insurance 0.0000 0.000 0.000 2,429.00
IT Operations 0.0000 0.000 0.000 49,280.00
Incentives 0.0000 0.000 0.000 1,000.00
Interpretation Fees 0.0000 0.000 0.000 500.00
Software Rental Lease Purchase 0.0000 0.000 0.000 4,000.00
Advertising 0.0000 0.000 0.000 2,000.00
Expendable Equipment 0.0000 0.000 0.000 155.00
Total for All Others (ADP, Con. Employees, Misc.)65,292.00
Total Program Expenses 569,223.00
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Line Item Qty Rate Units UOM Total
TOTAL DIRECT EXPENSES 569,223.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Other Cost Distributions-CSHCS
Care Coor Fees
0.0000 0.000 0.000 -234,304.00
Other Cost Distributions-CSHCS
- Medicaid Outreach
0.0000 0.000 0.000 -243,126.00
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 114,879.00
Health Adm Distribution 0.0000 0.000 0.000 152,502.00
Total for Cost Allocation Plan / Other -210,049.00
Total Indirect Costs -210,049.00
TOTAL INDIRECT EXPENSES -210,049.00
TOTAL EXPENDITURES 359,174.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Eastern Equine
Encephalitis Virus Surveillance Project
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 8,748.00 8,748.00
2 Fringe Benefits 3,947.00 3,947.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 87.00 87.00
6 Travel 1,500.00 1,500.00
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.)14.00 14.00
Total Program Expenses 14,296.00 14,296.00
TOTAL DIRECT EXPENSES 14,296.00 14,296.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 3,243.00 3,243.00
Total Indirect Costs 3,243.00 3,243.00
TOTAL INDIRECT EXPENSES 3,243.00 3,243.00
TOTAL EXPENDITURES 17,539.00 17,539.00
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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 15,000.00 15,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 2,539.00 0.00 2,539.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 17,539.00 15,000.00 2,539.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Sanitarian
Notes : Alex Hines Sanitarian -
P00010488
0.0505 66980.000 0.000 FTE 3,382.00
Sanitarian Senior 0.0337 98600.000 0.000 FTE 3,323.00
Sanitarian Senior 0.0048 98450.000 0.000 FTE 473.00
Sanitarian Supervisor 0.0144 109000.000 0.000 FTE 1,570.00
Total for Salary & Wages 8,748.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
DENTAL INS
WORK COMP
SHORT AND LONG TERM
DISABILITY
0.0000 45.119 8748.000 3,947.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Materials and Supplies 0.0000 0.000 0.000 87.00
6 Travel
Motor Pool 0.0000 0.000 0.000 1,500.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
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Line Item Qty Rate Units UOM Total
Total Program Expenses 14,296.00
TOTAL DIRECT EXPENSES 14,296.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 3,243.00
Total Indirect Costs 3,243.00
TOTAL INDIRECT EXPENSES 3,243.00
TOTAL EXPENDITURES 17,539.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MCH - Children
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 42,650.00 42,650.00
2 Fringe Benefits 26,865.00 26,865.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 598.00 598.00
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.)450.00 450.00
Total Program Expenses 70,563.00 70,563.00
TOTAL DIRECT EXPENSES 70,563.00 70,563.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 17,336.00 17,336.00
Total Indirect Costs 17,336.00 17,336.00
TOTAL INDIRECT EXPENSES 17,336.00 17,336.00
TOTAL EXPENDITURES 87,899.00 87,899.00
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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 0.00 0.00 0.00 0.00
MCH Funding 73,996.00 73,996.00 0.00 0.00
Local Funds - Other 13,903.00 0.00 13,903.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 87,899.00 73,996.00 13,903.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Nutritionist/Dietician
Notes : Melinda Blesch
P0005401 PH Nutritionist 3
0.5000 85300.000 0.000 FTE 42,650.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment
Retirement
Hosp
Life Insurance
Vision
Dental
Workers Comp
Short and Long Term Disability
0.0000 62.989 42650.000 26,865.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Educational Supplies 0.0000 0.000 0.000 598.00
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Incentives - Water bottles and
snacks
0.0000 0.000 0.000 450.00
Total Program Expenses 70,563.00
TOTAL DIRECT EXPENSES 70,563.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
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Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 17,336.00
Total Indirect Costs 17,336.00
TOTAL INDIRECT EXPENSES 17,336.00
TOTAL EXPENDITURES 87,899.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Emerging Threats -
Hepatitis C
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 85,264.00 85,264.00
2 Fringe Benefits 53,863.00 53,863.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 24,523.00 24,523.00
6 Travel 4,840.00 4,840.00
7 Communication 1,080.00 1,080.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)14,566.00 14,566.00
Total Program Expenses 184,136.00 184,136.00
TOTAL DIRECT EXPENSES 184,136.00 184,136.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 34,689.00 34,689.00
Total Indirect Costs 34,689.00 34,689.00
TOTAL INDIRECT EXPENSES 34,689.00 34,689.00
TOTAL EXPENDITURES 218,825.00 218,825.00
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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 191,000.00 191,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 27,825.00 0.00 27,825.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 218,825.00 191,000.00 27,825.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : PHN III
Sasha Mievski
Position P00007565
1.0000 85264.000 0.000 FTE 85,264.00
2 Fringe Benefits
Composite Rate
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
Work Comp
Short/Long Term Disability
0.0000 63.172 85264.000 53,863.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Postage 0.0000 0.000 0.000 500.00
Office Supplies 0.0000 0.000 0.000 2,500.00
Medical Supplies 0.0000 0.000 0.000 8,823.00
Drugs 0.0000 0.000 0.000 1,200.00
Educational Supplies 0.0000 0.000 0.000 500.00
Materials & Supplies 0.0000 0.000 0.000 9,500.00
Computer Supplies 0.0000 0.000 0.000 1,500.00
Total for Supplies and Materials 24,523.00
6 Travel
Mileage
Notes : 2,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 1,340.00
Conferences 0.0000 0.000 0.000 3,500.00
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Line Item Qty Rate Units UOM Total
Total for Travel 4,840.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 1,080.00
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 1,370.00
Incentives 0.0000 0.000 0.000 1,000.00
Lab Fees 0.0000 0.000 0.000 1,500.00
Advertising 0.0000 0.000 0.000 6,844.00
Staff Training 0.0000 0.000 0.000 500.00
Total for All Others (ADP, Con. Employees, Misc.)14,566.00
Total Program Expenses 184,136.00
TOTAL DIRECT EXPENSES 184,136.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 34,689.00
Total Indirect Costs 34,689.00
TOTAL INDIRECT EXPENSES 34,689.00
TOTAL EXPENDITURES 218,825.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Fetal Infant Mortality
Review (FIMR) Case Abstraction
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 6,480.00 6,480.00
Total Indirect Costs 6,480.00 6,480.00
TOTAL INDIRECT EXPENSES 6,480.00 6,480.00
TOTAL EXPENDITURES 6,480.00 6,480.00
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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 0.00 0.00 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
Fetal Infant Mortality Review 6,480.00 6,480.00 0.00 0.00
Totals 6,480.00 6,480.00 0.00 0.00
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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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-FIMR
Cases
Notes : Cost Distribution for
FIMR fees from Community
Nursing
0.0000 0.000 0.000 6,480.00
Total Indirect Costs 6,480.00
TOTAL INDIRECT EXPENSES 6,480.00
TOTAL EXPENDITURES 6,480.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Food ELPHS
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 7,353,073.00 7,353,073.00
Total Indirect Costs 7,353,073.00 7,353,073.00
TOTAL INDIRECT EXPENSES 7,353,073.00 7,353,073.00
TOTAL EXPENDITURES 7,353,073.00 7,353,073.00
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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
1,595,710.00 0.00 1,595,710.00 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 2,180,647.00 2,180,647.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 3,576,716.00 0.00 3,576,716.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 7,353,073.00 2,180,647.00 5,172,426.00 0.00
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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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Environmental Hlth Adm
Distribution
0.0000 0.000 0.000 5,053,936.00
Health Adm Distribution 0.0000 0.000 0.000 1,140,071.00
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 1,159,066.00
Total for Cost Allocation Plan / Other 7,353,073.00
Total Indirect Costs 7,353,073.00
TOTAL INDIRECT EXPENSES 7,353,073.00
TOTAL EXPENDITURES 7,353,073.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Gonococcal Isolate
Surveillance Project
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 10/31/2024
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 11,893.00 11,893.00
2 Fringe Benefits 7,504.00 7,504.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,442.00 1,442.00
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.)204.00 204.00
Total Program Expenses 21,043.00 21,043.00
TOTAL DIRECT EXPENSES 21,043.00 21,043.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 4,837.00 4,837.00
Total Indirect Costs 4,837.00 4,837.00
TOTAL INDIRECT EXPENSES 4,837.00 4,837.00
TOTAL EXPENDITURES 25,880.00 25,880.00
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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 22,000.00 22,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 3,880.00 0.00 3,880.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 25,880.00 22,000.00 3,880.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : PH Nurse 3 M. McCarthy
Position P00001122
This position is responsible for
the preparation & collection of
GISP, N. gonorrhoeae
specimens and result reporting of
specimens collected in Oakland
County Health Division's STI
clinics.
0.1442 82475.000 0.000 FTE 11,893.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 63.096 11893.000 7,504.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Notes : Purchase of supplies
necessary for all services related
directly to the GISP: MTM
plates, chocolate plates,
disposable transfer pipets, KWIK
sticks for QC organisms, culture
loops, 2 ml tubes for freezing
broth, Tsoy broth, cryo pens,
0.0000 0.000 0.000 860.00
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Line Item Qty Rate Units UOM Total
NAAT urine and swab collection
kits
Medical Supplies 0.0000 0.000 0.000 582.00
Total for Supplies and Materials 1,442.00
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 204.00
Total Program Expenses 21,043.00
TOTAL DIRECT EXPENSES 21,043.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 4,837.00
Total Indirect Costs 4,837.00
TOTAL INDIRECT EXPENSES 4,837.00
TOTAL EXPENDITURES 25,880.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Hearing ELPHS
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 416,361.00 416,361.00
2 Fringe Benefits 122,235.00 122,235.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 9,142.00 9,142.00
6 Travel 12,683.00 12,683.00
7 Communication 1,184.00 1,184.00
8 County-City Central Services 0.00 0.00
9 Space Costs 17,606.00 17,606.00
10 All Others (ADP, Con. Employees, Misc.)6,603.00 6,603.00
Total Program Expenses 585,814.00 585,814.00
TOTAL DIRECT EXPENSES 585,814.00 585,814.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 141,236.00 141,236.00
Total Indirect Costs 141,236.00 141,236.00
TOTAL INDIRECT EXPENSES 141,236.00 141,236.00
TOTAL EXPENDITURES 727,050.00 727,050.00
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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 253,969.00 253,969.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 473,081.00 0.00 473,081.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 727,050.00 253,969.00 473,081.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : Lynn Covarubbias
Position P00001402 Hearing and
Vision Tech Supervisor
1.0000 77370.000 0.000 FTE 77,370.00
Technician
Notes : Casey Sinacola Position
P00000631 PH Tech
0.4808 45579.000 0.000 FTE 21,914.00
Technician
Notes : Charlene Whitt Position
P00012314 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Therese Spedding
Position P00012320 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Vacant Position
P00012321 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant P000012322 PH
Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Adrienne Lynch Position
P000000642 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Vacant Position
P00010837 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Karen McPherson
Position P00010838 PH Tech
0.4808 40980.000 0.000 FTE 19,703.00
Technician
Notes : Denise Gaarder Position
P00010841 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant Position
0.4808 39083.000 0.000 FTE 18,791.00
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Line Item Qty Rate Units UOM Total
P00010842 PH Tech
Supervisor
Notes : Diane Ferber Position
P00001917 Hearing and Vision
Program Supervisor
0.5000 108868.000 0.000 FTE 54,434.00
Auxillary Health Clerk
Notes : Billie-Jean Wright
Position P00006736 Aux Health
Clerk
0.7000 57734.000 0.000 FTE 40,414.00
Clerk
Notes : S. Helsom Position
P00002891 PH Clerk 2
0.5000 48572.000 0.000 FTE 24,286.00
Technician
Notes : Cindy Vieregge Position
P00012323 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Total for Salary & Wages 416,361.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
DENTAL INS
WORK COMP
SHORT/LONG TERM
DISABILITY
0.0000 29.358 416361.000 122,235.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 760.00
Printing 0.0000 0.000 0.000 1,927.00
Postage 0.0000 0.000 0.000 6,110.00
Medical Supplies 0.0000 0.000 0.000 345.00
Total for Supplies and Materials 9,142.00
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Line Item Qty Rate Units UOM Total
6 Travel
Personal Mileage
Notes : 0.655 PER MILE
0.0000 0.000 0.000 7,920.00
Travel 0.0000 0.000 0.000 4,763.00
Total for Travel 12,683.00
7 Communication
Telephone 0.0000 0.000 0.000 1,184.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 17,606.00
10 All Others (ADP, Con. Employees, Misc.)
IT Print Services 0.0000 0.000 0.000 165.00
Insurance 0.0000 0.000 0.000 3,077.00
Equipment Repair 0.0000 0.000 0.000 2,233.00
Staff Training 0.0000 0.000 0.000 893.00
Interpreter Fees 0.0000 0.000 0.000 141.00
Expendable Equipment 0.0000 0.000 0.000 94.00
Total for All Others (ADP, Con. Employees, Misc.)6,603.00
Total Program Expenses 585,814.00
TOTAL DIRECT EXPENSES 585,814.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 141,236.00
Total Indirect Costs 141,236.00
TOTAL INDIRECT EXPENSES 141,236.00
TOTAL EXPENDITURES 727,050.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / HIV PrEP Clinic
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 214,000.00 214,000.00
2 Fringe Benefits 112,536.00 112,536.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 5,000.00 5,000.00
6 Travel 10,340.00 10,340.00
7 Communication 2,850.00 2,850.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)25,391.00 25,391.00
Total Program Expenses 370,117.00 370,117.00
TOTAL DIRECT EXPENSES 370,117.00 370,117.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 82,534.00 82,534.00
Total Indirect Costs 82,534.00 82,534.00
TOTAL INDIRECT EXPENSES 82,534.00 82,534.00
TOTAL EXPENDITURES 452,651.00 452,651.00
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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 387,344.00 387,344.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 65,307.00 0.00 65,307.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 452,651.00 387,344.00 65,307.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Specialist
Notes : Clinical Health Specialist
E. Mazur Kozio
Po#P00015913
1.0000 100456.000 0.000 FTE 100,456.00
Clerk
Notes : Auxilary Health Clerk E.
Craven
Po#PO00006100
1.0000 61287.000 0.000 FTE 61,287.00
Supervisor
Notes : Health Program
Supervisor PO00006426 E.
Trepkowski
0.5000 104513.000 0.000 52,257.00
Total for Salary & Wages 214,000.00
2 Fringe Benefits
Composite Rate
Notes : Fica, Unemp Ins,
Retirement, Hospital Ins, Life Ins,
Vision Ins, Dental Ins,
Workcomp, Short/Long Term
Disability
0.0000 52.587 214000.000 112,536.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Drugs 0.0000 0.000 0.000 2,000.00
Medical Supplies 0.0000 0.000 0.000 2,000.00
Total for Supplies and Materials 5,000.00
6 Travel
Mileage
Notes : 0.67 per mile x 2,000
miles
0.0000 0.000 0.000 1,340.00
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Line Item Qty Rate Units UOM Total
Conferences 0.0000 0.000 0.000 4,000.00
Client Transportation 0.0000 0.000 0.000 5,000.00
Total for Travel 10,340.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 2,850.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 2,888.00
IT Operations 0.0000 0.000 0.000 1,500.00
Advertising
Notes : Billboards/magazine
advertising, posters/flyers,
promotional t-shirts, table fees
for outreach events, i.e. Pride
events
0.0000 0.000 0.000 9,003.00
Lab Fees - PrEP Creatine
Clearance
0.0000 0.000 0.000 9,000.00
Employee License 0.0000 0.000 0.000 1,000.00
Furniture and Fixtures 0.0000 0.000 0.000 2,000.00
Total for All Others (ADP, Con. Employees, Misc.)25,391.00
Total Program Expenses 370,117.00
TOTAL DIRECT EXPENSES 370,117.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 82,534.00
Total Indirect Costs 82,534.00
TOTAL INDIRECT EXPENSES 82,534.00
TOTAL EXPENDITURES 452,651.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / HIV Prevention
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 209,040.00 209,040.00
2 Fringe Benefits 99,639.00 99,639.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 22,740.00 22,740.00
6 Travel 8,670.00 8,670.00
7 Communication 3,200.00 3,200.00
8 County-City Central Services 0.00 0.00
9 Space Costs 10,276.00 10,276.00
10 All Others (ADP, Con. Employees, Misc.)54,607.00 54,607.00
Total Program Expenses 408,172.00 408,172.00
TOTAL DIRECT EXPENSES 408,172.00 408,172.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 78,563.00 78,563.00
Total Indirect Costs 78,563.00 78,563.00
TOTAL INDIRECT EXPENSES 78,563.00 78,563.00
TOTAL EXPENDITURES 486,735.00 486,735.00
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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 425,000.00 425,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 61,735.00 0.00 61,735.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 486,735.00 425,000.00 61,735.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : Health Program
Supervisor
E. Trepkowski Position
P00006426
0.5000 104513.000 0.000 FTE 52,257.00
Clerk
Notes : Public Health Clerk III
S. Cloutier Position P00006538
0.6154 54984.000 0.000 FTE 33,837.00
Public Health Nurse
Notes : Public Health Nurse III
J. Lombardi-Perwerton Position
P00007557
0.4567 82509.000 0.000 FTE 37,682.00
Public Health Nurse
Notes : Public Heath Nurse III
L. Drouillard Position P00009668
1.0000 85264.000 0.000 FTE 85,264.00
Total for Salary & Wages 209,040.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 47.665 209040.000 99,639.00
3 Cap. Exp. for Equip & Fac.
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Line Item Qty Rate Units UOM Total
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 2,000.00
Medical Supplies 0.0000 0.000 0.000 6,726.00
Postage 0.0000 0.000 0.000 3,000.00
Printing 0.0000 0.000 0.000 4,000.00
Training-Ed Supplies 0.0000 0.000 0.000 7,014.00
Total for Supplies and Materials 22,740.00
6 Travel
Mileage
Notes : 1,000 miles @ 0.67
0.0000 0.000 0.000 670.00
Conferences 0.0000 0.000 0.000 6,000.00
Client Transportation 0.0000 0.000 0.000 2,000.00
Total for Travel 8,670.00
7 Communication
Telephone 0.0000 0.000 0.000 3,200.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 10,276.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 3,731.00
Interpretation 0.0000 0.000 0.000 200.00
Subscriptions 0.0000 0.000 0.000 800.00
Advertising 0.0000 0.000 0.000 33,516.00
IT Operations 0.0000 0.000 0.000 16,360.00
Total for All Others (ADP, Con. Employees, Misc.)54,607.00
Total Program Expenses 408,172.00
TOTAL DIRECT EXPENSES 408,172.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
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Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 78,563.00
Total Indirect Costs 78,563.00
TOTAL INDIRECT EXPENSES 78,563.00
TOTAL EXPENDITURES 486,735.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Harm Reduction Support
Match
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 80,151.00 80,151.00
2 Fringe Benefits 35,274.00 35,274.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 47,668.00 47,668.00
6 Travel 8,670.00 8,670.00
7 Communication 4,721.00 4,721.00
8 County-City Central Services 0.00 0.00
9 Space Costs 36,000.00 36,000.00
10 All Others (ADP, Con. Employees, Misc.)31,064.00 31,064.00
Total Program Expenses 243,548.00 243,548.00
TOTAL DIRECT EXPENSES 243,548.00 243,548.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 29,537.00 29,537.00
Total Indirect Costs 29,537.00 29,537.00
TOTAL INDIRECT EXPENSES 29,537.00 29,537.00
TOTAL EXPENDITURES 273,085.00 273,085.00
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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 250,000.00 250,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 23,085.00 0.00 23,085.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 273,085.00 250,000.00 23,085.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Social Worker
Notes : Social Worker
PO0001671
1.0000 80151.000 0.000 80,151.00
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 44.009 80151.000 35,274.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 5,000.00
Drugs 0.0000 0.000 0.000 1,000.00
Computer Supplies 0.0000 0.000 0.000 3,000.00
Materials & Supplies 0.0000 0.000 0.000 9,600.00
Postage 0.0000 0.000 0.000 500.00
Printing 0.0000 0.000 0.000 2,500.00
Medical Supplies 0.0000 0.000 0.000 24,069.00
Educational Supplies 0.0000 0.000 0.000 1,999.00
Total for Supplies and Materials 47,668.00
6 Travel
Mileage
Notes : 1,000 miles @ 0.67
0.0000 0.000 0.000 670.00
Transportation of Clients 0.0000 0.000 0.000 4,500.00
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Line Item Qty Rate Units UOM Total
Conferences 0.0000 0.000 0.000 3,500.00
Total for Travel 8,670.00
7 Communication
Telephone 0.0000 0.000 0.000 1,980.00
Wi-Fi 0.0000 0.000 0.000 2,741.00
Total for Communication 4,721.00
8 County-City Central Services
9 Space Costs
Rent 0.0000 0.000 0.000 31,200.00
Space/Rental Costs 0.0000 0.000 0.000 4,800.00
Total for Space Costs 36,000.00
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 6,704.00
Incentives 0.0000 0.000 0.000 2,500.00
Laundry & Cleaning 0.0000 0.000 0.000 3,360.00
Advertising 0.0000 0.000 0.000 15,000.00
Vehicle Maintenance 0.0000 0.000 0.000 3,500.00
Total for All Others (ADP, Con. Employees, Misc.)31,064.00
Total Program Expenses 243,548.00
TOTAL DIRECT EXPENSES 243,548.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 29,537.00
Total Indirect Costs 29,537.00
TOTAL INDIRECT EXPENSES 29,537.00
TOTAL EXPENDITURES 273,085.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Action Plan
(IAP)
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 320,228.00 320,228.00
2 Fringe Benefits 172,606.00 172,606.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 2,330.00 2,330.00
6 Travel 1,340.00 1,340.00
7 Communication 3,180.00 3,180.00
8 County-City Central Services 0.00 0.00
9 Space Costs 9,047.00 9,047.00
10 All Others (ADP, Con. Employees, Misc.)17,481.00 17,481.00
Total Program Expenses 526,212.00 526,212.00
TOTAL DIRECT EXPENSES 526,212.00 526,212.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 99,345.00 99,345.00
Total Indirect Costs 99,345.00 99,345.00
TOTAL INDIRECT EXPENSES 99,345.00 99,345.00
TOTAL EXPENDITURES 625,557.00 625,557.00
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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)25,000.00 0.00 25,000.00 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 526,990.00 526,990.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 73,567.00 0.00 73,567.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 625,557.00 526,990.00 98,567.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : Immunization Program
Supervisor
Letha Martin Position P00002070
1.0000 108867.000 0.000 FTE 108,867.00
Coordinator
Notes : Vaccine Supply
Coordinator
Sean Crottie Position P00007559
0.9200 63652.000 0.000 FTE 58,560.00
Public Health Nurse
Notes : Heather Webber Position
P00007413 PH Nurse 2
0.9900 35974.000 0.000 FTE 35,614.00
Immunization Program Specialist
Notes : Jacqueline Vermilya
Position P00007414
Immunization Program Specialist
1.0000 59692.000 0.000 FTE 59,692.00
Immunization Program Specialist
Notes : Meghan Rompa Position
P00007415 Immunization
Program Specialist
1.0000 57495.000 0.000 FTE 57,495.00
Total for Salary & Wages 320,228.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 53.901 320228.000 172,606.00
3 Cap. Exp. for Equip & Fac.
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Line Item Qty Rate Units UOM Total
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 500.00
Materials and Supplies 0.0000 0.000 0.000 1,647.00
Training - Educational Supplies 0.0000 0.000 0.000 183.00
Total for Supplies and Materials 2,330.00
6 Travel
Mileage
Notes : 2,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 1,340.00
7 Communication
Telephone 0.0000 0.000 0.000 3,180.00
8 County-City Central Services
9 Space Costs
Building Space Rental 0.0000 0.000 0.000 9,047.00
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 13,132.00
Insurance 0.0000 0.000 0.000 4,349.00
Total for All Others (ADP, Con. Employees, Misc.)17,481.00
Total Program Expenses 526,212.00
TOTAL DIRECT EXPENSES 526,212.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Other Cost Distributions-Nurse
Train/VFC/AFIX
0.0000 0.000 0.000 -25,000.00
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 124,345.00
Total for Cost Allocation Plan / Other 99,345.00
Total Indirect Costs 99,345.00
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Line Item Qty Rate Units UOM Total
TOTAL INDIRECT EXPENSES 99,345.00
TOTAL EXPENDITURES 625,557.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Infection Prevention and
Healthcare- Associated Infections Response Support
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 92,000.00 92,000.00
6 Travel 28,350.00 28,350.00
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.)2,364,650.00 2,364,650.00
Total Program Expenses 2,500,000.00 2,500,000.00
TOTAL DIRECT EXPENSES 2,500,000.00 2,500,000.00
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 2,500,000.00 2,500,000.00
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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 2,500,000.00 2,500,000.00 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 2,500,000.00 2,500,000.00 0.00 0.00
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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
Computer Supplies 0.0000 0.000 0.000 20,000.00
Materials & Supplies 0.0000 0.000 0.000 32,000.00
Printing 0.0000 0.000 0.000 5,000.00
Medical Supplies 0.0000 0.000 0.000 10,000.00
Educational Supplies 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 92,000.00
6 Travel
Mileage
Notes : 5,000 @ 0.67
0.0000 0.000 0.000 3,350.00
Conferences 0.0000 0.000 0.000 25,000.00
Total for Travel 28,350.00
7 Communication
Telephone 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
Membership Dues 0.0000 0.000 0.000 5,000.00
Interpretation Fees 0.0000 0.000 0.000 10,000.00
Incentives 0.0000 0.000 0.000 45,650.00
Workshops & Meetings 0.0000 0.000 0.000 3,000.00
Lab Fees 0.0000 0.000 0.000 20,000.00
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Line Item Qty Rate Units UOM Total
Advertising 0.0000 0.000 0.000 11,000.00
Training 0.0000 0.000 0.000 20,000.00
Staffing Services 0.0000 0.000 0.000 2,100,000.00
Total for All Others (ADP, Con. Employees, Misc.)2,364,650.00
Total Program Expenses 2,500,000.00
TOTAL DIRECT EXPENSES 2,500,000.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 2,500,000.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Infant Safe Sleep
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 16,699.00 16,699.00
2 Fringe Benefits 8,480.00 8,480.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 27,081.00 27,081.00
6 Travel 1,750.00 1,750.00
7 Communication 540.00 540.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)14,106.00 14,106.00
Total Program Expenses 68,656.00 68,656.00
TOTAL DIRECT EXPENSES 68,656.00 68,656.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 6,380.00 6,380.00
Total Indirect Costs 6,380.00 6,380.00
TOTAL INDIRECT EXPENSES 6,380.00 6,380.00
TOTAL EXPENDITURES 75,036.00 75,036.00
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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 70,000.00 70,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 5,036.00 0.00 5,036.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 75,036.00 70,000.00 5,036.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Health Educator
Notes : PH Educator III
Pos#P00006735 Carla Roseman
0.0961 75230.000 0.000 FTE 7,230.00
Chief Public Health
Notes : Chief PH
Pos#P00000733 Lisa Hahn
0.0101 116141.000 0.000 FTE 1,173.00
Supervisor
Notes : PH Nursing Supervisor
Pos#P00000865 David Roth
0.0750 110610.000 0.000 FTE 8,296.00
Total for Salary & Wages 16,699.00
2 Fringe Benefits
Composite Rate
Notes : FICA, UNEMP INS,
RETIREMENT, HOSPITAL INS,
LIFE INS, VISION INS,
SHORT/LONG TERM
DISABILITY, DENTAL INS,
WORK COMP
0.0000 50.781 16699.000 8,480.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 225.00
Incentives 0.0000 0.000 0.000 4,900.00
Supplies & Materials
Notes : BF Gift Bag Supplies
0.0000 0.000 0.000 250.00
Postage
Notes : Safety Fair
0.0000 0.000 0.000 500.00
Training - Educational Supplies
Notes : Safety Fair Ed supplies
items
0.0000 0.000 0.000 13,206.00
Printing
Notes : Safety Fair Ed supplies
0.0000 0.000 0.000 8,000.00
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Line Item Qty Rate Units UOM Total
items
Total for Supplies and Materials 27,081.00
6 Travel
Conferences
Notes : Staff Training, MALC
Conference, Charlies Safe Sleep
Conference (PA), MIHS
0.0000 0.000 0.000 1,750.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 540.00
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
Interpretation Fees
Notes : Translate ISS Books and
Baby Shower Gift Cards
0.0000 0.000 0.000 250.00
Advertising
Notes : Social Media posts, bus
ads, Metro Parent
0.0000 0.000 0.000 3,500.00
Staff Training
Notes : IBCLC and CLC
Certifications
0.0000 0.000 0.000 5,504.00
Workshops and Meetings 0.0000 0.000 0.000 1,500.00
Total for All Others (ADP, Con. Employees, Misc.)14,106.00
Total Program Expenses 68,656.00
TOTAL DIRECT EXPENSES 68,656.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 6,380.00
Total Indirect Costs 6,380.00
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Line Item Qty Rate Units UOM Total
TOTAL INDIRECT EXPENSES 6,380.00
TOTAL EXPENDITURES 75,036.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Laboratory Services Bio
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 1,500.00 1,500.00
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.)0.00 0.00
Total Program Expenses 1,500.00 1,500.00
TOTAL DIRECT EXPENSES 1,500.00 1,500.00
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 1,500.00 1,500.00
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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 1,500.00 1,500.00 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 1,500.00 1,500.00 0.00 0.00
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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
Materials & Supplies 0.0000 0.000 0.000 1,500.00
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses 1,500.00
TOTAL DIRECT EXPENSES 1,500.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 1,500.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Local Health Department
(LHD) Sharing Support
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 52,970.00 52,970.00
5 Supplies and Materials 2,580.00 2,580.00
6 Travel 800.00 800.00
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.)13,650.00 13,650.00
Total Program Expenses 70,000.00 70,000.00
TOTAL DIRECT EXPENSES 70,000.00 70,000.00
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 70,000.00 70,000.00
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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 70,000.00 70,000.00 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 70,000.00 70,000.00 0.00 0.00
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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
Michigan Public Health Institute 0.0000 0.000 0.000 52,970.00
5 Supplies and Materials
Printing 0.0000 0.000 0.000 2,000.00
Materials and Supplies 0.0000 0.000 0.000 200.00
Educational Supplies 0.0000 0.000 0.000 380.00
Total for Supplies and Materials 2,580.00
6 Travel
Mileage
Notes : 75 miles * 0.67 per mile
0.0000 0.000 0.000 50.00
Conferences 0.0000 0.000 0.000 750.00
Total for Travel 800.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Advertising 0.0000 0.000 0.000 12,100.00
Incentives 0.0000 0.000 0.000 1,500.00
Workshops & Meetings 0.0000 0.000 0.000 50.00
Total for All Others (ADP, Con. Employees, Misc.)13,650.00
Total Program Expenses 70,000.00
TOTAL DIRECT EXPENSES 70,000.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
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Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 70,000.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Mpox Mobile Unit
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 5,898.00 5,898.00
6 Travel 402.00 402.00
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.)200.00 200.00
Total Program Expenses 6,500.00 6,500.00
TOTAL DIRECT EXPENSES 6,500.00 6,500.00
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 6,500.00 6,500.00
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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 6,500.00 6,500.00 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 6,500.00 6,500.00 0.00 0.00
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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 0.000 300.00
Materials & Supplies 0.0000 0.000 0.000 3,598.00
Medical Supplies 0.0000 0.000 0.000 2,000.00
Total for Supplies and Materials 5,898.00
6 Travel
Mileage
Notes : 600 @ 0.67
0.0000 0.000 0.000 402.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Advertising 0.0000 0.000 0.000 200.00
Total Program Expenses 6,500.00
TOTAL DIRECT EXPENSES 6,500.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 6,500.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Nurse Family Partnership
Services
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 489,836.00 489,836.00
2 Fringe Benefits 269,689.00 269,689.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 24,689.00 24,689.00
6 Travel 19,709.00 19,709.00
7 Communication 5,460.00 5,460.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)33,730.00 33,730.00
Total Program Expenses 843,113.00 843,113.00
TOTAL DIRECT EXPENSES 843,113.00 843,113.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 151,905.00 151,905.00
Total Indirect Costs 151,905.00 151,905.00
TOTAL INDIRECT EXPENSES 151,905.00 151,905.00
TOTAL EXPENDITURES 995,018.00 995,018.00
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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 843,113.00 843,113.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 151,905.00 0.00 151,905.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 995,018.00 843,113.00 151,905.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
Notes : Angela Varela Position
P00003427 PH Nurse 3
0.4216 85270.000 0.000 FTE 35,950.00
Public Health Nurse
Notes : Susan Martinez Position
P00000906 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Public Health Nurse
Notes : Tamera Gordon Position
P00003107 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Public Health Nurse
Notes : Marybeth Reader
Position P00003183 PH Nurse 3
0.5000 85264.000 0.000 FTE 42,632.00
Public Health Nurse
Notes : Katie Smedley Positon
P00000752 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Supervisor
Notes : Michele Maloff Position
P00004736 Health Program
Supervisor
1.0000 108867.000 0.000 FTE 108,867.00
Overtime (PHN)1.0000 1012.000 0.000 1,012.00
Public Health Nurse
Notes : Kahlia Hill Positon
P000015618 PH Nurse 3
0.5346 85266.000 0.000 FTE 45,583.00
Total for Salary & Wages 489,836.00
2 Fringe Benefits
Composite Rate
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
0.0000 55.057 489836.000 269,689.00
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Line Item Qty Rate Units UOM Total
Work Comp
Short/Long Term Disability
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 4,428.00
Educational Supplies 0.0000 0.000 0.000 6,761.00
Printing 0.0000 0.000 0.000 1,000.00
Workshops and Meetings 0.0000 0.000 0.000 3,000.00
Metered Postage 0.0000 0.000 0.000 1,000.00
Incentives 0.0000 0.000 0.000 8,500.00
Total for Supplies and Materials 24,689.00
6 Travel
Mileage
Notes : 0.67 per mile X 18,000
0.0000 0.000 0.000 12,060.00
Conferences 0.0000 0.000 0.000 7,649.00
Total for Travel 19,709.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 3,360.00
Wi-Fi 0.0000 0.000 0.000 2,100.00
Total for Communication 5,460.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 1,600.00
IT Operations 0.0000 0.000 0.000 5,130.00
Staff Training 0.0000 0.000 0.000 11,500.00
Translation and Interpretation 0.0000 0.000 0.000 15,000.00
Medical Equipment 0.0000 0.000 0.000 500.00
Total for All Others (ADP, Con. Employees, Misc.)33,730.00
Total Program Expenses 843,113.00
TOTAL DIRECT EXPENSES 843,113.00
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Line Item Qty Rate Units UOM Total
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 151,905.00
Total Indirect Costs 151,905.00
TOTAL INDIRECT EXPENSES 151,905.00
TOTAL EXPENDITURES 995,018.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Oral Health- Kindergarten
Assessment
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 64,743.00 64,743.00
2 Fringe Benefits 3,239.00 3,239.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 4,300.00 4,300.00
5 Supplies and Materials 16,703.00 16,703.00
6 Travel 3,515.00 3,515.00
7 Communication 485.00 485.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)12,400.00 12,400.00
Total Program Expenses 105,385.00 105,385.00
TOTAL DIRECT EXPENSES 105,385.00 105,385.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 18,808.00 18,808.00
Total Indirect Costs 18,808.00 18,808.00
TOTAL INDIRECT EXPENSES 18,808.00 18,808.00
TOTAL EXPENDITURES 124,193.00 124,193.00
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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 110,597.00 110,597.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 13,596.00 0.00 13,596.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 124,193.00 110,597.00 13,596.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Clerk
Notes : PH Clerk Vacant
0.4327 54770.000 0.000 FTE 23,699.00
Coordinator
Notes : Health Program
Coordinator Pos#P00002466
Lisa Dobias
0.0024 80626.000 0.000 FTE 194.00
Dental Hygenist
Notes : PH Dental Hygenist
Pos#P00015844 Darlene Dalaly
0.4808 84962.000 0.000 FTE 40,850.00
Total for Salary & Wages 64,743.00
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 5.003 64743.000 3,239.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
Professional Services
Notes : Dr. Joe Przeslawski -
$1,300
Entech - $3,000
0.0000 0.000 0.000 4,300.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,055.00
Postage 0.0000 0.000 0.000 250.00
Printing 0.0000 0.000 0.000 3,220.00
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Contract # Date: 08/15/2024
Line Item Qty Rate Units UOM Total
Medical Supplies 0.0000 0.000 0.000 7,995.00
Educational Supplies 0.0000 0.000 0.000 4,183.00
Total for Supplies and Materials 16,703.00
6 Travel
Mileage
Notes : 4,500miles * 0.67 per
mile
0.0000 0.000 0.000 3,015.00
Conferences 0.0000 0.000 0.000 500.00
Total for Travel 3,515.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 485.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 121.00
Interpretation Fees 0.0000 0.000 0.000 2,011.00
Advertising 0.0000 0.000 0.000 4,740.00
IT Operations 0.0000 0.000 0.000 4,828.00
License and Permits 0.0000 0.000 0.000 700.00
Total for All Others (ADP, Con. Employees, Misc.)12,400.00
Total Program Expenses 105,385.00
TOTAL DIRECT EXPENSES 105,385.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 18,808.00
Total Indirect Costs 18,808.00
TOTAL INDIRECT EXPENSES 18,808.00
TOTAL EXPENDITURES 124,193.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Medicaid Outreach
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 512,300.00 512,300.00
2 Fringe Benefits 286,888.00 286,888.00
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 0.00 0.00
7 Communication 0.00 0.00
8 County-City Central Services 0.00 0.00
9 Space Costs 28,412.00 28,412.00
10 All Others (ADP, Con. Employees, Misc.)0.00 0.00
Total Program Expenses 827,600.00 827,600.00
TOTAL DIRECT EXPENSES 827,600.00 827,600.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 201,078.00 201,078.00
Total Indirect Costs 201,078.00 201,078.00
TOTAL INDIRECT EXPENSES 201,078.00 201,078.00
TOTAL EXPENDITURES 1,028,678.00 1,028,678.00
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Contract # Date: 08/15/2024
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 434,420.00 434,420.00 0.00 0.00
Required Match - Local 434,420.00 0.00 434,420.00 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 0.00 0.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 159,838.00 0.00 159,838.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,028,678.00 434,420.00 594,258.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Multiple positons
Notes : Amount determined
based on time studies.
1.0000 512300.000 0.000 FTE 512,300.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOY
RETIREMENT
HOSPITAL
LIFE INSURANCE
VISION
DENTAL
WORKERS COMP
SHORT/LONG TERM
DISABILITY
0.0000 56.000 512300.000 286,888.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
Office Space Rental 0.0000 0.000 0.000 28,412.00
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses 827,600.00
TOTAL DIRECT EXPENSES 827,600.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
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Line Item Qty Rate Units UOM Total
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 201,078.00
Total Indirect Costs 201,078.00
TOTAL INDIRECT EXPENSES 201,078.00
TOTAL EXPENDITURES 1,028,678.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MCH - All Other
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 137,828.00 137,828.00
2 Fringe Benefits 81,484.00 81,484.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 2,468.00 2,468.00
6 Travel 5,124.00 5,124.00
7 Communication 960.00 960.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)8,505.00 8,505.00
Total Program Expenses 236,369.00 236,369.00
TOTAL DIRECT EXPENSES 236,369.00 236,369.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 4,381,330.00 4,381,330.00
Total Indirect Costs 4,381,330.00 4,381,330.00
TOTAL INDIRECT EXPENSES 4,381,330.00 4,381,330.00
TOTAL EXPENDITURES 4,617,699.00 4,617,699.00
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Contract # Date: 08/15/2024
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 0.00 0.00 0.00 0.00
MCH Funding 247,461.00 247,461.00 0.00 0.00
Local Funds - Other 4,370,238.00 0.00 4,370,238.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 4,617,699.00 247,461.00 4,370,238.00 0.00
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Contract # Date: 08/15/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Nutritionist/Dietician
Notes : Melinda Blesch Position
P00005401 PH Nutritionist 2
0.5525 85305.000 0.000 FTE 47,131.00
Public Health Nurse
Notes : Angela Varela Position
P00003427 PH Nurse 3
0.4932 85265.000 0.000 FTE 42,053.00
Public Health Nurse
Notes : Marybeth Reader
Position P00003183 PH Nurse 3
0.5705 85265.000 0.000 FTE 48,644.00
Total for Salary & Wages 137,828.00
2 Fringe Benefits
Composite Rate
Notes : FICA, LIFE INS,
DENTAL, UNEMPLOYMENT,
VISION, WORK COMP,
RETIREMENT,
HOSPITALIZATION,
SHORT/LONG TERM
DISABILITY
0.0000 59.120 137828.000 81,484.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 200.00
Materials & Supplies 0.0000 0.000 0.000 1,000.00
Printing 0.0000 0.000 0.000 268.00
Medical Supplies 0.0000 0.000 0.000 1,000.00
Total for Supplies and Materials 2,468.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 4,000.00
Conferences 0.0000 0.000 0.000 1,124.00
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Line Item Qty Rate Units UOM Total
Total for Travel 5,124.00
7 Communication
Telephone 0.0000 0.000 0.000 540.00
Wi-Fi 0.0000 0.000 0.000 420.00
Total for Communication 960.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Info Tech Operations 0.0000 0.000 0.000 3,352.00
Insurance 0.0000 0.000 0.000 2,653.00
Incentives 0.0000 0.000 0.000 2,500.00
Total for All Others (ADP, Con. Employees, Misc.)8,505.00
Total Program Expenses 236,369.00
TOTAL DIRECT EXPENSES 236,369.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 710,623.00
Other Cost Distributions-Nursing
Notes : This distribution takes
total costs of Field Nursing and
allocates them back to various
cost centers by a time study.
The % back to MCH is 55.12%
0.0000 0.000 0.000 3,670,707.00
Total for Cost Allocation Plan / Other 4,381,330.00
Total Indirect Costs 4,381,330.00
TOTAL INDIRECT EXPENSES 4,381,330.00
TOTAL EXPENDITURES 4,617,699.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MDHHS-Essential Local
Public Health Services (ELPHS)
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 8,603,936.00 8,603,936.00
Total Indirect Costs 8,603,936.00 8,603,936.00
TOTAL INDIRECT EXPENSES 8,603,936.00 8,603,936.00
TOTAL EXPENDITURES 8,603,936.00 8,603,936.00
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Contract # Date: 08/15/2024
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 1,062,373.00 0.00 1,062,373.00 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 3,265,697.00 3,265,697.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 4,275,866.00 0.00 4,275,866.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 8,603,936.00 3,265,697.00 5,338,239.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution 0.0000 0.000 0.000 438,020.00
Other Cost Distributions-MISC
Distributions
0.0000 0.000 0.000 5,225,328.00
Federally Provided Vaccines 0.0000 0.000 0.000 1,062,373.00
Other Cost Distributions-STD 0.0000 0.000 0.000 1,878,215.00
Total for Cost Allocation Plan / Other 8,603,936.00
Total Indirect Costs 8,603,936.00
TOTAL INDIRECT EXPENSES 8,603,936.00
TOTAL EXPENDITURES 8,603,936.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health
Infrastructure
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 100,866.00 100,866.00
2 Fringe Benefits 66,836.00 66,836.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 7,000.00 7,000.00
6 Travel 3,350.00 3,350.00
7 Communication 1,080.00 1,080.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)12,748.00 12,748.00
Total Program Expenses 191,880.00 191,880.00
TOTAL DIRECT EXPENSES 191,880.00 191,880.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,660.00 41,660.00
Total Indirect Costs 41,660.00 41,660.00
TOTAL INDIRECT EXPENSES 41,660.00 41,660.00
TOTAL EXPENDITURES 233,540.00 233,540.00
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Contract # Date: 08/15/2024
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 200,000.00 200,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 33,540.00 0.00 33,540.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 233,540.00 200,000.00 33,540.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Community Health Worker
Notes : Vacant - new
1.0000 50433.000 0.000 FTE 50,433.00
Community Health Worker
Notes : Vacant - New
1.0000 50433.000 0.000 FTE 50,433.00
Total for Salary & Wages 100,866.00
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 66.262 100866.000 66,836.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Postage 0.0000 0.000 0.000 2,000.00
Printing 0.0000 0.000 0.000 2,000.00
Incentives 0.0000 0.000 0.000 2,000.00
Total for Supplies and Materials 7,000.00
6 Travel
Mileage
Notes : 5,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 3,350.00
7 Communication
Telephone 0.0000 0.000 0.000 1,080.00
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Line Item Qty Rate Units UOM Total
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 6,704.00
Insurance 0.0000 0.000 0.000 1,299.00
Interpretation Fees 0.0000 0.000 0.000 4,745.00
Total for All Others (ADP, Con. Employees, Misc.)12,748.00
Total Program Expenses 191,880.00
TOTAL DIRECT EXPENSES 191,880.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,660.00
Total Indirect Costs 41,660.00
TOTAL INDIRECT EXPENSES 41,660.00
TOTAL EXPENDITURES 233,540.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / FIMR Interviews
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 2,000.00 2,000.00
Total Indirect Costs 2,000.00 2,000.00
TOTAL INDIRECT EXPENSES 2,000.00 2,000.00
TOTAL EXPENDITURES 2,000.00 2,000.00
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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 0.00 0.00 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
Sudden Infant Death Syndrome Fees 2,000.00 2,000.00 0.00 0.00
Totals 2,000.00 2,000.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution
Notes : Cost Distributions for
FIMR Interviews (SIDS) Fees
from Health Adminstration
0.0000 0.000 0.000 2,000.00
Total Indirect Costs 2,000.00
TOTAL INDIRECT EXPENSES 2,000.00
TOTAL EXPENDITURES 2,000.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Statewide Lead Case
Management - Fixed Fee
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 37,128.00 37,128.00
Total Indirect Costs 37,128.00 37,128.00
TOTAL INDIRECT EXPENSES 37,128.00 37,128.00
TOTAL EXPENDITURES 37,128.00 37,128.00
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Contract # Date: 08/15/2024
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 0.00 0.00 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
Statewide Lead Case Management
Fees
37,128.00 37,128.00 0.00 0.00
Totals 37,128.00 37,128.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-
Reimb for Nurse Case Mgt visits
Non MA
0.0000 0.000 0.000 37,128.00
Total Indirect Costs 37,128.00
TOTAL INDIRECT EXPENSES 37,128.00
TOTAL EXPENDITURES 37,128.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Sexually Transmitted
Infection (STI) Control
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 40,049.00 40,049.00
2 Fringe Benefits 24,474.00 24,474.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 59,203.00 59,203.00
6 Travel 10,655.00 10,655.00
7 Communication 3,960.00 3,960.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)28,700.00 28,700.00
Total Program Expenses 167,041.00 167,041.00
TOTAL DIRECT EXPENSES 167,041.00 167,041.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 16,129.00 16,129.00
Total Indirect Costs 16,129.00 16,129.00
TOTAL INDIRECT EXPENSES 16,129.00 16,129.00
TOTAL EXPENDITURES 183,170.00 183,170.00
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Contract # Date: 08/15/2024
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 170,265.00 170,265.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 12,905.00 0.00 12,905.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 183,170.00 170,265.00 12,905.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Medical Technologist
Notes : P. Lafroy-Wolff Position
P00002106
Medical Technologist: This
position is responsible for the
preparation, analysis and result
reporting of specimens collected
in Oakland County Health
Division's STI clinics.
0.4808 83297.000 0.000 FTE 40,049.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 61.110 40049.000 24,474.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 3,000.00
Drugs
Notes : Moxifloxacin, which is
treatment for mycoplasma
genitalium. Also, Clindamycin for
bacterial vaginosis, as second
line treatment in the case that a
patient is allergic or cannot take
the first-line, free treatment.
0.0000 0.000 0.000 5,000.00
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Line Item Qty Rate Units UOM Total
Computer Supplies 0.0000 0.000 0.000 12,000.00
Materials and Supplies
Notes : Rapid Syphilils Testing or
other mobile testing needs
0.0000 0.000 0.000 5,000.00
Postage 0.0000 0.000 0.000 10,000.00
Printing 0.0000 0.000 0.000 2,000.00
Medical Supplies
Notes : Rapid Syphilils Testing or
other mobile testing needs
0.0000 0.000 0.000 17,000.00
Training - Educational Supplies 0.0000 0.000 0.000 203.00
Uniforms 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 59,203.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 655.00
Travel and Conferences 0.0000 0.000 0.000 10,000.00
Total for Travel 10,655.00
7 Communication
Telephone 0.0000 0.000 0.000 3,960.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations
Notes : Quarterly laptop charges
x 6 laptops = $833.33 x4 =
$3,333.32 x 6 = $19,999.92;
rounded to $20,000.00. Six
nurses conducting disease
investigation which do not have
phones or laptops.
0.0000 0.000 0.000 20,000.00
Incentives 0.0000 0.000 0.000 1,700.00
Training 0.0000 0.000 0.000 5,000.00
Transportation of Clients 0.0000 0.000 0.000 2,000.00
Total for All Others (ADP, Con. Employees, Misc.)28,700.00
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Line Item Qty Rate Units UOM Total
Total Program Expenses 167,041.00
TOTAL DIRECT EXPENSES 167,041.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 16,129.00
Total Indirect Costs 16,129.00
TOTAL INDIRECT EXPENSES 16,129.00
TOTAL EXPENDITURES 183,170.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Tuberculosis (TB) Control
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 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.)39,071.00 39,071.00
Total Program Expenses 122,071.00 122,071.00
TOTAL DIRECT EXPENSES 122,071.00 122,071.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,035,706.00 1,035,706.00
Total Indirect Costs 1,035,706.00 1,035,706.00
TOTAL INDIRECT EXPENSES 1,035,706.00 1,035,706.00
TOTAL EXPENDITURES 1,157,777.00 1,157,777.00
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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 13,061.00 13,061.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 1,144,716.00 0.00 1,144,716.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,157,777.00 13,061.00 1,144,716.00 0.00
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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
Drugs
Notes : COUNTY BUDGET
0.0000 0.000 0.000 80,000.00
6 Travel
Conferences
Notes : TB GRANT
0.0000 0.000 0.000 3,000.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Lab Fees
Notes : TB GRANT $2,501.00
COUNTY BUDGET $8,000.00
0.0000 0.000 0.000 10,501.00
Professional Services
Notes : COUNTY BUDGET
0.0000 0.000 0.000 11,910.00
TB Cases/Outside
Notes : COUNTY BUDGET
0.0000 0.000 0.000 9,000.00
Translation & Interpretation
Notes : TB GRANT $300.00
COUNTY BUDGET $100.00
0.0000 0.000 0.000 100.00
Software Support Maintenance
Notes : TB GRANT
0.0000 0.000 0.000 7,560.00
Total for All Others (ADP, Con. Employees, Misc.)39,071.00
Total Program Expenses 122,071.00
TOTAL DIRECT EXPENSES 122,071.00
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Line Item Qty Rate Units UOM Total
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Other Cost Distributions-Misc
Distribution
0.0000 0.000 0.000 1,035,297.00
Cost Allocation Plan 0.0000 0.000 0.000 409.00
Total for Cost Allocation Plan / Other 1,035,706.00
Total Indirect Costs 1,035,706.00
TOTAL INDIRECT EXPENSES 1,035,706.00
TOTAL EXPENDITURES 1,157,777.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Vector-Borne Surveillance
& Prevention
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 5,150.00 5,150.00
2 Fringe Benefits 2,486.00 2,486.00
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 935.00 935.00
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.)14.00 14.00
Total Program Expenses 8,585.00 8,585.00
TOTAL DIRECT EXPENSES 8,585.00 8,585.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,942.00 1,942.00
Total Indirect Costs 1,942.00 1,942.00
TOTAL INDIRECT EXPENSES 1,942.00 1,942.00
TOTAL EXPENDITURES 10,527.00 10,527.00
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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 9,000.00 9,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 1,527.00 0.00 1,527.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 10,527.00 9,000.00 1,527.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Sanitarian
Notes : PH Sanitarian A. Hines
Position P00010488
0.0336 67100.000 0.000 FTE 2,255.00
Sanitarian
Notes : PH Sanitarian J. Jacobs
Position P00006721
0.0192 98900.000 0.000 FTE 1,899.00
Sanitarian
Notes : M. Swain Position
P00007258
0.0048 98450.000 0.000 FTE 473.00
Supervisor
Notes : PH Sanitarian Supervisor
Pos#P00012306 Deb McArthur
0.0048 108867.000 0.000 FTE 523.00
Total for Salary & Wages 5,150.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
0.0000 48.271 5150.000 2,486.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
Mileage
Notes : 160 miles @ 0.67
0.0000 0.000 0.000 107.00
Motor Pool Charges 0.0000 0.000 0.000 828.00
Total for Travel 935.00
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Line Item Qty Rate Units UOM Total
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
Total Program Expenses 8,585.00
TOTAL DIRECT EXPENSES 8,585.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 1,942.00
Total Indirect Costs 1,942.00
TOTAL INDIRECT EXPENSES 1,942.00
TOTAL EXPENDITURES 10,527.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Fixed Fees
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 25,000.00 25,000.00
Total Indirect Costs 25,000.00 25,000.00
TOTAL INDIRECT EXPENSES 25,000.00 25,000.00
TOTAL EXPENDITURES 25,000.00 25,000.00
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Contract # Date: 08/15/2024
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 0.00 0.00 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
IMM: VFC - AFIX Visits 25,000.00 25,000.00 0.00 0.00
Totals 25,000.00 25,000.00 0.00 0.00
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Contract # Date: 08/15/2024
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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-from
IAP
0.0000 0.000 0.000 25,000.00
Total Indirect Costs 25,000.00
TOTAL INDIRECT EXPENSES 25,000.00
TOTAL EXPENDITURES 25,000.00
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Contract # Date: 08/15/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Vision ELPHS
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 482,749.00 482,749.00
2 Fringe Benefits 125,065.00 125,065.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 10,310.00 10,310.00
6 Travel 14,301.00 14,301.00
7 Communication 1,336.00 1,336.00
8 County-City Central Services 0.00 0.00
9 Space Costs 19,854.00 19,854.00
10 All Others (ADP, Con. Employees, Misc.)7,445.00 7,445.00
Total Program Expenses 661,060.00 661,060.00
TOTAL DIRECT EXPENSES 661,060.00 661,060.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 160,424.00 160,424.00
Total Indirect Costs 160,424.00 160,424.00
TOTAL INDIRECT EXPENSES 160,424.00 160,424.00
TOTAL EXPENDITURES 821,484.00 821,484.00
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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 253,968.00 253,968.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 567,516.00 0.00 567,516.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 821,484.00 253,968.00 567,516.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : S. Jodway Position
P00011503 Hearing and Vision
Tech Supervisor
1.0000 74566.000 0.000 FTE 74,566.00
Technician
Notes : Evelyn James Position
P00000632 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Terri Alcocer Position
P00000633 PH Tech
0.4808 52367.000 0.000 FTE 25,178.00
Technician
Notes : Kelly Feld Position
P00000634 PH Tech
0.4808 44775.000 0.000 FTE 21,528.00
Technician
Notes : Kim Ferrell Position
P00000636 PH Tech
0.4808 40980.000 0.000 FTE 19,703.00
Technician
Notes : Theresa Pechy Position
P0012316 PH Tech
0.4807 47043.000 0.000 FTE 22,614.00
Technician
Notes : Vacant Position
P00012317 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Lisa Arden Position
P00012318 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Meghan O'Connell
Position P00012319 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Karen Peterson Position
P00000639 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Vacant Position
0.4808 39083.000 0.000 FTE 18,791.00
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Line Item Qty Rate Units UOM Total
P00000644 PH Tech
Technician
Notes : Vacant Position
P00012315 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Kimberly Shepard
Position P00003672 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Vacant Position
P00010836 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant Position
P00010839 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Kathryn Buchler Position
P00010840 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Supervisor
Notes : Diane Ferber Position
P00001917 Hearing and Vision
Program Supervisor
0.5000 108868.000 0.000 FTE 54,434.00
Auxillary Health Clerk
Notes : Billie-Jean Wright
Position P00006736 Aux Health
Clerk
0.3000 57734.000 0.000 FTE 17,320.00
Clerk
Notes : S. Helsom Position
P00002891 PH Clerk 2
0.5000 48572.000 0.000 FTE 24,286.00
Total for Salary & Wages 482,749.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTAL INS
0.0000 25.907 482747.000 125,065.00
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Line Item Qty Rate Units UOM Total
WORK COMP
SHORT/LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 858.00
Printing 0.0000 0.000 0.000 2,173.00
Postage 0.0000 0.000 0.000 6,890.00
Medical Supplies 0.0000 0.000 0.000 389.00
Total for Supplies and Materials 10,310.00
6 Travel
Personal Mileage
Notes : $0.67 per mile
0.0000 0.000 0.000 8,931.00
Travel 0.0000 0.000 0.000 5,370.00
Total for Travel 14,301.00
7 Communication
Telephone 0.0000 0.000 0.000 1,336.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 19,854.00
10 All Others (ADP, Con. Employees, Misc.)
Staff Training 0.0000 0.000 0.000 1,007.00
Equipment Repair 0.0000 0.000 0.000 2,518.00
IT Print Services 0.0000 0.000 0.000 186.00
Insurance 0.0000 0.000 0.000 3,469.00
Interpreter Fees 0.0000 0.000 0.000 159.00
Expendable Equipment 0.0000 0.000 0.000 106.00
Total for All Others (ADP, Con. Employees, Misc.)7,445.00
Total Program Expenses 661,060.00
TOTAL DIRECT EXPENSES 661,060.00
INDIRECT EXPENSES
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Line Item Qty Rate Units UOM Total
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 160,424.00
Total Indirect Costs 160,424.00
TOTAL INDIRECT EXPENSES 160,424.00
TOTAL EXPENDITURES 821,484.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Vaccine
Quality Assurance
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 2,721,918.00 2,721,918.00
2 Fringe Benefits 1,481,182.00 1,481,182.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,325,140.00 1,325,140.00
6 Travel 8,000.00 8,000.00
7 Communication 29,580.00 29,580.00
8 County-City Central Services 0.00 0.00
9 Space Costs 114,244.00 114,244.00
10 All Others (ADP, Con. Employees, Misc.)393,871.00 393,871.00
Total Program Expenses 6,073,935.00 6,073,935.00
TOTAL DIRECT EXPENSES 6,073,935.00 6,073,935.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other -4,475,039.00 -4,475,039.00
Total Indirect Costs -4,475,039.00 -4,475,039.00
TOTAL INDIRECT EXPENSES -4,475,039.00 -4,475,039.00
TOTAL EXPENDITURES 1,598,896.00 1,598,896.00
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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
705,500.00 0.00 705,500.00 0.00
Fees and Collections - 3rd Party 85,000.00 0.00 85,000.00 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 105,347.00 105,347.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 703,049.00 0.00 703,049.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,598,896.00 105,347.00 1,493,549.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Coordinator
Notes : VQA GRANT
Vaccine Supply Coordinator
L. HIghfield Position P00002436
0.9200 63652.000 0.000 FTE 58,560.00
PH Clinic Nurses-COUNTY
BUDGET
1.0000 2663358.000 0.000 FTE 2,663,358.00
Total for Salary & Wages 2,721,918.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
VQA GRANT
0.0000 64.631 58560.000 37,848.00
Composite Rate - COUNTY
BUDGET
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
0.0000 54.192 2663358.00
0
1,443,327.00
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Line Item Qty Rate Units UOM Total
Rounding 0.0000 100.000 7.000 7.00
Total for Fringe Benefits 1,481,182.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Drugs/Vaccines-COUNTY
BUDGET
0.0000 0.000 0.000 1,244,685.00
Medical Supply-COUNTY
BUDGET
0.0000 0.000 0.000 63,200.00
Office Supplies-COUNTY
BUDGET
0.0000 0.000 0.000 10,000.00
Printing-COUNTY BUDGET 0.0000 0.000 0.000 3,900.00
Materials & Supplies - VQA
GRANT
Notes : VQA GRANT
0.0000 0.000 0.000 2,000.00
Office Supplies - VQA Grant 0.0000 0.000 0.000 555.00
Educational Supplies - VQA
Grant
0.0000 0.000 0.000 800.00
Total for Supplies and Materials 1,325,140.00
6 Travel
Mileage
Notes : COUNTY BUDGET 0.67
per mile
0.0000 0.000 0.000 4,000.00
Conferences
Notes : COUNTY BUDGET
0.0000 0.000 0.000 3,800.00
Transportation of Clients-
COUNTY BUDGET
0.0000 0.000 0.000 200.00
Total for Travel 8,000.00
7 Communication
Telephone-COUNTY BUDGET 0.0000 0.000 0.000 29,580.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 114,244.00
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Line Item Qty Rate Units UOM Total
Notes : COUNTY BUDGET
10 All Others (ADP, Con. Employees, Misc.)
Insurance
Notes : VQA GRANT
0.0000 0.000 0.000 870.00
Insurance
Notes : COUNTY BUDGET
0.0000 0.000 0.000 14,150.00
Professional Services-COUNTY
BUDGET
0.0000 0.000 0.000 1,500.00
IT Oper-COUNTY BUDGET 0.0000 0.000 0.000 210,005.00
Staff Training
Notes : COUNTY BUDGET
0.0000 0.000 0.000 200.00
Laundry-COUNTY BUDGET 0.0000 0.000 0.000 74,430.00
Uniforms-COUNTY BUDGET
Notes : COUNTY BUDGET
0.0000 0.000 0.000 81,351.00
Interpreter Fees - COUNTY
BUDGET
Notes : COUNTY BUDGET
0.0000 0.000 0.000 1,000.00
Equipment Rental - COUNTY
BUDGET
0.0000 0.000 0.000 840.00
IT Managed Print Svs - COUNTY
BUDGET
0.0000 0.000 0.000 1,284.00
Employee License-Cert
COUNTY BUDGET
0.0000 0.000 0.000 4,241.00
Equipment Repair
Notes : COUNTY BUDGET
0.0000 0.000 0.000 4,000.00
Total for All Others (ADP, Con. Employees, Misc.)393,871.00
Total Program Expenses 6,073,935.00
TOTAL DIRECT EXPENSES 6,073,935.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : VQA GRANT 13.81%
0.0000 0.000 0.000 4,714.00
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Line Item Qty Rate Units UOM Total
Cost Allocation Plan
Notes : 8.05% COUNTY
BUDGET
0.0000 0.000 0.000 214,400.00
Other Cost Distributions-Misc
Distributions - MDHHS ELPHS
0.0000 0.000 0.000 -4,633,712.00
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 840,620.00
Other Cost Distributions-Misc
Distributions - TB Control
0.0000 0.000 0.000 -901,061.00
Total for Cost Allocation Plan / Other -4,475,039.00
Total Indirect Costs -4,475,039.00
TOTAL INDIRECT EXPENSES -4,475,039.00
TOTAL EXPENDITURES 1,598,896.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / WIC Breastfeeding
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 96,701.00 96,701.00
2 Fringe Benefits 71,409.00 71,409.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 87,367.00 87,367.00
5 Supplies and Materials 370.00 370.00
6 Travel 369.00 369.00
7 Communication 970.00 970.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)2,649.00 2,649.00
Total Program Expenses 259,835.00 259,835.00
TOTAL DIRECT EXPENSES 259,835.00 259,835.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,406.00 41,406.00
Total Indirect Costs 41,406.00 41,406.00
TOTAL INDIRECT EXPENSES 41,406.00 41,406.00
TOTAL EXPENDITURES 301,241.00 301,241.00
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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 267,619.00 267,619.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 33,622.00 0.00 33,622.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 301,241.00 267,619.00 33,622.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Lactation Specialist
Notes : T. Brickey Position
P00011579
1.0000 45726.000 0.000 FTE 45,726.00
Lactation Specialist
Notes : S. Palanjian Position
P00015436
1.0000 45726.000 0.000 FTE 45,726.00
Nutritionist/Dietician
Notes : Amanda Vagts
PO0000912
0.0615 85350.000 0.000 FTE 5,249.00
Total for Salary & Wages 96,701.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMP INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
DENTAL INS
WORK COMP
SHORT/LONG TERM
DISABILITY
0.0000 73.845 96701.000 71,409.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
Subcontracting Agency-OLSHA
Notes : OLSHA
0.0000 0.000 0.000 87,367.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 75.00
Printing 0.0000 0.000 0.000 200.00
Postage 0.0000 0.000 0.000 5.00
Materials & Supplies 0.0000 0.000 0.000 90.00
Total for Supplies and Materials 370.00
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Line Item Qty Rate Units UOM Total
6 Travel
Mileage
Notes : 550 miles * 0.67 per mile
0.0000 0.000 0.000 369.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 970.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 2,267.00
Interpretation 0.0000 0.000 0.000 382.00
Total for All Others (ADP, Con. Employees, Misc.)2,649.00
Total Program Expenses 259,835.00
TOTAL DIRECT EXPENSES 259,835.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,406.00
Total Indirect Costs 41,406.00
TOTAL INDIRECT EXPENSES 41,406.00
TOTAL EXPENDITURES 301,241.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / WIC Resident Services
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 1,129,164.00 1,129,164.00
2 Fringe Benefits 732,771.00 732,771.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 519,981.00 519,981.00
5 Supplies and Materials 17,500.00 17,500.00
6 Travel 1,535.00 1,535.00
7 Communication 7,906.00 7,906.00
8 County-City Central Services 0.00 0.00
9 Space Costs 51,169.00 51,169.00
10 All Others (ADP, Con. Employees, Misc.)64,945.00 64,945.00
Total Program Expenses 2,524,971.00 2,524,971.00
TOTAL DIRECT EXPENSES 2,524,971.00 2,524,971.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 463,285.00 463,285.00
Total Indirect Costs 463,285.00 463,285.00
TOTAL INDIRECT EXPENSES 463,285.00 463,285.00
TOTAL EXPENDITURES 2,988,256.00 2,988,256.00
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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 2,615,870.00 2,615,870.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 372,386.00 0.00 372,386.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 2,988,256.00 2,615,870.00 372,386.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : Lisa Banks Position
P00001865 PH Nutrition
Supervisor
1.0000 108868.000 0.000 FTE 108,868.00
Supervisor
Notes : Kai Scott Position
P00000958 Office Supervisor 2
1.0000 66157.000 0.000 FTE 66,157.00
Supervisor
Notes : Vacant Position
P00003073 Office Supervisor 2
1.0000 66157.000 0.000 FTE 66,157.00
Clerk
Notes : Latoya Anderson
Position P00001328 Aux Health
Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Nicole Case Position
P00000674 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Linda Crowder Position
P00004771 Aux Health Clerk
1.0000 49367.000 0.000 FTE 49,367.00
Clerk
Notes : Joyce Heenan Position
P00007563 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Josh Hutson Position
P00007384 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Technician
Notes : Cathrice Bacon Position
P00002509 Nutrition Tech - WIC
1.0000 60621.000 0.000 FTE 60,621.00
Technician
Notes : Olivia Schuelke Position
P00007562 Nutrition Tech - WIC
1.0000 60621.000 0.000 FTE 60,621.00
Technician 1.0000 60621.000 0.000 FTE 60,621.00
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Line Item Qty Rate Units UOM Total
Notes : Tammy Shaffer Position
P00005234 Nutrition Technician
Technician
Notes : Debra Calhoun Position
P00005233 Nutrition Technician
1.0000 60621.000 0.000 FTE 60,621.00
Nutritionist/Dietician
Notes : Amanda Vagts Position
P00000912 PH Nutritionist 3
0.9384 85306.000 0.000 FTE 80,051.00
Nutritionist/Dietician
Notes : Jennifer Cook Position
P00002074 PH Nutritionist 2
1.0000 63354.000 0.000 FTE 63,354.00
Nutritionist/Dietician
Notes : M. Seefelt Position
P00005693 PH Nutritionist 2
1.0000 77369.000 0.000 FTE 77,369.00
Nutritionist/Dietician
Notes : Jez Vedua-Cardenas
Position P00007381 PH
Nutritionist 3
1.0000 85300.000 0.000 FTE 85,300.00
Technician
Notes : Teresa Saputo Position
P00005235 Nutrition Technician
1.0000 51835.000 0.000 FTE 51,835.00
OCHD Staff Overtime - Various
positions
0.1202 60615.000 0.000 FTE 7,286.00
Total for Salary & Wages 1,129,164.00
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 64.895 1129164.00
0
732,771.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
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Line Item Qty Rate Units UOM Total
Subcontracting Agency-OLSHA-
WIC svcs in Oakland Co.
0.0000 0.000 0.000 519,981.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,650.00
Medical Supplies 0.0000 0.000 0.000 9,000.00
Educational Supplies 0.0000 0.000 0.000 1,800.00
Postage 0.0000 0.000 0.000 750.00
Printing 0.0000 0.000 0.000 3,000.00
Materials & Supplies 0.0000 0.000 0.000 800.00
Computer Supplies 0.0000 0.000 0.000 500.00
Total for Supplies and Materials 17,500.00
6 Travel
Mileage
Notes : 500 Miles * 0.67 per mile
0.0000 0.000 0.000 335.00
Conferences 0.0000 0.000 0.000 1,200.00
Total for Travel 1,535.00
7 Communication
Telephone 0.0000 0.000 0.000 7,906.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 31,884.00
Rent 0.0000 0.000 0.000 19,285.00
Total for Space Costs 51,169.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 9,601.00
Equipment Maintenance 0.0000 0.000 0.000 850.00
Info Tech Print Managed Svcs 0.0000 0.000 0.000 4,000.00
IT Operations 0.0000 0.000 0.000 32,568.00
Staff Training 0.0000 0.000 0.000 3,000.00
Interpretation 0.0000 0.000 0.000 10,666.00
Laundry & Cleaning 0.0000 0.000 0.000 600.00
Incentives 0.0000 0.000 0.000 750.00
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Line Item Qty Rate Units UOM Total
Advertising 0.0000 0.000 0.000 2,910.00
Total for All Others (ADP, Con. Employees, Misc.)64,945.00
Total Program Expenses 2,524,971.00
TOTAL DIRECT EXPENSES 2,524,971.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 463,285.00
Total Indirect Costs 463,285.00
TOTAL INDIRECT EXPENSES 463,285.00
TOTAL EXPENDITURES 2,988,256.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / West Nile Virus
Community Surveillance
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 4,989.00 4,989.00
2 Fringe Benefits 2,405.00 2,405.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,060.00 1,060.00
6 Travel 1,130.00 1,130.00
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.)14.00 14.00
Total Program Expenses 9,598.00 9,598.00
TOTAL DIRECT EXPENSES 9,598.00 9,598.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,881.00 1,881.00
Total Indirect Costs 1,881.00 1,881.00
TOTAL INDIRECT EXPENSES 1,881.00 1,881.00
TOTAL EXPENDITURES 11,479.00 11,479.00
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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 10,000.00 10,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 1,479.00 0.00 1,479.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 11,479.00 10,000.00 1,479.00 0.00
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3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Sanitarian
Notes : Senior PH Sanitarian J.
Jacobs Position P00006721
0.0192 98890.000 0.000 FTE 1,899.00
Sanitarian
Notes : M. Swain Position
P00007258
0.0048 98480.000 0.000 FTE 473.00
Supervisor
Notes : PH Sanitarian Supervisor
J McClosky Pos#P00012307
0.0048 108867.000 0.000 FTE 523.00
Sanitarian
Notes : PH Sanitarian
PO0010488 - Alex Hines
0.0312 67100.000 0.000 FTE 2,094.00
Total for Salary & Wages 4,989.00
2 Fringe Benefits
Composite Rate
Notes : FICA, UNEMP INS,
RETIREMENT, HOSP INS, LIFE
INS, VISION INS, DENTAL INS,
WORK COMP, SHORT/LONG
TERM DISABILITY
0.0000 48.206 4989.000 2,405.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Supplies & Materials 0.0000 0.000 0.000 1,060.00
6 Travel
Motor Pool Charges 0.0000 0.000 0.000 1,130.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
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Line Item Qty Rate Units UOM Total
Total Program Expenses 9,598.00
TOTAL DIRECT EXPENSES 9,598.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 1,881.00
Total Indirect Costs 1,881.00
TOTAL INDIRECT EXPENSES 1,881.00
TOTAL EXPENDITURES 11,479.00
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1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / EGLE Drinking Water and
Onsite Wastewater Management
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
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.)0.00 0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 3,880,682.00 3,880,682.00
Total Indirect Costs 3,880,682.00 3,880,682.00
TOTAL INDIRECT EXPENSES 3,880,682.00 3,880,682.00
TOTAL EXPENDITURES 3,880,682.00 3,880,682.00
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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 985,042.00 985,042.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 2,895,640.00 0.00 2,895,640.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 3,880,682.00 985,042.00 2,895,640.00 0.00
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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
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Environmental Hlth Adm
Distribution
0.0000 0.000 0.000 2,838,353.00
Health Adm Distribution 0.0000 0.000 0.000 658,461.00
Other Cost Distributions-Misc
Distribution
0.0000 0.000 0.000 181,421.00
Cost Allocation Plan 0.0000 0.000 0.000 202,447.00
Total for Cost Allocation Plan / Other 3,880,682.00
Total Indirect Costs 3,880,682.00
TOTAL INDIRECT EXPENSES 3,880,682.00
TOTAL EXPENDITURES 3,880,682.00
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Summary of Budget
PROGRAM / PROJECT
Local Health Department - 2025 / Local
Health Department - 2025
DATE PREPARED
8/15/2024
CONTRACTOR NAME
Oakland County Department of Health and
Human Services/ Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 21,809,413.00 21,809,413.00
2 Fringe Benefits 11,770,404.00 11,770,404.00
3 Cap. Exp. for Equip & Fac.35,000.00 35,000.00
4 Contractual 811,412.00 811,412.00
5 Supplies and Materials 2,311,226.00 2,311,226.00
6 Travel 486,053.00 486,053.00
7 Communication 286,086.00 286,086.00
8 County-City Central Services 0.00 0.00
9 Space Costs 1,780,506.00 1,780,506.00
10 All Others (ADP, Con. Employees, Misc.)5,434,875.00 5,434,875.00
Total Program Expenses 44,724,975.00 44,724,975.00
TOTAL DIRECT EXPENSES 44,724,975.00 44,724,975.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 1,102,967.00 1,102,967.00
2 Cost Allocation Plan / Other 7,538,730.00 7,538,730.00
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Total Indirect Costs 8,641,697.00 8,641,697.00
TOTAL INDIRECT EXPENSES 8,641,697.00 8,641,697.00
TOTAL EXPENDITURES 53,366,672.00 53,366,672.00
SOURCE OF FUNDS
Category Total Amount Cash Inkind
1 Fees and Collections - 1st
and 2nd Party
3,931,246.00 0.00 3,931,246.00 0.00
2 Fees and Collections - 3rd
Party
241,000.00 0.00 241,000.00 0.00
3 Federal or State (Non
MDHHS)
3,862,816.00 0.00 3,862,816.00 0.00
4 Federal Cost Based
Reimbursement
0.00 0.00 0.00 0.00
5 Federally Provided Vaccines 1,062,373.00 0.00 1,062,373.00 0.00
6 Federal Medicaid Outreach 529,215.00 529,215.00 0.00 0.00
7 Required Match - Local 571,115.00 0.00 571,115.00 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 16,600,703.0
0
16,600,703.
00
0.00 0.00
14 MCH Funding 321,457.00 321,457.00 0.00 0.00
15 Local Funds - Other 25,808,127.0
0
0.00 25,808,127.0
0
0.00
16 Inkind Match 0.00 0.00 0.00 0.00
17 MDHHS Fixed Unit Rate 438,620.00 438,620.00 0.00 0.00
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TOTAL 53,366,672.0
0
17,889,995.
00
35,476,677.0
0
0.00
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FY25 Special Revenue Grant
Schedule B - Continuations
Dept. #FY25 Pos. #Budgeted Class FT/PT Hour
s Filled As
CCN1060284 Health WIC Program P00000674 Auxiliary Health Clerk-087 FTE 2080
CCN1060230 Health Public Health Nursing Services P00000752 Public Health Nurse III FTE 2080
CCN1060230 Health Public Health Nursing Services P00000906 Public Health Nurse III FTE 2080
CCN1060284 Health WIC Program P00000912 Public Health Nutritionist III-087 FTE 2080
CCN1060284 Health WIC Program P00000958 Office Supervisor II-086 FTE 2080
CCN1060284 Health WIC Program P00001328 Auxiliary Health Clerk FTE 2080
CCN1060284 Health WIC Program P00001865 Public Health Nutrition Supervisor-086 FTE 2080
CCN1060218 Health Immunization Action Plan P00002070 Immunization Program Supervisor-086 FTE 2080
CCN1060284 Health WIC Program P00002074 Public Health Nutritionist II-087 FTE 2080
CCN1060234 Health Clinic P00002436 Vaccine Supply Coordinator-087 FTE 2080
CCN1060284 Health WIC Program P00002509 Nutrition Technician WIC-087 FTE 2080
CCN1060284 Health WIC Program P00003073 Office Supervisor II-086 FTE 2080
CCN1060290 Health Bioterrorism P00003094 PH Emergency Preparedness Supervisor-086 FTE 2080
CCN1060230 Health Public Health Nursing Services P00003107 Public Health Nurse III FTE 2080
CCN1060230 Health Public Health Nursing Services P00003183 Public Health Nurse III FTE 2080
CCN1060230 Health Public Health Nursing Services P00003427 Public Health Nurse III-048 FTE 2080
CCN1060230 Health Public Health Nursing Services P00004736 Nurse Family Partnership Program Supervisor-086 FTE 2080
CCN1060284 Health WIC Program P00004771 Auxiliary Health Clerk-087 FTE 2080
CCN1060291 Health Infant Promotion P00005129 Public Health Clerk II-087 FTE 2080 Public Health Clerk II
CCN1060291 Health Infant Promotion P00005130 Supervisor Public Health Nursing-086 FTE 2080
CCN1060291 Health Infant Promotion P00005163 Public Health Nurse III-048 FTE 2080 Public Health Nurse II - PTNE
CCN1060284 Health WIC Program P00005233 Public Health Nutritionist II-087 FTE 2080 Nutrition Technician - WIC - FTE
CCN1060284 Health WIC Program P00005234 Public Health Nutritionist I-087 FTE 2080 Nutrition Technician - WIC - FTE
CCN1060284 Health WIC Program P00005235 Public Health Nutritionist II-087 FTE 2080 Nutrition Technician - WIC - FTE
CCN1060291 Health Infant Promotion P00005401 Public Health Nutritionist III-087 FTE 2080
CCN1060284 Health WIC Program P00005693 Public Health Nutritionist II FTE 2080
CCN1060294 Health Aids P00006100 Public Health Nurse III-048 FTE 2080 Auxiliary Health Clerk - FTE
CCN1060294 Health Aids P00006426 Health Program Coordinator-086 FTE 2080
CCN1060294 Health Aids P00006538 Public Health Clerk III-087 FTE 2080
CCN1060290 Health Bioterrorism P00006747 Public Health Nurse III-048 FTE 2080 Public Health Educator II - FTE
CCN1060291 Health Infant Promotion P00006824 Auxiliary Health Clerk-087 FTE 2080 Public Health Clerk II
CCN1060284 Health WIC Program P00007360 Public Health Nutritionist III-087 FTE 2080
Vacant to underfill as Auxiliary Health
Clerk-PTNE
CCN1060284 Health WIC Program P00007381 Public Health Nutritionist III-087 FTE 2080
CCN1060284 Health WIC Program P00007382 Nutrition Technician WIC-087 FTE 2080
Vacant to underfill as Auxiliary Health
Clerk-PTNE
CCN1060284 Health WIC Program P00007384 Auxiliary Health Clerk-087 FTE 2080
CCN1060218 Health Immunization Action Plan P00007413 Public Health Nurse III-048 FTE 2080 Public Health Nurse II - PTNE
CCN1060218 Health Immunization Action Plan P00007414 Immunization Program Specialist-087 FTE 2080
CCN1060218 Health Immunization Action Plan P00007415 Immunization Program Specialist-087 FTE 2080
CCN1060290 Health Bioterrorism P00007416 Public Health Emergency Preparedness Specialist-087 FTE 2080
CCN1060294 Health Aids P00007557 Public Health Nurse III-048 FTE 2080 Public Health Nurse III - PTNE
CCN1060218 Health Immunization Action Plan P00007559 Vaccine Supply Coordinator-087 FTE 2080
CCN1060284 Health WIC Program P00007562 Nutrition Technician WIC-087 FTE 2080
CCN1060284 Health WIC Program P00007563 Auxiliary Health Clerk-087 FTE 2080
CCN1060234 Health Clinic P00007565 Public Health Nurse III FTE 2080
CCN1060291 Health Infant Promotion P00007839 Auxiliary Health Clerk-HRL PTNE 1000
CCN1060294 Health Aids P00009668 Public Health Nurse III FTE 2080
CCN1060290 Health Bioterrorism P00009999 Public Health Emergency Preparedness Specialist-087 FTE 2080
CCN1060284 Health WIC Program P00011579 Lactation Specialist-087 FTE 2080
CCN1060291 Health Infant Promotion P00012442 Office Support Clerk-HRL PTNE 1000
CCN1060284 Health WIC Program P00015436 Lactation Specialist-087 FTE 2080
CCN1060291 Health Infant Promotion P00015530 Public Health Nutritionist III -HRL PTNE 1000
Grant
WIC
Nurse Family Partnership
Nurse Family Partnership
WIC 1902 hours , 178 WIC Breastfeeding
WIC
WIC
WIC
IAP
WIC
Vaccine Quality Assurance, IAP
WIC
WIC
PHEP
Nurse Family Partnership
Maternal Children Health - All Other, NFP
Maternal Children Health - All Other, NFP
Nurse Family Partnership
WIC
Children's Special Health Care Services
Children's Special Health Care Services
Children's Special Health Care Services
WIC
WIC
WIC
Maternal Children Health - All Other
HIV PrEP Clinic
HIV Prevention
HIV Prevention/Adolescent Screening Prevention
Cities Readiness Initiative, PHEP
Children's Special Health Care Services
WIC (740 hours); 495 hours SNAP ED grant and 845 hours on
non-LHD grant
WIC 2072 hours; WIC BF 8 hours
WIC
WIC
IAP
IAP
IAP
Cities Readiness Initiative, PHEP
HIV Prevention
IAP
WIC
WIC
Hep C
Children's Special Health Care Services
HIV Prevention
Cities Readiness Initiativ
WIC Breastfeeding
Children's Special Health Care Services
WIC Breastfeeding
Maternal Children Health - All Other
FY25 Special Revenue Grant
Schedule B - Continuations
Yes
No
FY25 Special Revenue Grant Positions
Schedule E - Creation
Dept. #FY25
Pos. #Requested Classification FT/P
T Hours Current Job
Code
Current Salary
Plan Grant
1060232 Public Health Clerk III FT 2080 Kindergarten Oral Health Assessment
FY25 Special Revenue Grant Positions
Schedule D - Deletions
Dept. #FY25 Pos.
#Budgeted Classification FT/P
T Hours Job Code Salary Plan
CCN1060284 Health WIC Program P00005204 Office Support Clerk Senior-UNI FTEE 2080 Lactation Specialist - PTNE
Grant
WIC Breastfeeding
FY25 Special Revenue Grant Positions
Schedule D - Deletions
Version: Comprehensive
1
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
FY 24/25 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
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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.
S. Grant Data
1. Grant Data. The Department’s and Grantee’s data (“Grant
Data,” which will be treated by the Parties 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.
2. Grantee Use of Grant Data. Grantee must: (a) keep and
maintain Grant Data, using such degree of care as is
Version: Comprehensive
3
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 Grant 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 Grant Data in the
continental United States and (d) not sell, rent, or
commercially exploit Grant Data. Grantee's misuse of Grant
Data may violate state or federal laws, including but not
limited to MCL 752.795.
3. Extraction of Grant Data. Grantee must, within a reasonable
timeframe of the Department’s request, provide the
Department, an extract of the Grant Data in the format
agreed upon by the Department and Grantee.
4. Backup and Recovery of Grant Data. Grantee is responsible
for maintaining a backup of Grant Data and for an orderly
and timely recovery of such data.
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 Grant 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 Grant
Data, Grantee must work with the Department to comply with
all applicable laws regarding such an incident.
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 upon
request, within a reasonable timeframe 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 Grant 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
Version: Comprehensive
4
not feasible or necessary, Grantee must destroy the
Confidential Information as specified above. The Grantee
must certify the destruction of Confidential Information
(including Grant 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. Notwithstanding
the language herein, the Grantee shall retain any
Confidential Information that it is required to retain by law.
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 Grant Data; (b) protect against any anticipated threats or
hazards to the security or integrity of the Grant Data; (c)
protect against unauthorized disclosure, access to, or use of
the Grant Data; (d) ensure the proper disposal of Grant
Data; and (e) ensure that all employees, agents, and
subcontractors of Grantee, if any, comply with all of the
foregoing.
2. 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.
3. Audit Findings. Grantee must implement any reasonable
safeguards as identified by the Department or by any audit
of Grantee’s data privacy and information security program.
Version: Comprehensive
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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.
ATTACHMENT I
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Local Health Department Agreement
October 1, 2024- September 30, 2025
Fiscal Year 2025
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…………………………………………………………………………….……..14
SPECIAL BUDGET and REPORTING INSTRUCTIONS…………………………………………….17
1. Public Health Emergency Preparedness (PHEP) .................................................... 18
2. WIC ......................................................................................................................... 18
3. Family Planning ..................................................................................................... 20
4. Breast and Cervical Cancer ................................................................................... 22
5. WISEWOMAN……………………………………………………………………………...23
6. Medicaid Outreach Activities Reimbursement Procedures ..................................... 24
Medicaid…………………………………………………………………………………..24
Nurse Family Partnership Services Medicaid Outreach…………………………….25
CSHCS Medicaid Outreach…………………………………………………………….26
7. Immunization 317 and VFC Allowable Expenditures .............................................. 29
8. Michigan Department of Health and Human Services (MDHHS) Essential Local
Public Health Services (ELPHS) ……………………………………………………….30
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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
funds as a condition for the receipt of Federal funds; or provide financial assistance to any entity
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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
Title 2 CFR, Section 200.87, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards.
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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.
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.
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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:
1) Reflect the total activity for which the employee is compensated by the non-federal
entity, not to exceed 100 percent.
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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.
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.
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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.
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
7
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
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.
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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
and snowplowing, janitorial services, insurance, security system, depreciation (when the
space is owned by the Grantee), etc.
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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.
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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.
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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.
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.
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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 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. This cost category does not include indirect expenses which are included below.
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
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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.
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.
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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 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.
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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.
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.
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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.)
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.
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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 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
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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
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 24/25 allocation of the CDC Public
Health Emergency Preparedness (PHEP) funds in nine equal prepayments for the period
October 1, 2024 through June 30, 2025. 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
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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.
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.
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F. Training and Education - provided for employee development,
which directly or indirectly benefits the grant program, to the extent
that such training is contracted for or involves out-of-service training
over extended periods of time.
G. Building Space and Related Facilities - the cost to buy, lease or rent
space in privately or publicly owned buildings for the benefit of the
program.
H. Non-Fringe Insurance and Indemnification Costs
All charges to WIC must be necessary, reasonable, allowable and
allocable for the proper and efficient administration of the program.
Further information and cost standards are provided in federal
instructions including Title 2 CFR, Part 200 and 7 CFR Part 3015.
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.
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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.
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.
Ensure that no mobile health unit(s) or other vehicle(s), even if proposed
in the application for the Title X award, is purchased with award funds
without prior written approval from the grants management officer.
Requests for approval of such purchases must include a justification with
a cost-benefit analysis comparing both purchase and lease options.
Such requests must be submitted as a Budget Revision Amendment in
Grant Solutions. (FY 22 Notice of Award Special Terms and
Requirements
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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 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, assisting the client to obtain cancer treatment if cancer
diagnosed, 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 $195-$215 per woman is based on the components
an agency implements according to the BC3NP Tiered Funding formula and
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.
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B. LHDs agreeing to participate as Local Community Partners (LCPs) – LCPs are
responsible for implementing strategies to identify and recruit clients eligible for
the BC3NP, enroll clients into the program, arrange for provision of screening
and diagnostic clinical services through contracted providers and assist the client
to obtain cancer treatment if cancer diagnosed. 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
in 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 $195/client with
additional administrative funding (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 information posted for LHD’s, LCPs, and
direct service providers on https://michigan.gov/BC3NP. 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 posted
on https://michigan.gov/BC3NP.
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 funds should be used to budget costs associated
with management of the program and delivery of the initial clinical assessment
and risk reduction counseling to WISEWOMAN participants. This includes
recruitment, enrollment, collecting answers to health intake questions,
WISEWOMAN clinical assessment (height, weight, body mass index, 2 blood
pressure readings, total cholesterol, HDL cholesterol, and fasting glucose or
A1C), and delivery of risk reduction counseling. Funds allocated for barrier
reduction tools should be used to purchase approved items for participants
enrolled in the WISEWOMAN program.
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2. 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 $165 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.
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-
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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)
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.
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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.
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.
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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 cost allocation/distribution plan
Most Health Departments will use the cost allocation plan for indirect costs. For
further detail, go to VI. Form Preparation, L. Indirect Cost section 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.
1. Federal Medicaid Outreach
Should be used to request the 50% federal administrative match for
Medicaid Outreach.
28
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
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
29
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.
30
8. Michigan Department of Health and Human Services (MDHHS) Essential Local
Public Health Services (ELPHS)
MDHHS ELPHS funds can be used to support the following projects:
• Immunization ELPHS
• Hearing ELPHS
• Vision ELPHS
• HIV ELPHS
• Sexually Transmitted Disease ELPHS
• General Communicable Disease ELPHS
The budget can be completed by cost distributing from the supported grant programs or
by entering the budget with individual expense lines. Grantees should review their
internal accounting procedures for clarity when determining how to complete entry;
MDHHS cannot advise on which method is appropriate for a particular grantee.
Whichever way the budget is entered in the application, will determine how the
expenses are reported in the FSR.
Funds can be shifted in an amendment between the MDHHS ELPHS, EGLE Drinking
Water and Onsite Wastewater Management, and Food ELPHS projects. Funds cannot
be moved in or out of Hearing and Vision, unless Vision funds are being moved to
Hearing, and vice versa. These funding shifts will need to be formally requested and
approved by all State departments. Details regarding requests are found in Attachment
III.
ATTACHMENT III
MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
LOCAL HEALTH DEPARTMENT AGREEMENT
October 1, 2024 – September 30, 2025
Fiscal Year 2025
PROGRAM SPECIFIC ASSURANCES AND REQUIREMENTS
Local health service program elements funded under this agreement will be administered by
the Grantee and the Department in accordance with the Public Health Code (P.A. 368 of
1978, as amended), rules promulgated under the Code, minimum program requirements and
all other applicable Federal, State and Local laws, rules and regulations. These
requirements are fulfilled through the following approach:
A. Development and issuance of minimum program requirements, further describing the
objective criteria for meeting requirements of law, rule, regulation, or professionally
accepted methods or practices for the purpose of ensuring the quality, availability and
effectiveness of services and activities.
B. Utilization of a Minimum Reporting Requirements Notebook listing specific reporting
formats, source documentation, timeframes and utilization needs for required local
data compilation and transmission on program elements funded under this agreement.
C. Utilization of annual program and budget instructions describing special program
performance and funding policies and requirements unique to each State fiscal year.
D. Execution of an agreement setting forth the basic terms and conditions for administration
and local service delivery of the program elements.
E. Emphasis and reliance upon service definitions, minimum program requirements, local
budgets and projected output measures reports, State/local agreements, and periodic
department on-site program management evaluation and audits, while minimizing local
program plan detail beyond that needed for input on the State budget process.
Many program specific assurances and other requirements are defined within the referenced
documents including Minimum Program Requirements established for the following program
elements as of October 1, 2006:
1. Breast and Cervical Cancer Control
2. Clinical Laboratory
3. CSHCS
4. EGLE Drinking Water and Onsite Wastewater Management
5. Family Planning
6. Food ELPHS
7. Hearing ELPHS
8. HIV/STD Prevention Treatment
9. MDHHS Essential Local Public Health Services (ELPHS)
10. Michigan Care Improvement Registry
11. Vision ELPHS
12. WIC
For Fiscal Year 2024, special requirements are applicable for the remaining program
elements listed in the attached pages.
Attachment IV Reimbursement Chart
Program Element:
The Program Element indicates currently funded Department programs that are included in
the Comprehensive Local Health Department Agreement.
Reimbursement Methods
The Reimbursement Methods specifies the type of method used for each of the program
element/funding sources. Funding under the Comprehensive Local Health Department
Agreement can generally be grouped under four (4) different methods of reimbursement.
These methods are defined as follows:
Performance Reimbursement
A reimbursement method by which local agencies are reimbursed based upon the
understanding that a certain level of performance (measured by outputs) must be met in order
to receive full reimbursement of costs (net of program income and other earmarked sources)
up to the contracted amount of state funds prior to any utilization of local funds. Performance
targets are negotiated starting from the last year's negotiated target and the most recent year's
actual numbers except for programs in which caseload targets are directly tied to funding
formulas/annual allocations. Other considerations in setting performance targets include
changes in state allocations from past years, local fiscal and programmatic factors requiring
adjustment of caseloads, etc. Once total performance targets are negotiated, a minimum state
funded performance target percentage is applied (typically 90% unless otherwise specified). If
local Grantee actual performance falls short of the expectation by a factor greater than the
allowed minimum performance percentage, the state maximum allocation for cost
reimbursement will be reduced equivalent to actual performance in relation to the minimum
performance.
Fixed Unit Rate Reimbursement
A reimbursement method by which local health departments are reimbursed a specific amount
for each output actually delivered and reported.
ELPHS
A reimbursement method by which local health departments are reimbursed a share of
reasonable and allowable costs incurred for required Essential Local Public Health Services
(ELPHS), as noted in the current Appropriations Act.
Grant Reimbursement
A reimbursement method by which local health departments are reimbursed based upon the
understanding that State dollars will be paid up to total costs in relation to the State's share of
the total costs and up to the total state allocation as agreed to in the approved budget. This
reimbursement approach is not directly dependent upon whether a specified level of
performance is met by the local health department. Department funding under this
reimbursement method is allocable and a source before any local funding requirements unless
a special local match condition exists.
Performance Level If Applicable
The Performance Level column specifies the minimum state funded performance target
percentage for all program elements/funding sources utilizing the performance reimbursement
method (see above). If the program elements/funding source utilizes a reimbursement method
other than performance or if a target is not specified, N/A (not available) appears in the space
provided.
Performance Target Output Measures
Performance Target Output Measure column specifies the output indicator that is applicable for
the program elements/ funding source utilizing the performance reimbursement method. Output
measures are based upon counts of services delivered.
Relationship Designation
The Subrecipient, Contractor, or Recipient Designation column identifies the type of relationship
that exists between the Department and grantee on a program-by-program basis. Federal
awards expended as a subrecipient are subject to audit or other requirements of Title 2 Code of
Federal Regulations (CFR). Payments made to or received as a Contractor are not considered
Federal awards and are, therefore, not subject to such requirements.
Subrecipient
A subrecipient is a non-Federal entity that expends Federal awards received from a pass-
through entity to carry out a Federal program, but does not include an individual that is a
beneficiary of such a program; or is a recipient of other Federal awards directly from a
Federal Awarding agency. Therefore, a pass-through entity must make case-by-case
determinations whether each agreement it makes for the disbursement of Federal program
funds casts the party receiving the funds in the role of a subrecipient or a contractor.
Subrecipient characteristics include:
• Determines who is eligible to receive what Federal assistance;
• Has its performance measured in relation to whether the objectives of a Federal
program were met;
• Has responsibility for programmatic decision making;
• Is responsibility for adherence to applicable Federal program requirements specified
in the Federal award; and
• In accordance with its agreements uses the Federal funds to carry out a program for
a public purpose specified in authorizing status as opposed to providing goods or
services for the benefit of the pass-through entity.
Contractor
A Contractor is for the purpose of obtaining goods and services for the non-Federal entity’s
own user and creates a procurement relationship with the Grantee. Contractor
characteristics include:
• Provides the goods and services within normal business operations;
• Provides similar goods or services to many different purchasers;
• Normally operates in a competitive environment;
• Provides goods or services that are ancillary to the operation of the Federal program;
and
• Is not subject to compliance requirements of the Federal program as a result of the
agreement, though similar requirements may apply for other reasons.
In determining whether an agreement between a pass-through entity and another non-Federal
entity casts the latter as a subrecipient or a contractor, the substance of the relationship is more
important than the form of the agreement. All of the characteristics listed above may not be
present in all cases, and the pass-through entity must use judgment in classifying each
agreement as a subaward or a procurement contract.
Recipient
A Recipient is for grant agreement with no federal funding.
Amendment Schedule
Request Due Date Amendment Type
Amendment #1 (new
projects and end date
changes only)
NA - Program Only Requests New Projects Only
Amendment #2 TBD Allocation and Budget Category
Changes
Amendment #3 TBD Allocation and Budget Category
Changes
Amendment #4 (Final) TBD Allocation and Budget Category
Changes
Agencies need to request budget category changes to the program office via
email by the due date.
Project Title Name EMAIL
Administration Projects Laura de la Rambelje delarambeljel@michigan.gov
Adolescent STI Screening Thomas Dunn dunnt2@michigan.gov
Body Art Fixed Fee Seth Eckel eckels1@michigan.gov
Breast & Cervical Cancer Control (BCCCP) Coordination Polly Hager hagerp@michigan.gov
Bridge Access Program - Fixed Fee Kristina Paliwoda paliwodak@michigan.gov
Child and Adolescent Health Center Program Expansion (All locations)Kim Kovalchick kovalchickk@michigan.gov
Childhood Lead Poisoning Prevention Carin Speidel speidelc@michigan.gov
Children's Special Hlth Care Services (CSHCS) Care Coordination Kelly Schoenherr-Gram Gramk2@michigan.gov
Children's Special Hlth Care Services (CSHCS) Outreach & Advocacy Kelly Schoenherr-Gram Gramk2@michigan.gov
CLPP Lead Expansion Carin Speidel speidelc@michigan.gov
Community Blood Lead Testing Carin Speidel speidelc@michigan.gov
CSHCS Medicaid Elevated Blood Lead Case Mgmt Carin Speidel speidelc@michigan.gov
CSHCS Medicaid Outreach Kelly Schoenherr-Gram Gramk2@michigan.gov
Eastern Equine Encephalitis Virus Surveillance Project Mary Grace Stobierski stobierskim@michigan.gov
Eat Safe Fish Christopher Finch finchc2@michigan.gov
EEEH-All Locations Taggert Doll dollt@michigan.gov
EGLE Drinking Water and Onsite Wastewater Management Sara Pearson pearsons@michigan.govg g p @ gg
Emerging Threats - Hepatitis C Macey Ladisky ladiskym@Michigan.gov
Ending the HIV Epidemic Implementation Thomas Dunn dunnt2@michigan.gov
Family Planning Services Steve Utter utters@michigan.gov
Fetal Alcohol Spectrum Disorders Community Projects Michele Fanning Niles nilesm2@michigan.gov
Fetal Infant Mortality Review (FIMR) Case Abstraction Nicholas Drzal drzaln@michigan.gov
FFPSA HV Expansion Charisse Sanders sandersc2@michigan.gov
FIMR Interviews Nicholas Drzal drzaln@michigan.gov
Food ELPHS Carrie Fidler fidlerc@michigan.gov
Gonococcal Isolate Surveillance Project Thomas Dunn dunnt2@michigan.gov
Harm Reduction Capacity Expansion Macey Ladisky ladiskym@Michigan.gov
Harm Reduction Support Match Macey Ladisky ladiskym@Michigan.gov
Harm Reduction Support Services Macey Ladisky ladiskym@Michigan.gov
Hearing ELPHS Jennifer Dakers dakersj@michigan.gov
HIV & STI Testing and Prevention Thomas Dunn dunnt2@michigan.gov
HIV / STI Partner Services Thomas Dunn dunnt2@michigan.gov
HIV Care Coordination Thomas Dunn dunnt2@michigan.gov
HIV Data to Care Thomas Dunn dunnt2@michigan.gov
HIV Housing Assistance Thomas Dunn dunnt2@michigan.gov
HIV Linkage to Care Thomas Dunn dunnt2@michigan.gov
HIV PrEP Clinic Thomas Dunn dunnt2@michigan.gov
HIV PrEP Mobile Clinic Thomas Dunn dunnt2@michigan.gov
HIV Prevention Thomas Dunn dunnt2@michigan.gov
HIV Prevention - Forest Community Health Thomas Dunn dunnt2@michigan.gov
HIV Ryan White Part B Thomas Dunn dunnt2@michigan.gov
HIV Ryan White Part B MAI Thomas Dunn dunnt2@michigan.gov
Housing Opportunities for People Living with HIV/AIDS Jessica Altenbernt altenberntj@michigan.gov
Immunization Action Plan (IAP)Heidi Loynes loynesh@michigan.gov
Immunization Action Plan Pilot Heidi Loynes loynesh@michigan.gov
Immunization Fixed Fees Heidi Loynes loynesh@michigan.gov
Immunization Vaccine Quality Assurance Heidi Loynes loynesh@michigan.gov
Infant Safe Sleep Nicholas Drzal drzaln@michigan.gov
Infection Prevetion Brenda Brennan brennanb@michigan.gov
Informed Consent Laura de la Rambelje delarambeljel@michigan.gov
Integrating MPOX into STI Clinics Thomas Dunn dunnt2@michigan.gov
Laboratory Services Bio Marty Soehnlen soehnlenm@michigan.gov
Lactation Consultant Nicholas Drzal drzaln@michigan.gov
Lead Hazard Control Chad Rhodes rhodesc2@michigan.gov
Lead Health and Safety Courtney Wisinski MurtyC@michigan.gov
Local Health Department (LHD) Sharing Support Laura de la Rambelje delarambeljel@michigan.gov
Maternal Infant Erly Chd Home Visiting Initiative Rural Local Home Visiting Grp3 Charisse Sanders sandersc2@michigan.gov
Maternal Infant Erly Childhood Home Visiting Initiative Local Home Visiting Grp Charisse Sanders sandersc2@michigan.gov
MCH - All Other Trudy Esch EschT@michigan.gov
MCH - Children Trudy Esch EschT@michigan.gov
MDHHS-Essential Local Public Health Services (ELPHS)Laura de la Rambelje delarambeljel@michigan.gov
Medicaid Outreach Christine Farrell farrellc@michigan.gov
MI Adolescent Pregnancy & Parenting Program Hillary Brandon brandonh@michigan.gov
MI Home Visiting Initiative Rural Expansion Charisse Sanders sandersc2@michigan.gov
MIECHVP Healthy Families America Expansion Charisse Sanders sandersc2@michigan.gov
MRC STTRONG 10/1 - 5/31 Janis Tipton tiptonj2@michigan.gov
MRC STTRONG 6/1 - 9/30 Janis Tipton tiptonj2@michigan.gov
Neighborhood Wellness Center Joseph Coyle greenj13@michigan.gov
Nurse Family Partnership Medicaid Outreach Charisse Sanders sandersc2@michigan.gov
Nurse Family Partnership Services Charisse Sanders sandersc2@michigan.gov
Oral Health - Kindergarten Assessment Christine Farrell farrellc@michigan.gov
Public Health Emergency Preparedness (PHEP) 10/1 - 6/30 Janis Tipton tiptonj2@michigan.gov
Public Health Emergency Preparedness (PHEP) 7/1- 9/30 Janis Tipton tiptonj2@michigan.gov
Public Health Emergency Preparedness (PHEP) CRI 10/1 - 6/30 Janis Tipton tiptonj2@michigan.gov
Public Health Emergency Preparedness (PHEP) CRI 7/1 - 9/30 Janis Tipton tiptonj2@michigan.gov
Public Health Infratstructure Laura de la Rambelje delarambeljel@michigan.gov
Regional Perinatal Care System Deanna Charest charestd@michigan.gov
SDOH Hub Pilot Ninah Sasy sasyn@michigan.gov
SEAL! Michigan Dental Sealant Christine Farrell farrellc@michigan.gov
Sexually Transmitted Infection (STI) Control Thomas Dunn dunnt2@michigan.gov
Statewide Lead Case Managment - Fixed Fee Carin Speidel speidelc@michigan.gov
STI Specialty Services Thomas Dunn dunnt2@michigan.gov
Substance Use Home Visiting Charisse Sanders sandersc2@michigan.gov
Taking Pride in Prevention Kara Anderson andersonk10@michigan.gov
Tobacco Control Grant Program Julia Hitchingham hitchinghamj@michigan.gov
Tobacco Use Reduction for People Living with HIV Julia Hitchingham hitchinghamj@michigan.gov
Tuberculosis (TB) Control Peter Davidson davidsonp@michigan.gov
Vector-Borne Surveillance & Prevention Mary Grace Stobierski stobierskim@michigan.gov
Vision ELPHS Rachel Schumann schumannr@michigan.gov
West Nile Virus Community Surveillance Mary Grace Stobierski stobierskim@michigan.gov
WIC Breastfeeding Cecilia Hutson hutsonc1@michigan.gov
WIC Migrant Cecilia Hutson hutsonc1@michigan.gov
WIC Resident Services Cecilia Hutson hutsonc1@michigan.gov
Wisewoman Polly Hager hagerp@michigan.gov
PROJECT TITLE: Adolescent Sexually Transmitted Infection (STI) Screening
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Sexually Transmitted Infections (STIs) result in excessive morbidity, mortality, and
health care cost. Adolescents and young adults experience elevated rates of infection
in Michigan and across the country. Individuals 15-24 years of age will be screened for
chlamydia and gonorrhea at the following Oakland County sites:
1. Oakland County Main Jail
2. Oakland County Work Release
3. Oakland County Community Sites where Priority Population Gathers
Additional Reporting Requirements:
Report Period Due Date(s) How to Submit
Report
Quarterly report of screening
and treatment activity Quarterly 15 days after the
end of the quarter
Email to MDHHS
contract liaison
Additional Requirements:
Utilizing the identified project sites:
1. Test at least 100 adolescents and young adults per month, using NAAT tests for
gonorrhea and chlamydia.
2. Collect race, gender, age, test result, and treatment date for all tests.
3. Refer clients for further health evaluation if indicated.
4. Provide client centered risk reduction plan, promoting abstinence.
5. Treat all positives on site if possible.
6. Contact positive clients that are released prior to treatment with treatment options
in community.
7. Promote self-notification of partners.
8. Develop one annual slide set highlighting year end data by demographic variable
including trend data.
9. Continue to promote awareness of prevalence of STIs within adolescent and
young adult populations.
Participate in MDHHS convened meetings regarding chlamydia and gonorrhea
screening as requested.
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS
SHOARS system. In addition, if your contract is to be amended, the request will
have to be logged into SHOARS. Registration instructions and further
information can be found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in
the BHSP SHOARS system. These roles must match what the agency has
listed for these roles in the EGrAMS system. If you have access related
questions, contact MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-
SUPPORT@michigan.gov
3. The Bureau of HIV/STI Programs values the implementation of sexual
orientation, gender identity and expression (SOGIE) standards for all
contractors of the Bureau of HIV/STI Programs to assure the safety, privacy,
and person-first service of those of the LGBTQIA+ community. We want to
deliver high quality care for lesbian, gay, bisexual, transgender, queer, intersex,
asexual and all sexual and gender diverse people by ensuring training, policies
and data collection standards are responsive to the needs of LGBTQ+
community and provide assuring, affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract
(yearly) or cumulatively across all BHSP contracts and all new staff funded
at 25% or more associated with this contract or cumulatively across all
BHSP contracts are required to attend trainings to ensure culturally
appropriate communication and interactions with the LGBTQ+ community.
This training can be accomplished through the Ruth Ellis Center (Ruth
Ellis Center), SOGIE Trainings on MDDHS’s Website (SOGIE trainings
(michigan.gov)), or the National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please
ensure all training certifications are attached for new employees in
SHOARS on the agency dashboard under “Program Requirements” within
90 days of hire and all existing employees by the end of the fiscal year
(September 30).
b. Submit a narrative or agency policy language documenting how person
first language is addressed on intake forms, patient interactions and
program materials. Report by September 30, via EGrAMS attachment.
PROJECT: Body Art Fixed Fee
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
This agreement is intended to establish a payment schedule to the Grantee, following
notification of a completed inspection and recommendation for issuance of license.
The intent is to help offset costs related to the licensing of a body art facility, when
fees are collected from the respective Grantee’s jurisdiction in accordance with
Section 13101-13111 of the Public Health Code, Public Act 149 of 2007, which was
updated on December 22, 2010 and is now Public Act 375.
Additional Reporting Requirements:
The Department will reimburse the Grantee on a quarterly basis according to the
following criteria:
Facility License for 2024 Reimbursement Rates
1. Initial annual license for a Body Art Facility prior to July 1
• $317.69 (50% of state fee)
2. Initial annual license for a Body Art Facility on or after July 1
• $158.85 (50% of state fee)
3. Issue a temporary license for a Body Art Facility
• $142.95 (75% of state fee)
4. License renewal prior to or on December 1
• $317.69 (50% of state fee)
5. License renewal after December 1
• $476.54 (50% of state fee + 50% late fee penalty)
6. Duplicate license
• $31.76
Payment will be made for those body art facilities that have applied and paid in full to the
Department, following notification of a completed inspection and recommendation for
issuance of license. Please note that the fees in the list above are based on 2024
license reimbursement rates and are subject to change with the Consumer Price Index.
Additional requirements:
The Grantee is authorized to enforce PA 375 and conduct an inspection of all body art
facilities under its jurisdiction, investigate complaints, and enforce licensing regulations
and requirements. The Grantee must complete a Body Art Facility Inspection Report
[DCH-1468 (07-09)], as provided by the Department, or other report form approved by
the Department that meets, at minimum, all standards of the state inspection report.
Only body art facilities that have applied for licensure should be inspected. All body art
facilities must be inspected annually. Initial licenses will only be released from the
Department following notification of a completed inspection and upon recommendation
by the Grantee.
Completed inspection reports should be signed by the facility owner and
recommendation for licensure should be forwarded to the Department within two to four
weeks following the inspection. Reports should be entered via the online interface.
PROJECT: Breast and Cervical Cancer Control Navigation Program
Start Date: 10/1/2024
End Date: 6/30/2025
Project Synopsis:
The BC3NP (Breast and Cervical Cancer Control Navigation Program) provides
individualized assistance to low-income women, < 250% FPL, in overcoming barriers
that may impede their access to receiving breast and cervical cancer services. Services
are provided to uninsured and underinsured women enrolled in the program. Women
identified for priority enrollment in the program are those women in hard-to-reach
populations, such as minorities, particularly African American, Hispanic, Asian
American, Arab American, Native American and LGBTQ women.
Breast and/or cervical screening and diagnostic services are reimbursed for uninsured
and underinsured low-income women enrolled through the program that meet the
following criteria:
• Age 21-64; self-referred, referred from a BC3NP provider or a non-BC3NP provider
and requires cervical cancer screening and/or diagnostic services for an identified
cervical screening abnormality.
• Age 40-64; self-referred, referred from a BC3NP provider or a non-BC3NP provider
and requires breast cancer screening and/or diagnostic services for an identified
abnormality.
• Age 21-39; referred from either a BC3NP or non-BC3NP provider with an abnormal
breast finding requiring diagnostic follow-up to rule out or confirm a breast cancer
diagnosis.
Additional Reporting Requirements:
Instructions for use of MBCIS, a statewide database, will be provided to agencies that
contribute data to this database. The CPCS will exchange relevant program reports with
appropriate contractors through encrypted email or a secure file transfer system.
Additional requirements:
Agencies are responsible for:
1. Attending technical assistance calls/meetings with BC3NP staff to identify state
staff support that may be needed for meeting agency caseload targets.
2. Implementing specific program components chosen by the agency as described
in the Tiered Coordination Funding Policy.
3. Adhering to BC3NP policies and procedures for enrolling clients into the program
and administering the program. Visit www.michigan.gov/BC3NP for additional
information.
PROJECT: Bridge Access Program
Start Date: 10/1/2024
End Date: 12/31/2024
Project Synopsis:
The purpose of the project is to reimburse Local Health Departments (LHD) for COVID
vaccine administration fees for vaccines administered under the Bridge Access
Program. Under the Bridge Access Program, LHDs will be reimbursed $39.98 for each
COVID vaccine administered to individuals eligible for the Bridge Access Program. The
Bridge Access Program provides free COVID vaccine to under and uninsured adults
aged 18 and older.
Additional Reporting Requirements:
All requests for reimbursement of the administration fee should be submitted monthly on
the Comprehensive Financial Status Report (FSR). The FSR must be submitted on a
monthly basis no later than 30 days after the close of the calendar month for the Bridge
Access Program.
• NOTE: Reimbursement will be provided on a first come first served basis until
funding has been depleted or the program comes to an end, whichever comes
first.
Reimbursement requests (i.e., FSRs) may exceed the LHD’s fiscal year allocation, as
long as funds are available through MDHHS and the expenses are allowable.
Additional requirements:
LHDs participating in the Bridge Access Program must be visible on Vaccines.gov to
participate in the program and must therefore indicate their vaccine availability.
Instructions on how to manually indicate vaccine availability on Vaccines.gov can be
found here.
The Bridge Access Program does not require inventory reporting on Vaccines.gov.
PROJECT: Child and Adolescent Health Center Program – All Locations
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
A major role of the CAHC program is to provide a safe and caring place for children
and adolescents to receive needed medical care and support, learn positive health
behaviors, and prevent diseases, resulting in healthy youth who are ready and able to
learn and become educated, productive adults. CAHCs assist eligible children and
adolescents with enrollment in Medicaid and provide access to Medicaid preventive
services.
Reporting Requirements (if different than contract language)
A. The Grantee shall submit the following reports on the following dates:
• Quarterly and year end Program Data Report: Due 30 days after the end of the
reported quarter
B. Any such other information as specified in the Statement of Work, Attachment A shall
be developed and submitted by the Grantee as required by the Contract Manager.
C. Reports and information shall be submitted to the Contract Manager as follows:
• Quarterly Program Data Report: via the Child and Adolescent Health Center
Clinical Reporting Tool located at Clinical Reporting Tool (knack.com)
• Quarterly and year end Program Report: email
D. The Contract Manager shall evaluate the reports submitted as described in items A.
and B. for their completeness and adequacy.
E. The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by Contract Manager.
Any additional requirements (if applicable)
Funding Eligibility
To be eligible for funding, all applicants must provide signed assurance that referrals for
abortion services or assistance in obtaining an abortion will not be provided as part of the
services (MCL §388.1766). For programs providing services on school property, signed
assurance is required that family planning drugs and/or devices will not be prescribed,
dispensed or otherwise distributed on school property as mandated in the Michigan School
Code (MCL §380.1507). Applicants must assure compliance with all federal and state laws
and regulations prohibiting discrimination and with all requirements and regulations of MDE
and MDHHS.
Target Populations to be Served
Proposals should focus on the delivery of health services to ages 5-21 years at school-
based sites, and 10-21 years at school-linked sites, in geographic areas where it can be
documented that health care services that are accessible and acceptable to children and
adolescents require enhancement or do not currently exist. The children (birth and up) of
the adolescent target population may also be served where appropriate. Funding may be
used to provide clinical services to students receiving special education services up to 26
years of age.
Technology
Successful applicants are required to have an accessible electronic mail account (email)
to facilitate ongoing communication. All successful applicants will be added to a CAHC
program list serve, which is the primary vehicle for communication from the State.
Successful applicants must have the necessary technology and equipment to support
billing and reimbursement from third party payers. Refer to Reference A, Minimum Program
Requirements which describes the billing and reimbursement requirements for all
grantees.
Training
At least one staff member is required to attend a yearly Michigan Department of Health
and Human Services CAHC Annual Meeting in the fall, as announced by the MDHHS team.
Unallowable Expenses
The following costs are not allowed with this funding:
• The purchase or improvement of land
• Fundraising activities
• Political education or lobbying, including membership costs for advocacy or lobbying
organizations
• Indirect costs
The following restrictions are in effect for this funding:
• Funds may not be used to refer a student for an abortion or assist a student in
obtaining an abortion (MCL §388.1766).
• Funds may not be used to prescribe, dispense or otherwise distribute a family
planning drug or device in a public school or on public school property (MCL
§380.1507).
• Funding may not be used to serve the adult population (ages 22 years and older),
with the exception of students up to 26 years of age who are receiving special
education services.
• Funds may not be used to supplant or replace an existing program supported with
another source of funds or for ongoing or usual activities of any organization
involved in the project.
MINIMUM PROGRAM REQUIREMENTS
CHILD AND ADOLESCENT HEALTH CENTERS
CLINICAL AND ALTERNATIVE CLINICAL MODELS
(Effective October 1, 2022)
ELEMENT DEFINITION:
Services provided through the Child and Adolescent Health Center Program are
designed specifically for children and adolescents ages 5 through 21 years and are
aimed at achieving the best possible physical, intellectual, and emotional health status.
The infants and young children of adolescents can also be served through this
program.
Included in this element are school-based health centers; and school-linked
adolescent-only health centers (which serve only adolescents between the ages of 10
through 21 years) designed to provide comprehensive primary care, psychosocial and
mental health services, health promotion/disease prevention, and outreach services.
MINIMUM PROGRAM REQUIREMENTS:
1. The health center shall provide a range of health and support services based on
a needs assessment of the target population/community and approved by the
community advisory council. The services shall be of high quality, accessible,
and acceptable to youth in the target population. Age-appropriate prevention
guidelines and screening tools must be utilized.
a. Clinical services shall include, at a minimum: primary care including health
care maintenance, immunization assessment and administration using the
MCIR, care of acute and chronic illness; confidential services including
mental health services, STI diagnosis and treatment and HIV counseling
and testing as allowed by state and/or federal law; health education and risk
reduction counseling; and referral for other services not available at the
health center. (See Attachment 1: Services Detail).
b. Each health center shall implement one evidence-based intervention with
fidelity or clinical intervention in the approved focus areas as determined
through needs assessment data (For approved focus areas, see
Attachment 2: Focus Areas).
2. Clinical services provided, including mental health services, shall meet the
recognized, current standards of practice for care and treatment for the
population served.
3. The health center shall not provide abortion counseling, services, or make
referrals for abortion services.
4. The health center, if on school property, shall not prescribe, dispense, or otherwise
distribute family planning drugs and/or devices.
5. The health center shall provide Medicaid outreach services to eligible youth and
families and shall adhere to Child and Adolescent Health Centers and Programs
outreach activities as outlined in MSA 04-13.
6. If the health center is located on school property, or in a building where K-12
education is provided, there shall be a current interagency agreement defining
roles and responsibilities between the sponsoring agency and the local school
district.
Written approval by the school administration and local school board exists for the
following:
a. Location of the health center
b. Administration of a needs assessment process to determine priority health
services for the population served; which includes, at a minimum, a risk
behavior survey for adolescents served by the health center c. Parental consent policy
d. Services rendered in the health center
7. The health center shall be located in a school building or an easily accessible
alternate location.
8. The health center shall be open during hours accessible to its target population, and
provisions must be in place for the same services to be delivered during times when
school is not in session. Not in session refers to times of the year when schools are
closed for extended periods such as holidays, spring breaks, and summer vacation.
The school-based health center shall designate specific hours for services to be
provided to adolescents only (when the center serves both children aged 5 to 10 and
adolescents), and a policy shall exist to this effect. These provisions shall be posted
and explained to clients.
Clinical Centers: The health center shall provide clinical services a minimum of five
days per week. Total primary care provider clinical time shall be at least 30 hours
per week. Total primary care provider clinical time shall be at least 30 hours per
week over five days. Full time (or full time equivalent) mental health counseling
and/or services must be provided as part of this program a minimum of five days per
week. Hours of operation must be posted in areas frequented by the target
population.
Alternative Clinical Centers: The health center shall provide clinical services a
minimum of three consistent days per week. Total primary care provider clinical
time shall be at least 24 hours per week. Mental health counseling and/or services
must be provided as part of this program at least 24 hours per week over at least
three days. Hours of operation must be posted in areas frequented by the target
population.
The health center shall have a written plan for after-hours and weekend care, which
shall be posted in the health center including external doors and explained to
clients. An after-hours answering service and/or voicemail with instructions on
accessing after-hours care is required.
9. The health center shall have a licensed physician, nurse practitioner or physician
assistant that serves as Medical Director. A nurse practitioner or physician
assistant serving as Medical Director of a health center should have clinical
supervision by a physician and follow all legal requirements.
10. The health center staff shall operate within their scope of practice as
determined by certification and applicable agency policies:
a. The center shall be staffed by a certified nurse practitioner (FNP, PNP), licensed
physician, or a licensed physician assistant working under the supervision of a
physician. Nurse practitioners must be a Family Nurse Practitioner (FNP) or
Pediatric Nurse Practitioner (PNP); must be certified or eligible for certification in
Michigan; accredited by an appropriate national certification association or board;
and have a current, signed collaborative practice agreement with the medical
director or designee. Physicians and physician assistants must be licensed to
practice in Michigan.
b. The health center must be staffed with a minimum of a licensed Masters
level mental health provider (i.e. counselor or Social Worker). Appropriate
supervision must be available.
11. The health center must establish a procedure that doesn’t violate
confidentiality for communicating with the identified Primary Care
Provider (PCP), based on criteria established by the provider and the
Medical Director.
12. The health center shall implement a continuous quality improvement plan for
medical and mental health services. Components of the plan shall include, at a
minimum:
a. Practice and record review shall be conducted at least twice annually by an
appropriate peer and/or other staff of the sponsoring agency, to determine that
conformity exists with current standards of care. A system shall also be in place
to implement corrective actions when deficiencies are noted. A CQI
Coordinator shall be identified. CQI meetings, that include staff of all disciplines
working in the health center, shall be held at least quarterly. These meetings
shall include discussion of reviews, client satisfaction survey and any identified
clinical issues.
b. Completing, updating, or having access to a needs assessment process
conducted within the last three years to determine the health needs of the
population served including, at a minimum, a risk behavior survey for
adolescents.
c. Conducting a client satisfaction survey at a minimum annually.
13. A local community advisory council shall be established and operated as follows:
a. A minimum of two meetings per year
b. The council must be representative of the community and include a broad
range of stakeholders such as school staff c. One-third of council members must be parents of school-aged children/youth d. Health care providers shall not represent more than 50% of the council
e. The council must approve the following policies and the health center must
develop applicable procedures:
1. Parental consent policy
2. Requests for medical records and release of information that include the
role of the non-custodial parent and parents with joint custody
3. Confidential services as allowed by state and/or federal law
4. Disclosure by clients or evidence of child physical or sexual abuse, and/or
neglect
f. Youth input to the council shall be maintained through either membership
on the established advisory council; a youth advisory council; or through
other formalized mechanisms of involvement and input.
14. The health center shall have space and equipment adequate for private
physical examinations, private counseling, reception, laboratory services,
secured storage for supplies and equipment, and secure paper and/or
electronic client records. The physical facility must be barrier-free, clean, and
safe.
15. The health center staff shall follow all Occupational Safety and Health Act
guidelines to ensure protection of health center personnel and the public.
16. The health center shall conform to the regulations determined by the Department
of Health and Human Services for laboratory standards.
17. The health center shall establish and implement a sliding fee scale, which is not a
barrier to care for the population served. Clients must not be denied services
because of inability to pay. CAHC funding is in place to support overall program
operations including provider time; agencies are responsible to offset any
outstanding balances for direct health services to avoid collection notices and/or
referrals to collection agencies for payment.
18. The health center shall establish and implement a process for billing Medicaid,
Medicaid Health Plans and other third-party payers.
19. The billing and fee collection processes do not breach the confidentiality of the client.
20. Revenue generated from the health center must be used to support health center
operations and programming.
CHILD AND ADOLESCENT HEALTH CENTERS CLINICAL AND
ALTERNATIVE CLINICAL MODELS
Attachment 1: Services Detail
The following health services are required (*or recommended) as part of the Child and
Adolescent Health Center service delivery plan:
PRIMARY CARE SERVICES
• Well child care
• EPSDT screenings and exams
• Comprehensive physical exams
• Risk assessment/other screening
• Laboratory services
1. CLIA Waived testing
2. Specimen collection for outside lab testing
• *Other diagnostic, screening and/or preventive services
1. Hearing and vision screening
2. Tympanometry
3. Preventive oral applications
4. Spirometry
5. Pulse oximetry
6. Telehealth capabilities
7. Office
Microscopy MENTAL HEATH SERVICES
• Mental Health services provided by a Master’s level mental health provider.
ILLNESS/INJURY CARE
• Minor injury assessment/treatment and follow up
• Acute illness assessment/ treatment and follow up &/or
referral CHRONIC CONDITIONS CARE
• Includes assessment, diagnosis and treatment of a new condition
• Maintenance of existing conditions based on need,
collaborations with PCP/specialist or client/parental request
• Chronic conditions may include: asthma, diabetes, sickle cell,
hypertension, obesity, metabolic syndrome, depression, allergy, skin
conditions or other specific to a population
IMMUNIZATIONS
• Screening and assessment utilizing the MCIR and other data
• Complete range of immunizations for the target population utilizing
Vaccine for Children and private stock
• Administration of immunizations
• Appropriate protocols, equipment, medication to handle vaccine
reactions HEALTH EDUCATION
STI & HIV EDUCATION, COUNSELING, & VOLUNTARY TESTING
• Education appropriate for age, other demographics of the target
population, and needs assessment data
• Risk assessment, historical and physical assessment data informs individualized
care
• CAHC-trained HIV counselor/tester is on site
• Testing for and treatment of STI and testing and referral for HIV treatment
is on site “CONFIDENTIAL SERVICES” AS DEFINED BY MICHIGAN AND/OR
FEDERAL LAW
• Confidential services are those services that may be obtained by
minors without parental consent
• Confidential services include: mental health counseling, pregnancy
testing & services, STI/HIV testing and treatment, substance use
disorder counseling and treatment, family planning (excluding
contraceptive prescription/distribution on school property).
REFERRAL
• PCP, specialists, dental services, community agencies, etc.
REV 3/2019
CHILD AND ADOLESCENT HEALTH CENTERS CLINICAL AND
ALTERNATIVE CLINICAL MODELS and SCHOOL WELLNESS PROGRAMS
Attachment 2: Focus Areas
Each year, health centers and SWPs should review their needs assessment data to
determine priority health issues that are of such significance to their target population
to warrant an enhanced “focus” for the upcoming year. Each center is required to
implement one evidence-based program or clinical intervention to begin to address the
needs within the selected focus area(s).
FOCUS AREAS
• ALCOHOL/TOBACCO/OTHER DRUG PREVENTION
• HIV/AIDS/STI PREVENTION
• NUTRITION AND PHYSICAL ACTIVITY
• PREGNANCY PREVENTION
• SUICIDE PREVENTION
• TRAUMA
• VIOLENCE PREVENTION
• DEPRESSION/ANXIETY
• ASTHMA
Focus areas are meant to provide services above and beyond what would typically be
provided in comprehensive primary care. It is expected that each of these focus areas
will be a part of comprehensive primary care already, but intervention selected for the
focus area requirement should be significantly beyond typical care. Strategies should
be intensive, evidence-based, and include appropriate evaluation methods to assess
impact and progress on meeting focus areas.
REV 3/2019
MINIMUM PROGRAM
REQUIREMENTS SCHOOL
WELLNESS PROGRAM
1. The School Wellness Program (SWP) shall provide a range of health and
support services based on a needs assessment of the target
population/community and approved by the community advisory council. The
services shall be of high quality, accessible, and acceptable to youth in the
target population. Age-appropriate prevention guidelines and screening tools
must be utilized.
2. The SWP shall provide clinical nursing services full time during the school year.
Clinical services shall include individual health services that fall within the
current, recognized scope of registered nurse (RN) practice in Michigan.
Individual health services provided by the nurse may include screening/nursing
assessments, case finding, immunization assessment and administration, first aid
for minor injuries, chronic care interventions, hearing and vision screening, blood
pressure monitoring, blood glucose monitoring, case management and/or referral
to other needed primary care and specialty medical services.
a. The health center shall be open during hours accessible to its target population.
b. The school-based health center shall designate specific hours for services
to be provided to adolescents only (when the center serves both children
aged 5 to 10 and adolescents), and a policy shall exist to this effect. These
provisions shall be posted and explained to clients.
3. Each SWP shall implement one evidence-based program with fidelity and/or
clinical interventions in at least one of the approved focus areas as
determined through needs assessment data (For approved focus areas,
see Attachment 2: Focus Areas).
4. The SWP shall develop a plan, in conjunction with appropriate school
administration and personnel, to provide training and/or professional
development to teachers and school staff in areas relevant to the SWP and
school-specific needs.
5. The SWP shall provide direct mental health services full time during the school
year. Mental health services provided shall fall within the scope of practice of
the licensed mental health provider and shall meet the current recognized
standards of mental health practice for care and treatment of the population
served.
6. The SWP shall not, provide abortion counseling, services, or make
referrals for abortion services.
7. The SWP shall not prescribe, dispense, or otherwise distribute family
planning drugs and/or devices.
8. The SWP shall provide Medicaid outreach services to eligible youth and families
and shall adhere to Child and Adolescent Health Centers and Programs
outreach activities 1 and 2 as outlined in MSA04-13.
9. The SWP shall have a licensed physician as a medical director who supervises the
medical services provided and who approves clinical policies, procedures,
protocols, and standing orders.
10. The SWP nursing staff shall adhere to medical orders/treatment plans written
by the prescribing physician and/or standing orders/medical protocols written
by other health care providers for individuals requiring health supervision while
in school.
11. The SWP shall have a licensed registered nurse (preferably with a Bachelor
of Science in Nursing, with experience working with child/adolescent
populations), working under the general supervision of a physician during all
hours of operation.
12. The mental health provider shall operate within their scope of practice as
determined by certification and applicable agency policies: The mental
health provider shall hold a minimum master's level degree in an appropriate
discipline and shall be licensed to practice in Michigan. Clinical supervision
must be available for all licensed providers. For those providers that hold a
limited license working towards full licensure, supervision must be in
accordance with licensure laws/mandates and be provided by a fully
licensed provider of the same degree.
13. The SWP staff shall provide services in no more than two school
buildings. The SWP services shall be available during hours accessible
to its target population.
14. Written approval by the school administration (ex: Superintendent, Principal)
and School Board exists for the following:
a. Location of the SWP program within the school building.
b. Administration of a needs assessment process for students in the school.
c. Administration of or access to a needs assessment for teachers/staff.
d. Parental and minor consent policy
e. A current interagency agreement shall define the roles and
responsibilities between the local school district and sponsoring agency
and the school-based health center if one exists in the same school
district.
f. Services rendered through the SWP.
15. Services provided shall not breach confidentiality of the client. Policies and
procedures shall be implemented regarding proper notification of parents,
school officials (when allowable and appropriate), and/or other health care
providers when additional care is needed or when further evaluation is
recommended. The SWP must establish a procedure that doesn't violate
confidentiality for communicating with the identified Primary Care Provider
(PCP), based on criteria established by the provider and the Medical
Director.
Policies and procedures regarding notification and exchange of information
shall comply with all applicable laws e.g., HIPAA, FERPA and Michigan
statutes governing minors' rights to access consent for care.
16. The SWP shall implement a continuous quality improvement plan for nursing
and mental health services. Components of the plan shall include at a
minimum:
a. A COi Coordinator shall be identified. COi meetings, that include all staff
associated
b. with SWP program, shall be held at least quarterly. These meetings
shall include discussion of reviews, client satisfaction survey and any
identified clinical
c. Practice and client record review shall be conducted at least twice
annually by an appropriate peer and/or other peer-level staff of the
sponsoring agency, to determine that conformity exists with current
standards of care. A system shall also be in place to implement
corrective actions when deficiencies are noted.
d. Completing, updating, or having access to a needs assessment
process conducted within the last three years to determine the
health needs of the population served including, at a minimum, a
risk behavior survey for adolescents served by the SWP.
e. Conducting a client satisfaction survey at a minimum annually.
17. A local community advisory council shall be established and operated as
follows:
a. A minimum of two meetings per year
b. The council must be representative of the community and include a
broad range of stakeholders such as school staff
c. One-third of council members must be parents of school-aged
children/youth
d. Health care providers shall not represent more than 50% of the council
e. The council must approve the following policies and the SWP must
develop applicable procedures:
1. Parental and minor consent policy
2. Requests for medical records and release of information that
include the role of the non-custodial parent and parents with joint
custody
3. Confidential services as allowed by state and/or federal law
4. Disclosure by clients or evidence of child physical
or sexual abuse, and/or neglect
f. Youth input to the council shall be maintained through either
membership on the established advisory council; a youth advisory
council; or through other formalized mechanisms of involvement and
input.
18. The SWP shall have space and equipment adequate for private visits,
reception, private counseling, secured storage for supplies and equipment,
(laboratory services, if applicable) and secure paper and/or electronic client
records. The physical facility must be barrier-free, clean, and safe.
19. For SWP's participating in laboratory services, the health center shall
conform to the regulations determined by the Department of Health and
Human Services for laboratory standards.
20. The SWP shall follow all Occupational Safety and Health Act
guidelines to ensure protection of SWP personnel and the public.
21. For SWPs participating in billing: the SWP shall establish and implement a
sliding fee scale, which is not a barrier to care for the population served.
Users must not be denied services because of inability to pay. CAHC state
funding may be used to offset any outstanding balances to avoid collection
notices and/or referrals to collection agencies for payment.
22. Revenue generated from the health center must be used to support SWP
health
center operations and programming.
23. For SWPs participating in billing: the billing and fee collection processes do
not breach the confidentiality of the client.
PROJECT: Childhood Lead Poisoning Prevention
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
MDHHS CLPPP’s mission is “to prevent childhood lead poisoning across the state
through surveillance, outreach and health services”. This grant provides local health
departments the opportunity to prevent and address lead poisoning within their
communities, with support of CLPPP. The overall goal of the grant is to increase testing
for children under the age of 6, specifically capillary to venous testing rates.
Additional Reporting Requirements:
1. Workplan – submitted according to due dates set by CLPPP
2. Quarterly Reports – submitted no later than thirty (30) days after the close of the
quarter.
Additional Requirements:
• Identify target areas with lower testing rates, with the assistance of CLPPP and
quarterly data reports provided to the LHDs.
• Provide a workplan with a detailed overview of how your LHD plans to increase
testing rates within the grantee focus area, and explanation of target
audience/locations. Metrics for success should be strategic, measurable,
ambitious, realistic, time-bound, inclusive, and equitable. Planning for the
workplan should be done in coordination with CLPPP. CLPPP will provide
recommended activities to the grantees.
• Conduct a quarterly review of the workplan and grant activity progress. Submit a
quarterly report to CLPPP with progress made, as well as revisions needed for
the workplan.
• Attend meetings with CLPPP and other grantees as scheduled.
• Ensure all communication materials that are developed and distributed by the
grantee are approved by CLPPP if MDHHS funds are used.
PROJECT: CLPP Lead Expansion
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
MDHHS CLPPP’s mission is “to prevent childhood lead poisoning across the state
through surveillance, outreach and health services”. The goal of this pilot is to
maximize the number of children less than six years of age protected from lead
poisoning and the number of City of Detroit childcare facilities where lead hazards are
controlled. This goal should be accomplished through targeted lead testing and
hazard controls efforts, expanded education and outreach, and enhancing nursing
and environmental services to children with an EBLL 3.5-19 mcg/dL, residing in the 6
high risk zip codes in the City of Detroit.
Grantees could achieve this goal through:
1. Targeted lead testing and hazard controls efforts, this can include:
• Lead education in early childhood care centers (daycares, Early Head
Start, Head Start)
• Lead inspection risk assessments in licensed childcare centers
2. Expanded education and outreach, this can include:
• Providing lead testing on site at early childcare centers
• Providing referrals to other essential health services (WIC, IMMS,
Vision/Hearing screening)
3. Support staffing for Nurse Case Managers and Community Health Workers to
provide NCM services to all children with EBLLs
Additional Reporting Requirements:
• Provide a workplan with a detailed overview of how your LHD plans to expand
education, NCM and linkage to care within the grantee focus area, and
explanation of target audience/locations
• Provide a workplan with objectives and metrics that outline how education, NCM
and linkage to care will be expanded within the grantee region. The workplan will
include target populations and geographic areas. Metrics for success should be
specific, measurable, achievable, relevant, time-bound, inclusive, and equitable.
Technical assistance can be requested to MDHHS CLPPP as needed to support
development of the workplan.
• Submit quarterly reports
CLPPP support will
include:
a. Nursing and Public Health Consultant technical assistance as requested
b. miclppp.org website with educational materials re: testing, cleaning
c. Online training module for health care providers
Additional requirements:
Attend quarterly calls/in-person meetings
Ensure all communication materials that are developed and distributed by the
grantee are approved by CLPPP if MDHHS funds are used.
Grantees Focus Area:
• Detroit Health Department – City of Detroit
PROJECT: Community Blood Lead Testing
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
In response to the decrease in blood lead testing due to COVID-19 and the impact on
pediatric visits and WIC agency closure and Michigan’s universal blood lead testing
law going into effect in 2024, there is a necessity to support local health departments
to facilitate innovative strategies in their jurisdictions to ensure access to and
completion of blood lead testing for children to identify lead exposure. It is imperative
that there is a community-based approach to blood lead testing. This funding is to
support local health departments in planning for implementation of strategies to
increased blood lead testing of children <6 years old within their jurisdiction. This
planning will follow the ABC Building Blocks for Community Blood Lead Testing,
comprised of assessing, bolstering, and coordinating.
Grantees could achieve this goal through:
1) Assess current state of blood lead testing in the jurisdiction, this can include:
• Survey community partners and local health department to determine
where blood lead testing is taking place
• Identify gaps in blood lead testing availability
• Identify barriers to accessing blood lead testing
• Identify Medicaid Health Plans (MHPs) serving the community
• Identify Partners for promotion of lead testing
2) Bolster current testing efforts, this can include:
• Conduct provider education regarding recommendations for blood lead testing
at existing access points
• Conduct public education about existing testing options, targeting children
less than 6 years old
• Enhance access to existing local access points for blood lead testing by
reducing identified barriers to testing
3) Coordinate a testing plan, this can include:
• Work with Medicaid Health Plans to identify children due for screening
and perform targeted outreach
• Identify a plan for a “safety net” option for free testing for uninsured, those
whose insurance will not cover testing, those falling outside our target groups,
or communities needing timely access to testing
Additional Reporting Requirements:
• Provide a workplan with a detailed overview of how your LHD will
demonstrate functional “safety net” option and ability to increase access to
testing as needed
• Submit quarterly reports
CLPPP support will include:
• ABC Building Blocks for Community Blood Lead Testing Plan one pager
• Sample workplan for grantee to complete including a checklist of
recommend community partners
• Nursing and Public Health Consultant technical assistance as requested
• Identify ALE communities within jurisdiction and provide appropriate
educational resources
Additional requirements:
• Attend quarterly call/in-person meetings
• Ensure all communication materials that are developed and distributed by
the grantee are approved by CLPPP if MDHHS funds are used.
PROJECT: CSHCS Care Coordination
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
Beneficiaries enrolled in CSHCS with identified needs may be eligible to receive Care
Coordination Services as provided by the local health department. In addition,
beneficiaries with either CSHCS, CSHCS and Medicaid, or Medicaid only (no CSHCS)
may be eligible to receive Case Management services if they have a CSHCS medically
eligible diagnosis, complex medical care needs and/or complex psychosocial situations
which require that intervention and direction be provided by the local health department.
LHD staff includes registered nurses (RNs), social workers, or paraprofessionals under
the direction and supervision of RNs. Services are reimbursed on a fee for services
basis, as specified in Attachment IV Notes.
Adtdional Reporting Requirements:
1. Case Management and Care Coordination services within a specific Case
Management role cannot be billed during the same LHD billing period, which is
usually a fiscal quarter.
2. Care Coordination and Case Management Logs are submitted electronically via
the Children’s Healthcare Automated Support Services (CHASS) Billing Module to
the Contract Manager. Quarterly logs must be submitted with the financial status
report.
Annual Narrative Progress Report
A brief annual narrative report is due by November 15 following the end of the fiscal year.
The reporting period is October 1 – September 30. The annual report will be submitted to
the Department and shall include:
• Summary of successes and challenges
• Technical assistance needs the Grantee is requesting the Department to address
• Brief description of how any local MCH funds allocated to CSHCS were used (e.g.
CSHCS salaries, outreach materials, mailing costs, etc.), if applicable
• The unduplicated number of CSHCS eligible clients assisted with CSHCS
enrollment.
• The unduplicated number of CSHCS clients assisted in the CSHCS renewal
process.
Definitions
Unduplicated Number of CSHCS Eligible Clients Assisted with CSHCS Enrollment
is defined as:
Number of CSHCS eligible clients the Grantee provided one-on-one (in person or via
telephone) substantial assistance to complete the CSHCS enrollment process during the
fiscal year. This assistance includes, but is not limited to, helping the family obtain
necessary medical reports to determine clinical eligibility, completing the CSHCS
Application for Services, completing the CSHCS financial assessment forms, etc.
Assistance does not include mailed letters to the family.
Unduplicated Number of CSHCS Clients Assisted in the CSHCS Renewal Process
is defined as:
Number of CSHCS enrollees the Grantee provided one-on-one (in person or via
telephone) substantial assistance to complete and/or submit documents required for the
Department to make a determination whether to continue/renew CSHCS coverage during
the fiscal year. “Assisted” may also include collaboration with the client’s Medicaid Health
Plan. Assistance does not include mailed letters to the family.
Additional requirements:
Case Management services address complex needs and services and include an initial
face-to-face encounter with the beneficiary/family. Case Management requires that
services be provided in the home setting or other non-office setting based on family
preference. Beneficiaries are eligible for a maximum of six billing units per eligibility year.
Services above the maximum of six require prior approval by MDHHS. To request
approval, the LHD must submit an exception request, including the rationale for additional
services, to MDHHS. Limitations on the need for and number of Case Management
service units are set by MDHHS and must be provided by a specific Case Management
role, in accordance with training and certification requirements.
Staff must be trained in the service needs of the CSHCS population and demonstrate skill
and sensitivity in communicating with children with special needs and their families.
Care Coordination is not reimbursable for beneficiaries also receiving Case Management
services during the same LHD billing period, which is usually a calendar quarter. In the
event Care Coordination services are no longer appropriate and Case Management
services are needed, the change in services may only be made at the beginning of the
next billing period.
PROJECT: CSHCS Medicaid Elevated Blood Lead Case Management
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The local health department will complete in-home elevated blood lead (EBL) case
management (CM) services, with parental consent, for children less than age 6 in their
jurisdiction enrolled in Medicaid with a blood lead level equal to or greater than 3.5
µg/dL as determined by a venous test. EBL CM will be conducted according to the
“Case Management Guide for Children with Elevated Blood Lead Levels” that is
provided by the Childhood Lead Poisoning Prevention Program (CLPPP), Michigan
Department of Health and Human Services (MDHHS). For each child eligible for EBL
CM, efforts to contact the family to provide CM services and specific services provided
must be documented in the child’s electronic record in the Healthy Homes and Lead
Poisoning Prevention Surveillance System (HHLPSS) database.
Additional Reporting Requirements:
Quarterly FSR and FSR Supplemental Attachment
Submit request for reimbursement through EGrAMS based on the “fixed unit rate”
method. The fixed rate for case management services is $221.74 per home visit, for
up to 6 home visits. Additionally, a FSR supplemental attachment form is required to
be uploaded in EGrAMS that specifies the number of children and home visits for
which reimbursement is being requested on. The FSR and the FSR supplemental
attachment form must be submitted no later than thirty (30) days after the close of
the quarter.
Quarterly Case Management Logs
A complete spreadsheet of CM activities is due quarterly, submitted electronically
through the CLPPP’s secure DCH-File Transfer Site available through MiLogin,
using a template provided by CLPPP. The quarterly spreadsheet must be submitted
no later than thirty (30) days after the close of the quarter.
Annual Report
An annual report is required covering the reporting period for the fiscal year is
October 1 – September 30. The format and due date for the submission will be
determined by CLPPP, and communicated to the local health departments.
Reporting Time Period Due dates for quarterly spreadsheet, FSR,
and supplemental form
October 1 – December 31 January 31
January 1 – March 31 April 30
April 1 – June 30 July 30
July 1 – September 30 October 20
Additional requirements:
The local health department shall:
• Have CM conducted by a registered nurse trained by MDHHS CLPPP. To be
reimbursed for a home visit, the visit must be completed by a registered nurse.
• Sign up for the DCH-File Transfer Site available through MiLogin. This site will be
used for data sharing of confidential information.
• Have an agreement with all Medicaid Health Plans in their jurisdiction that allows
for sharing of Personal Health Information.
• Identify and initiate contact with families of all Medicaid-enrolled children with
EBLLs.
• Complete case management activities according to the MDHHS CLPPP Case
Management Guide.
• Document all required case management activities in the child’s electronic file in
the HHLPPS database. Required documentation includes an initial home visit
form, follow-up visit forms, dates of chelation therapy, and plan of care.
PROJECT: CSHCS Medicaid Outreach
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis
Local Health Departments may perform Medicaid Outreach activities for
CSHCS/Medicaid dually enrolled clients and receive reimbursement at a 50% federal
administrative match rate based upon their CSHCS Medicaid dually enrolled caseload
percentage and local matching funds.
Reporting Requirements (if different than contract language)
See Attachment I for specific budget and financial requirements.
Any additional requirements (if applicable)
N/A
PROJECT TITLE: CSHCS Outreach and Advocacy
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Local Health Departments (LHDs) throughout the state serve children with special health
care needs in the community. The LHD acts as an agent of the CSHCS program at the
community level. It is through the LHD that CSHCS succeeds in achieving its charge to
be community-based. The LHD serves as a vital link between the CSHCS program, the
family, the local community and the Medicaid Health Plan (as applicable) to assure that
children with special health care needs receive the services they require covering every
county in Michigan.
LHD is required to provide the following specific outreach and advocacy services:
• Program representation and advocacy
• Application and renewal assistance
• Link families to support services (e.g. The Family Center, CSHCS Family Phone Line,
the CSHCS Family Support Network (FSN), transportation assistance, etc.)
• Implement any additional MPR requirements
• Care coordination
• Budget and Agreement Requirement and Grantee
• Submission of all documents via the document management portal, as required
Additional Reporting Requirements:
Annual Narrative Progress Report
A brief annual narrative report is due by November 15 following the end of the fiscal year.
The reporting period is October 1 – September 30. The annual report will be submitted to
the Department and shall include:
• Summary of successes and challenges
• Technical assistance needs the Grantee is requesting the Department to address
• Brief description of how any local MCH funds allocated to CSHCS were used (e.g.
CSHCS salaries, outreach materials, mailing costs, etc.), if applicable
• The unduplicated number of CSHCS eligible clients assisted with CSHCS
enrollment.
• The unduplicated number of CSHCS clients assisted in the CSHCS renewal
process.
Definitions
Unduplicated Number of CSHCS Eligible Clients Assisted with CSHCS Enrollment
is defined as:
Number of CSHCS eligible clients the Grantee provided one-on-one (in person or via
telephone) substantial assistance to complete the CSHCS enrollment process during the
fiscal year. This assistance includes, but is not limited to, helping the family obtain
necessary medical reports to determine clinical eligibility, completing the CSHCS
Application for Services, completing the CSHCS financial assessment forms, etc.
Assistance does not include mailed letters to the family.
Unduplicated Number of CSHCS Clients Assisted in the CSHCS Renewal Process
is defined as:
Number of CSHCS enrollees the Grantee provided one-on-one (in person or via
telephone) substantial assistance to complete and/or submit documents required for the
Department to make a determination whether to continue/renew CSHCS coverage during
the fiscal year. “Assisted” may also include collaboration with the client’s Medicaid Health
Plan. Assistance does not include mailed letters to the family.
Additional requirements:
Relationship between Grantees and Medicaid Health Plans:
The Grantee must establish and maintain care coordination agreements with all Medicaid
Health Plans for CSHCS enrollees in the Grantees service area. Grantees and the
Medicaid Health Plans may share enrollee information to facilitate coordination of care
without specific, signed authorization from the enrollee. The enrollee has given consent
to share information for purposes of payment, treatment and operations as part of the
Medicaid Beneficiary Application.
Care coordination agreements between Grantees and the Medicaid Health Plans will be
available for review upon request from the Department.
The agreement must address all the following topics:
• Data sharing
• Communication on development of Care Coordination Plan
• Reporting requirements
• Quality assurance coordination
• Grievance and appeal resolution
• Dispute resolution
• Transition planning for youth
PROJECT: Eastern Equine Encephalitis Virus Surveillance
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
Conduct county-level mosquito surveillance to determine the presence and abundance of
EEEV vectors and virus in various habitat locations. This information will be used to
inform future surveillance efforts at the county level. If EEEV positive mosquitoes are
found, LHD’s will be able to provide early warning of increased EEE risk in their area.
Additionally, the funding will support the creation of subject matter expertise at the local
level regarding surveillance for EEEV and build capacity for future EEEV prevention and
control activities.
Additional Reporting Requirements:
The recipient shall submit weekly tables of surveillance data (template provided)
documenting trap rates and disease detections to Emily Dinh (dinhe@michigan.gov) and
Rachel Wilkins (rwilkins3@michigan.gov) at the MDHHS EZID Section. A final report on
all activities completed is due by October 15.
Additional requirements:
Funding is to be used to support personnel, mosquito trapping equipment and supplies,
and travel related to conducting mosquito surveillance in areas with historic cases of EEE
virus or suitable habitat for the EEE vector mosquitoes, and to submit appropriate
mosquito species to the MDHHS BOL for pathogen testing. When EEE virus is identified,
the grantee will communicate to the community about the increasing risk for EEE virus
infection and actions to take to prevent mosquito bites.
EEE Vector Surveillance:
To support local public health jurisdictions with known historical EEEV risk to conduct a
survey for EEEV vector mosquitoes Culiseta melanura and Coquillettidia perturbans.
Funded counties will work with MDHHS EZID staff to:
1) Identify suitable habitat for these mosquito species using land survey and other
data.
2) Select 5 sampling (for example, sites near a previous EEE human and/or animal
case or those with suitable habitat for the vector mosquito species)
3) Conduct trapping for 2 nights/week from June 20-Sept. 9 (12 weeks)
4) Sort and identify species collected.
5) Submit target species to MDHHS BOL for pathogen testing.
The Department’s Emerging & Zoonotic Infectious Diseases (EZID) Section will provide
the Grantee with the following support:
• Training for staff associated with the project (Spring 2024)
• Trapping equipment necessary to collect mosquitoes
• Pathogen testing of mosquito pools for EEE virus provided by MDHHS Bureau of
Laboratories
• Entomologic and epidemiologic support to guide trapping efforts
PROJECT: Eat Safe Fish
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
The Grantee will collaborate with the Department and the EPA Region V Saginaw
Community Information Office to deliver a uniform message for the Saginaw River and
connected waters regarding the fish and wild game consumption advisories within the tri-
county area (Midland, Saginaw, and Bay).
Additional Reporting Requirements:
1. Track and report output measures.
2. Write and submit quarterly reports and an annual report to the Department.
• Submit draft quarterly reports within 15 days after the end of each quarter.
• Annual reports upon request.
Additional requirements:
1. The grantee will develop a plan to distribute that message using existing health
department programs, the medical community, special events, and community
service providers to communicate with the at-risk population.
2. The grantee will get approval from the Department program manager and for any
changes to the Saginaw and Bay County Cooperative Agreement Scope of Work
including budget and budget narratives.
3. The grantee will provide appropriate staff to fulfill the following objectives and
outputs as detailed:
• Comply with the Saginaw and Bay County Cooperative Agreement budget and
budget narratives as describe in the scopes of work provided to the BCHD
program manager as applicable from October 1 to September 30.
• Provide 30 hours of health education and community outreach per week.
• Conduct health education and community outreach in Saginaw, Midland, and
Bay Counties. Activities will include, but not be limited to, internal BCHD
distribution, health care provider outreach, and key event participation.
• Track hours to comply with cost recovery requirements.
• Development, Printing, and Distribution of Outreach Materials and
implementation of Display Booth.
• Identify, track, and record of materials distributed at additional locations within
Midland, Bay, and Saginaw Counties.
• Make payment for the replacement of signage on the Tittabawasse and
Saginaw Rivers.
• Conduct Capacity Building in Saginaw, Midland and Bay Counties
• Actively seek out new community partners in Saginaw, Midland and Bay
Counties.
• Participate in bi-monthly SBCA teleconference.
• Provide Presentation of display booth at select community events in
coordination with EPA Region V Saginaw Community Information Office.
• Conduct Outreach though existing BCHD Programs such as WIC,
Immunizations, programs for young mothers, or other programs reaching the
target population.
• Assist the EPA Region V Saginaw Community Information Office with
community outreach.
• Outreach to Health Care Providers.
PROJECT: EGLE Drinking Water and Onsite Wastewater Management
Start Date: 10/1/2024
End Date: 09/30/2025
Project Synopsis:
State funding for ELPHS shall support, and the Grantee shall provide for, all of the following
required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as amended,
Part 24 and Act No. 336, of 1998 Section 909:
Infectious/Communicable Disease Control
Sexually Transmitted Disease
Immunization
On-Site Wastewater Treatment Management
Drinking Water Supply
Food Service Sanitation
Hearing
Vision
• State funding for ELPHS can support administrative cost for the eight required
services including allowable indirect cost, or a Grantee’s cost allocation plan.
• ELPHS funding can also be used to fund other core health functions including:
Community Health Assessment and Improvement, Public Policy Development,
Health Services Administration, Quality Assurance, Creating and Maintaining a
Competent Work Force and Local Public Health Accreditation. These services may
be budgeted separately as part of the Administrative Budget element.
• Net allowable expenditures are the authorized actual/allowable expenditures
(total costs less specified exclusions). Available funding is also limited by state
appropriations.
• First and second party fees earned in each required service program may be used
only in that required service program.
• State ELPHS funding is subject to local maintenance of effort compliance.
Distribution of state ELPHS funds shall only be made to agencies with total local
general fund public health services spending in fiscal year (FY) 2024 of at least
the amount expended in FY 92/93. To be eligible for any of the State funding
increases, the FY 92/93 Local Maintenance of Effort Level must be met.
Additional Reporting Requirements:
All final amendment ELPHS funding shift request memos need to be submitted no
later than May 1.
• Please send the official memo to request ELPHS funding shifts by email to Laura
de la Rambelje (DelaRambeljeL@michigan.gov) and copy Anita Miko
(mikoa@Michigan.gov).
*Additional budget detail is provided in Attachment I
Additional Requirements:
• Assure the availability and accessibility of services for the following basic health
services: Prenatal Care; Immunizations; Communicable Disease Control; Sexually
Transmitted Disease (STD) Control; Tuberculosis Control; Health/Medical Annex of
Emergency Preparedness Plan.
• Fully comply with the Minimum Program Requirements for each of the required
services.
• Grantee will be held to accreditation standards and follow the accreditation process
and schedule established by the Department for the required services to achieve
full accreditation status. Grantees designated as “not accredited” may have their
department allocations reduced for departmental costs incurred in the assurance of
service delivery. The accreditation process is based upon the Minimum Program
Standards and scheduled on a three-year cycle. The Minimum Program Standards
include the majority of the required Department reviews. Some additional reviews,
as mandated by the funding agency, may not be included in the Program
Standards and may need to be scheduled at other times.
Onsite Wastewater Management
The Grantee shall perform the following services for private single- and two-family
homes and other establishments that generate less than 10,000 gallons per day of
sanitary sewage:
• Maintain an up-to-date regulation for on-site wastewater treatment systems
(Systems). The regulation shall be supplemented by established internal policies
and procedures. Technical guidance for staff that defines site suitability
requirements, the basis for permit approval and/or denial, and issues not specifically
addressed by the regulation shall be provided.
• Evaluate all parcels to determine the suitability of the site for the installation of
initial and replacement Systems in accordance with applicable regulation(s).
These evaluations shall be conducted by a trained sanitarian or equivalent and
shall consist of a review of the permit application for the installation of a System
and a physical evaluation of the site to determine suitability.
• Accurately record on the permit to install the initial or replacement System or on an
attachment to the permit the site conditions for each parcel evaluated including soil
profile data, seasonal high-water table, topography, isolation distances, and the
available area and location for initial and replacement Systems. The requirement
for identifying a replacement System applies to issuance of new construction
permits only.
• Issue a permit, prior to construction, in accord with applicable regulation(s) for
those sites that meet the criteria for the installation of a System. The permit shall
include a detailed plan and/or specification that accurately define the location of the
initial or replacement System, System size, other pertinent construction details, and
any documented variances.
• Provide and keep on file formal written denials, stating the reason for denial, for
those applications where site conditions are found to be unsuitable.
• Conduct a construction inspection prior to covering each System to confirm that the
completed System complies with the requirements of the permit that has been
issued. Maintain, on file, an accurate individual record of each inspection
conducted during construction of each system. In limited circumstances where
constraints prohibit staff from completing the required construction inspection in a
timely manner, an effective alternate method to confirm the adequacy of the
completed System shall be established. The effective alternative method shall be
utilized for no more than ten (10) percent of the total number of final inspections
unless specific authorization has been granted by the State for other percentage.
The results of all such inspections or an alternate method shall be clearly
documented.
• Maintain an organized filing system with retrievable information that includes
documentation regarding all site evaluations, permits issued or denied, final
inspection documentation, and the results of any appeals.
• Conduct review and approval or rejection of proposed subdivisions, condominiums
and also land divisions under one acre in size for site suitability according to the
statutes and Administrative Rules for Onsite Water Supply and Sewage Disposal
for Land Divisions and Subdivisions.
• Utilize the State’s “Michigan Criteria for Subsurface Sewage Disposal” (Criteria) for
Systems other than private single- and two-family homes that generate less than
10,000 gallons per day. Systems treating less than 1,000 gallons per day may be
approved in accordance with the Grantee’s regulation. Advise the State prior to
issuance of a variance from the Criteria. Variances are only to be issued by the
Director of Environmental Health of the Grantee after consultation with the State.
Appeals of any decision of the Grantee pursuant to the Criteria including systems
treating less than 1,000 gallons evaluated in accordance with the Grantee’s
regulation shall only be made to the State.
• Maintain quarterly reports that summarize the total number of parcels evaluated,
permits issued, alternative or engineered plans reviewed, and number of appeals,
number of inspections during construction, number of failed systems evaluated,
and number of sewage complaints received and investigated for each residential
(single and two-family homes) and non-residential properties. The report forms
EQP2057a.1 (Non-Residential) and EQP2057b.1 (Residential) are available on the
EGLE website. All quarterly reports are to be submitted directly to EGLE, to the
address noted on the form, within fifteen (15) days following the end of each
quarter.
• Review all engineered or alternative System plans. Conduct adequate
inspections during the various phases of construction to ensure proper installation.
• Collect data at the time of permit issuance when a System has failed to document
the System age, design, site conditions, and other pertinent factors that may have
contributed to the failure of the original System. Evaluations shall record
information indicated on the EGLE Onsite Wastewater Program Residential and
Non-Residential Information forms. The results for all failed Systems evaluated
shall be maintained in a retrievable file or database and summarized in an annual
calendar year data report. Annual summaries of failed system data shall be
provided to EGLE for input into the state-wide failed system database. The EGLE
Onsite Wastewater Program Residential and Non-Residential Information forms
shall be provided to the State no later than February 1st of the year following the
calendar year for which the data has been collected.
• Provide training for staff involved in the Program as necessary to maintain
knowledge of current regulations and internal policies and procedures and to keep
staff informed of technological improvements and advancements in Systems.
• Establish and maintain an enforcement process that is utilized to resolve violations
of the Local Entity and/or State’s rules and regulations.
• Maintain complaint forms and a filing system containing results of complaint
investigations and documentation of final resolution. Investigate and respond to all
complaints related to onsite wastewater in a timely manner.
Drinking Water:
The Grantee shall perform the following services including but not limited to:
• Perform water well permitting activities, pre-drilling site reviews, random
construction inspections, and water supply system inspections for code compliance
purposes with qualified individuals classified as sanitarians or equivalent.
• Assign one individual to be responsible for quarterly reporting of the data and to
coordinate communication with the assigned State staff. Reports shall be submitted
no later than fifteen (15) days following the end of the quarter on forms provided by
the State. The report form EQP2057 (07/2019) is available on the EGLE website.
All quarterly reports are submitted directly to the EGLE address noted on the form.
• Perform Minimum Program Requirements (MPRs) activities and associated
performance indicators. These are available on the EGLE website. Guidance
regarding the MPRs and indicators is available in the “Local Health Department
Guidance Manual for the Private and Type III Drinking Water Supply Systems.”
The guidance manual is available online at Michigan.gov/WaterWellConstruction.
PROJECT: Food Service Sanitation (FOOD ELPHS)
Start Date: 10/1/2024
End Date: 09/30/2025
Project Synopsis:
State funding for ELPHS shall support and the Grantee shall provide for all the following
required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as
amended, Part 24 and Act No. 336, of 1998 Section 909:
Infectious/Communicable Disease Control
Sexually Transmitted Disease
Immunization
On-Site Wastewater Treatment Management
Drinking Water Supply
Food Service Sanitation
Hearing
Vision
• State funding for ELPHS can support administrative cost for the eight required
services including allowable indirect cost, or a Grantee’s cost allocation plan.
• ELPHS funding can also be used to fund other core health functions including:
Community Health Assessment & Improvement, Public Policy Development,
Health Services Administration, Quality Assurance, Creating & Maintaining a
Competent Work Force and Local Public Health Accreditation. These services
may be budgeted separately as part of the Administrative Budget element.
• Net allowable expenditures are the authorized actual/allowable expenditures
(total costs less specified exclusions). Available funding is also limited by state
appropriations.
• First- and second-party fees earned in each required service program may be
used only in that required service program.
Additional Reporting Requirements:
All final amendment ELPHS funding shift request memos need to be submitted
no later than May 1st.
• Please send the memo to Laura de la Rambelje
(DelaRambeljeL@michigan.gov) and copy Anita Miko (MikoA@michigan.gov)
*Additional budget detail is provided in Attachment I
Food Service Establishment Licensing
• Provide updates to MDARD on the 1st and 15th of each month, as necessary to:
• Provide a list of food service establishments approved for licensure/license
issued.
• Provide a list of food service establishment licenses that have not been
approved for licensure and are considered voided or deleted.
• Return the actual licenses to MDARD that are to be voided or deleted.
• Return renewal license applications and licenses that require correction.
Mark the corrections on the renewal application.
Temporary Food Establishment Licensing
Provide updates to MDARD on the 1st and 15th of each month, as necessary, to
provide:
• A copy of each temporary food establishment license issued.
• A list of lost or voided licenses by license number.
Additional requirements:
Food Service Establishment Licensing
• Accept responsibility for all licenses specified in the “Record of Licenses
Received.”
• Issue licenses in accordance with the Michigan Food Law 2000, as amended.
Temporary Food Establishment Licensing Upon receipt, sign and return the “Record of Licenses Received” to MDARD.
Issue licenses in accordance with the Michigan Food Law 2000, as amended.
Make every effort to issue temporary food establishment licenses in numerical order.
Michigan Department of Agriculture and Rural Development (MDARD) Agrees to:
Food Service Establishment Licensing
• Furnish pre-printed food service establishment license applications and pre-
printed licenses to the Grantee for each licensing year (May 1 through April 30)
using previous year active license data.
• Provide a count of all licenses sent to the Grantee titled “Record of Licenses
Received.”
• Reprint any licenses requiring correction and send corrected copies to the
Grantee.
• Bill the local health department for state fees upon notification by Grantee that
the license has been approved and issued.
Temporary Food Service Establishment Licensing
• Furnish blank temporary food service license application forms (forms FI-231, FI-
231A) and blank Combined License/Inspection forms (FI-229) upon request from
the local health department.
• Furnish a “Record of Licenses Received” with each order of Combined
Licenses/Inspection forms.
• Periodically reconcile temporary food service establishment licenses sent to
the Grantee with the licenses that have been issued (copy returned to MDARD).
• Bill the local health department for state fees upon notification by the
Grantee that the license has been approved and issued.
PROJECT TITLE: ELPHS Hearing and Vision
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Hearing and Vision Programs screen over 1 million preschool and school-age
children each year. Screening services are conducted in schools, Head Start, and
preschool centers by local health department (LHD) hearing and vision
technicians. Children who fail their vision screening are referred to a licensed eye
doctor for an exam and treatment. Follow-up is conducted by the LHD to confirm that
the child gets the care that they need. Children who do not pass their hearing screening
are referred to their primary care physician, audiologist, or Ear, Nose, and Throat
physician for diagnosis, treatment, and recommendations.
Additional Reporting Requirements:
Upon completion of the agreement, grantees must submit a School-Based Hearing and
Vision Program Annual Narrative Progress Report to MDHHS-Hearing-and-
Vision@michigan.gov and cc: respective Program Consultants (Jennifer Dakers,
dakersj@michigan.gov and Rachel Schumann, schumannr@michigan.gov
The report must include:
1. Successes-accomplishments of the program/technician(s)
2. Challenges- issues that created difficulty in managing the program and/or
performing screening services.
3. Technical Assistance Needs- request support from the Hearing and/or Vision
Consultant.
4. Additional Feedback-questions in this section will change annually based on
relevant/current program topics/issues.
• Annual Narrative Report must be approved by the MDHHS Hearing & Vision
Coordinators for their respective programs. Reporting template will be provided.
• Each Local Health Department (coordinators and technicians) should keep an
ongoing log of Successes and Challenges to compile and share at the end of the
fiscal year.
• Final reports are submitted by the grantee to MDHHS. The reports are due 30
days after the end of the fiscal year.
For questions regarding these reports, please contact:
Jennifer Dakers, MDHHS Hearing Consultant, dakersj@michigan.gov
Rachel Schumann, MDHHS Vision Consultant, schumannr@michigan.gov
Additional requirements:
Grantees must adhere to established Minimum Program Requirements for School-
Based Hearing & Vision Services as outlined in the Michigan Local Public Health
Accreditation Program 2019 MPR Indicator Guide.
PROJECT: MDHHS Essential Local Public Health Services (ELPHS)
Start Date: 10/1/2024
End Date: 09/30/2025
Project Synopsis
State funding for ELPHS shall support and the Grantee shall provide for all of the following
required services in accordance with P.A. 368, of 1978 and P.A. 92 of 2000, as
amended, Part 24 and Act No. 336, of 1998 Section 909:
Infectious/Communicable Disease Control
Sexually Transmitted Disease
Immunization
EGLE Drinking Water and Onsite Wastewater Management
Food Service Sanitation
Hearing
Vision
• State funding for ELPHS can support administrative cost for the eight required
services including allowable indirect cost, or a Grantee’s cost allocation plan.
• ELPHS funding can also be used to fund other core health functions including:
Public Policy Development, Health Services Administration, Quality Assurance,
Creating & Maintaining a Competent Work Force and Local Public Health
Accreditation. These services may be budgeted separately as part of the
Administrative Budget element. Community Health Assessment & Improvement
may be budgeted as part of the MDHHS Other ELPHS Budget.
• Net allowable expenditures are the authorized actual/allowable expenditures
(total costs less specified exclusions). Available funding is also limited by state
appropriations.
• First and second party fees earned in each required service program may be
used only in that required service program.
• State ELPHS funding is subject to local maintenance of effort compliance.
Distribution of state ELPHS funds shall only be made to agencies with total local
general fund public health services spending in FY 23/24 of at least the amount
expended in FY 92/93. To be eligible for any of the State funding increases, the
FY 92/93 Local Maintenance of Effort Level must be met.
Additional Reporting Requirements:
Local maintenance of effort reports due:
• Prior Fiscal Year Actual – March 31
• A final statewide cost settlement will be performed to assure that all available
ELPHS funds are fully distributed and applied for required services.
• All final amendment ELPHS funding shift request memos need to be submitted
no later than May 1st. Please send the memo to Laura de la Rambelje
(DelaRambeljeL@michigan.gov) and copy Anita Miko (MikoA@michigan.gov)
*Additional budget detail is provided in Attachment I
• Each LHD will be required to complete the MDHHS ELPHS Detail report at the
end of Quarter 2 and Quarter 4.
Additional requirements:
• Assure the availability and accessibility of services for the following basic health
services: Prenatal Care; Immunizations; Communicable Disease Control;
Sexually Transmitted Disease (STD) Control; Tuberculosis Control;
Health/Medical Annex of Emergency Preparedness Plan.
• Fully comply with the Minimum Program Requirements for each of the required
services.
• Grantee will be held to accreditation standards and follow the accreditation
process and schedule established by the Department for the required services to
achieve full accreditation status. Grantees designated as “not accredited” may
have their Department allocations reduced for Departmental costs incurred in the
assurance of service delivery. The accreditation process is based upon the
Minimum Program Standards and scheduled on a three-year cycle. The
Minimum Program Standards include the majority of the required Department
reviews. Some additional reviews, as mandated by the funding agency, may not
be included in the Program Standards and may need to be scheduled at other
times.
PROJECT: Emerging Threats – Hepatitis C
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Funds are provided to grantees to increase local capacity to make improvements in
hepatitis C virus (HCV) testing, case management, linkage to care and treatment.
Hepatitis C case management is defined as following a case from initial point of contact
until the case achieves sustained virologic response (SVR), defined as having
undetectable HCV RNA levels 12 weeks after the cessation of treatment, or SVR12.
Effective case management is vital within the hepatitis C continuum of care and has been
demonstrated to reduce rates of cases being lost to follow up.
Additional Reporting Requirements:
• Grantees will participate on semi-routine group conference calls and/or 1:1
technical assistance check-in calls to discuss best practices and identify barriers.
• Grantees will offer hepatitis C antibody with reflex to RNA testing through their
public health clinics.
• Grantees will collect and submit specimens to the MDHHS Bureau of Laboratories
for HCV testing through their public health clinics.
• Grantees will provide clinic hours and information on where patients can get tested
and treated for hepatitis C on local health department website or provide link to
MDHHS We Treat Hep C provider directory.
• Grantees will provide written document outlining their process of investigating
hepatitis C cases, including contact attempt protocol, case management protocol
and treatment referral process.
Target Requirements
Grantees will meet the following objectives for hepatitis C, chronic and acute case follow-
up:
Target 1: Interview attempted on 100% of hepatitis C, chronic and acute cases (defined
as "Contact Type" field is not blank)
Target 2: Race and ethnicity data completed on 100% of hepatitis C, chronic and acute
cases
Target 3: Age data completed on 100% of hepatitis C, chronic and acute cases
Target 4: “Has the patient ever injected drugs not prescribed by a doctor even if only
once or a few times?” question completed on 100% of hepatitis C, chronic and acute
cases
Target 5: “Is or has the patient’s hepatitis C infection been treated?” question completed
on 100% of hepatitis C, chronic and acute cases, with special emphasis on marking
cases treated at the local health department having “Select treatment provider specialty”
field marked “LHD”
Target 6: “Lost to follow-up" question marked on 100% of hepatitis C, chronic and acute
cases that do not have a “completed” contact attempt in the Case Management section in
MDSS.
Target 7: Insurance Status (Check all that apply)” field marked on 100% of hepatitis C,
chronic and acute cases that have “completed” contact attempt in the Case Management
Section in MDSS.
Target 8: “Was the client provided with viral hepatitis education?” question marked on
100% of hepatitis C, chronic and acute cases that have a “Completed” contact attempt in
the Case Management section in MDSS.
Target 9: “Does the patient have a provider of care for Hepatitis C?” question marked on
100% of hepatitis C, chronic and acute cases.
Violation Monitoring:
The inability to meet the metrics will elicit the following response from MDHHS related to
this funding:
• Technical assistance
• Corrective action/performance improvement plans with MDHHS
• Reallocation of funds.
Additional requirements:
• Grantees may collaborate with the MDHHS Viral Hepatitis Unit for assistance
• Grantees can submit HCV specimens to the MDHHS Bureau of Laboratories at no
cost to them or the client
PROJECT TITLE: Ending the HIV Epidemic Implementation
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The purpose of this project is to implement activities to support the objectives of the
CDC PS20-2010 Ending the HIV Epidemic in Wayne County. The purpose of these
objectives is to reduce the incidence of HIV in and improve the overall health and well-
being of residents of Wayne County.
Additional Reporting Requirements:
The Grantee shall submit the following reports on the following dates:
Report Period Due Date(s) Report submission
Counseling, Testing, and referrals
Quality Control Reports Monthly 10th of the following
month Department Staff
Daily Client Logs Monthly 10th of the following
month Department Staff
Test Kit Inventory Log Monthly 10th of the follow
month Department Staff
HIV Testing
Proficiencies Bi- annually Reviewed during
site visits Department Staff
HIV Testing
Competencies Annually
Submit into
SHOARS before the
end of the calendar
year
Department Staff
EMR testing** Monthly By the 10th of the
following month Department Staff
Non-Reactive Results As needed Within 7 days of test APHIRM
Reactive Results As needed Within 24 hours of
test APHIRM
Case Report Forms
As needed in
the event of a
reactive result
Within 24 hours of
positive screening
and confirmatory
Michigan Adult HIV
Confidential Case Report
Form
Fax: (313) 456-1580 Attn:
HIV Surveillance
Partner Services & Linkage to Care (as applicable)
Linkage to Care and
Partner Services
Interview***
As needed Within 30 days of
service APHIRM
Internet Partner
Services (IPS) and
Partner Services
Interview****
Ongoing Within 30 days of
service APHIRM
Disposition on Partners
of HIV Cases Ongoing Within 30 days of
service APHIRM
Evidence Based Risk Reduction Activities (as applicable)
SSP Data Report, Quarterly 10th of the following
month
Syringe Utilization
Platform (SUP)
Clinical HIV/STI services (as applicable)
340b PrEP Prescription
Log Weekly Every Friday by the
close of business
DCH File Transfer –
MDHHS-340B PrEP PT
ADT*****
Billing Revenue Report Quarterly
10th of the following
month
Department Staff
STI 340B
Utilization/Inventory
Report,
Quarterly
Within 10 days after
the end of the
quarter
Log into
SGRX340BFlex.com
website, generate a
quarterly report on the
reporting tab, and it will be
transferred automatically
to ScriptGuide/BHSP
*CDC/MDHHS required activities including: Condom Distribution Data, if applicable; Social
Marketing data; Evidence based intervention data; other prevention services and activities,
if applicable
** Aggregated testing data
***(e.g. client attended a medical care appointment within 30 days of diagnosis, and was
interviewed by Partner Services within 30 days of diagnosis)
****(e.g. client identify dating apps used to meet partners), if applicable
*****https://milogintp.michigan.gov
A. The Grantee will clean-up missing data by the 10th day after the end of each
calendar month. Grantee must report required variables as outlined by National
HIV Monitoring and Evaluation (NHM&E) and MDHHS.
B. Any such other information as specified in the Statement of Work, Attachment A
shall be developed and submitted by the Grantee as required by the Bureau of
HIV and STI Programs (BHSP).
C. The Quality Control and Daily Client Logs may be sent to the Contract Manager
via:
Email – Bry Fryczynski (FryczynskiB@michigan.gov) and the MDHHS
CTR inbox (MDHHS-HIV-CTR@michigan.gov)
Fax - (517) 241-5922
Mailed - HIV Prevention Unit, Attn: CTR Coordinator, PO Box 30727,
Lansing, MI 48909
D. BHSP shall evaluate the reports submitted as described in items A. and B. for
their completeness and accuracy.
E. The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by BHSP.
F. Monitoring and evaluation of targeted screening and referrals provided internally
and supported via contractual agreements.
Any additional Requirements:
A. Publication Rights
1. When issuing statements, press releases, requests for proposals, bid solicitations
and other documents describing projects or programs funded in whole or in part
with Federal fund, the Grantee receiving Federal funds, including but not limited to
State and local governments and recipients of Federal research grants, shall
clearly state:
a. The percentage of the total costs of the program or project that will be
financed with Federal funds.
b. The dollar amount of Federal funds for the project or program.
c. Percentage and dollar amount of the total costs of the project or program
that will be financed by non-governmental sources.
2. The Grantee will submit all educational materials (e.g., brochures, posters,
pamphlets, and videos) used in conjunction with program activities to BHSP for
review and approval prior to their use, regardless of the source of funding used to
purchase these materials. Materials may be emailed to: MDHHS-
HIVSTIoperations@michigan.gov.
B. Grant Program Operation
1. The Grantee will participate in BHSP needs assessment and planning activities,
as requested.
2. The Grantee will participate in regular Grantee meetings which may be face-to-
face, teleconferences, webinars, etc. The Grantee is highly encouraged to
participate in other training offerings and information-sharing opportunities,
network detection response and interventions in collaboration with BHSP
opportunities provided by BHSP.
3. Each employee funded in whole or in part with federal funds must record time
and effort spent on the project(s) funded. The Grantee must:
a. Have policies and procedures to ensure time and effort reporting.
b. Assure the staff member clearly identifies the percentage of time devoted to
contract activities in accordance with the approved budget.
c. Denote accurately the percent of effort to the project. The percent of effort
may vary from month to month, and the effort recorded for funds must match
the percentage claimed on the FSR for the same period.
d. Submit a budget modification to BHSP in instances where the percentage of
effort of contract staff changes (FTE changes) during the contract period.
e. If there are any changes in staff or agency operations, please email MDHHS-
SHOARS-SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov.
4. If conducting HIV testing using rapid HIV testing, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Provide medical oversight letter/agreement signed by a licensed physician is
necessary to collect specimens and order HIV antibody/antigen, HIV
genotype, HIV incidence, syphilis, gonorrhea, chlamydia, and hepatitis C
testing. According to Part 15 of the Public Health Code MCL 333.17001(j),
‘practice of medicine’ is defined as
i. “the diagnosis, treatment, prevention, cure, or relieving of a human
disease, ailment, defect, complaint, or other physical or mental condition,
by attendance, advice, device, diagnostic test, or other means, or offering,
undertaking, attempting to do, or holding oneself out as able to do, any of
these act”.
b. Conduct quality assurance activities, guided by written protocol and
procedures. Protocols and procedures, as updated and revised Quality
assurance activities are to be responsive to: Quality Assurance for Rapid HIV
Testing, MDHHS. See “Applicable Laws, Rules, Regulations, Policies,
Procedures, and Manuals.”
i. Ensure provision of Clinical Laboratory Improvement Amendments (CLIA)
certificate.
ii. Report discordant test results to BHSP
Email – Bry Fryczynski (FryczynskiB@michigan.gov) and the
MDHHS CTR inbox (MDHHS-HIV-CTR@michigan.gov)
Fax - (517) 241-5922
iii. Ensure that staff performing counseling and/or testing with rapid test
technologies has completed, successfully, rapid test counselor certification
course or Information Based Training (as applicable), test device training,
and annual proficiency testing.
iv. In the event of a confirmed case of HIV, an Adult Case Report form must
be sent to the BHSP HIV Surveillance department via fax within 24 hours
as referenced in the reporting table.
c. If conducting blood draws, the grantee must conduct the packaging and
shipping training via Bureau of Laboratories. BashoreM@michigan.gov
i. Ensure that all staff and site supervisors have completed, successfully,
appropriate laboratory quality assurance training, blood borne pathogens
training and rapid test device training and reviewed annually.
ii. Develop, implement, and monitor protocol and procedures to ensure that
patients receive confirmatory test results.
iii. To maintain active test counselor certification, each HIV test counselor
must submit one competency per test device per year to the appropriate
departmental staff.
5. If conducting SSP, the grantee will develop programs using MDHHS guidance
documents and will address issues such as identification and registration of
clients, exchange protocols, education, and trainings for staff, and referrals.
a. Grantees will participate on monthly or quarterly conference calls to discuss
best practices and identify barriers.
6. If conducting PS, the Grantee will comply with guidelines and standards issued
by the Department. See “Applicable Laws, Rules, Regulations, Policies,
Procedures, and Manuals.” The Grantee must:
a. Provide Confidential PS follow-up to infected clients and their at-risk partners
to ensure disease management and education is offered to reduce
transmission.
b. Effectively link infected clients and/or at-risk partners to HIV care and other
support services.
c. Work with Early Intervention Specialist to ensure infected clients are retained
in HIV care.
d. If applicable,
i. Procure TLO or a TLO-like search engine.
ii. Ensure staff that are utilizing TLO or TLO-search engine complete the
TLO training to maintain and understand the confidential use of the
system.
iii. Effectively utilize the Internet Partner Services (IPS) Guidance to provide
confidential PS follow-up to at-risk partners named by infected clients who
were identified to have been met through the use of dating apps.
iv. Ensure staff and site supervisors successfully complete the Internet
Partner Services Training.
v. Ensure staff conducting Internet Partner Services participant in monthly,
bi-monthly meetings, webinars or calls to discuss best practices and
identify barriers.
7. If conducting 340 B STI/PrEP clinical activities, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Funds generated by this program must be utilized to support the program,
including to hire a Mid-level provider, supporting staff, and program materials
to provide Pre-Exposure Prophylaxis (PrEP) services.
b. Any funds included in this agreement above must be re-invested in HIV/STI
PrEP services. This could mean improving, enhancing, and/or expanding your
current HIV/STI services or adding new services to improve patient health
outcomes for HIV/STI.
c. Any revenue or income generated via billing from this agreement must be
reinvested into this project.
8. If conducting Social Marketing activities, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Prior to implementation of any marketing activities the Grantee will submit a
proposal as outlined in the Social Marketing Plan Attachment.
b. If the proposal is approved, the Grantee will work with BHSP contract staff in
regularly scheduled meetings, to ensure all activities are inline with program
requirements
c. Grantee will submit detailed social marketing campaign data (ex: impressions,
website analytics, population groups reached, etc.) with quarterly progress
reports
Record Maintenance/Retention
The Grantee will maintain, for a minimum of five (5) years after the end of the grant
period, program, fiscal records, including documentation to support program activities
and expenditures, under the terms of this agreement, for clients residing in the State of
Michigan.
Software Compliance
1. The Grantee and its subcontractors are required to use APHIRM (formerly
Evaluation Web) to enter HIV client and service data into the centrally managed
database on a secure server.
2. The Grantee and its subcontractors are required to use APHIRM to enter PrEP
Cascade Data into the centrally managed database on a secure server.
3. The Grantee and its subcontractors are required to use APHIRM to enter EBI/
PrEP program data into the centrally managed database on a secure server.
4. The Grantee and its subcontractors are required to use APHIRM (formerly
Partner Services Web) to enter Partner Services interview, linkage to care data,
and identified dating apps through the use of Internet Partner Services (IPS)
where appropriate.
5. The Grantee and its subcontractors are required to use SHOARS to request
amendments, supplies, data, technical assistance and to register for trainings.
6. New staff needing access to APHIRM are required to submit the APHIRM user
request form through SHOARS.
7. The Grantee shall notify MDHHS immediately via email at MDHHS-SHOARS-
SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov of APHIRM users who
are separated from the agency for deactivation.
Mandatory Disclosures
1. The Grantee will provide immediate notification to BHSP, in writing, including but
not limited to the following events:
2. Any formal grievance initiated by a client and subsequent resolution of that
grievance.
3. Any event occurring or notice received by the Grantee or subcontractor, that
reasonably suggests that the Grantee or subcontractor may be the subject of, or
a defendant in, legal action. This includes, but is not limited to, events or notices
related to grievances by service recipients or Grantee or subcontractor
employees.
4. Any staff vacancies funded for this project that exceed 30 days.
a. All notifications should be made to BHSP by MDHHS-
HIVSTIoperations@michigan.gov.
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in
the BHSP SHOARS system. These roles must match what the agency has listed
for these roles in the EGrAMS system. If you have access related questions,
contact MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-
SUPPORT@michigan.gov .
3. TA will be provided, as requested, on the implementation of the HIV Prevention
program. This may include issues related to: APHIRM, Programs, Budget/Fiscal,
Grants and Contracts, Risk Reduction Activities, Training, or other activities
related to carrying out HIV prevention activities.
4. Training and TA will be provided in support of implementation of HIV testing as a
standard of care and use of rapid HIV tests.
5. The Bureau of HIV/STI Programs values the implementation of sexual
orientation, gender identity and expression (SOGIE) standards for all contractors
of the Bureau of HIV/STI Programs to assure the safety, privacy, and person-first
service of those of the LGBTQIA+ community. We want to deliver high quality
care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and all
sexual and gender diverse people by ensuring training, policies and data
collection standards are responsive to the needs of LGBTQ+ community and
provide assuring, affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract
(yearly) or cumulatively across all BHSP contracts and all new staff funded
at 25% or more associated with this contract or cumulatively across all
BHSP contracts are required to attend trainings to ensure culturally
appropriate communication and interactions with the LGBTQ+
community. This training can be accomplished through the Ruth Ellis
Center (Ruth Ellis Center), SOGIE Trainings on MDDHS’s Website
(SOGIE trainings (michigan.gov)), or the National LGBTQIA+ Health
Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please
ensure all training certifications are attached for new employees in
SHOARS on the agency dashboard under “Program Requirements” within
90 days of hire and all existing employees by the end of the fiscal year
(September 30, 2025).
b. Submit a narrative or agency policy language documenting how person
first language is addressed on intake forms, patient interactions and
program materials. Report by September 30, 2025 via EGrAMS
attachment.
Compliance with Applicable Laws
1. The Grantee should adhere to all Federal and Michigan laws pertaining to
HIV/AIDS treatment, disability accommodations, non-discrimination, and
confidentiality.
PROJECT: Expanding, Enhancing Emotional Health (All Locations)
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The E3 program funds mental health staff in schools to provide one on one therapy and
small group therapy.
Additional Reporting Requirements:
Work plans will be submitted annually, attached to the original grant application at the beginning of the year. Quarterly work plan reports will be submitted, attached to the FSR, within 30 days of the end of the quarter. Work plans and work plan reports can also be submitted via e-mail to your appropriate E3 consultant: Gina Zerka: zerkag@michigan.gov
All data previously reported will be submitted quarterly. The due dates are as follows:
a. Q1: Due January 30th,
b. Q2: Due April 30th,
c. Q3: Due July 30th and
d. Q4: Due September 30th.
All data shall continue to be entered into the Clinical Reporting Tool (CRT). See below for data definitions. The grantee shall permit the Department or its designee to visit and make an evaluation of the project as determined by the Contract Manager.
Number of Unduplicated Users (clients) by Demographic Designation per quarter
Definition of an Unduplicated User:
An unduplicated user is an individual who has presented themselves to the E3 Program
for service with the mental health provider (minimum Master’s prepared and licensed
mental health provider), and for whom a record has been opened. Opening a record
includes documenting an assessment, diagnosis and treatment plan. Once per year, the
user is counted to generate the number of unduplicated clients utilizing the E3 services
for that year.
Age Range Female Male Total
0-4
5-9
10-17
18-21
Number of Unduplicated Users (clients) by Race per quarter
White
Black/African-American
Asian
Native Hawaiian or Pacific Islander
American Indian or Alaskan Native
More than One Race
Number of Unduplicated Users (clients) by Ethnicity per quarter
Arab/Chaldean
Hispanic or Latino
Definition of a Visit:
A visit is a significant encounter between an E3 provider and a new (unduplicated) user
or established (duplicated) user. Each visit should be documented as appropriate to the
visit and provider (i.e., visits include an assessment, diagnosis and treatment plan
documented in the medical record and/or other documentation appropriate to the visit). A
user will likely have multiple visits per year.
Total Visits by Provider Type per quarter:
*Mental Health Provider must be minimum Master’s prepared and licensed. Mental
Health Provider visits are counted as “face to face” contacts.
*Telehealth Visits can be tele-conferencing and tele-phonic. Telehealth visits should be
counted when using this mechanism during visit.
Note: Telehealth visits should be counted only once, as a Telehealth visit.
Do not count as a visit with BOTH the mental health provider AND a Telehealth visit.
Visits by Type per quarter:
Count the visit by type of session provided. If the client was seen individually, count as an
individual visit. If the client was seen in a therapeutic group, count as a group visit. If a
client receives both individual and therapeutic group services, count both visit types.
QUALITY INDICATORS REPORT DEFINITIONS
For each of the following Quality Measures, report the YTD NUMBER each quarter.
Each quarter, your data will likely be equal to or greater than, the previous quarter. Note
that this is different than the quarterly reporting elements, where data is reported by
quarter for that specific quarter only.
Number of Unduplicated Clients Ages 10-21 Years with an Up-to-Date Depression
Screen:
Report the number of unduplicated clients up-to-date with depression screening. This
information could come directly from a behavioral health screener or risk assessment, so
the number screened (flagged) for depression may equal or be very close to the number
of behavioral health screeners and/or risk assessments completed. (Note this is not the
same as a depression assessment conducted by a provider.) Do not double count
clients who were screened (flagged) for depression using behavioral health screen or risk
assessment and who also completed a specific depression screening tool (e.g., Beck’s,
PHQ-9, etc).
Number of Clients Age 12 and Up with a Positive Depression Assessment
(Diagnosis of Depression):
Report the number of clients (age 12 and older) with a diagnosis of depression according
to the score on the depression screening tool and psychosocial assessment by the
provider. Exclude the following: a) those who are already receiving documented care
elsewhere, and b) those who are referred out of the E3 site for treatment.
Number of Clients Age 12 and Up with a Diagnosis of Depression who have
Documented, Appropriate Follow-Up:
Report the number of clients from the denominator who receive treatment at the E3 site
who have all of elements of an appropriate follow-up plan: a) had a psycho-social
assessment completed by 3rd visit (includes suicide risk assessment/safety plan), b) had
a treatment plan developed by 3rd visit, c) treatment plan reviewed @ 90 days (for those
on caseload for 90+ days), and d) screener re-administered at appropriate interval to
determine change in score.
For the following two quality measures, please note that you are NOT expected to
administer BOTH a behavioral health screen AND a risk assessment to each client. You
only need to administer one tool or the other as appropriate for age, developmental level
and need. Please report the number of behavioral health screens and/or risk
assessments provided to your clients:;.
Number of Unduplicated Clients Ages 5-21 Years with at least one Behavioral
Health Screen in the annual year:
Report the number of clients that receive a Behavioral Health Screen as appropriate for
age and developmental level. Examples of appropriate screening tools (to use) include
but are not limited to Pediatric Symptoms Checklist (17 or 34), Strength and Difficulties
Questionnaire.
Number of Unduplicated Clients with an Up-to-Date Risk Assessment / Anticipatory
Guidance:
Report the number of clients that are complete with an annual risk assessment or
anticipatory guidance, as appropriate for age and developmental level. This may include
clients that are UTD because they completed the risk assessment/anticipatory guidance
in a previous fiscal year but are being seen in the E3 site in the current fiscal year.
BILLING REPORT DEFINITIONS
Reported on annual basis only, as requested:
Enter the dollar amount in claims submitted for services provided during the current
fiscal year (October 1- September 30), regardless of whether or not the claims were paid
during the fiscal year.
Enter the dollar amount received in revenue during the current fiscal year (October 1-
September 30), regardless of whether or not revenue resulted from claims filed during the
fiscal year.
For each of these entries, you will be entering data by:
• Medicaid Health Plan/Medicaid (from a drop-down menu)
• Commercial
• Self-Pay
• Other
Note that the Estimated Percent of Claims Paid and Unpaid (based on dollar amount, not
on number of claims) and Payor Mix will be auto totaled.
5 Most Common Reasons for Rejection of Submitted Claims:
Select the five most common reasons for rejection of submitted claims from the
dropdown menu according to best-fit category.
DIAGNOSES AND PROCEDURE CODES AND FREQUENCY
Reported on annual basis only, as requested:
Mental Health Problem Diagnoses – Top 5 diagnoses from the mental health provider
CPT codes – Top 5 CPT codes - both the code and the name of procedure
End of the Year/ Fall Narrative:
In addition to the quarterly data reporting. All E3 sites are required to submit an End of
Year/Fall Narrative Report. This report will focus on the Continues Quality Improvement
requirement as indicated in the Minimum Program Requirements document. The report
template will be given to E3 program sites by their assigned Program Consultant.
Completed Fall Narratives will be emailed to the assigned Program Consultant.
• Due on October 30 each year
MINIMUM PROGRAM REQUIREMENTS
October 1, 2024 - September 30, 2025
The E3 program shall be open and provide a full-time or full time equivalent mental health
provider in one school building year-round. Services shall: a) fall within the current,
recognized scope of mental health practice in Michigan and b) meet the current,
recognized standards of care for children and/or adolescents.
Services provided by the mental health provider are designed specifically for children and
adolescents ages 5 through 21 years and are aimed at achieving the best possible social
and emotional health status. This is done by providing comprehensive mental health
services which include screening, assessment, treatment, follow up and referral.
Services
1. A minimum caseload of 50 clients (users) must be maintained annually.
2. In addition to maintaining a client caseload, the following services may be provided
and must be reflective of the needs of the school:
a. treatment groups using evidence-based curricula and interventions;
b. school staff training and professional development relevant to mental health;
c. building level promotion, such as school climate initiatives, bullying prevention,
suicide prevention programs, etc
d. classroom education related to mental health topics
e. case management to and partnerships with other private/public social service
agencies
3. An up-to-date Behavioral Health Screen and/or Risk Assessment will be completed
for unduplicated users at least once in the annual year.
4. The use of an Electronic Medical Records system is required.
Assurances
5. These services shall not supplant existing school services. This program is not meant
to replace current special education or general education related social work activities
provided by school districts. This program shall not take on responsibilities outside of
the scope of these Minimum Program Requirements (Individualized Educational
Plans, etc.).
6. Services provided shall not breach the confidentiality of the client.
7. The E3 program shall not provide abortion counseling, services, or make referrals for
abortion services.
8. The E3 program, if on school property, shall not prescribe, dispense, or otherwise
distribute family planning drugs and/or devices.
Staffing/Clinical Care
9. The E3 site staff shall operate within their scope of practice as determined by
certification and applicable agency policies: The mental health provider shall hold a
minimum master’s level degree in an appropriate discipline and shall be licensed to
practice in Michigan. Clinical supervision must be available for all licensed providers.
For those providers that hold a limited license working towards full licensure,
supervision must be in accordance to licensure laws/mandates and be provided by a
fully licensed provider of the same degree.
10. The E3 program shall be open during hours accessible to its target population.
Provisions must be in place for the same services to be delivered during times when
school is not in session. Not in session refers to times of the year when schools are
closed for extended periods such as holidays, spring breaks, and summer vacation.
These provisions shall be posted and explained to clients. The mental health provider
shall have a written plan for after-hours and weekend care, which shall be posted in
the center including external doors and explained to clients. An after-hours answering
service and/or answering machine with instructions on accessing after-hours mental
health care is required. If services are not able to continue during periods of not in
session, a written plan must be communicated to MDHHS for approval. If children or
adolescents are being seen from outside of the targeted site, a policy shall exist to
this effect. Provisions shall be explained to clients.
Administrative
11. There shall be a current signed interagency agreement defining the roles and
responsibilities of the sponsoring agency and the local school district/building. This
agreement must state a plan will be in place for transferring clients and/or caseloads if
the agreement is discontinued or expires. Written approval by the school
administration (ex: Superintendent, Principal) and school board exists for the
following:
a. location of the E3 program within the school building;
b. parental and/or minor consent policy; and
c. services rendered through the E3 program.
12. The mental health provider or contracting agency shall establish and implement a
process for billing Medicaid, Medicaid Health Plans and other third party payors for
services rendered. Any revenue generated must be used to sustain the E3 program
and its services. E3 shall establish and implement a sliding fee scale, which is not a
barrier to health care for adolescents. No student will be denied services because of
inability to pay. E3 funding is in place to support overall program operations including
provider time; agencies are responsible to offset any outstanding balances for direct
mental health services to avoid collection notices and/or referrals to collection
agencies for payment. The billing and fee collection processes do not breach the
confidentiality of the client.
13. Policies and procedures shall be implemented regarding proper notification of
parents, school officials, and/or other health care providers when additional care is
needed or when further evaluation is recommended. Policies and procedures
regarding notification and exchange of information shall comply with all applicable
laws e.g., HIPAA, FERPA and Michigan statutes governing minors’ rights to access
care.
14. Implement a continuous quality improvement plan for mental health services.
Components of the plan shall include, at a minimum:
a) ongoing record reviews by peers (at least twice annually) to determine that
conformity exists with current standards of practice. A system shall be in place to
implement corrective actions when deficiencies are noted;
b) conducting a client satisfaction survey/assessment at least once annually.
c) continuous quality improvement team: A CQI Coordinator shall be identified. CQI
meetings, that include all staff associated with E3 program, shall be held at least
quarterly. These meetings shall include discussion of reviews, client satisfaction
survey and any identified clinical issues.
15. The E3 program must have the following policies as a part of overall policies and
procedures:
a. parental and/or minor consent;
b. custody of individual records, requests for records, and release of information
that include the role of the non-custodial parent and parents with joint custody;
c. confidential services; and
d. disclosure by clients or evidence of child physical or sexual abuse, and/or
neglect.
Physical Environment
16. The E3 program shall have space and equipment adequate for private counseling,
secured storage for supplies and equipment, and secure paper and electronic client
records. The physical facility must be youth-friendly, barrier-free, clean and safe.
PROJECT: Family Planning Program
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
The Michigan Family Planning Program assists individuals and couples in planning and
spacing births, preventing pregnancy, and seeking preventive health screenings. On-site
clinical services are delivered through a statewide network of local health departments,
hospital-based health systems, and federally qualified health centers. The program
prioritizes serving low-income individuals, adolescents, and un/underinsured individuals.
Michigan’s Family Planning Program serves as a safety net with providers who have
been a reliable and trusted source of care, and in many cases the only regular source of
health care and health education for Michiganders. Referrals to other medical,
behavioral health, and social services are provided to clients, as needed. Services are
charged based on ability to pay. No one is denied services due to inability to pay.
Additional Reporting Requirements:
Each grantee shall submit the required reporting on the following dates:
Report Time Period Due Date to
Department
FPAR 2.0 Year-End Encounter Level Report
Family Planning Encounters (Table 13) &
Family Planning Revenue Report (Table 14)
(Calendar Year 2024)
January 1 – December 31 January 10
FPAR 2.0 Quarterly and Mid-Year Data
Reports Encounter Level (Calendar Year
2025)
January 1 – March 31
January 1 – June 30 (mid-
year)
January 1 – September
30
April 11
July 11
October 10
FPAR 2.0 Family Planning Encounters
(Table 13) & Family Planning Revenue
Report (Table 14) (Calendar Year 2025)
January 1 – June 30 July 11
Annual Health Care Plan October 1 – September
30 September 15
Teen/Adult Consumer Survey October 1 – March 31 April 18
Each grantee shall indicate the following project outputs:
Target Measure
Total
Performance
Expectation
MDHHS State Agreement
Minimum Performance Expected
Unduplicated Number of Title X
Clinic Users for FY25 Original
Agreement Funding Amount
Percent Number
95%
Unduplicated Number of Title X
Clinic Users for FY25 Additional
Geographic Service Area
Funding Amount
35%
Reports and information shall be submitted to the Contract Administrator at:
Report Submit To
FPAR 2.0 Year-End Encounter Level Report
(Calendar Year 2024)
MILogin via Family Planning Transfer Area
FPAR 2.0 Quarterly, and Mid-Year Data
Reports Encounter-Level (Calendar Year
2025)
MILogin via Family Planning Transfer Area
FPAR 2.0 Family Planning Encounters (Table
13) & Family Planning Revenue Report
(Table 14) (Calendar Year 2025)
MDHHS Family Planning Inbox
mdhhs-
reproductivehealthunit@michigan.gov
Annual Health Care Plan
MDHHS Family Planning Inbox
mdhhs-
reproductivehealthunit@michigan.gov
Teen/Adult Consumer Survey
MDHHS Family Planning Inbox
mdhhs-
reproductivehealthunit@michigan.gov
A. The Contract Administrator shall evaluate the reports submitted as described for their
completeness and adequacy.
B. The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by the Contract Administrator.
Additional requirements:
1. Each grantee must serve a minimum of 95% of contracted caseload to access its total
amount of allocated funds. Each grantee’s Family Planning Annual Report (FPAR) data
will be used to monitor contracted caseload performance. Year-end FPAR will be used
to assess whether grantee has met their minimum contracted caseload requirement.
2. Each grantee will be required to adhere to federal statue and regulations for Title X
Family Planning Programs, including legislative mandates, Executive Orders,
Department of Health & Human Services (HHS) grant administration regulations, HHS
grant policy statements, and any applicable appropriations acts.
3. Each grantee will be required to adhere to the current version of the Michigan Title X
Family Planning Program Standards & Guidelines Manual.
4. Each grantee will provide MDHHS a minimum of 30 days advance notice of any service
site (i.e., clinic) changes, including any deletions, additions, or changes to the name,
location, street address and email, services provided on-site, and contact information for
the service site. Service site changes can be sent to grantee’s agency consultant.
5. Each grantee will be required to participate in program planning and evaluation,
including the completion of an Annual Health Care Plan as stipulated by MDHHS, in
non-competitive funding years, including but not limited to, project progress report, clinic
operations and services provided, and upcoming fiscal year work plan.
6. Each grantee will ensure that low-income individuals (i.e., ≤100% of federal poverty
level) are given priority to receive family planning services.
7. Each grantee will provide family planning clients with a broad range of acceptable and
effective medically approved family planning methods, including natural family planning,
and services, including pregnancy testing and counseling, assistance to achieve
pregnancy, basic infertility services, sexually transmitted infection (STI) services,
preconception health services, and adolescent-friendly health services.
8. Each grantee will provide family planning services on a voluntary basis, without coercion
to accept services or any particular method of family planning, and without making
acceptance of services a prerequisite to eligibility for, or receipt of, any other services,
assistance from, or participation in any another program offered by grantee.
9. Each grantee will inform all staff participating in the Family Planning project that they
may be subject to prosecution if they coerce or try to coerce any person to undergo an
abortion or sterilization procedure.
10. Each grantee will provide confidential family planning and related preventive health
services to minors and will not require written consent of parents or guardians for the
provision of services to minors. Grantee will not notify parents or guardians before or
after a minor has requested and/or received family planning services, without the
consent of the minor.
11. Each grantee will encourage family participation in the decision of minors to seek family
planning services and must provide counseling to minors on how to resist efforts that
coerce minors into engaging in sexual activities.
12. Each grantee will comply with all state mandated reporting laws related to child abuse
and neglect; abuse, neglect, and exploitation of vulnerable adults; and human trafficking.
Confidentiality cannot be invoked to circumvent requirements for mandated reporting.
13. Each grantee will provide family planning services in a manner that is client-centered,
culturally and linguistically appropriate, inclusive and trauma-informed; protects the
dignity of the individual and ensures equitable and quality service delivery.
14. Each grantee will provide family planning services without regard to race, sex, religion,
age, national origin, color, height, weight, marital status, number of pregnancies, gender
identification or expression, sexual orientation, partisan considerations, sex
characteristics, disability or genetic information that is unrelated to the person’s
circumstances.
15. Each grantee will not provide abortion as a method of family planning and will have
written policy that no Title X funds are used to provide abortion as a method of family
planning.
16. Each grantee will provide pregnancy testing and client-centered counseling to all clients
in need of this service and will offer pregnant clients, if requested, neutral, factual,
information and non-directive counseling on prenatal care and delivery; infant care,
foster care, or adoption; and pregnancy termination.
17. Each grantee will offer services on a sliding fee scale, based on the current Federal
Poverty Guidelines, for individuals with a family income between 100% and 250% of the
federal poverty level to assure services are billed based on ability to pay. No one can be
denied services due to inability to pay.
18. Each grantee will ensure no charges will be made for services provided to low-income
clients (i.e., ≤100% of federal poverty level) except when that payment will be made by a
third-party, which is authorized to or is under legal obligation to pay this charge.
Donations are permissible from eligible clients, as long as clients are not pressured to
make one and donations are not a prerequisite to family planning services or supplies.
19. Each grantee where there is legal obligation or authorization for third-party
reimbursement, including public or private sources, all reasonable efforts must be made
to obtain third-party payment without application of any discounts. Where the cost of
services is to be reimbursed under Title XIX, XX, or XXI of the Social Security Act, a
written agreement with the title agency is required.
20. Each grantee will have a schedule of fees designed to recover the reasonable cost of
providing services for clients whose income exceeds 250% of federal poverty level
based on an analysis of the costs of providing services and identification of other factors
used to determine the fee schedule is reasonable.
21. Each grantee will convene a Family Planning Advisory Committee or similar body, which
will be broadly comprised of the population and/or community served to allow
participation in, the development and review of program policy and practices,
implementation, and evaluation of the project by others in the community knowledgeable
about the community's needs for family planning services and will meet at least once a
year.
22. Each grantee will establish and implement planned activities to provide community
education programs to facilitate awareness and access to family planning services and
encourage participation by diverse persons in the communities served.
23. Each grantee will convene an Information and Education Committee comprised of at
least five members who are broadly representative of the population and/or community
served that meets at least once a year to review (i.e., consider the suitability) and
approve all informational and educational materials, print or electronic, prior to
distribution.
24. Each grantee will provide for orientation and in-service training for all family planning
project personnel. Orientation must include tenets of the Title X Program.
25. Each grantee will provide family planning services without the imposition of any
residency requirement or requirement that the client be referred by a physician.
26. Each grantee will provide that family planning medical services will be performed under
the direction of a clinical services provider with special training or experience in family
planning.
27. Each grantee will have written clinical protocols that are in accordance with nationally
recognized standards of care and the current version of the Providing Quality Family
Planning Services recommendations that are reviewed and signed annually by the
directing clinical services provider overseeing the Family Planning project.
28. Each grantee will offer client-centered care on-site and/or by referral, meaning care that
is respectful of, and responsive to, individual client preferences, needs, and values;
client values guide all clinical decisions.
29. Each grantee will offer education on HIV and AIDS, risk reduction information, and either
on-site testing or provide a referral for this service.
30. Each grantee will operate in accordance with federal and state laws regarding the
provision of pharmaceuticals, including but not limited to, security and record keeping for
drugs and devices.
31. Each grantee will operate its project in accordance with federal and state laws and
guidelines regarding the provision of laboratory services related to family planning and
preventive health.
32. Each grantee will address clients’ social determinants of health to the extent feasible
through the coordination of referral arrangements for other health care, related social
services, and counseling.
33. Each grantee will have a current list of social services agencies and medical referral
resources that is reviewed and updated annually.
34. Each grantee will provide for emergency medical management to address emergency
situations.
35. Each grantee will establish a medical record for all clients who receive clinical services,
including but not limited to, pregnancy testing, counseling, and emergency
contraception. Medical records must comply with HIPAA privacy and security standards
and document quality care standards.
36. Each grantee will have a quality assurance system in place for ongoing evaluation of
family planning services, including a tracking system for clients in need of follow-up or
continued care, quarterly medical audits per clinician to determine conformity with
agency protocols, quarterly chart audits/record monitoring to determine the accuracy of
medical records, and a process to implement corrective actions for deficiencies.
37. Each grantee assures that if family planning services are provided by contract or other
similar arrangements with actual providers of services, services will be provided in
accordance with a plan, which establishes rates and method of payment for medical
care. These payments must be made under agreements with a schedule of rates and
payment procedures maintained by grantee. Grantee must be prepared to substantiate
these rates are reasonable and necessary.
38. Each grantee will comply with all Office of Population Affairs (OPA) Family Planning
Annual Report (FPAR) 2.0 requirements, as well as MDHHS required FPAR elements,
for the purposes of monitoring and reporting performance.
39. Each grantee will have a data collection system in place to assure accurate FPAR 2.0
reporting, and will be responsible for updating their system, as needed, to be in
compliance with OPA and MDHHS FPAR 2.0 data collection and reporting standards
and deadlines.
40. Each grantee will use FPAR 2.0 to identify program disparities and to the extent
feasible, will implement quality improvement techniques and/or use program promotion,
community outreach, or other community-based strategies to address identified
disparities.
41. Each grantee will provide that all services purchased for project participants will be
authorized by the project director or their designee on the project staff.
42. Each grantee will have a separate budget for its Family Planning project and maintain a
financial management system that meets the standards specified in 45 CFR Part 75.
43. Each grantee assures all project expenditures comply with 45 CFR Part 75 and are
expended solely for the purpose of delivering Title X Family Planning Services and that
any Family Planning revenue earned will be invested back into program operations and
reported as earned program income for financial reporting.
44. Each grantee will comply with the MDHHS Medicaid Cost-Based Reimbursement
(MCBR) reporting requirements and attach the MCBR Tracking Form to their final
financial status report. The MCBR Tracking Form must be completed in its entirety and
include Family Planning MCBR and Other Medicaid MCBR financial information for all
programs.
45. Grantee’s funding cannot be used for fundraising activities and/or political education or
lobbying, including membership costs for advocacy or lobbying organizations.
46. Grantee’s funding cannot be used to supplant funding for an existing program supported
with another source of funds.
47. Each grantee awarded an additional geographic service area (GSA) allocation in Fiscal
Year 2024 (FY24) via the approved Family Planning funding formula must serve at least
35% of their additional GSA contracted caseload performance expectation in Fiscal Year
2025 (FY25). Each grantee’s FPAR data will be used to monitor contracted caseload
performance. Year-end FPAR 2.0 will be used to assess whether grantee has met the
35% contracted caseload performance expectation.
48. Grantees awarded contraceptive access funding in FY24 will receive the equivalent
allocation in FY25 to be used in FY25 to support access to a broad range of FDA-
approved contraceptive methods on-site, including long-acting reversible contraceptives.
These funds will be monitored via routine financial (e.g., financial status reports) and
program oversight (e.g., FPAR 2.0, comprehensive site reviews) mechanisms.
PROJECT TITLE: Fetal Alcohol Spectrum Disorder Community Project
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Grantee will implement alcohol screening and FASD prevention education
among women of reproductive age and refer affected infants, children, and their
families to an FASD Diagnostic Center for evaluation and intervention.
Additional Reporting Requirements:
The Grantee will report in EGrAMS the status of each objective listed in the FASD
Workplan Narrative Report. In addition, the grantee will also submit Data
Evaluation Reports. Please see the following tables listing the report type, time
period, and due date of specified report:
The Grantee shall submit reports by the following dates:
1) EGrAMS Reports
Time Period Due Date Submit To
October 1 – December 31 January 31
EGrAMS
https://egrams-
mi.com/mdhhs/
January 15 – March 31 April 30
April 1 – June 30 July 31
July 1 – September 30 October 31
2) Data Evaluation Reports (The Contract Manager will email project lead the
report template)
Time Period Due Date Submit To
October 1, 2024 – March 31, 2025 January 31, 2025
Nilesm2@michigan.gov October 1, 2024 – September 30, 2025 October 31, 2025
Contract Manager:
Michele F. Niles, MSN, RN, RNC-MNN, CCM
Elliott-Larsen Building, 320 S. Walnut St, 5th Floor,
Lansing, Michigan 48933
Nilesm2@michigan.gov
PROJECT TITLE: Fetal Infant Mortality Review (FIMR) Case Abstraction
Start Date: 10/01/2024
End Date: 9/30/2025
Project Synopsis:
Qualified individuals will perform medical record case abstraction for Fetal Infant
Mortality Review to include the following:
• Utilize the FIMR Sampling Plan for case selection template provided.
• Review of medical records involved in fetal and infant death to include, but not
limited to hospital, prenatal, emergency, and medical examiner’s records.
• Interact with other agencies and service providers involved in infant’s death (Child
Protective Services, local health department, law enforcement).
• Develop de-identified case summaries from the above abstracted information, as
well as the FIMR interview.
• Attend the review team meetings to facilitate the presentation of the cases and
develop recommendations, utilizing the Michigan FIMR CRT Recommendation
Form and Michigan FIMR Log of Local Recommendations.
• Utilize the Michigan FIMR Health Equity Toolkit and/or other resources for
training FIMR CRT members on equity, bias, diversity, and inclusion.
• Enter cases into the National Fatality Review Case Reporting System (FIMR
database) at the National Center for Fatality Review and Prevention.
• Present FIMR findings and recommendations to local FIMR Community Action
Team (CAT) annually, at a minimum, to develop action plans.
Additional Reporting Requirements:
Quarterly progress reports following the template provided. Quarterly reports are due
the 15th of the month following the end of the quarter and are submitted to Audra
Brummel, State coordinator, via email at brummela@michigan.gov.
Reporting Time Period Due Date
1st Quarter October 1 – December 31 January 15
2nd Quarter January 1 – March 31 April 15
3rd Quarter April 1 – June 30 July 15
4th Quarter July 1 – September 30 October 15
Additional requirements:
Each completed case abstraction will be compensated at $270.00 per case.
• FIMR team recommendations and information will be used to inform the State of
Michigan infant mortality reduction efforts.
Maximum Program Reimbursement:
Grantee Maximum Reimbursement Amount
Berrien County Health Department $ 4,050
Calhoun County Public Health
Department
$ 3,240
Detroit Health Department $ 2,700
Genesee County Health Department $ 4,115
Ingham County Health Department $ 3,240
Jackson County Health Department $ 3,240
Kalamazoo County Health and
Community Services Department
$ 6,480
Kent County Health Department $ 12,150
Macomb County Health Department $ 4,050
Public Health Muskegon County $ 2,700
Oakland County Department of Health
and Human Services/Health Division
$ 6,480
Saginaw County Health Department $ 4,860
PROJECT TITLE: Fetal Infant Mortality Review (FIMR) Interviews
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
Conduct Fetal Infant Mortality Review (FIMR) interviews with the intent of informing the
FIMR case abstraction process and informing the infant mortality reduction efforts both
locally and statewide.
Additional Reporting Requirements:
Mid-year progress report and final report using the FIMR interviews template, which will
address what was learned about preventability at the individual, clinical care, health
system, community, and policy level are due April 15 and a final report due October 15
by submission to Audra Brummel, State coordinator, via email at
brummela@michigan.gov.
Additional requirements:
• Each completed FIMR interview will be compensated at $125.00 per interview. A
maximum of 6 visits are reimbursable per fetal/infant death up to the contract
allocation.
• FIMR team recommendations and information will be used to inform the State of
Michigan infant mortality reduction efforts.
• Utilize the FIMR Case Review Team (CRT) Recommendation Form and the Log of
Local FIMR Recommendations.
• Utilize Michigan FIMR resources and National Center for Fatality Review
resources.
Additional Requirements for Detroit Health Department (DHD) and Kent County
Health Department (KCHD) only:
• At least 1 MMMS next of kin interviews will be completed by September 30, 2024.
Each completed MMMS next of kin interview will be compensated at $250.00 per
interview. A maximum of 6 visits are reimbursable per case up to the contract
allocation.
• The MMMS next of kin interview will follow the FIMR methodology and the
Michigan FIMR Interview Guide questionnaire with additional questions relevant to
maternal deaths.
• Use of consent forms, questionnaire, and template for collecting interview
summaries provided.
• The DHD and KCHD FIMR Interviewers will be invited to MMMS Maternal Mortality
Review Committee (MMRC) meetings when an interview is completed to provide
an overview and additional details on the interview.
Maximum Program Reimbursement:
Grantee Maximum Reimbursement Amount
Berrien County Health Department $ 1,875
Calhoun County Public Health
Department
$ 1,500
Detroit Health Department $ 6,750 – FIMR
$ 2,000 – MMMS
Ingham County Health Department $ 2,500
Jackson County Health Department $ 1,250
Kalamazoo County Health and
Community Services Department
$ 2,250
Kent County Health Department $ 1,250 – FIMR
$ 1,000 - MMMS
Macomb County Health Department $ 1,500
Public Health Muskegon County $ 625
Oakland County Department of Health
and Human Services/Health Division
$ 2,000
PROJECT TITLE: FFPSA HV EXPANSION
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Family First Prevention Services Act (FFPSA) project is a national initiative being
implemented in Michigan to support the prevention of the placement of children into
foster care. FFPSA support Positive Parenting Programs such as evidence-based home
visiting models. Each HV Model is implemented in accordance with the standards and
tenants of that particular model.
Additional Reporting Requirements:
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 Section (HVS) Guidance Manual for
details about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVS 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. Work Plan: Due annually on May 30 to the HVS Model Consultant for
preapproval. Upon approval, upload the Work Plan to Groupsite. See the MDHHS
Home Visiting Section 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. In addition to other data required by MDHHS, LIAs are required to record and
submit ongoing funding tracking data used for federal billing and reporting
through REDCap or their Model Database.
This data includes:
• Enrollment date
• FFPSA eligibility
• Closure date if family has exited home visiting services
e. Implementation Monitoring Data and HVS data collection requirements are due
by the 5th day of the month. HFA programs will additionally utilize HV On-Line
(HVOL), NFP programs will utilize Flo, and all other programs will utilize Visit
Tracker.
f. Quality Improvement Reporting:
• Documentation of a QI team will be submitted with the quarterly Work Plan
Report.
• Documentation of QI activities will be submitted with the quarterly Work Plan
Report.
• Annual summary of QI activities will be submitted to the Model Consultant by
April 30.
g. HV CoIIN Reporting (for those LIAs participating) for QI efforts shall occur in accordance with the CoIIN’s schedule. Participating LIAs are required to use the HV CoIIN site to complete monthly submissions of PDSA cycles and required data (the frequency of data collection may vary).
Reports (a-g) shall be submitted as described above. Additional guidance concerning
data collection and Quality Improvement is provided in the MDHHS Home Visiting
Section Guidance Manual.
Additional Requirements:
Home visitors funded through Family First Prevention Services Act will serve families
referred from local Child Welfare agencies, in proportion to their FFPSA FTE.
HFA: 13 FFPSA families per 1.0 FTE
NFP: 20 FFPSA families per 1.0 FTE
PAT: 12-16 (monitoring for 14) families per 1.0 FTE
MOU
LIAs are required to work with MDHHS to complete a Memorandum of Understanding
with MDHHS to establish expectations for the relationship that is being built between
child welfare and the home visiting program. Healthy Families America (HFA) LIAs will
need to submit the HFA’s Child Welfare Protocol application to HFA National. They will
also need to work with their assigned Child Welfare Service Analyst to obtain the
signature of their local DHHS office on a letter of support. Both need to be completed
before an HFA LIA can enroll any families under FFPSA or the Child Welfare Protocol.
Maintain Fidelity to the Model
The LIA shall adhere to the Home Visiting model Best Practice Standards or Model
Elements. In addition, all Healthy Families America affiliates shall comply with the
requirements of the Central Administration for the Multi-Site State System (also known
as “The State Office”) housed within the Michigan Public Health Institute.
Comply with MDHHS Program Requirements
The LIA shall operate the program with fidelity to the requirements of MDHHS based on
the agreement executed in E-GrAMS and the conditions as outlined in the MDHHS
Home Visiting Section Guidance Manual. The LIA will fulfill these requirements while
strengthening efforts towards health and racial equity through staff education,
programmatic data evaluation and client supportive services.
P.A. 291
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to PA 291.
Staffing
The LIA’s home visiting staff will reflect the community served. The LIA will provide
documentation to demonstrate due diligence if unable to fully meet this requirement
within 90 days of a MDHHS site visit in which this was a finding. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to program staffing.
Performance Measures:
The LIA shall comply with MDHHS expectations of demonstrating improvement in the
performance measures as described in the MDHHS Home Visiting Section Guidance
Manual.
Program Monitoring, Quality Assessment, Support and Technical Assistance
(TA):
The LIA shall fully participate with the Department and the Michigan Public Health
Institute (MPHI) with regards to program development and monitoring (including annual
site visits either in-person or virtual), training, support and technical assistance services.
See the MDHHS Home Visiting Guidance Unit Manual for requirements related to
program monitoring, quality assessment, support and TA.
Professional Development and Training:
All of the LIA’s program staff associated with this funding will participate in professional
development and training activities as required by both the model and the Department.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
professional development and training activities.
Supervision: The LIA shall adhere to the HV Model supervision requirements:
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall build a relationship with their local DHHS office. LIAs are expected to use
the referral response form (or equivalent report from model database) to inform the
DHHS staff for their assigned FFPSA families of the enrollment date, referral status
within two weeks of referral, if a home visitor has not been able to connect with a family
in two weeks, and referral closure date. After FFPSA eligible families have enrolled,
LIAs are expected to use the monthly update form (or equivalent report from model
database) to provide the DHHS staff for their assigned FFPSA families with family level
updates.
The LIA shall build upon and maintain diverse community collaboration and support with
authentic engagement of parent representatives who have lived experience.
The LIA shall participate in the Local Leadership Group (LLG) or, if none, the Great
Start Collaborative.
The LIA shall participate in the Regional Perinatal Quality Collaborative.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
engagement with community partners.
Data Collection:
The LIA shall comply with all model and MDHHS HVS data training, collection, entry,
and submission requirements. See the MDHHS Home Visiting Section Guidance
Manual for requirements related to data collection.
Quality Improvement (QI):
The LIA shall participate in all HV Model quality initiatives including research,
evaluation, and continuous quality improvement.
The LIA shall participate in all state and local Home Visiting QI activities as required by
MDHHS. Required activities include, but are not limited to:
• Developing and maintaining a QI team
• Participating in QI activities during the fiscal year.
• Consulting with QI coaches
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
QI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements outlined in the MDHHS Home
Visiting Section Guidance Manual.
PROJECT TITLE: Gonococcal Isolate Surveillance Project
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
This project will monitor trends in antimicrobial susceptibilities in N. gonorrhoeae via
collection and submission of required specimens and data to the Centers for Disease
Control and Prevention. Patient demographics and specimen phenotypes, particularly
for non-susceptible specimens, will be characterized, and genetic markers associated
with antimicrobial resistance will be identified and monitored using remnant NAATS.
Additional Reporting Requirements:
Report Period Due Date(s) How to
Submit Report
Submit clinical and
demographic data to CDC Monthly 4 weeks after end of
month Via SAMS
Complete and submit shipping
manifest Monthly First Monday of the
following month
Paper copy
with isolates,
and electronic
FTP report to
ARLN
Collect and submit N.
gonorrhea isolates Monthly First Monday of the
following month Ship to ARLN
Collect and submit remnant
NAAT samples for gonorrhea-
positive isolates above
Monthly 4 weeks after end of
month
Ship directly to
CDC STD-
LRRB
Complete and submit annual
progress report Annually
90 days after end of
grant period, or as
defined by CDC
Collaborate
with
kentj3@michig
an.gov
The number of culture
specimens collected, and
number of presumptive positive
GC forwarded to CDC and their
designated laboratories for
further testing.
Quarterly January 15, April 15,
July 15, October 15
Written report
submitted to
kentj3@michig
an.gov;
Demographic and behavioral
data to MDHHS for clients with Quarterly January 15, April 15,
July 15, October 15
Written report
submitted to
GC positive isolates utilizing
the CDC required format.
kentj3@michig
an.gov;
Report of any specimen that
exceeds the alert criteria:
Ceftriaxone MIC ≥ 0.125 µg/ml
Cefixime MIC ≥ 0.25 µg/ml
Azithromycin MIC ≥ 2.0 µg/ml
Immediate Per high-resistance
specimen
Phone or email
to Jim Kent
517-243-4932,
kentj3@michig
an.gov
Additional Requirements:
Grant Program Operation
1. Monitor trends in antimicrobial susceptibilities in N. gonorrhoeae.
2. Characterize patients with gonorrhea (GC), particularly those infected with N.
gonorrhoeae that are not susceptible to recommended antimicrobials.
3. Phenotypically characterize antimicrobial-resistant isolates to describe the
diversity of antimicrobial resistance in N. gonorrhoeae.
4. For male STI clinic patients suspected of having GC, collect a NAAT sample
during the same visit as the urogenital sample collected above.
5. For the first 25 clients with positive isolates, submit culture specimens to CDC
assigned Regional Laboratory for further testing; and associated demographic
and behavioral data to the CDC and MDHHS at agreed intervals.
6. For the first 25 clients with positive isolates, submit residual NAAT specimens
directly to CDC molecular laboratory.
7. Monitor and track clinic totals including
a. Number of men with urethral sample collected and tested for gonorrhea
(positive and negative)
b. Number of gonococcal isolates submitted to Region Laboratory
c. Number of isolates found by Regional Laboratory to be non-viable or
contaminated.
d. Percentage of monthly isolate batches shipped to Regional Laboratory within
one week after the end of the month
e. Percentage of monthly demographic data transmissions submitted to CDC
within one month after the end of the month
f. Percentage of collected isolates that include a) age, b) gender of sex partner,
c) HIV status, d) antibiotic use, and d) treatment
g. Number of remnants NAAT samples submitted to CDC
h. Number of remnants NAAT testing positive, negative, or equivocal
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in
the BHSP SHOARS system. These roles must match what the agency has listed
for these roles in the EGrAMS system. If you have access related questions,
contact MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-
SUPPORT@michigan.gov
3. The Bureau of HIV/STI Programs values the implementation of sexual
orientation, gender identity and expression (SOGIE) standards for all contractors
of the Bureau of HIV/STI Programs to assure the safety, privacy, and person-first
service of those of the LGBTQIA+ community. We want to deliver high quality
care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and all
sexual and gender diverse people by ensuring training, policies and data
collection standards are responsive to the needs of LGBTQ+ community and
provide assuring, affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract (yearly)
or cumulatively across all BHSP contracts and all new staff funded at 25% or
more associated with this contract or cumulatively across all BHSP contracts
are required to attend trainings to ensure culturally appropriate
communication and interactions with the LGBTQ+ community. This training
can be accomplished through the Ruth Ellis Center (Ruth Ellis Center),
SOGIE Trainings on MDDHS’s Website (SOGIE trainings (michigan.gov)), or
the National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please
ensure all training certifications are attached for new employees in SHOARS
on the agency dashboard under “Program Requirements” within 90 days of
hire and all existing employees by the end of the fiscal year (September 30,
2025).
b. Submit a narrative or agency policy language documenting how person first
language is addressed on intake forms, patient interactions and program
materials. Report by September 30, via EGrAMS attachment.
PROJECT: Harm Reduction Capacity Expansion
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
Grantees and subrecipients of these funds are authorized by the State of Michigan to
distribute syringes for the purposes of preventing the transmission of communicable
diseases. These dollars will be used by the grantee to plan and implement syringe
service programs within their jurisdictions. Grantees will develop policies and protocols
following best practice guidance with respect to client registration, supply disposal and
supply distribution, education of participants, staff training, referral to substance use
treatment, referral or testing for infectious diseases, and provision of naloxone for
overdose prevention.
Additional Reporting Requirements:
Grantees will be enrolled and submitting service delivery data to the Syringe Service
Program Utilization Platform (SUP)
Grantees will participate on bimonthly conference calls to discuss the state of SSP in
Michigan, share successes, challenges, and best practices.
Information on changes in hours of operation and/or location of service delivery must be
communicated to MDHHS Harm Reduction Unit immediately for updating of SSP
directories.
Additional requirements:
• Funds may not be used to buy sterile needles or syringes.
• Funds may not be used to purchase sterile smoking supplies.
• Grantees must establish relationships to link clients to care for substance use
disorder treatment.
• Grantees must be able to provide clients with Narcan / naloxone.
• If sites are performing HIV and/or HCV testing, grantees should establish
relationships to link clients to care for HIV and/or HCV follow-up testing and
treatment.
o Grantees are encouraged to work with the MDHHS Viral Hepatitis Unit
(MDHHS-Hepatitis@Michigan.gov) to purchase hepatitis C rapid test kits at
no cost.
• If sites are not performing HIV and or/HIV testing, grantees should establish
relationships to refer clients to HIV and/or HCV testing.
• Technical assistance is available upon request.
PROJECT: Harm Reduction Support Match
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
Grantees and subrecipients of these funds are authorized by the State of Michigan to
distribute syringes for the purposes of preventing the transmission of communicable
diseases. These dollars will be used by the grantee to plan and implement syringe
service programs within their jurisdictions. Grantees will develop policies and protocols
following best practice guidance with respect to client registration, supply disposal and
supply distribution, education of participants, staff training, referral to substance use
treatment, referral or testing for infectious diseases, and provision of naloxone for
overdose prevention.
Reporting Requirements (if different than contract language)
Grantees will be enrolled and submitting service delivery data to the Syringe Service
Program Utilization Platform (SUP)
Grantees will participate on bimonthly conference calls to discuss the state of SSP in
Michigan, share successes, challenges, and best practices
Any additional requirements (if applicable)
• Funds may not be used to buy sterile needles or syringes.
• Grantees must establish relationships to link clients to care for substance use
disorder treatment.
• Grantees must be able to provide clients with Narcan / naloxone.
• If sites are performing HIV and/or HCV testing, grantees should establish
relationships to link clients to care for HIV and/or HCV follow-up testing and
treatment.
• If sites are not performing HIV and or/HIV testing, grantees should establish
relationships to refer clients to HIV and/or HCV testing.
• Technical assistance is available upon request.
PROJECT: Harm Reduction Support Services
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
Grantees and subrecipients of these funds are authorized by the State of Michigan to
distribute syringes for the purposes of preventing the transmission of communicable
diseases. These dollars will be used by the grantee to plan and implement syringe
service programs within their jurisdictions. Grantees will develop policies and protocols
following best practice guidance with respect to client registration, supply disposal and
supply distribution, education of participants, staff training, referral to substance use
treatment, referral or testing for infectious diseases, and provision of naloxone for
overdose prevention.
Reporting Requirements (if different than contract language)
Grantees will be enrolled and submitting service delivery data to the Syringe Service
Program Utilization Platform (SUP)
Grantees will participate on bimonthly conference calls to discuss the state of SSP in
Michigan, share successes, challenges, and best practices.
Information on changes in hours of operation and/or location of service delivery must be
communicated to MDHHS Harm Reduction Unit immediately for updating of SSP
directories.
Any additional requirements (if applicable)
• Funds may be used to purchase syringes and other sterile works for injecting
substances.
• Funds may be used to purchase sterile smoking supplies.
• Grantees must establish relationships to link clients to care for substance use
disorder treatment.
• Grantees must be able to provide clients with Narcan / naloxone.
• If sites are performing HIV and/or HCV testing, grantees should establish
relationships to link clients to care for HIV and/or HCV follow-up testing and
treatment. Grantees are encouraged to work with the MDHHS Viral Hepatitis
Unit (MDHHS-Hepatitis@Michigan.gov) to purchase hepatitis C rapid test
kits at no cost.
• If sites are not performing HIV and or/HIV testing, grantees should establish
relationships to refer clients to HIV and/or HCV testing.
• Technical assistance is available upon request.
PROJECT TITLE:
HIV/AIDS Linkage to Care Project
HIV Care Coordination
HIV Data to Care
HIV Housing Assistance
HIV Ryan White Part B
HIV Ryan White Part B MAI
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
The above projects provide a comprehensive system of HIV primary medical care,
essential support services, and medications for consumers with HIV who are newly
diagnosed, not engaged in care, and uninsured and underserved. The projects provide
funding to provide care and treatment services to achieve positive health outcomes;
reduce HIV transmission among hard-to-reach populations; eliminate barriers
(transportation, housing, insurance, access/knowledge of access to medical care, stigma-
related mental health issues, etc.) to accessing care through a combination of referrals
and linkage to Ryan White Service providers and other community services.
Additional Reporting Requirements:
Reports and information shall be submitted to the Bureau of HIV/STI Programs (BHSP).
Please refer to the table for where to submission dates and types of reports.
Report Period Due Date(s) How to Submit Report
All Agencies: Ryan White
services delivered to HIV-infected
and affected clients
Monthly 10th of the
following month
Enter into CAREWare
All Agencies: Ryan White
Services Report (RSR)
Annual Generally,
Grantee
submission will
open in early
February and
close early
March
Submission to HRSA
through Electronic
Handbook (EHB)
All Ryan White federally funded
agencies providing at least one
core medical service: Quality
Management Plan
Annual (if
applicable)
December 31st Will be reviewed at Site
Visit
All Ryan White federally funded
agencies: Complete and submit
at least one Plan-Do-Study-Act
worksheets correlated to Quality
Management Plan
Annual (if
applicable)
As completed
over contract
year
Email report to MDHHS-
HIVSTIoperations@mich
igan.gov
All Agencies: FY25 actual
expenditures by service category,
program income, and
administrative costs through the
RW Reporting Tool
Monthly Thirty days
after the end of
the budget
period
Attached to monthly
FSR
All Ryan White federally funded
agencies: RW Form 2100 and RW
Form 2300
Annually December 31st Complete in EGrAMS
All Agencies: Adult
Case Report Form
As needed
for newly
diagnosed
HIV cases or
PWH new to
care in
Michigan
Within seven
days of test or
care
Michigan Adult HIV
Confidential Case
Report Form
Fax: (313) 456-1580
Attn: HIV Surveillance
A. To complete the Ryan White Services Report (RSR), a Health Resources and
Services Administration (HRSA) required annual data report, the Grantee must
assure that all CAREWare data is complete, cleaned, and entered into the HRSA
Electronic Handbook. RSR submission requirements include:
1. The RSR shall have no more than 5% missing data variables.
2. Exact dates for the Grantee submission will be provided by the Department
each reporting year.
3. The Department validates the data within the Grantee’s RSR submission
before receipt by HRSA.
4. Data in CAREWare must be checked and validated every quarter.
B. The BHSP shall evaluate the reports submitted for their completeness and
accuracy
C. The Grantee shall permit the BHSP or its designee to conduct site visits and to
formulate an evaluation of the project.
Additional requirements:
Publication Rights
When issuing statements, press releases, requests for proposals, bid solicitations and
other documents describing projects or programs funded in whole or in part with Federal
money, the Grantee receiving Federal funds, including but not limited to State and local
governments and recipients of Federal research grants, shall clearly state:
1. The percentage of the total costs of the program or project that will be
financed with Federal money.
2. The dollar amount of Federal funds for the project or program.
3. Percentage and dollar amount of the total costs of the project or program
that will be financed by non-governmental sources.
Fees
The Grantee must establish and implement a process to ensure that they are maximizing
third party reimbursements, including:
1. Requirement, in agreement, that the Grantee maximize and monitor third party
reimbursements.
2. Requirement that Grantee document, in client record, how each client has been
screened for and enrolled in eligible programs.
3. Monitoring to determine that Ryan White is serving as the payer of last resort,
including review of client records and documentation of billing, collection policies
and procedures, and information on third party contracts.
4. Grantee must adhere to the National Monitoring Standards for Ryan White Part B
Grantees: Program and the National Monitoring Standards for Ryan White
Grantees: Fiscal; and bill for services that are billable in accordance with the
above.
5. Ensure appropriate billing, tracking, and reporting of program income to support
appropriate use for program activities.
6. Program income is added to funding provided by the State of Michigan for the
budget period and used to advance eligible program objectives.
7. Provide a report detailing the expenditure and reinvestment of program income in
the program (template will be provided by MDHHS).
Grant Program Operation
1. The Grantee must adhere to the Ryan White HIV/AIDS Program (RWHAP)
National Monitoring Standards for RWHAP Part B Recipients.
2. The Grantee will participate in the Department needs assessment and planning
activities, as requested.
3. The Grantee will participate in regular Grantee meetings which may be face-to-
face, teleconferences, webinars, trainings, etc. The Grantee is highly encouraged
to participate in other training offerings and information-sharing opportunities
provided by the Department.
4. The Grantee is responsible for ensuring that staff retain minimum educational
requirements for staff positions and are proficient in Ryan White-funded service
delivery in their respective roles within the organization. Ensure that Ryan White
funded staff receive MDHHS required case management training within one (1)
year of hire.
5. Each employee funded in whole or in part with federal funds must record time and
effort spent on the project(s) funded. The Grantee must:
a. Have policies and procedures to ensure time and effort reporting.
b. Assure the staff member clearly identifies the percentage of time devoted to
contract activities in accordance with the approved budget.
c. Denote accurately the percent of effort to the project. The percent of effort may
vary from month to month, and the effort recorded for Ryan White funds must
match the percentage claimed on the Ryan White FSR for the same period.
d. Submit a budget modification to the Department in instances where the
percentage of effort of contract staff changes (FTE changes) during the
contract period.
6. The Grantee must submit all details on advertising campaigns (print and social
media) completed via the quarterly workplan progress report submission in
EGrAMS.
7. The Grantee must include the following language in all Client Consent and
Release of Information forms used for services in this agreement:
“Consent for the collection and sharing of client information to providers for
persons living with HIV under the Ryan White Program provided through (grantee
name) is mandated to collect certain personal information that is entered and
saved in a federal data system called CAREWare. CAREWare records are
maintained in an encrypted and secure statewide database. I understand that
some limited information in the electronic data may be shared with other agencies
if they also provide me with services and are part of the same care and data
network for the purpose of informing and coordinating my treatment and benefits
that I receive under this Program. The CAREWare database program allows for
certain medical and support service information to be shared among providers
involved with my care, this includes but is not limited to health information, medical
visits, lab results, medications, case management, transportation, Housing
Opportunities for Persons with AIDS (HOPWA) program, substance abuse, and
mental health counseling. I acknowledge that if I fail to show for scheduled medical
appointments, I may be contacted by an authorized representative of (grantee
name) in order to re-engage and link me back to care.”
8. The Grantee must notify the Continuum of Care Unit staff at MDHHS-
HIVSTIoperations@michigan.gov within 7 business days if a core medical or
support service category is added or removed from the Ryan White services
previously approved by BHSP. An approval from BHSP is required prior to the
change being implemented.
9. The Grantee must adhere to security measures when working with client
information and must:
a. Not email individual health information either internally or externally.
b. Keep all printed materials in locked storage cabinets in locked rooms.
c. Provide written documentation of annual Security and Confidentiality training
for all staff regarding the Health Insurance Portability Accountability Act
(HIPAA), the Health Information Technology for Economic and Clinical Health
(HITECH), and the Michigan Public Health Code.
d. Maintain the standards of CDC’s Data Security and Confidentiality Guidelines
for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis
Programs.
CDC Website:
https://www.cdc.gov/nchhstp/programintegration/docs/pcsidatasecurityguid
elines.pdf.
10. The Grantee will complete the collection of all required data variables and clean-
up any missing data or service activities by the 10th day after the end of each
calendar month.
11. Subrecipient quality management program should:
a. Include: leadership support, dedicated staff time for QM activities, participation
of staff from various disciplines, ongoing review of performance measure data
and assessment of consumer satisfaction.
b. Include consumer engagement which includes, but is not limited to, agency-
level consumer advisory board, participation on quality management
committee, focus groups and consumer satisfaction surveys.
c. Include conduction of at least one quality improvement (QI) project throughout
the year, using the Plan-Do-Study-Act (PDSA) method to document progress.
This QI project must be aimed at improving client care, client satisfaction, or
health outcomes.
12. If the Grantee is federally funded for Ryan White services (one of which is a core
medical service), the Grantee will develop and/or revise a Quality Management
Plan (QMP) annually, to be kept on file at agency. QM Plans must contain these
eleven components:
• Quality statement
• Quality infrastructure
• Annual quality goals
• Capacity building
• Performance measurement
• Quality improvement
• Engagement of stakeholders
• Procedures for updating the QM plan
• Communication
• Evaluation
• Work Plan
13. Grantee quality management activities should:
a. Incorporate the principles of continuous quality improvement, including agency
leadership and commitment, staff development and training, participation of
staff from all levels and various disciplines, and systematic selection and
ongoing review of performance criteria, including consumer satisfaction; and
b. Include consumer engagement which includes, but is not limited to, agency-
level consumer advisory board, participation on quality management
committee, focus groups and consumer satisfaction surveys.
14. In accordance with continuous quality improvement principles, the Grantee shall
conduct at least one quality improvement project throughout the year, using the
Plan-Do-Study-Act method to document progress.
15. The Grantee must consult and adhere to the Policy Clarification Notice (PCN) #16-
02 established by Health Resources and Services Administration (HRSA). PCN
#16-02 describes the core medical and support services that HRSA considers
allowable uses of Ryan White grant funds and the individuals eligible to receive
those services. A copy of the revised PCN 16-02 is available at this link.
HRSA Unallowable Costs:
*An expanded list of “unallowable” grant costs is available in the PCN 16-02.
a. HRSA RWHAP funds may not be used to make cash payments to intended clients
of HRSA RWHAP-funded services. This prohibition includes cash incentives and
cash intended as payment for HRSA RWHAP core medical and support services.
Where a direct provision of the service is not possible or effective, store gift cards,
vouchers, coupons, or tickets that can be exchanged for a specific service or
commodity (e.g., food or transportation) must be used.
b. Off-premises social or recreational activities (movies, vacations, gym
memberships, parties, retreats)
c. Medical Marijuana
d. Purchase or improve land or permanently improve buildings
e. Direct cash payments or cash reimbursements to clients
f. Clinical Trials: Funds may not be used to support the costs of operating clinical
trials of investigational agents or treatments (to include administrative
management or medical monitoring of patients)
g. Clothing: Purchase of clothing
h. Employment Services: Support employment, vocational rehabilitation, or
employment-readiness services.
i. Funerals: Funeral, burial, cremation, or related expenses
j. Household Appliances
k. Mortgages: Payment of private mortgages
l. Needle Exchange: Syringe exchange programs, Materials, designed to promote or
encourage, directly, intravenous drug use or sexual activity, whether homosexual
or heterosexual
m. International travel
n. The purchase or improvement of land
o. The purchase, construction, or permanent improvement of any building or other
facility
p. Pets: Pet food or products
q. Taxes: Paying local or state personal property taxes (for residential property,
private automobiles, or any other personal property against which taxes may be
levied).
r. Vehicle Maintenance: Direct maintenance expense (tires, repairs, etc.) of a
privately-owned vehicle or any additional costs associated with a privately-owned
vehicle, such as a lease, loan payments, insurance, license or registration fees
s. Water Filtration: Installation of permanent systems of filtration of all water entering
a private residence unless in communities where issues of water safety exist.
t. It is unallowable to divert program income (income generated from charges/ fees
and copays from Medicare, Medicaid, other third-party payers collected to cover
RW services provided) toward general agency costs or to use it for general
purposes.
u. Pre-Exposure Prophylaxis (PrEP) HIV/AIDS BUREAU POLICY 16-02
v. Non-occupational Post-Exposure Prophylaxis (nPEP).
w. General-use prepaid cards are considered “cash equivalent” and are therefore
unallowable. Such cards generally bear the logo of a payment network, such as
Visa, MasterCard, or American Express, and are accepted by any merchant that
accepts those credit or debit cards as payment. Gift cards that are cobranded with
the logo of a payment network and the logo of a merchant or affiliated group of
merchants are general-use prepaid cards, not store gift cards, and therefore are
unallowable.
* HRSA RWHAP recipients are advised to administer voucher and store gift card
programs in a manner which assures that vouchers and store gift cards cannot be
exchanged for cash or used for anything other than the allowable goods or services, and
that systems are in place to account for disbursed vouchers and store gift cards.
Personnel Systems Access/Transfer/Terminations
1. New staff needing access to CAREWare are required to submit the CAREWare
user request form through SHOARS.
2. As required by NIST SP 800-53 Details - PS-7e, the Grantee must notify MDHHS
designated personnel in writing of any personnel transfers or terminations of
personnel who possess information system privileges within CAREWare or MIDAP
online data systems within 24 hours of change.
a. The Grantee shall notify MDHHS immediately via email at MDHHS-
HIVSTIoperations@michigan.gov of CAREWare users who are separated
from the agency for deactivation.
Record Maintenance/Retention
1. The Grantee will maintain, for a minimum of five (5) years after the end of the
grant period, program, fiscal records, including documentation to support program
activities and expenditures, under the terms of this agreement, for clients residing
in the State of Michigan.
2. The Grantee will maintain client files and charts from last date of service plus
seven (7) years. For minors, Grantee will maintain client files and records from last
date of service and until minor reaches the age of 18, whichever is longer, plus
seven (7) years.
Software Compliance
1. The Grantee and its subcontractors are required to use the HRSA-supported
software CAREWare to enter client and service data into the centrally managed
database on a secure server. The Grantee must:
a. Enter all Ryan White services delivered to HIV-infected and affected clients.
b. Enter all data by the 10th of the following month.
c. Successfully create, run, and document the results of their HRSA RSR
report in CAREWare in order to receive relevant support from data
managers by the 10th of the following month. Documentation is to include
with identifying information omitted:
i. Missing records as depicted in the RSR Viewer module in
CAREWare
ii. A list of alert, warning, and error messages as depicted in the RSR
Validation Report module in CAREWare
iii. Efforts or decisions (including collaboration with MDHHS) to resolve
missing data or error messages as applicable
d. Complete collection of all required data variables and the clean-up of any
missing data or service activities by the 10th of the following month.
2. The Grantee must establish written procedures for protecting client information
kept electronically or in charts or other paper records. Protection of electronic
client-level data will minimally include:
a. Regular back-up of client records with back-up files stored in a secure
location.
b. Use of passwords to prevent unauthorized access to the computer or Client
Level Data program.
c. Use of virus protection software to guard against computer viruses.
3. Provide annual training to staff on security and confidentiality of client level data
and sharing of electronic data files according to MDHHS policies concerning
sharing and Secured Electronic Data.
4. New staff needing access to CAREWare are required to submit the CAREWare
user request form through SHOARS.
5. As required by NIST SP 800-53 Details - PS-7e, the Grantee must notify MDHHS
designated personnel in writing of any personnel transfers or terminations of
personnel who possess information system privileges within CAREWare or MIDAP
online data systems within 24 hours of change.
a. The Grantee shall notify MDHHS immediately via email at MDHHS-
HIVSTIoperations@michigan.gov of CAREWare users who are separated
from the agency for deactivation.
6. The Grantee shall as be required by HRSA submit the Ryan White HIV/AIDS
Program Services Report (RSR) for the previous calendar year. The Grantee is
required to use the HRSA Electronic Handbook (EHB) portal for their submission:
a. The Grantee shall acquire access to their agency’s Grant Contract
Management System (GCMS) and their Provider Report prior to January
when notified by HRSA of the required federal report.
b. The Grantee is required to provide access to all staff and personnel
responsible for reviewing and completing the RSR.
c. The Grantee as per HRSA standards and compliance are mandated to
require relevant staff members to update their EHB account passwords as
dictated by HRSA email notifications.
d. The Grantee is mandated to update or add contact information for staff
responsible for completing and/or submitting the RSR and to notify MDHHS
of any changes in personnel immediately.
e. The Grantee shall correspond with MDHHS staff including data
management users to compare units of service provided to the funded
services listed on the EHB.
f. The Grantee shall notify MDHHS immediately if there are any
discrepancies between the funding sources and services listed for their
agency’s report on the Electronic Handbook (EHB) and their agency’s
contracts and records.
g. The Grantee shall in these circumstances contact Ryan White Data Support
by email or by phone number (1-888-640-9356) between the hours of 10
am – 6:30 pm Eastern Standard Time (EST) on weekdays regarding the
HRSA EHB GCMS and/or RSR:
i. Issues with account lockouts, lost credentials, or account creation
ii. Issues with accessing the GCMS through the HRSA EHB
iii. Issues with accessing the Provider Report through the HRSA
iv. Technical issues regarding functionality of the EHB portal
h. The Grantee shall attend webinars and instructional sessions to answer
questions about the RSR; Grantee shall utilize tools provided by data
management users to check on the accuracy and completeness of their
client level data (CLD) on a monthly basis leading up to the RSR. These
include but are not limited to:
i. TargetHIV/DISQ webinars regarding the RSR
ii. HRSA produced documentation and manuals on RSR reporting
requirements for the calendar year
iii. Manuals on utilizing CAREWare for completing the RSR
iv. PowerPoint presentations on aspects of the RSR
v. Staff invitations to Teams meetings and breakout sessions to answer
questions regarding the RSR
vi. CAREWare custom reports and financial reports designed to assess:
1. The number of eligible clients
2. The number of eligible clients that need to be marked as such
3. Services provided by the Grantee
4. CLD on ZIP codes, ethnicity, and other features
vii. Emails from MDHHS staff regarding the above but also including:
1. Updates on HRSA reporting requirements
2. New information provided from HRSA
3. Other resources HRSA is providing/will provide
i. The Grantee shall after notification from MDHHS staff including data
management users implement needed corrections and additions to CLD in
CAREWare to ensure compliance with HRSA federal reporting standards.
Mandatory Disclosures
1. The Grantee will provide immediate notification to the Department, in writing, in the
event of any of the following:
a. Any formal grievance initiated by a client and subsequent resolution of that
grievance.
b. Any event occurring or notice received by the Grantee or subcontractor, that
reasonably suggests that the Grantee or subcontractor may be the subject of,
or a defendant in, legal action. This includes, but is not limited to, events or
notices related to grievances by service recipients or Grantee or subcontractor
employees.
c. Any staff vacancies funded for this project that exceed 30 days. All notifications
should be made to BHSP by MDHHS-HIVSTIoperations@michigan.gov.
Technical Assistance
1. Technical assistance (TA) may be requested on the implementation of the Ryan
White program. This may include issues related to: CAREWare, Quality
Management, Ryan White B services, Budget/Fiscal, Grants and Contracts,
ADAP, or other activities related to carrying out Ryan White activities.
2. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
3. Grantee must register an Authorized Official and Program Manager in the BHSP
SHOARS system. These roles must match what the agency has listed for these
roles in the EGrAMS system. If you have access related questions, contact
MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov.
4. The Bureau of HIV/STI Programs values the implementation of sexual orientation,
gender identity and expression (SOGIE) standards for all contractors of the
Bureau of HIV/STI Programs to assure the safety, privacy, and person-first service
of those of the LGBTQIA+ community. We want to deliver high quality care for
lesbian, gay, bisexual, transgender, queer, intersex, asexual and all sexual and
gender diverse people by ensuring training, policies and data collection standards
are responsive to the needs of LGBTQ+ community and provide assuring,
affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract
(yearly) or cumulatively across all BHSP contracts and all new staff funded
at 25% or more associated with this contract or cumulatively across all
BHSP contracts are required to attend trainings to ensure culturally
appropriate communication and interactions with the LGBTQ+ community.
This training can be accomplished through the Ruth Ellis Center (Ruth Ellis
Center), SOGIE Trainings on MDDHS’s Website (SOGIE trainings
(michigan.gov)), or the National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please
ensure all training certifications are attached for new employees in
SHOARS on the agency dashboard under “Program Requirements” within
90 days of hire and all existing employees by the end of the fiscal year
(September 30, 2025).
b. Submit a narrative or agency policy language documenting how person first
language is addressed on intake forms, patient interactions and program
materials. Report by September 30 via EGrAMS attachment.
ASSURANCES
Compliance with Applicable Laws
1. The Grantee should adhere to all Federal and Michigan laws pertaining to
HIV/AIDS treatment, disability accommodations, non-discrimination, and
confidentiality.
2. Ryan White is payer of last resort; as such, the Grantee must adhere to the Public
Health Service (PHS) Act.
3. The Grantee should have procedures to protect the confidentiality and security of
client information.
PROJECT TITLE:
HIV Prevention
HIV Prevention- Forest Community Health
HIV PrEP Clinic
HIV/STI Partner Services
HIV & STI Testing and Prevention
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Purpose of this project is to implement a comprehensive HIV surveillance and
prevention program. Funding aim to Prevent new HIV infections, Improve HIV-related
health outcomes of people with HIV, Reduce HIV-related disparities and health
inequities, This funding supports coordinated efforts that address the HIV epidemic
including; implementation of integrated HIV/STI Services including referral and linkage
to appropriate services, social marketing campaigns, community mobilization efforts and
other evidence based risk reduction activities where feasible and appropriate and in
accordance with current CDC guidelines and recommendations.
Additional Reporting Requirements:
The Grantee shall submit the following reports on the following dates:
Report Period Due Date(s) Report submission
Counseling, Testing, and referrals
Quality Control
Reports Monthly 10th of the
following month Department Staff
Daily Client Logs Monthly 10th of the
following month Department Staff
Test Kit Inventory Log Monthly 10th of the follow
month Department Staff
HIV Testing
Proficiencies Bi- annually Reviewed during
site visits Department Staff
HIV Testing
Competencies Annually
Submit into
SHOARS before
the end of the
calendar year
Department Staff
EMR testing** Monthly By the 10th of the
following month Department Staff
Non-Reactive Results As needed Within 7 days of
test APHIRM
Reactive Results As needed Within 24 hours of
test APHIRM
Case Report Forms
As needed in
the event of a
reactive
result
Within 24 hours of
positive screening
and confirmatory
Michigan Adult HIV
Confidential Case
Report Form
Fax: (313) 456-1580
Attn: HIV Surveillance
Partner Services & Linkage to Care (as applicable)
Linkage to Care and
Partner Services
Interview***
As needed Within 30 days of
service APHIRM
Internet Partner
Services (IPS) and
Partner Services
Interview****
Ongoing Within 30 days of
service APHIRM
Disposition on
Partners of HIV
Cases
Ongoing Within 30 days of
service APHIRM
Evidence Based Risk Reduction Activities (as applicable)
EBI Data Report Quarterly
Within 30 days of
the following
month
Department Staff –
Diana Stigler
StiglerD@michigan.gov
PrEP Navigation
program data Monthly 10th of the
following month APHIRM
Clinical HIV/STI services (as applicable)
340b PrEP
Prescription Log Weekly
Every Friday by
the close of
business
DCH File Transfer –
MDHHS-340B PrEP PT
ADT*****
Billing Revenue
Report Quarterly
10th of the
following month
Department Staff
STI 340B
Utilization/Inventory
Report,
Quarterly
Within 10 days
after the end of the
quarter
Log into
SGRX340BFlex.com
website, generate a
quarterly report on the
reporting tab, and it will
be transferred
automatically to
ScriptGuide/BHSP
*CDC/MDHHS required activities including: Condom Distribution Data, if applicable;
Social Marketing data; Evidence based intervention data; other prevention services
and activities, if applicable
** Aggregated testing data
***(e.g. client attended a medical care appointment within 30 days of diagnosis, and
was interviewed by Partner Services within 30 days of diagnosis)
****(e.g. client identify dating apps used to meet partners), if applicable
*****https://milogintp.michigan.gov
A. The Grantee will clean-up missing data by the 10th day after the end of each
calendar month. Grantee must report required variables as outlined by National
HIV Monitoring and Evaluation (NHM&E) and MDHHS.
B. Any such other information as specified in the Statement of Work, Attachment A
shall be developed and submitted by the Grantee as required by the Bureau of
HIV and STI Programs (BHSP).
C. The Quality Control, Inventory, and Daily Client Logs may be sent to the Contract
Manager via:
Email – Bry Fryczynski (FryczynskiB@michigan.gov) and the
MDHHS CTR inbox (MDHHS-HIV-CTR@michigan.gov)
Fax - (517) 241-5922
Mailed - HIV Prevention Unit, Attn: CTR Coordinator,
PO Box 30727, Lansing, MI 48909
D. BHSP shall evaluate the reports submitted as described A. and B. for their
completeness and accuracy.
E. The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by BHSP.
F. Monitoring and evaluation of targeted screening and referrals provided internally
and supported via contractual agreements.
G. Upon completion of a project, the Grantee will provide data related to funded
activities to BHSP within 45 days of the end of the project
Additional Requirements:
Publication Rights
1. When issuing statements, press releases, requests for proposals, bid
solicitations and other documents describing projects or programs funded in
whole or in part with Federal fund, the Grantee receiving Federal funds, including
but not limited to State and local governments and recipients of Federal research
grants, shall clearly state:
a. The percentage of the total costs of the program or project that will be
financed with Federal funds.
b. The dollar amount of Federal funds for the project or program.
c. Percentage and dollar amount of the total costs of the project or program
that will be financed by non-governmental sources.
2. The Grantee will submit all educational materials (e.g., brochures, posters,
pamphlets, and videos) used in conjunction with program activities to BHSP for
review and approval prior to their use, regardless of the source of funding used to
purchase these materials. Materials may be emailed to: MDHHS-
HIVSTIoperations@michigan.gov.
Grant Program Operation
1. The Grantee will participate in BHSP needs assessment and planning activities,
as requested.
2. The Grantee will participate in regular Grantee meetings which may be face-to-
face, teleconferences, webinars, etc. The Grantee is highly encouraged to
participate in other training offerings and information-sharing opportunities,
network detection response and interventions in collaboration with BHSP
opportunities provided by BHSP.
3. Each employee funded in whole or in part with federal funds must record time
and effort spent on the project(s) funded. The Grantee must:
a. Have policies and procedures to ensure time and effort reporting.
b. Assure the staff member clearly identifies the percentage of time devoted
to contract activities in accordance with the approved budget.
c. Denote accurately the percent of effort to the project. The percent of effort
may vary from month to month, and the effort recorded for funds must
match the percentage claimed on the FSR for the same period.
d. Submit a budget modification to BHSP in instances where the percentage
of effort of contract staff changes (FTE changes) during the contract
period.
e. If there are any changes in staff or agency operations, please email
MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-
SUPPORT@michigan.gov.
4. If conducting HIV testing using rapid HIV testing, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Provide medical oversight letter/agreement signed by a licensed physician
is necessary to collect specimens and order HIV antibody/antigen, HIV
genotype, HIV incidence, syphilis, gonorrhea, chlamydia, and hepatitis C
testing. According to Part 15 of the Public Health Code MCL 333.17001(j),
‘practice of medicine’ is defined as :
“the diagnosis, treatment, prevention, cure, or relieving of a human
disease, ailment, defect, complaint, or other physical or mental condition,
by attendance, advice, device, diagnostic test, or other means, or offering,
undertaking, attempting to do, or holding oneself out as able to do, any of
these act”.
b. Conduct quality assurance activities, guided by written protocol and
procedures. Protocols and procedures, as updated and revised Quality
assurance activities are to be responsive to: Quality Assurance for Rapid
HIV Testing, MDHHS. See “Applicable Laws, Rules, Regulations, Policies,
Procedures, and Manuals.”
i. Ensure provision of Clinical Laboratory Improvement Amendments
(CLIA) certificate.
ii. Report discordant test results to BHSP
Email – Bry Fryczynski (FryczynskiB@michigan.gov) and the
MDHHS CTR inbox (MDHHS-HIV-CTR@michigan.gov)
Fax - (517) 241-5922
iii. Ensure that staff performing counseling and/or testing with rapid
test technologies has completed, successfully, rapid test counselor
certification course or Information Based Training (as applicable),
test device training, and annual proficiency testing.
iv. In the event of a confirmed case of HIV, an Adult Case Report form
must be sent to the BHSP HIV Surveillance department via fax
within 24 hours as referenced in the reporting table.
c. If conducting blood draws, the grantee must conduct the packaging and
shipping training via Bureau of Laboratories. BashoreM@michigan.gov
i. Ensure that all staff and site supervisors have completed,
successfully, appropriate laboratory quality assurance training,
blood borne pathogens training and rapid test device training and
reviewed annually.
ii. Develop, implement, and monitor protocol and procedures to
ensure that patients receive confirmatory test results.
iii. To maintain active test counselor certification, each HIV test
counselor must submit one competency per test device per year to
the appropriate departmental staff.
5. If conducting SSP, the grantee will develop programs using MDHHS guidance
documents and will address issues such as identification and registration of
clients, exchange protocols, education, and trainings for staff, and referrals.
a. Grantees will participate on monthly or quarterly conference calls to
discuss best practices and identify barriers.
6. If conducting PS, the Grantee will comply with guidelines and standards issued
by the Department. See “Applicable Laws, Rules, Regulations, Policies,
Procedures, and Manuals.” The Grantee must:
a. Provide Confidential PS follow-up to infected clients and their at-risk
partners to ensure disease management and education is offered to
reduce transmission.
b. Effectively link infected clients and/or at-risk partners to HIV care and
other support services.
c. Work with Early Intervention Specialist to ensure infected clients are
retained in HIV care.
d. If applicable,
i. Procure TLO or a TLO-like search engine.
ii. Ensure staff that are utilizing TLO or TLO-search engine complete
the TLO training to maintain and understand the confidential use of
the system.
iii. Effectively utilize the Internet Partner Services (IPS) Guidance to
provide confidential PS follow-up to at-risk partners named by
infected clients who were identified to have been met through the
use of dating apps.
iv. Ensure staff and site supervisors successfully complete the Internet
Partner Services Training.
v. Ensure staff conducting Internet Partner Services participant in
monthly, bi-monthly meetings, webinars or calls to discuss best
practices and identify barriers.
7. If conducting 340 B STI/PrEP clinical activities, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Funds generated by this program must be utilized to support the program,
including to hire a Mid-level provider, supporting staff, and program
materials to provide Pre-Exposure Prophylaxis (PrEP) services.
b. Any funds included in this agreement above must be re-invested in
HIV/STI PrEP services. This could mean improving, enhancing, and/or
expanding your current HIV/STI services or adding new services to
improve patient health outcomes for HIV/STI.
c. Any revenue or income generated via billing from this agreement must be
reinvested into this project.
8. If conducting Social Marketing activities, the Grantee will comply with
guidelines and standards issued by BHSP and:
a. Prior to implementation of any marketing activities the Grantee will submit
a proposal as outlined in the Social Marketing Plan Attachment.
b. If the proposal is approved, the Grantee will work with BHSP contract staff
in regularly scheduled meetings, to ensure all activities are inline with
program requirements
c. Grantee will submit detailed social marketing campaign data (ex:
impressions, website analytics, population groups reached, etc.) with
quarterly progress reports
Record Maintenance/Retention
The Grantee will maintain, for a minimum of five (5) years after the end of the grant
period, program, fiscal records, including documentation to support program activities
and expenditures, under the terms of this agreement, for clients residing in the State of
Michigan.
Software Compliance
1. The Grantee and its subcontractors are required to use APHIRM (formerly
Evaluation Web) to enter HIV client and service data into the centrally managed
database on a secure server.
2. The Grantee and its subcontractors are required to use APHIRM to enter PrEP
Cascade Data into the centrally managed database on a secure server.
3. The Grantee and its subcontractors are required to use APHIRM to enter EBI/
PrEP program data into the centrally managed database on a secure server.
4. The Grantee and its subcontractors are required to use APHIRM (formerly
Partner Services Web) to enter Partner Services interview, linkage to care data,
and identified dating apps through the use of Internet Partner Services (IPS)
where appropriate.
5. The Grantee and its subcontractors are required to use SHOARS to request
amendments, supplies, data, technical assistance and to register for trainings.
6. New staff needing access to APHIRM are required to submit the APHIRM user
request form through SHOARS.
7. The Grantee shall notify MDHHS immediately via email at MDHHS-SHOARS-
SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov of APHIRM users who
are separated from the agency for deactivation.
Mandatory Disclosures
1. The Grantee will provide immediate notification to BHSP, in writing, including but
not limited to the following events:
a. Any formal grievance initiated by a client and subsequent resolution of that
grievance.
b. Any event occurring or notice received by the Grantee or subcontractor,
that reasonably suggests that the Grantee or subcontractor may be the
subject of, or a defendant in, legal action. This includes, but is not limited
to, events or notices related to grievances by service recipients or Grantee
or subcontractor employees.
c. Any staff vacancies funded for this project that exceed 30 days.
d. All notifications should be made to BHSP by MDHHS-
HIVSTIoperations@michigan.gov.
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in
the BHSP SHOARS system. These roles must match what the agency has listed
for these roles in the EGrAMS system. If you have access related questions,
contact MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-
SUPPORT@michigan.gov .
3. TA will be provided, as requested, on the implementation of the HIV Prevention
program. This may include issues related to: APHIRM, Programs, Budget/Fiscal,
Grants and Contracts, Risk Reduction Activities, Training, or other activities
related to carrying out HIV prevention activities.
4. Training and TA will be provided in support of implementation of HIV testing as a
standard of care and use of rapid HIV tests.
5. The Bureau of HIV/STI Programs values the implementation of sexual
orientation, gender identity and expression (SOGIE) standards for all contractors
of the Bureau of HIV/STI Programs to assure the safety, privacy, and person-first
service of those of the LGBTQIA+ community. We want to deliver high quality
care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and all
sexual and gender diverse people by ensuring training, policies and data
collection standards are responsive to the needs of LGBTQ+ community and
provide assuring, affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract
(yearly) or cumulatively across all BHSP contracts and all new staff funded
at 25% or more associated with this contract or cumulatively across all
BHSP contracts are required to attend trainings to ensure culturally
appropriate communication and interactions with the LGBTQ+ community.
This training can be accomplished through the Ruth Ellis Center (Ruth
Ellis Center), SOGIE Trainings on MDDHS’s Website (SOGIE trainings
(michigan.gov)), or the National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please
ensure all training certifications are attached for new employees in
SHOARS on the agency dashboard under “Program Requirements” within
90 days of hire and all existing employees by the end of the fiscal year
(September 30, 2025).
b. Submit a narrative or agency policy language documenting how person
first language is addressed on intake forms, patient interactions and
program materials. Report by September 30, 2025 via EGrAMS
attachment.
Compliance with Applicable Laws
1. The Grantee should adhere to all Federal and Michigan laws pertaining to
HIV/AIDS treatment, disability accommodations, non-discrimination, and
confidentiality.
PROJECT TITLE: Housing Opportunities for Persons with AIDS (HOPWA)
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The purpose of this project is to increase housing stability, reduce the risk of
homelessness, and increase access to care and support for low-income individuals living
with HIV/AIDS and their families
Additional Reporting Requirements:
Subrecipients must submit required program data through HMIS. It is expected that data
entry into HMIS will be completed within15 days of the event requiring data entry (entry
into the program; end of the operating year; changes in participant status regarding
benefits, income, programs provided, household size, location of housing, and so on as
described by HMIS guidelines). It is expected that data in HMIS be complete, up-to-date,
and without errors or omissions by July 31 (or the first business date immediately
following July 31) of each year.
Any assistance needed for HMIS data entry or reporting should be directed to the
MDHHS HMIS Analyst:
Scott Clark, MPA, MSA
ClarkS15@Michigan.gov
517-284-8013
The subrecipient must submit the Consolidated Annual Performance and Evaluation
Report (CAPER) each grant term prior to July 31st. All requirements for reporting are
outlined in the HOPWA program manual. Please contact Lynn Nee, HOPWA Program
Specialist, from the Housing and Homeless Services Division with any questions about
reporting requirements.
Lynn Nee
HOPWA Program Specialist
Housing and Homeless Services
NeeL@michigan.gov
517-275-2791
Additional requirements:
The subrecipient shall undertake, perform, and complete activities and services for the
program as outlined in the Program Manual provided by the Michigan Department of
Health and Human Services (MDHHS) Housing and Homeless Services Division. The
grantee is expected to adhere to all applicable federal and state laws, regulations, and
notices.
PROJECT: Immunization Action Plan - Pilot
Start Date: 10/1/2024
End Date: 6/30/2025
Project Synopsis:
The purpose of this project (also referred to as AA1) is to improve vaccination coverage
among under-vaccinated populations and further prevent vaccine-preventable diseases
in area jurisdictions throughout Michigan. The target population for this project is
children aged 19 through 35 months of age living in Oscoda, Gladwin, and Houghton
counties. The goal of this project is to improve vaccination coverage among this target
population, as well as increase parents and the public’s understanding of the benefits of
vaccines, raise awareness of the need for timely immunization, and to enhance
confidence in the safety of vaccines.
Additional Reporting Requirements:
Completion of the AA1 Quarterly Report Form, provided by the Division of
Immunization. Report due dates are as follows:
Report Due Date
Quarter 1 (Oct. 1 – Dec. 31) January 10
Quarter 2 (Jan. 1 – March 31) April 10
Quarter 3 (April 1 – June 30) July 10
Completed reports and information should be emailed to: mdhhs-
immsreports@michigan.gov.
Additional requirements:
1. Adhere to federal and state requirements regarding the use of programmatic
funds.
• Non allowable expenses include vehicles, food, alcoholic beverages, private
stock vaccine purchases, building purchases, construction, capital
improvement, entertainment costs, goods and services for personal use, and
promotional and/or incentive material
PROJECT: Immunization Action Plan
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Offer immunization services to the public.
• Collaborate with public and private sector organizations to promote childhood,
adolescent and adult immunization activities in the county including but not
limited to recall activities.
• Educate providers about vaccines covered by Medicare and Medicaid.
• Provide and implement strategies for addressing the immunization rates of
special populations (i.e., college students, educators, health care workers,
migrant workers, long term care centers, detention centers, homeless, tribal
communities, school employees, and childcare employees).
• Develop and implement strategies to improve jurisdictional and LHD
immunization rates for children, adolescents, and adults.
• Ensure clinic hours are convenient and accessible to the community, operating
both walk-in and scheduled appointment hours.
• Coordinate immunization services/outreach with WIC, Family Planning,
Communicable Disease, Childrens Special Health Care Services (CSHCS) and
STI programs. Also, work with other community groups to promote
immunizations and services with Federally Qualified Health Centers (FQHC),
pharmacies and dental providers.
• Collaboratively work with regional MCIR staff to ensure providers are using MCIR
appropriately.
• Develop strategies to identify and target local pocket of need areas.
Additional Reporting Requirements:
1. Develop an Immunization Action Plan (IAP) and submit it by the due date
established by the Division of Immunization.
2. Submit biannual IAP reports by the due dates established by the Division of
Immunization.
Additional requirements:
1. Ensure that VFC providers submit a VFC online re-enrollment form in MCIR by
April 1st.
2. Adhere to federal and state requirements regarding the use of programmatic
funds.
• Non allowable expenses include vehicles, food, alcoholic beverages,
private stock vaccine purchases, building purchases, construction, capital
improvement, entertainment costs, goods and services for personal use,
and promotional and/or incentive material.
3. Adhere to requirements set forth in the Omnibus Budget Reconciliation Act of
1993, section 1928 Part IV – Immunizations and the most current CDC Vaccines
for Children Operations Manual, Michigan VFC Resource Book for VFC
Providers, and documents that are updated throughout the year pertaining to the
Vaccines for Children (VFC) Program.
4. Ensure that federally procured vaccine is administered only to eligible children
and is properly documented per VFC guidelines.
• The VFC Program provides VFC vaccine to eligible children through 18 years
of age who meet at least one of the following criteria: American Indian or
Alaskan Native, Medicaid eligible, uninsured or under-insured. Underinsured
children are eligible to receive VFC vaccine only through a Federally Qualified
Health Center (FQHC), Rural Health Clinic (RHC) or under an approved
deputization agreement.
5. Ensure state-supplied vaccines provided in the jurisdiction are administered only
to eligible clients as determined by the state. This program allows for the
immunization of select populations who are underinsured and not served at a
FQHC, RHC, or a public health immunization clinic affiliated with a FQHC as
defined by current state program requirements.
6. Ensure that all providers receiving vaccine from the state screen children for VFC
eligibility.
7. Fraud or abuse of federally procured vaccine must be monitored and reported.
8. Adhere to all Federal and Michigan Laws pertaining to immunization
administration and reporting including reporting to the MCIR, VAERS and
schools and childcare/daycare reporting
9. Coordinate the submission of immunization data from schools and childcare
centers in your jurisdiction and follow-up with programs providing incomplete or
inaccurate data. Assure compliance levels are adequate to protect the public.
10. Provide education to the parents of children seeking a non-medical exemption in
your jurisdiction.
11. Monitor any provider receiving federally procured vaccine including but not
limited to VFC/QI site visit.
12. LHD staff involved in VFC site visit must complete the site visit training webinar
from the Division of Immunization prior to conducting any VFC site visit.
13. Ensure on-site attendance of at least 1 LHD immunization program staff to two
(2) Immunization Action Plan (IAP) meetings each year.
14. Ensure that federally procured vaccine is stored and maintained working with the
Vaccine Quality Assurance Project.
15. Implement the following Perinatal Hepatitis B program activities to prevent the
spread of Hepatitis B Virus (HBV) from mother to newborn:
• Verify pregnancy status on all hepatitis B surface antigen (HBsAg) positive
pregnant women of childbearing years (10-60 years of age.)
• Ensure HBsAg positive pregnant women are reported to the Perinatal
Hepatitis B case manager and according to the Public Health Code.
• Coordinate Perinatal Hepatitis B case management activities between local
health department, provider, and Perinatal Hepatitis B Case Manager to:
• Ensure that all infants, born to women who are HBsAg positive receive
hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12
hours of life, a complete hepatitis B vaccine series with post vaccination
serology testing and program support services.
• Ensure that all susceptible household and sexual contacts associated with
HBsAg positive women receive appropriate testing, vaccination, and
support services.
• Ensure birthing hospitals are able to offer hepatitis B vaccine to all
newborns prior to hospital discharge by enrolling them in the Universal
Hepatitis B Vaccination Program for Newborns.
16. Surveillance of vaccine preventable disease (VPD) activities
• Conduct active surveillance when indicated (i.e. during an outbreak) and
contact hospitals, laboratories, and/or other providers on a regular basis.
PROJECT: Immunization Fixed Fee
(VFC, AVP and QI Site Visits)
Start Date: 10/01/2024
End Date: 9/30/2025
Project Synopsis:
The format of the site visit will be based on the completed site visit questionnaires, the
CDC-PEAR and CDC-IQIP database systems reviewed at the AP meetings, web-
training with MDHHS VFC and QI coordinators, in-person training with Field Reps and
the site visit guidance documents (VFC and QI) provided by the department and the
CDC. All site visit information shall be entered into the appropriate database as required
by CDC (PEAR and QI database system) within 10 days of the site visit by the individual
who conducted the site visit. VFC site visit documentation must be entered online within
PEAR during the time of the site visit.
Additional Reporting Requirements:
All reimbursement requests should be submitted on the quarterly Comprehensive
Financial Status Report (FSR).
Each FSR submission requires, as an attachment, the details for all visits during the
quarter that are included in the reimbursement request. The attachment template that
must be used for this purpose is the ‘Immunization Fixed Fees Quarterly Summary
Worksheet’ and is provided by the Division of Immunization. T
Rates of Reimbursement
Visit Type Reimbursement
Amount
Vaccines for Children (VFC) Enrollment Site Visit $175
Vaccines for Children (VFC) Site Visit $175
Adult Vaccine Program (AVP) Site Visit $175
Unannounced Storage & Handling Site Visit $100
Birthing Hospital Site Visit $350
Immunization Quality Improvement Provider (IQIP) Site Visit $200
IQIP 12-month Follow-Up Complete $100
Nurse Education Regular Session $200
Nurse Education Lifespan Session $250
Reimbursement requests (i.e., FSRs) may exceed the LHD’s fiscal year allocation, so
long as funds are available through MDHHS and the expenses are allowable.
• NOTE: Reimbursement will be provided on a first come first served basis until
funding has been depleted or the program comes to an end, whichever comes
first.
Additional requirements:
• A VFC Enrollment visit is required for all new VFC enrolled provider sites.
Unannounced Storage and Handling Visits are not required but when performed,
must occur in conjunction with additional immunization education through CDC
You Call the Shots and/or Immunization Education Sessions required for VFC
Providers that experience a loss exceeding a VFC dollar amount of $2500.
These visits can only be completed if eligible according to current CDC
requirements (e.g., visits cannot be performed for providers who have any visit
that is either in “In Progress” or “Submitted” status). Notify MDHHS VFC staff for
approval prior to performing these visits. MDHHS VFC will monitor the number of
Unannounced Storage and Handling visits performed and, if necessary, may limit
the allowable number of those that can be performed.
• All LHD staff involved with any site visits must complete the Department site visit
training webinar, presented by the Department VFC and QI Coordinator, prior to
conducting any site visits. Annual VFC and QI visit guidance and review
materials will be provided to each LHD at the IAP Meetings and consult will be
conducted by the Department Immunization Field Representative for each
Grantee.
• Data from the CDC PEAR and CDC IQIP databases regarding the number and
type of site visits will be used to reconcile the agency request for reimbursement.
For additional detail on the program requirements, refer to the Resource Guide
for Vaccine for Children Providers and the current Department site visit guidance
documents, as well as other current guidance provided by the
Department/Immunization Program in correspondence to Immunization Action
Plan (IAP), Immunization Coordinators, or through health officers.
• Every VFC visit performed for a QI-eligible provider may receive a QI visit within
the same site visit cycle. This may be performed as either a Combined VFC-QI
visit or separate VFC Only and QI Only visit, according to current MDHHS
guidelines. A QI visit can only be conducted within a cycle in which a VFC visit
has also been conducted for the same provider. LHDs must conduct a QI visit on
a least 25% of VFC providers annually.
• Local health departments must complete an in-person VFC or VFC/QI site visit
for every VFC provider at minimum, every 24-months, using the date of their
previous visit as a starting point. Site visits will vary in time an average of 1 hour
for QI and 2 hours for VFC Compliance and must not exceed the two-year time
frame. Annual visits are encouraged but must not be conducted sooner than 11
months from the previous site visit date.
• Combined VFC/QI site visits will be conducted using MCIR QI reports and QI
tools developed by the Department. All VFC and QI follow-up activities and
outstanding issues must be completed within CDC guidelines.
• Detroit Department of Health and Wellness Promotion Immunization Program is
required to complete visits annually to 100% of the VFC providers in accordance
with the SEMHA Quality Assurance Specialist (QAS) contractual obligations,
including the completed site visit questionnaires and the CDC-PEAR and the
CDC-IQIP database systems reviewed at the most recent IAP meeting, web-
training with MDHHS VFC and QI coordinators, in-person training with Field
Reps and the current site visit guidance documents (VFC and QI) provided by
the department and the CDC. All site visit information shall be entered into the
appropriate database as required by CDC (PEAR and QI database system)
within 10 days of the site visit by the individual who conducted the site visit. VFC
site visit documentation must be entered online within PEAR during the time of
the site visit.
PROJECT: Immunization Vaccine Quality Assurance
Start Date: 10/01/2024
End Date: 9/30/2025
Project Synopsis:
This project provides support to Local Health Departments so they can conduct
vaccine management activities for Vaccines for Children (VFC) providers. Under this
program, LHDs review and approve providers’ vaccine orders, monitor providers’
vaccine inventory, ensure providers are storing vaccines appropriately, and place
vaccine orders. LHDs also work with providers who experience a vaccine loss by
providing education and technical assistance and assisting with corrective action plans.
Additional Reporting Requirements:
N/A
Additional requirements:
1. Follow-up on vaccine losses and replacement for compromised vaccines for
immunization providers within the jurisdiction.
2. Monitor and approve all temperature logs, doses administered reports and
ending inventory reports received from participating VFC providers within the
jurisdiction.
3. Monitor and approve vaccine orders for participating VFC providers within the
jurisdiction.
4. Act as the Primary Point of Contact (PPOC) for VFC providers within the
jurisdiction.
5. Provide education and intervention on inappropriate use of publicly purchased
vaccine.
6. Follow-up on VFC site visit non-compliance issues.
7. Assist VFC providers within the jurisdiction on issues related to balancing
vaccine inventories.
8. Assist with the redistribution of short-dated vaccine for providers within the
jurisdiction.
9. Assist with the equitable allocation of vaccines to providers in the jurisdiction
during a vaccine shortage.
10. Adhere to federal and state requirements regarding the use of programmatic
funds.
• Non allowable expenses include vehicles, food, alcoholic beverages,
private stock vaccine purchases, building purchases, construction, capital
improvement, entertainment costs, goods and services for personal use,
and promotional and/or incentive material.
PROJECT TITLE: Infant Safe Sleep
Start Date: 10/1/2024
End Date: 09/30/2025
Project Synopsis:
Local health departments will provide safe sleep educational activities, conduct safe
sleep community outreach/awareness efforts and engage community leaders to guide
programming.
Additional Reporting Requirements:
1. LHD will attach the completed “Infant Safe Sleep Grant Work Plan” to the indirect
cost line of the budget for review and approval by the Infant Safe Sleep program
prior to the start of the fiscal year. The work plan must incorporate SMARTIE
(Specific, Measurable, Achievable, Relevant, Time-phased, Inclusive and Equitable)
objectives, where possible.
2. LHD will submit the “Infant Safe Sleep Grant Work Plan and Reporting Document”
quarterly with the “Summary of Work Completed” and “Outputs” columns completed
and the “Community Engagement Questions” answered. It must be attached to the
indirect cost line of each quarterly FSR (Q1, Q2, Q3) and to the final FSR.
Additional requirements:
1. Grantee must provide safe sleep educational activities, conduct safe sleep
community outreach/awareness efforts and engage community leaders to guide
programming.
2. Programming must adhere to the policy statement titled “Sleep-Related Infant
Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep
Environment” issued by the American Academy of Pediatrics or any subsequent
updates to that policy statement.
3. Activities must:
a. Be data driven and focus on communities or populations that experience a
high rate of sleep-related infant death and disparity. Input and feedback from
families at highest risk for sleep-related infant death must be utilized.
b. Be culturally appropriate based on the communities served.
c. Support families and encourage open and nonjudgmental conversations with
families about infant sleep practices, including risk reduction strategies.
4. Grantee must participate in and/or coordinate a local advisory team or regional group
(such as the county’s Regional Perinatal Quality Collaborative) to coordinate efforts
to promote infant safe sleep and reduce infant deaths related to unsafe sleep
environments. Grantee must make efforts to ensure membership represents a
diverse community of stakeholders and includes the following on the advisory team:
a. Community partners that can address social determinates of health including
partners that can meet resource needs of families and partners that work
further upstream.
b. Community members, such as families, parents and caregivers.
5. Activities of the grantee must align with 2024-2028 Advancing Healthy Births: An
Equity Plan for Michigan Families & Communities, or subsequent plan, to address
preventable infant deaths and disparities through evidence-based infant safe sleep
program activities.
6. Funds may be used for the purchase of demonstration and/or educational items,
however, grantee is encouraged to use department-provided educational materials
when possible. Additionally, a maximum of 7% of the funding may be used for
giveaway items that are directly related to infant safe sleep such as cribs, pack and-
plays, sheets, and/or sleep sacks. A maximum of 5% of the funding may be used for
advertising, including billboards, bus signage and the purchase of radio, TV, and/or
print media.
7. Grantee must adhere to the approved work plan. Deviations to the work plan must
be approved by the Program Coordinator.
8. LHD will participate in regular meetings (in-person, virtual or call) as determined by
the Infant Safe Sleep Program to review progress, provide updates, coordinate
activities statewide, and to receive technical assistance and consultation.
9. LHD will designate a staff person to serve as the contact with the Infant Safe Sleep
Program.
10. Any staff member working on grant activities must provide documentation of
completion of the following trainings (available at https://courses.mihealth.org):
a. Infant Safe Sleep for Professionals Working with Families
b. Helping Families Practice Infant Safe Sleep.
c. Introduction to Health Equity
d. Systemic Racism
Program Coordinator
Colleen Nelson
nelsonc7@michigan.gov
517-243-1796
PROJECT: Infection Prevention and Healthcare- Associated Infections
Response Support
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
This project is supported by Epi Lab Capacity (ELC) COVID-19 Supplemental funding. To
utilize these funds, Local Health Departments (LHD) must participate in collaborative
efforts with MDHHS to improve the knowledge of infection prevention and control (IPC)
and healthcare-associated infection (HAI) investigations and response, thereby
increasing statewide public health capacity to support congregate care settings with IPC
practices.
Reporting Requirements (if different than contract language)
Submit a quarterly report to the Healthcare-Associated Infections Section, Infection
Prevention (IP) Unit on Infection Prevention and/or HAI-related activities that have
occurred within their jurisdiction over the specified reporting period. MDHHS will provide
a reporting template.
• For LHDs who completed MI-ECHO (2023-2024) and conducted an Infection
Prevention onsite visit (or Infection Control Assessment Response – ICAR),
please submit information via
https://mdhhscd.qualtrics.com/jfe/form/SV_73acnAtD2MuHJNI.
Allowable expenses for local health departments:
1. Funding can be used to support:
a. Staffing
b. Personnel time
c. Equipment and/or supplies (PPE)
d. Resources (guidelines, texts, journals)
e. Travel expenses
f. Professional Development
2. Support of staff cross-trained in other communicable disease investigation
activities such as:
• Healthcare-associated and antibiotic-resistant organisms,
• Sexually transmitted infection and
• HIV partner services,
• Hepatitis C infection,
• Foodborne outbreak response,
• Tuberculosis investigations,
• Other infections/investigations that can benefit from infection prevention
support
3. Coordination of supportive services
4. Activities to promote IP and HAI education and outreach
5. Workforce development and training, including conference fees, registration, and
associated travel.
Funding cannot be used for clinical care or research.
Additional Requirements:
The local health department will:
• Designate primary and alternate representatives responsible for participating in
this project.
• Participate in routinely scheduled meetings, including, but not limited to
educational webinars, in-person learning sessions, and regional
workgroups/discussions.
• Conduct ongoing outreach to high-risk and other congregate care settings to
assess communicable disease reporting and existing infection prevention
infrastructure (resources, policies, practices, and processes) and provide IP and
HAI recommendations as needed.
• Develop, maintain, or initiate relationships with long-term care (LTC) facilities
within their jurisdiction and have regular communication with these facilities. If an
infection prevention/HAI issue arises at one of the facilities which requires further
assistance, MDHHS will support.
Related to Infection Prevention and HAIs:
Technical assistance from the HAI program office can be requested by LHD personnel
supporting IP and HAI activities, including but not limited to educational webinars, in-
person workshops, regional workgroups, assistance with onsite facility assessments,
cluster/outbreak reporting, investigations, response, and containment efforts.
PROJECT: Informed Consent
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Department will provide funding for local health departments that provide assistance
to patients as set forth in MCL 333.17015. Specifically, funding will be granted for serving
patients who—prior to seeking abortion services elsewhere—expressly request a
pregnancy test for the purposes of (1) confirming a pregnancy, and (2) determining the
probable gestational stage of a confirmed pregnancy. Funding will be provided at the
fixed rate of $50 per patient served.
Additional Reporting Requirements:
The number of services, rate per service, and total amount due must be noted as a funding
source, under the element where the staff providing the services are funded, on the FSR
through the MI E-Grants system.
Additional requirements:
The following requirements apply to all Grantees, whether the Grantee operates a Family
Planning Clinic or not:
1. When a patient states that they are planning to seek an abortion and requests a
pregnancy test to comply with the current requirements under MCL 333.17015, the
Grantee will provide the following:
a. A pregnancy test; and
b. A completed "Verification of Pregnancy and Gestational Age" form (if pregnancy
is confirmed)
2. The Grantee must treat the patient's identity and address as confidential. This
information may be released only to a physician for the purpose of verifying receipt
of the information or with the consent of the patient. The Grantee must destroy the
individual “informed consent” files containing identifying information (name,
address, etc.) within 30 days of assisting the patient.
3. When a patient seeks a pregnancy test and does not explicitly state that they are
doing so for the purpose of obtaining an abortion, the Grantee should direct them
to a Family Planning Clinic or to their primary care provider for a pregnancy test
(rather than provide services under this program). Services to comply with MCL
333.17015 should not be provided to a patient in a Title X funded family planning
clinic.
PROJECT: Laboratory Services Bio
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
As part of the emergency preparedness and response efforts, the regional laboratories
have been designated as partner organizations that assist with testing, transport, and
communications related to biothreat agents or other evolving infectious agent issues.
Additional Reporting Requirements:
Provide the Bureau of Laboratories records and reports as required, at least once per
year or upon special request.
Additional requirements:
Meet established standards of performance and objectives in the following areas:
Public Health Emergency Preparedness:
• Maintain a current list of contact information for local community hospital
laboratories to facilitate communication.
• Facilitate response with local community hospital laboratories in preparation for and
during public health threats.
• Coordinate and facilitate specimen collection and transport with facilities within
jurisdiction. This may include specimen packaging and shipping and coordination
with the courier service.
• Provide 24/7 contact information to hospital partners and BOL.
• Participate in and provide support for Department PHEP exercises with community
hospital laboratories within jurisdiction.
• The Grantee will designate one staff member as a liaison to the Bureau of
Laboratories. Each Grantee must designate appropriate staff to take part in LIMS
training activities.
• Provide information on specimen submission to local health jurisdictions to assure
that specimens are submitted to the BOL LRN laboratory, or other appropriate LRN
laboratory as determined by the Department.
PROJECT: Lactation Consultant
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Lactation Consultant project provides lactation support to persons living in Flint and
the surrounding areas. All activities must support and promote human milk feeding.
Additional Reporting Requirements:
1. In anticipation of the new year agreement, grantees must submit a Lactation
Consultant work plan to McDonaldE1@michigan.gov by 9/1/2024. The work plan
must include:
• Outcome objectives (a minimum of 2) for improved breastfeeding rates in
Genesee County.
• Activities under each objective that include a specific outcome measure. For
example, “Will hold 4 community coalition meetings by September 30.”
• The person responsible and deliverable quantifiable outcomes for each activity.
2. Changes to the work plan throughout the year can occur with prior approval from
the MDHHS.
3. All activities, as specified in the initial approved work plan, shall be implemented.
Workplan Report Due Dates:
Work plan reports must be submitted quarterly or as requested by MDHHS. The reports
are due 30 days after each quarter and year end and include the following timeframes:
• Initial work plan due September 1.
• First quarter (covering period October 1 through December 31) is due January 30.
• Second quarter report (covering period January 1 through March 31) is due April
30.
• Third quarter report (covering period April 1 through June 30) is due July 30.
• Fourth quarter report (covering period July 1 through September 30) is due
October 30.
PROJECT: Lead Hazard Control
Start Date: 10/01/2024
End Date: 9/30/2025
Project Synopsis:
The LHCCD grant funds local communities to provide residential lead hazard control
(LHC) services within their communities per the Medicaid Children’s Health Insurance
Program State Plan Amendment. The purpose is to provide LHC services to eligible
households with a Medicaid-enrolled child to reduce lead exposure in children. The
program consists of outreach, education, identification of sources of lead, as well as
remediation of lead hazards within the home that contribute to elevated blood lead
levels. The grant allows grantees to establish a tailored, high quality, and sustainable
lead hazard control program that best serves the residents in their community.
Additional Reporting Requirements:
A. Grantees must complete and submit monthly Enrollee Engagement Protocol
Tracking Reports via secured MDHHS File Transfer Protocol (FTP) system by
the 15th of each month for the prior month’s activity.
B. Grantees must complete and submit MDHHS-LSS Monthly Monitoring Report
via secured FTP by the 15th of each month for the prior month’s activity.
Project data is required to be up to date in MICLEAR data application in order
to run monthly report.
C. Quarterly Financial Status Reports in EGrAMS are due by the 30th of the month
following the end of the quarter. Grantees shall provide applicable general
ledgers attached to the quarterly Financial Status Report in an Excel or PDF
format for reconciliation, review and analysis.
D. Grantees must submit quarterly Work Plan reports via FTP by the 15th of the
month following the end of each quarter, as specified in the Grant Agreement.
Work Plan will include projected benchmarks for applications received/approved,
lead inspection risk assessments as well as lead abatement projects completed.
E. Grantees must have at least one representative participate in additional
monitoring and information conference calls as requested by LLSD.
F. Any other information as specified in the Statement of Work, shall be developed
and submitted by the Grantee as required by the Contract Manager.
G. Reports and information shall be submitted through the Lead Hazard Control
Community Development File Transfer Protocol (LHCCD FTP) shared area and
EGrAMS. The method of reporting may change following the MiCLEAR
application implementation.
H. The Grantee shall permit the Department or its designee to visit and to make an
evaluation of the project as determined by Contract Manager.
Any additional requirements:
A. Ensure compliance with laws, regulations, licensing requirements, protocols,
and guidelines for all funded activities under this RFP. Work must be conducted
by firms and persons certified according to the Michigan Lead Abatement Act
and/or EPA 40 CFR 745 possessing certification as lead abatement firms, EPA
certified renovation firms, risk assessors, inspectors, abatement supervisors,
abatement workers or certified renovators (for workers and supervisors
performing non-abatement work), as applicable to each unit’s scope of work.
Any abatement activities conducted under this program require a properly
certified abatement firm, certified abatement supervisor, certified abatement
worker credentialing. Any activities or other renovation activities not performed
during abatement activities under this program requires a properly certified EPA
renovation firm using only EPA-certified renovators. Each project will have a
clearance performed at the end of the abatement work and at the end of the
project. Compliance with the following is required for all sub-contractors, sub-
grantees, sub-recipients, and their contractors:
U.S. Department of Housing and Urban Development (HUD): 24 CFR 35
U.S. Occupational Safety and Health Administration (OSHA): 29
CFR 1910.1025,
29 CFR 1926 (Lead Exposure in Construction)
U.S. Environmental Protection Agency (EPA): 40 CFR 745
U.S. EPA, National Environmental Policy Act - Tier II Environmental
Review: 29 CFR Part 50-58.
National Historic Preservation Act. The National Historic Preservation
Act of 1966 (54 U.S.C. §300101) and the regulations at 36 CFR Part 800
apply to the lead-hazard control or rehabilitation activities that are
undertaken pursuant to this RFP.
State of Michigan regulations, including the Michigan Lead Abatement Act
(MCL 333.5451-333.3477), Lead Hazard Control Administrative Rules
(R325.99101-R325.99409), and Article 24 of Public Act 299 of 1980, as
amended, regarding residential building, maintenance, and alteration
contractor licensing and regulations.
Local regulations as applicable.
B. Applicants applying as a consortium must identify all partners, one Lead
Applicant, and Authorizing Official in their proposal. Identify the geographic
region each consortium partner is serving and their role.
C. Create an Enrollee Engagement Prioritization Plan that specifies how you
will adhere to the minimum requirements in the Enrollee Engagement
Protocol. Grantees must ensure that prioritized at-risk eligible households
receive adequate outreach for equitable inclusion and enrollment.
i. Grantees shall maintain a documented Enrollee Engagement Prioritization
Plan for their community, prioritizing the most at-risk families (e.g.
pregnant women, children with EBLs, age of child, housing stock, etc.).
Upon completion of a Data Use Agreement, MDHHS-LSS will provide
Grantees with a monthly Medicaid enrollee and Elevated Blood Lead
Level (EBLL) report for their geographic region to support this activity.
ii. Grantee’s plan shall include enough potential participants to attain
benchmarks. Conversely, Grantee’s plan must be targeted to avoid a
lengthy backlog of applicants.
iii. Once a Grantee has contacted a potential enrollee, the engagement
protocol shall be followed until an application is received or they are
disengaged according to the disengagement protocol.
iv. Grantee enrollee engagement must include application completion
assistance, if needed.
v. Grantee’s plan shall address how an applicant backlog will be tracked and
monitored if there are more applicants than they can serve.
vi. If Grantee doesn’t have a backlog, all eligible applicants shall be served
regardless of their prioritization status.
vii. If Grantee plans to use a partner to oversee or conduct their Enrollee
Engagement Prioritization Plan and Tracking, they must identify the
partner, agreements they have in place, and how PII and PHI data are
shared and protected.
viii. If Grantee proceeds with an application that does not follow their Enrollee
Engagement Prioritization Plan, Grantee must document the justification in
their project file.
D. Ensure lead abatement requirements are followed including:
i. A lead abatement supervisor is required for each lead abatement job and
must be present at the job site while all abatement work is being done.
This
requirement includes set up and clean up time. The lead abatement
supervisor must ensure that all abatement work is done within the limits of
federal, state, and local laws.
ii. Services may be rendered to eligible physical structures and
include the surrounding land up to the property line.
iii. Services must be coordinated with water service line removal that
occurs outside of the property line.
iv. A certified lead inspector or risk assessor, who is independent of the
abatement company, shall perform clearance testing after abatement work
is completed and at the end of the project.
v. All laboratories selected for use in the lead-based paint hazards and
evaluation reports shall hold and maintain an accreditation to the ISO/IEC
17025:2005 standard, through an appropriate accreditation body, to
conduct lead testing services. The laboratory must be recognized by the
U.S. Environmental Protection Agency (EPA) National Lead Laboratory
Accreditation Program (NLLAP) for the analyses performed under this
contract, and shall, for work under this grant, use the same analytical
method used for obtaining the most recent NLLAP recognition. Additionally,
the laboratory must employ individuals, who perform the testing and review
and report out results, which meet the MDHHS Civil Service requirements
for staffing capabilities, which can be found below.
Grantee has two analytical laboratory options, which are to either (1) identify
the laboratory they plan to use; submit documentation of compliance with
the requirements stated in the RFP; (2) use the MDHHS Trace Metals
Laboratory. Copies of the chain-of-custody and sample results must be
included within the EBL EI or Lead Inspection/Risk Assessment report.
vi. Ensure water sampling protocols are followed in compliance with the EPA
Lead and Copper Rule and the MDHHS-LSS Residential Lead Hazard
Control-Lead in Water Protocol. A Michigan Department of Environment,
Great Lakes and Energy Certified Drinking Water Laboratory for Lead and
Copper must be used.
All water samples must be analyzed within fourteen (14) days of collection.
It is recommended that all water samples be delivered to the approved
laboratory within ten (10) days of collection. Copies of the chain-of-custody
and sample results must be included within all Lead Hazard Control
Environmental Investigation, Clearance and Addendum reports.
vii. All residences designated within a Historic Preservation District must
adhere to state and local historical preservation requirements.
viii. The LSS – Local Lead Services and Development Unit (LLSD) is
responsible for conducting the Tier I Environment Review through the
issuance of a public notice in the form of a press release. Grantees are
required to complete site specific Tier II Environmental Reviews in
accordance with U.S. EPA National Environmental Policy Act, 24 CFR 50-
58. Grantees must complete the required Tiered Environmental Review
Checklist for each project. The following components shall be included in
the review and adhered to:
a. Airport Runway Clear Zones and Clear Zones Disclosures
b. Coastal Barrier Resources Act
c. Coastal Zone Management
d. Flood Insurance
e. Flood Plain Management
f. Wetland Protection
g. Wild and Scenic Rivers
h. Clean Air Act
i. Contaminated and Toxic Substances
j. Endangered Species
k. Farmlands Protection
l. Explosive and Flammable Operations
m. Environmental Justice
E. Applicants must complete minimum work plan requirements, identify
specific program objectives and activities to be accomplished in a work
plan. Objectives should relate to the identified target community needs and
be SMART (specific, measurable, appropriate, realistic, and time-based).
Each objective must have a minimum of one related activity.
F. The following minimum objectives and activities shall be included in Applicant’s
work plan:
Objective: Education & Engagement
Activity: Adhere to Enrollee Engagement Protocol while utilizing Program
Prioritization Plan
Responsible Staff: [Please include responsible entity/individual who is
also listed in Budget section]
Date Range:
Expected Outcome: Receive and approve XX applications.
Measurement: Number of applications received/approved and families
contacted.
Objective: Investigations
Activity: Complete XX EBL/LIRA investigations including water
sampling according to MDHHS Water Protocol
Responsible Staff: [Please include responsible entity/individual who is
also listed in Budget section]
Date Range:
Expected Outcome: XX completed EBL/LIRA investigations
Measurement: Number of EBL/LIRA reports received
Objective: Abatement
Activity: Complete and clear XX abatement projects
Responsible Staff: [Please include responsible entity/individual who is
also listed in Budget section]
Date Range:
Expected Outcome: XX projects completed/cleared
Measurement: Number of projects completed/cleared
G. Collaboration and coordination requirements include:
i. If MDHHS-LSS-Lead Safe Home Program (LSHP) receives an application
from a Medicaid resident in a Grantee community, LSHP and the LLSD will
determine who shall be responsible for serving the applicant. LLSD will
work with Grantees to coordinate referrals.
ii. Services performed must be part of a coordinated plan that ensures
abatement activities of the eligible residential unit align with the
community’s water service line replacement plan (if applicable). The
Grantee must replace the service line if water test results are above
acceptable limits. Applicants must include their coordination plan as part
of their proposal.
iii. MDHHS-LSS encourages collaboration and coordination to meet the
requirements of this program with other non-profit: communities,
agencies, and partners (such as childhood lead poisoning prevention
programs, health agencies, community development agencies,
weatherization assistance agencies, fair housing organizations, code
enforcement agencies, community- based organizations, faith-based
organizations, financial institutions, or other philanthropic entities).
iv. Grantees are required to enter into formal arrangements, such as
memorandums of understanding or similar contractual agreements, with
service delivery organizations receiving funds.
H. All high-cost projects exceeding $70,000 require MDHHS approval
prior to abatement.
I. Control/Elimination Strategies. All lead-based paint hazards identified in
eligible housing units and in common areas of multifamily housing enrolled in
this Medicaid CHIP program must be controlled or eliminated in accordance
with the Michigan Lead Abatement Act.
J. Data Collection and Use. Grantees must collect, maintain, assure data
integrity, and provide to MDHHS-LSS the data necessary to document, report,
and evaluate program outputs and outcomes. Grantees must document how
PII or PHI data will be securely shared with partnering entities, including the
following components:
i. Data source, purpose, and use
ii. Specific data elements (e.g., age, gender, etc.)
iii. Time periods (e.g. October 1 through September 30)
iv. Identify what data transfer medium will be used (e.g., electronic
through secured FTP, hard copy via facsimile, encrypted email,
etc.)
v. Identify who will have access to the data (e.g., project director,
intake specialist, etc.), and how access will be controlled.
vi. Identify how you will receive authorization from participants to share data
with any subcontractors or partners. Include how you will share the
authorized data with subcontractors or partners and ensure those
accessing data agree to the same restrictions and conditions.
vii. Identify where data will be stored and how access will be
restricted to authorized individuals (e.g. encrypted or password
protected)
viii. Identify how data will be retained in secured storage once the program is
completed to comply with records retention. Include how the data is
destroyed at conclusion of the retention period.
ix. Grantees are required to immediately notify LLSD if a staff member who
has access to FTP or Michigan Comprehensive Lead Abatement and
Registry (MiCLEAR) is no longer employed with the agency and/or
permitted to have access to PHI. LLSD will revoke their access
immediately.
K. Grantee shall enter and maintain program and project data in an MDHHS
online application, MICLEAR.
L. Grantee must obtain Data Use Agreement with LLSD if the program is
sharing protected health information.
M. Lead-Based Paint and Lead Hazard Identification. A complete lead-based paint
inspection, lead hazard risk assessment, EBL environmental investigation (for
children with a blood level ≥5 µg/dL), and lead in water sampling
assessment/evaluation will be conducted; either separate reports or a
combined report is required for all properties enrolled under this program.
Presumption of the presence of lead-based paint or lead hazards is not
permitted. Paint inspections and
risk assessments must follow the procedures as defined in the Michigan Lead
Abatement Act and HUD Guidelines for the Evaluation and Control of Lead-
Based Paint Hazards in Housing investigation, abatement and clearance.
Lead in water sampling must be conducted in accordance with MDHHS-LSS
Residential Lead Hazard Control-Lead in Water Protocol.
i. Individuals performing EBL/Lead Inspection Risk Assessments
and/or water sampling must use MDHHS approved Lead
Hazard Control Environmental Investigation, Clearance and
Addendum report templates.
N. Minimal residential rehabilitation is allowed to the extent that this work
extends the life of the lead abatement work done consistent with HUD
guidelines, including activities that are specifically required in order to carry
out effective hazard control, and without which the hazard control could not
be completed, maintained, and sustained, as defined by HUD Policy
Guidance Number 2008-02
O. Notification Requirements. All lead-based paint testing results, summaries of
lead- based paint hazard control treatments, and clearances must be provided
to the owner of the unit, together with a notice describing the owner’s legal duty
to disclose the results to tenants and buyers in accordance with 24 CFR 35.88
of the Lead Disclosure Rule. Applicants must ensure that this information is
provided in a manner that is effective for persons with disabilities (24 CFR 8.6)
and those persons with limited English proficiency (LEP) will have meaningful
access to it (see Executive Order 13166). Applicant files must contain verifiable
evidence of providing lead hazard evaluation and control reports to owners and
tenants, such as a signed and dated receipt. Applicants must also describe
how they will provide owners with lead hazard evaluation and control
information generated by activities under this program, so that the owner can
comply with the Lead Disclosure Rule (24 CFR part 35, subpart A, or the
equivalent 40 CFR part 745, subpart F), the Lead Safe Housing Rule (24 CFR
part 35, subparts B–R), and the EPA’s Renovation, Repair, and Painting (RRP)
Rule (see 40 CFR part 745 and http://www2.epa.gov/lead/renovation-repair-
and-painting-program).
P. Procurement Requirements. Recipients must follow State of Michigan or
established grantee policies and procedures.
Q. Temporary Relocation. Costs for the temporary relocation for residents
required to vacate housing during abatement activities must be controlled
and reasonable for the area. MDHHS-LSS expects that the lead hazard
control work and temporary
relocation will take ten (10) days or less, unless pre-approved by MDHHS-
LSS. Rental unit landlords shall identify alternate relocation for residents
during abatement, if available.
R. If an X-ray fluorescent (XRF) instrument is used, all risk assessors must
possess current training, certification and licensing in the use of the XRF
equipment under appropriate federal, state or local authority.
S. Waste Disposal must adhere to the requirements of the Michigan Lead
Abatement Act, appropriate local, state, and federal regulatory agencies, and
HUD Guidelines.
T. Written Policies and Procedures. Grantees will be required to develop written
policies and procedures to comply with the requirements of this RFP within the
first sixty (60) days of the new award. MDHHS-LSS Lead Safe Home Program
will provide Grantees with a minimum set of procedures to be followed. The
policies and procedures must describe how your program will handle items
such as, but not limited, to:
i. Enrollee Engagement Prioritization Plan and Tracking, including a plan for
targeted outreach, prioritization, maintenance of a backlog,
documentation, and reporting.
ii. Workforce development related to lead hazard control
iii. Processing program applications, validating unit eligibility,
prioritization, and selection
iv. All phases of lead hazard evaluation and control, including risk
assessments, inspections, water sampling, reporting, abatement and
clearance, development of specifications for contractor bids
v. Resident temporary relocation
vi. Procurement of abatement contractor
vii. Quality assurance of program data collection and data entry
viii. Financial controls
ix. Quality assurance abatement Plan
U. Grantees are required to retain all project records in a secured location for
five (5) years after project closeout.
V. Program administrative costs are recommended to not exceed ten percent
(10%) of the award for payments of reasonable administrative costs related to
planning and executing the project, preparation/submission of LLSD reports,
etc. Administrative costs are the reasonable, necessary, allocable, and
otherwise allowable costs of general management, oversight, and coordination
of the proposal (i.e., program administration). Administrative costs must be
outlined in the budget narrative. If administrative costs exceed ten percent
(10%), justification must be provided.
W. The Grantee can choose to use one of the approved methods outlined
below in their budget. In any method, grantee must provide appropriate
documentation of proof.
i. Federal approved rate
ii. State approved rate
iii. Cost allocation plans
X. The Grantee is responsible for assuring that required insurance limits are
obtained by environmental investigation firms and certified abatement
contractor/ abatement firms. Contractor and/or firm will provide the program
with a copy of its current insurance certificate, which will name the property
owner and the State of Michigan as additionally insured. The certificate must
be received prior to the issuance of a purchase order.
Y. Eligibility of Expenses
i. Roofs: Medicaid CHIP abatement project is eligible for roof
replacement when roof is beyond minimal rehab and repairable
condition. Documentation is needed stating that roof disrepair
would affect the integrity of the lead hazard control work being
completed on the property.
ii. Multi-Units: Multi-family rental properties are eligible and
follows compliance with HUD policy 5-66.
iii. Public Housing: Following HUD policy, properties that are
HUD voucher based/tenant-based are eligible for lead
abatement services. However, project-based housing
owned by HUD is not eligible for the Medicaid CHIP grant.
iv. Consent Decree: Following HUD policy, properties that
have an existing consent decree on the property are not
eligible for the Medicaid CHIP grant.
v. Demolition: In rare cases, a portion of the residential unit or
accessory structure with lead hazards may be determined to be
unfit for occupancy or in a state of extreme disrepair that
pursuing lead hazard control may not be cost effective or
feasible. Partial demolition and removal of contaminated
materials, soil, etc. is a covered service only if pre-approved by
MDHHS-LSS and the following CMS guidelines are adhered to:
a. Conduct clearance testing of the site and soil upon
completion of the project to make sure that the demolition
did not create new hazards.
b. Attest that certified professionals are contracted to
work on the demolition to guarantee that it is
conducted safely to protect neighboring structures and
residents.
c. Obtain consent from the resident and property owner for
the demolition, to ensure all parties are in agreement.
vi. Dumpsters: Dumpsters or storage containers/pods are an
allowable expense for households where there are extreme
hoarding issues that would prevent contractors and inspectors
from performing Lead Hazard Control work.
vii. Fire Protection: Medicaid CHIP enrolled properties are
eligible to receive carbon monoxide detectors and smoke
alarms based on local code.
viii. Minimal Rehabilitation: Minimal residential rehabilitation is
allowed to the extent that this work extends the life of the lead
abatement work done consistent with HUD guidelines, including
activities that are specifically required in order to carry out
effective hazard control, and without which the hazard control
could not be completed, maintained, and sustained, as defined
by HUD Policy Guidance Number 2008-02.
ix. Relocation: Temporary relocation expenses are eligible when
family is required to vacate home during abatement activities.
When possible, the State rate for hotels should be used.
x. Fire Protection: Medicaid CHIP LLSD enrolled properties are
eligible to receive carbon monoxide detectors and smoke
alarms based on local code.
xi. Equipment: Any purchase or lease of equipment having a per-
unit cost in excess of $5,000 must be pre-approved by MDHHS
including the purchase or lease of X-ray fluorescence (XRF)
analyzers.
xii. Lead Certifications: Payment of professional certifications and
licenses are eligible which includes securing and maintaining
required certification and licenses for identification, remediation,
and clearance of lead and other housing-related health and
safety hazards.
xiii. Resident blood lead testing and analysis are not eligible
services or costs.
xiv. Costs of case management are not eligible services or costs.
• Grantee agrees to follow asbestos recommendations and protocols as prescribed
by the MDHHS Lead Services Section.
• MDHHS Local Lead Services and Development Unit will complete quality
assurance reviews as needed of EBL/LIRA reports, specifications, site visits,
MICLEAR file audits, benchmarks of abatement projects completed, and financial
expenditures. If significant findings are concluded from quality assurance reviews
including but not limited to failure to meet projected benchmarks or adhering to
reporting requirements, grantee will develop a Plan of Action. If Plan of Action
does not achieve projected results in specified amount of time, grantee must
revise portions of contract including benchmarks and/or total contract award in
next amendment cycle. After previous measures are implemented and grantee still
fails to comply with grant requirements, MDHHS reserves the right to rescind grant
award and/or amend total contract award amount.
PROJECT: Lead Health and Safety
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
Health and Safety Supplemental funding is available to address emergent issues
affecting habitability within homes located in the Local Lead Services’ (LLS) Lead
Hazard Control Program service areas. The Health and Safety Supplemental funding
complements lead work provided through LLS. These hazards must be non-lead related
and must present an immediate threat to occupants’ health and/or safety.
Additional Reporting Requirements:
Grantees shall provide their detailed general ledger attached to the quarterly Financial
Status Report in an Excel or PDF format for review and analysis.
Additional requirements:
1. Grantee must adhere to following eligibility criteria:
a. The property must be located in a LLS grantee service area.
b. Applicant must be eligible and enrolled in a grantee lead hazard control
program.
c. Applicant must be receiving Lead Hazard Control work through grantee’s
Medicaid Child Health Insurance Program (CHIP) funding.
2. The Health & Safety work can be completed before or after abatement. If the
Health & Safety work is subcontracted, the subcontractors cannot be on site
during lead abatement activities unless lead abatement certified.
3. Grantee’s can use Health & Safety funds to provide the repair services related to
the following components/hazards listed below.
a. Asbestos
b. Mold and Moisture Issues
c. Temperature extremes
d. Carbon Monoxide and Smoke Detectors
e. Lead Hazards
f. Radioactive Substances
g. Improper Ventilation
h. Safety from Intruders
i. Pest Control and Prevention
j. Inadequate Plumbing
k. Falls
l. Electrical Hazards
m. Fires
n. Unsafe Structures
o. Environmental Tobacco Smoke Exposure
p. Identified repairs to address any other immediate threats to occupants’
health and/or safety where the property owner does not have available
resources to address it themselves.
4. Michigan Department of Health & Human Services (MDHHS) is under no obligation
to provide these funds on every enrolled LLS project. Grantees must implement
prioritization plan when disseminating Health & Safety funds.
5. MDHHS holds no claim beyond providing these services that the home is free of
structural, mechanical, electrical, or other hazards or deficiencies or that the home
meets any implied warranty of habitability. MDHHS is not responsible for providing
general residential inspections for health and safety violations and is not
responsible for identification, repair or notification of additional health and safety
hazards.
6. Investigator must complete initial Health & Safety Assessment on MDHHS
provided report template.
7. Investigator must complete Health & Safety re-assessment on MDHHS
provided report template and include pictures of work completed.
8. Investigator and/or Grantee Program Manager will send initial report and
re- assessment report to homeowner/landlord.
9. Health & Safety assessment reports and addendums will be uploaded in
MICLEAR database system for specific property address. Financial Expenditures
associated with Health & Safety funding will be entered in MICLEAR as well.
10. Grantee is responsible for overseeing internal Quality Assurance Plan and
ensure Health & Safety work completed is to comply with local codes
regulations.
PROJECT: Local Health Department Sharing
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Local health departments participating in the project will utilize funds to support activities
pertinent to the exploration, preparation, planning, implementing, and improving sharing
of local health department services, programs or personnel.
Additional Reporting Requirements:
Grantees will receive notification of reports along with reporting templates. Reporting is
twice per year based on reporting dates required by the CDC.
Additional requirements:
Local health departments must submit a continuation workplan and budget for
continuation funding of the project “Local Health Department Collaboration and
Exploration of Shared Approach to Delivery of Services,”
Eligible Activities:
• Meeting activities, including time and travel costs
• Cost of research activities
• Supplies and presentation materials
• Professional services related to the project
• IT cost related to service sharing (grant funds may not be used to reimburse
equipment costs)
PROJECT TITLE: Local Maternal Child Health (LMCH)
MCH -Children
MCH – All Other
Start Date: 10/1/2023
End Date: 9/30/2024
Project Synopsis:
LMCH funding is made available to local health departments to support the health of
women, children, and families in communities across Michigan. Funding addresses one
or more Title V Maternal and Child Health Block Grant national and state priority areas
and/or a local MCH priority need identified through a needs assessment process. Local
health departments complete an annual LMCH plan, and a year-end report. Target
populations are women of childbearing age, infants, and children aged 1-21 years and
their families, with a special focus on those who are low income. The LMCH allocated
funds are to be budgeted as a funding source in two project categories.
Local Maternal and Child Health (MCH)
ESCMCH MCH - Children
OTHERMCHV MCH – All Other
Additional Reporting Requirements:
1. The LMCH Plan submission and due date will be communicated through a
notification mailing. The department will provide the format for the LMCH Plan.
The LMCH Plan, approved by the department, is to be uploaded with the budget
application into EGrAMS. The Plan and Plan amendments, if needed, need to be
approved in advance of the budget application and budget amendment.
2. The LMCH Year-End Report submission and due date will be communicated
through a notification mailing. The department will provide the format for the LMCH
Year-End Report. The Local MCH Year-End Report, approved by the department,
is to be uploaded in EGrAMS with the final FSR. The Year-End Report must be
approved in advance of the final FSR.
Additional requirements:
1. Local MCH funding must be used to address the unmet needs of the maternal
child health population and based on data and need(s) identified through the
Local Health Department community health assessment process.
2. Activities and programs supported with Local MCH funds must be evidence-
based/informed. Exceptions must be submitted in writing and pre-approved by
MDHHS.
3. Local MCH funding cannot be used under the WIC element, except in extreme
circumstances where a waiver is requested in advance of the expenditures and
evidence is provided that the expenditures satisfy all funding requirements.
4. Local MCH funds may not be used to supplant available/billable program income
such as Medicaid or Healthy Michigan Plan fees or additional funding under the
Medicaid Cost-Based Reimbursement process.
5. Local Health Departments should leverage program generated income, especially
third-party payers (Medicaid, private insurers) before utilizing LMCH MCH block
grant funds. LMCH funds are to be used for those services that cannot be paid for
through other sources or for gap filling services. Third party fees should be listed
in other funding sources. If no 3rd party fees are listed, an explanation must be
noted.
6. The approved LMCH Plan allocation table and the budget application MCH
source of funds must match. If an agency needs to move funds between projects,
an amended LMCH Plan must be approved in advance of the budget amendment
request period. Any specified expenditure in the LMCH Plan must be detailed in
the budget (e.g. incentives).
7. The LMCH program follows the same principle on budget transfers and
adjustments outlined in the agreement language. The agreement allows for budget
transfers and adjustments of $10,000 or 15%, whichever is greater. However, if
the transfer or adjustment is greater than the $10,000 or 15%, OR there are any
changes made to any of the children performance measures an amended LMCH
Work Plan and budget will be required.
8. LMCH is unable to accept cost distributions from MDHHS-ELPHS due to the
nature of the block grant and LMCH reporting requirements. LMCH will continue
to accept other cost distributions as in the past (such as Family Planning, CSHCS
Outreach and Advocacy, VQA, IAP, and Lead Prevention).
9. LMCH has adopted Title 2 Code of Federal Regulations 200 Cost principles.
PROJECT TITLE: Maternal, Infant, and Early Childhood Home Visiting
Initiative Local Home Visiting Leadership Group (MIECHVLLG)
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The purpose of the Local Leadership Group (LLG) is to support the development of a
local home visiting system that leads to increased opportunities for coordination and
collaboration of home visiting programs at the community or regional level.
Additional Reporting Requirements:
The LLG shall submit all required reports in accordance with the Department’s reporting
requirements.
a. Staffing Changes: Within 10 days of a staffing change, notify the State LLG
Coordinator via e-mail and incorporate the change(s) into the budget and facesheet
during the next amendment cycle as appropriate. The facesheet identifies the
agency contacts and their assigned permissions related to the tasks they can
perform in E-GrAMS. The assigned Project Director in E-GrAMS can make the
facesheet changes once the agreement is available to be amended.
b. LLG Work Plan: Due annually on May 30 for preapproval from the State LLG
Coordinator. Upon approval, upload the Work Plan to Groupsite. See the Michigan
Department of Health and Human Services’ (MDHHS) Home Visiting 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. See the MDHHS Home Visiting Guidance Manual for specific Continuous Quality
Improvement (CQI) reporting requirements.
e. The Contract Manager or his/her designee shall evaluate the reports submitted as
described for their completeness and adequacy.
f. The Grantee shall permit the Department or its designee to visit, either in person
or virtually, and make an evaluation of the project as determined by the Contract
Manager.
All reports and/or information (a-f), unless stated otherwise, shall be submitted
electronically to the State LLG Coordinator or Groupsite.
Additional Requirements:
Comply with MDHHS Home Visiting Program Requirements:
The Grantee shall operate the LLG with fidelity to the requirements of MDHHS as
outlined in the MDHHS Home Visiting Section Guidance Manual.
1. The LLG will work with the State LLG Coordinator, Parent Coordinator and the
Michigan Public Health Institute (MPHI) Quality Improvement Coach. See the
MDHHS Home Visiting Guidance Manual for details.
2. The LLG will achieve the following deliverables to create and sustain a local home
visiting system:
a. Convene and build a local home visiting collaborative body by ensuring the
recruitment and participation of both required and strongly encouraged LLG
representatives (noted in the MDHHS Home Visiting Section Guidance
Manual).
b. Drive change by partnering with and integrating parents who are
experiencing home visiting as active members of the LLG and CQI team.
The attendance of parents at the two HVS Grantee Meetings held annually
is also required.
c. Learn how the local home visiting is connected through the facilitation of a
local Home Visiting System Coordination Plan and identify one goal to
implement that helps to improve the coordination of the local home visiting
system and achieve better outcomes for families.
d. Use Continuous Quality Improvement approaches to learn how to improve
collaboration among the early childhood and local home visiting system.
e. Document local home visiting system improvements (LLG Impact Report).
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
LLG membership/participation, development of CQI efforts, Impact Report as well as the
implementation of Home Visiting System Coordination Plan.
Funding Requirements:
The funding can be used to:
a. Enable the LLG to pay for staff support.
b. Financially support LLG parent representatives to attend the Michigan
Home Visiting Conference.
c. Financially support LLG members, including parent representatives, to be
part of the LLG and CQI efforts.
d. Carry out MDHHS Home Visiting Section activities as specified in this
agreement.
Promotional Materials
If the LLG wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements as outlined in the MDHHS
Home Visiting Section Guidance Manual.
PROJECT TITLE: Maternal, Infant, and Early Childhood Home Visiting
Initiative Rural Local Home Visiting Leadership Group (MHVRLH)
and
Maternal, Infant, and Early Childhood Home Visiting Initiative Rural Local
Home Visiting Leadership Group 3 (MHVRLH3)
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The purpose of the Local Leadership Group (LLG) is to support a local home visiting
system that leads to increased opportunities for coordination and collaboration of home
visiting programs at the community or regional level.
Additional Reporting Requirements:
The LLG shall submit all required reports in accordance with the Department’s reporting
requirements.
a. Staffing Changes: Within 10 days of a staffing change, notify the State LLG
Coordinator via e-mail and incorporate the change(s) into the budget and
facesheet during the next amendment cycle as appropriate. The facesheet
identifies the agency contacts and their assigned permissions related to the tasks
they can perform in E-GrAMS. The assigned Project Director in E-GrAMS can
make the facesheet changes once the agreement is available to be amended.
b. LLG Work Plan: Due annually on May 30 for preapproval from the State LLG
Coordinator. Upon approval, upload the Work Plan to Groupsite. See the
Michigan Department of Health and Human Services’ (MDHHS) Home Visiting
Section 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. See the MDHHS Home Visiting Guidance Manual for specific Continuous Quality
Improvement (CQI) reporting requirements.
e. The Contract Manager or his/her designee shall evaluate the reports submitted as
described for their completeness and adequacy.
f. The Grantee shall permit the Department or its designee to visit, either in person
or virtually, and make an evaluation of the project as determined by the Contract
Manager.
All reports and/or information (a-f), unless stated otherwise, shall be submitted
electronically to the State LLG Coordinator or Groupsite.
Additional Requirements:
Comply with MDHHS Home Visiting Program Requirements:
The Grantee shall operate the LLG with fidelity to the requirements of MDHHS as
outlined in the MDHHS Home Visiting Section Guidance Manual.
1. The LLG will work with the State LLG Coordinator, Parent Coordinator and the
Michigan Public Health Institute (MPHI) Quality Improvement Coach. See the
MDHHS Home Visiting Section Guidance Manual for details.
2. The LLG will achieve the following deliverables to create and sustain a local home
visiting system:
a. Convene and build a local home visiting collaborative body by ensuring the
recruitment and participation of both required and strongly encouraged LLG
representatives (noted in the MDHHS Home Visiting Section Guidance
Manual).
b. Drive change by partnering with and integrating parents who are
experiencing home visiting as active members of the LLG and CQI team.
The attendance of parents at the two HVS Grantee Meetings held annually
is also required.
c. Learn how the local home visiting system is connected through the
facilitation of a local Home Visiting System Coordination Plan and identify
one goal to implement that helps to improve the coordination of the local
home visiting system and achieve better outcomes for families.
d. Use Continuous Quality Improvement approaches to learn how to improve
collaboration among the early childhood and local home visiting system.
e. Document local home visiting system improvements (LLG Impact Report).
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
LLG membership/participation, CQI efforts, Impact Report as well as the implementation
of Home Visiting System Coordination Plan.
Funding Requirements:
The funding can be used to:
a. Enable the LLG to pay for staff support.
b. Financially support LLG parent representatives to attend the Michigan
Home Visiting Conference.
c. Financially support LLG members, including parent representatives, to be
part of the LLG and CQI efforts.
d. Carry out MDHHS Home Visiting Section activities as specified in this
agreement.
Promotional Materials
If the LLG wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements as outlined in the MDHHS
Home Visiting Section Guidance Manual.
PROJECT: Medicaid Outreach
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Medicaid Outreach activities are performed to inform Medicaid beneficiaries or potential
beneficiaries about Medicaid, enroll individuals in Medicaid and improve access and
utilization of Medicaid covered services. All outreach activities must be specific to
Medicaid. Reference bulletin: MSA 18-41
Additional instructions can be found in Attachment I.
Additional Reporting Requirements:
Submit quarterly reports no later than 1 month after the end of the quarter. The
exception is the 4th quarter report which is due at the time as the final FSR. If the report
due date falls on a weekend or holiday, the report the next business day.
Reporting Period Due Date
October 1 – December 31 January 31
January 1 – March 31 April 30
April 1 – June 30 July 31
July 1 – September 30 November 30
• Quarterly reports must be attached/uploaded on the Source of Funds/Federal
Medicaid Outreach line on the FSR in EGrAMS.
• Reimbursements occur based on actual expenditures reported on Financial Status
Reports (FSR) using the reporting format and deadlines as required by the
Department through EGrAMS.
Additional requirements:
• All claimable outreach activities must be in support of the Medicaid program.
Activities that are part of a direct service are not claimable as Medicaid Outreach.
• Must maintain documentation in support of administrative claims which are
sufficiently detailed to allow determination of whether the activities were necessary
for the proper and efficient administration of the Medicaid State Plan.
• Must maintain a system to appropriately identify the activities and costs in
accordance with federal requirements.
• Must provide quarterly summary reports of Medicaid outreach activities conducted
during the quarter. The following reporting elements must be included in the
quarterly report:
1. Name of Health Department
2. Name and contact information of the individual completing the report.
3. Time period the report covers (e.g., FY 20: 1st quarter, or October-
December)
4. Types of services provided during the quarter (Note: the types of services
provided do not have to include every single activity the LHD conducted
during the quarter. Rather, simply include examples of the types of services
provided. The Grantee can include as much or as little detail as they
chose.)
5. Number of clients served.
6. Amount of funds expended during the quarter and total expenditures.
7. Number of FTEs who provided these activities.
Successes/Challenges
This is not a reporting requirement but provides an opportunity for the LHD to
share successes during the quarter (e.g., For the first time, someone from the
school board attended the Infant Mortality Reduction Coalition meeting) or to
describe any challenges encountered during the quarter (e.g., the health advocate
quit, and the lactation consultant went on maternity leave, so we are down 2 staff)
PROJECT TITLE: MI Adolescent Pregnancy and Parenting Program
Start Date: 10/1/2024
End Date: 9/31/2025
Project Synopsis:
The goal of MI-APPP (Michigan Adolescent Pregnancy and Parenting Program) is to
create an integrated system of care, including linkages to support services, for pregnant
and parenting adolescents 15-19 years of age, the fathers, and their families. MI-APPP
grantees implement the Adolescent Family Life Program-Positive Youth Development
(AFLP-PYD; a California model), an evidence-informed case management curriculum
designed to elicit strengths, address various risk behaviors, the impact of trauma, and
provide a connection to health care and community services. In addition, MI-APPP
grantees engage communities through locally driven steering committees, a
comprehensive needs assessment, and creation of support services to ensure the
program is responsive to the needs of pregnant and parenting teens.
MI-APPP aims to:
1. Reduce repeat, unintended pregnancies,
2. Strengthen access to and completion of secondary education,
3. Improve parental and child health outcomes, and
4. Strengthen familial connections between adolescents and their support networks
Additional Reporting Requirements:
Report Time Period Due Date Submit To
Program
Narrative
October 1- December 31 January 15
Program
Coordinator
January 1-March 31 April 15
April 1-June 30 July 15
July 1-September 30 October 15
Evaluation/Data
Submission Monthly Submit the 10th of
every month REDcap
Additional requirements:
• Information provided must be medically accurate, age-appropriate, culturally
relevant, and up-to-date.
• Pregnancy prevention education must be delivered separate and apart from any
religious education or promotion. MI-APPP funding cannot not be used to support
inherently religious activities including, but not limited to, religious instruction,
worship, prayer, or proselytizing (45 CFR Part 87).
• Family planning drugs and/or devices cannot be prescribed, dispensed, or
otherwise distributed on school property as part of the pregnancy prevention
education funded by MI-APPP as mandated in the Michigan School Code.
• Abortion services, counseling and/or referrals for abortion services cannot be
provided as part of the pregnancy prevention education funded under MI-APPP.
• Must adhere to the Minimum Program Requirements for MI-APPP.
• MI-APPP funding cannot be used to supplant funding for an existing program
supported with another source of funds.
PROJECT TITLE: MI Home Visiting Initiative Rural Expansion
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Healthy Families America (HFA) program was designed by Prevent Child Abuse
America and is built on the tenants of trauma-informed care. The program is designed
to promote positive parent-child relationships and healthy attachment. It is a strengths-
based and family-centered approach.
Additional Reporting Requirements:
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 Section (HVS) Guidance Manual for
details about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVS 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. Work Plan: Due annually on May 30 to the HVS Model Consultant for preapproval.
Upload approval, upload Work Plan to Groupsite. See the MDHHS Home Visiting
Section 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. HVS data collection requirements due in REDCap and/or HVOL by the 5th
business day of each month.
e. Quality Improvement Reporting:
• Documentation of a QI team will be submitted with the quarterly Work Plan
Report.
• Documentation of QI activities will be submitted with the quarterly Work
Plan Report.
• Annual summary of QI activities will be submitted to the HVS Model
Consultant by April 30.
f. HV CoIIN Reporting (for those LIAs participating) for QI efforts shall occur in
accordance with the CoIIN’s schedule. Participating LIAs are required to use the
HV CoIIN site to complete monthly submissions of PDSA cycles and required data
(the frequency of data collection may vary).
Reports (a-f) shall be submitted as described above. Additional guidance concerning data
collection and Quality Improvement is provided in the MDHHS Home Visiting Section
Guidance Manual.
Additional Requirements:
The LIA shall serve families as a result of outreach efforts based on the findings of their
MDHHS- HVS Outreach Toolkit.
a. In general, across all regions, the home visitor-to-family ratio should agree with the
following:
16 families or a case weight of 30 per 1.0 FTE for traditional HFA. It is expected that
caseloads will be lower for staff members in their first and second year and must align
with model expectations. Caseload expectations for other fund sources are
documented in language specific to that source.
Maintain Fidelity to the Model
The LIA shall adhere to the HFA Best Practice Standards. In addition, all Healthy
Families America affiliates shall comply with the requirements of the Central
Administration for the Multi-Site State System (also known as “The State Office”) housed
within the Michigan Public Health Institute. All HFA model-required training will be
accessed through the Central Administration as available. Contact the HFA State Office
for details.
Comply with MDHHS Program Requirements
The LIA shall operate the program with fidelity to the requirements of MDHHS based on
the agreement executed in E-GrAMS and the conditions as outlined in the MDHHS Home
Visiting Section Guidance Manual. The LIA will fulfill these requirements while
strengthening efforts towards health and racial equity through staff education,
programmatic data evaluation and client supportive services.
P.A. 291
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to PA 291.
Staffing
The LIA’s HFA home visiting staff will reflect the community served. The LIA will provide
documentation to demonstrate due diligence if unable to fully meet this requirement
within 90 days of a MDHHS site visit in which this was a finding. See the MDHHS Home
Visiting Section Guidance Manual for requirements related to program staffing.
Performance Measures:
The LIA shall comply with MDHHS expectations of demonstrating improvement in the
performance measures as described in the MDHHS Home Visiting Section Guidance
Manual.
Program Monitoring, Quality Assessment, Support and Technical Assistance (TA):
The LIA shall fully participate with the Department and the Michigan Public Health
Institute (MPHI) with regards to program development and monitoring (including annual
site visits either in-person or virtual), training, support and technical assistance services.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
program monitoring, quality assessment, support and TA.
Professional Development and Training:
All of the LIA’s HFA program staff associated with this funding will participate in
professional development and training activities as required by both HFA and the
Department. All LIA HFA
program staff must receive HFA-specific training from a Michigan-based approved HFA
training entity. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to professional development and training activities.
Supervision: The LIA shall adhere to the HFA model standards for reflective supervision.
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall build upon and maintain diverse community collaboration and support with
authentic engagement of parent representatives who have the lived experience and
expertise.
The LIA shall participate in the Local Leadership Group (LLG) or, if none, the Great Start
Collaborative.
The LIA shall participate in the Regional Perinatal Quality Collaboratives.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
engagement with community partners.
Data Collection:
The LIA shall comply with all HFA and MDHHS data training, collection, entry and
submission requirements. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to data collection.
Quality Improvement (QI):
The LIA shall participate in all HFA quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all state and local Home Visiting QI activities as required by
MDHHS. Required activities include, but are not limited to:
a. Developing and maintaining a QI team
b. Participating in QI activities during the fiscal year
c. Consulting with QI coaches
d. See the MDHHS Home Visiting Section Guidance Manual for requirements related
to QI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements outlined in the MDHHS Home
Visiting Section Guidance Manual.
PROJECT TITLE: MIECHVP Healthy Families America Expansion
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Healthy Families America (HFA) program was designed by Prevent Child Abuse
America and is built on the tenants of trauma-informed care. The program is designed to
promote positive parent-child relationships and healthy attachment. It is a strengths-
based and family-centered approach.
Additional Reporting Requirements:
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 Section (HVS) Guidance Manual for details
about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVS 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. Work Plan: Due annually on May 30 to the HVS Model Consultant for
preapproval. Upon approval, upload the Work Plan to Groupsite. See the MDHHS
Home Visiting Section 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. HVS data collection requirements due in REDCap and/or HVOL by the 5th
business day of each month.
e. Quality Improvement Reporting:
f. Documentation of a QI team will be submitted with the quarterly Work Plan Report.
• Documentation of QI activities will be submitted with the quarterly Work
Plan Report.
• Annual summary of QI activities will be submitted to the HVS Model
Consultant by April 30.
g. HV CoIIN Reporting (for those LIAs participating) for QI efforts shall occur in
accordance with the CoIIN’s schedule. Participating LIAs are required to use the
HV CoIIN site to complete monthly submissions of PDSA cycles and required data
(the frequency of data collection may vary).
Reports (a-f) shall be submitted as described above. Additional guidance concerning data
collection and Quality Improvement is provided in the MDHHS Home Visiting Section
Guidance Manual.
Additional Requirements:
The LIA shall serve families as a result of outreach efforts based on the findings of their
MDHHS-HVS Outreach Toolkit.
a. In general, across all counties, the home visitor-to-family ratio should agree with
the following:
16 families or a case weight of 30 per 1.0 FTE for traditional HFA. It is expected that
caseloads will be lower for staff members in their first and second year and must align
with model expectations. Caseload expectations for other fund sources are
documented in language specific to that source.
Home Visiting Compensation Rates
The Local Implementing Agency (LIA) shall utilize MDHHS-Home Visiting Section (HVS)
funding to compensate home visitors at no less than the current MDHHS-HVS minimum
hourly salary requirement for a standard home visitor as identified below. The minimum
hourly salary is set utilizing the MIT Living Wage scale and may be subject to change.
Programs should not decrease compensation if home visitors are currently paid at a
higher hourly rate.
It is recommended, but not required, that programs compensate home visiting program
supervisors based on the hourly rate identified below.
Home Visiting Compensation Rates
Position Hourly Rate
Home Visitor $24.92
Home Visiting Supervisor $30.41
The expectation to meet this goal begins October 1. The HVS will work with all LIAs to
achieve this goal through a phase-in process as needed.
Maintain Fidelity to the Model
The LIA shall adhere to the HFA Best Practice Standards. In addition, all Healthy
Families America affiliates shall comply with the requirements of the Central
Administration for the Multi-Site State System (also known as “The State Office”) housed
within the Michigan Public Health Institute. All HFA model-required training will be
accessed through the Central Administration as available. Contact the HFA State Office
for details.
Comply with MDHHS Program Requirements
The LIA shall operate the program with fidelity to the requirements of MDHHS based on
the agreement executed in E-GrAMS and the conditions as outlined in the MDHHS Home
Visiting Section Guidance Manual. The LIA will fulfill these requirements while
strengthening efforts towards health and racial equity through staff education,
programmatic data evaluation and client supportive services.
P.A. 291
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to PA 291.
Staffing
The LIA’s HFA home visiting staff will reflect the community served. The LIA will provide
documentation to demonstrate due diligence if unable to fully meet this requirement
within 90 days of a MDHHS site visit in which this was a finding. See the MDHHS Home
Visiting Section Guidance Manual for requirements related to program staffing.
Performance Measures:
The LIA shall comply with MDHHS expectations of demonstrating improvement in the
performance measures as described in the MDHHS Home Visiting Section Guidance
Manual.
Program Monitoring, Quality Assessment, Support and Technical Assistance (TA):
The LIA shall fully participate with the Department and the Michigan Public Health
Institute (MPHI) with regards to program development and monitoring (including annual
site visits either in-person or virtual), training, support and technical assistance services.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
program monitoring, quality assessment, support and TA.
Professional Development and Training:
All of the LIA’s HFA program staff associated with this funding will participate in
professional development and training activities as required by both HFA and the
Department. All LIA HFA program staff must receive HFA-specific training from a
Michigan-based approved HFA training entity. See the MDHHS Home Visiting Section
Guidance Manual for requirements related to professional development and training
activities.
Supervision: The LIA shall adhere to the HFA model standards for reflective supervision.
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall build upon and maintain diverse community collaboration and support with
authentic engagement of parent representatives who have the lived experience and
expertise.
The LIA shall participate in the Local Leadership Group (LLG) or, if none, the Great Start
Collaborative.
The LIA shall participate in the Regional Perinatal Quality Collaborative.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
engagement with community partners.
Data Collection:
The LIA shall comply with all HFA and MDHHS data training, collection, entry and
submission requirements. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to data collection.
Quality Improvement (QI):
The LIA shall participate in all HFA quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all state and local Home Visiting QI activities as required by
MDHHS. Required activities include, but are not limited to:
a. Developing and maintaining a QI team
b. Participating in QI activities during the fiscal year
c. Consulting with QI coaches
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
QI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements outlined in the MDHHS Home
Visiting Section Guidance Manual.
PROJECT TITLE: Mpox Mobile Unit
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
This funding is to support local health departments in integrating mpox into routine STI
care. Activities may include: Amending or planning and assessing barriers to modifying
clinical procedures to incorporate mpox education and plans for risk assessment and
vaccination into clinic flow and practice. LHDs should also consider vaccination for mpox
post exposure prophylaxis for partners. Local Health Departments should promote
availability of mpox testing and vaccination on website and social media sites, conduct an
analysis of clinic's capacity to expand services to include mpox testing, treatment, and
vaccination including staffing and EMR requirements. Local health departments shall
think broadly about vaccines including Flu, COVID, HPV, Hep B, Hep A.
Reporting Requirements (if different than agreement language):
1. How does your program plan to integrate mpox into routine STI and HIV clinical
care?
2. Please Select what mpox services your STI clinic provides (check all that apply)
Testing
Treatment
Vaccination
3. How many mpox vaccines have you provided in the STI clinic this quarter?
4. How many patients have you seen this quarter?
5. How many people have you referred to another clinic at the health department for
mpox vaccine this quarter?
6. Please describe the equitable approaches implemented by your program in this
reporting period (please confirm period in header above) to increase education
and vaccine coverage among populations disproportionately affected by mpox?
7. Where are you with incorporating mpox into routine care?
Not Started
On Track/In Progress
Off Track
Complete
8. Share any comments, updates, success, challenge or other relevant details
related to these activities?
All above reporting requirement must be emailed to Malasha Duncan at
duncanm5@michigan.gov and Kathryn Macomber at macomberk@michigan.gov by
October 10, January 10, April 10, & July 10.
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in the
BHSP SHOARS system. These roles must match what the agency has listed for
these roles in the EGrAMS system. If you have access related questions, contact
MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov
PROJECT: MRC-STTRONG
8 Month Project – MRCEIGHT
Beginning Date: 10/01/2024
End Date: 05/31/2025
Project Synopsis
As a Grantee of funding, provided through the Administration for Strategic Preparedness
and Response (ASPR), each Grantee will be utilized to ensure that the Michigan Medical
Reserve Corp are ready for future response activities by providing training, education and
exercise opportunities, direct funding MRCs to improve their preparedness and
strengthen the volunteer base for the Medical Reserve Corps across Michigan. These
activities will result in a stronger, more agile MRC, with increased capability to respond to
future public health disasters.
Additional Reporting Requirements:
Local Health Departments will need to file quarterly FSRs in EGrAMS, following the same
reporting pattern as contracts that are already established with BEPESoC.
Additional Requirements:
Code of Federal Regulations
The Federal Office of Management and Budget (OMB) issued guidance for the
administration of federal awards (2 CFR Part 200) in a document commonly called the
Code of Federal Regulations or “Uniform Guidance”. The guidance combines multiple
circulars with a goal to streamline administrative requirements, cost principles and audit
requirements. This has been codified by the U.S. Department of Health and Human
Services in 45 CFR Part 75, and can be found here: eCFR :: 2 CFR Part 200 -- Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards.
Financial Accountability
Sub-recipients must maintain records which adequately identify the source and
application of funds provided for financially assisted activities. These records must
contain information pertaining to grant or subgrant awards and authorizations, obligation,
unobligated balances, assets, liabilities, outlays or expenditures and income. The
awardee, and all its sub-recipients, should expect that Administration for Strategic
Preparedness and Response (ASPR), or its designee, may conduct a financial compliant
audit and on-site program review of grants with significant amounts of Federal funding.
Allowable Costs
Administration costs that can be specifically allocated to this project must be justified and
reasonable. Since this program exists primarily to support healthcare organizations
directly in preparing for public health and medical emergencies, costs associated with
program administration are not considered direct support of healthcare entities, but
administrative. Cost items under program administration include:
• Personnel (including contractual staff)
• Contracts to provide support to MRC-STTRONG program
• Travel expenses (the fiduciary should have a written policy on limits/allowable
expenses)
• Meeting expenses
• Administrative/programmatic equipment and supplies
• Fringe benefits
• Phone, postage, and electronic mail
• Audit and accounting costs
• Rent
For further clarification, operating costs for personal service contracts related to
administration and personnel for coalition planning is considered administrative support,
not as direct support of health care entities or coalition planning costs. Any contracts for
services provided to support the activities of the coalition generally are placed in the
administrative costs of each coalition budget. Requests to cover personal service
contracts with MRC-STTRONG funds must be reviewed annually by Division of
Emergency Preparedness and Response on a case-by-case basis.
Uniforms
Purchase of uniforms must meet the guidelines established for use as Personal
Protective Equipment or Volunteer Security/Safety. Uniform components must be
returned to the respective unit/program office at the end of the event/project/volunteer
tenure. All purchases of uniforms must be pre-approved by DEPR.
Equipment Procurement
When procuring equipment, the recipient must comply with the procurement standards at
45 CFR 75.329, Procurement Procedures, which required the performance and
documentation of some form of cost or price analysis with every procurement action.
Funding Restrictions
Restrictions must be taken into account while writing the budget.
Restrictions are as follows:
• Awardees may not use funds for research.
• Reimbursement of pre-award costs generally is not allowed, unless ASPR
provides written approval to the awardee.
• Other than for normal and recognized executive-legislative relationships, no funds
may be used for:
• publicity or propaganda purposes, for the preparation, distribution, or use of
any material designed to support or defeat the enactment of legislation
before any legislative body
• the salary or expenses of any grant or contract recipient, or agent acting for
such recipient, related to any activity designed to influence the enactment of
legislation, appropriations, regulation, administrative action, or executive
order proposed or pending before any legislative body
• The direct and primary recipient in a cooperative agreement program must perform
a substantial role in carrying out project outcomes and not merely serve as a
conduit for an award to another party or provider who is ineligible.
• Awardees may supplement but not supplant existing state or federal funds for
activities described in the budget.
• None of the funds made available through this award may be used, in whole or in
part, to advocate or promote gun control.
• None of the funds made available through this award may be used to maintain or
establish a computer network unless such network blocks the viewing,
downloading, and exchanging of pornography.
• No federal funds associated with this cooperative agreement shall be used to
purchase sterile needs or syringes for the hypodermic injection of any illegal drug.
Provided that such limitations does not apply to the use of funds for elements of
the program other than making such purchases if the relevant State or local health
department, in consultation with the Center for Disease Control and Prevention
(CDC), determines that the State for local jurisdiction, as applicable, is
experiencing or is at risk for, a significant increase in hepatitis, infections or an HIV
outbreak due to infection drug use, and such program is operating in accordance
with State and local law.
• Trafficking in persons, such as engaging in severe forms of trafficking in persons
during the period of time that the ward is in effect, procure a commercial sex act
during the period of the time that the award is in effect or use forced labor in the
performance of the award or subaward may result in the unilateral termination of
this award.
Requiring Prior Approval
• Awardees may use funds only for reasonable program purposes, including
personnel, travel, supplies, and services.
• Awardees may purchase basic (non-motorized) trailers with prior approval from
ASPR Office of Grant Services.
• HPP awardees can (with prior approval) use funds to purchase material-handling
equipment (MHE) such as industrial or warehouse-use trucks to be used to move
materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type
not licensed to travel on public roads.
• HPP awardees can use funds to purchase caches of antibiotics for use by first
responders and their families to ensure the health and safety of the public health
workforce.
Publications
All grantee publications, including research publications, press releases, other publication
or documents about research that is funded by ASPR must include the following two
statements:
• Research reporting in the [publication/press release] was supported by [name of
the program office(s), or other ASPR offices] the Department of Health and Human
Services Administration for Strategic Preparedness and Response under award
number U3REP230698.
• The content is solely the responsibility of the authors and does not necessarily
represent the official view of the Department of Health and Human Services
Administration for Strategic Preparedness and Response.
PROJECT: Neighborhood Wellness Centers
Start Date: 10/1/2024
End Date: 9/30/2024
Project Synopsis:
To address health disparities in the community by providing healthcare services related to
immunization, mobile health screenings, and preventive care for substance use and substance use
disorder services, in collaboration with MDHHS/Neighborhood Wellness Centers.
Additional Reporting Requirements:
MDHHS TCC COVID-19 TESTING EVENTS DEMOGRAPHIC DATA SUBMISSIONS
Vendors must provide to MDHHS TCC (Testing Collection and Coordination) team the individual
demographic information on template provided from all Testing Events in the required format within
48 hours of event completion. This applies to any updated testing results as well.
Questions asked and options for responses must remain identical to ensure user experience and data
consistency at all events, regardless of vendor.
An Excel template (<VendorName>COVIDTestingEventData.xlsx) has been provided that has the
appropriate column headings, formats, and drop-down selections. Vendors may choose to export
data from their own reporting tool and submit IF the datafile still follows the required naming
conventions, fields, header names, formats and selection options.
Datafile to be uploaded to the appropriate <VendorName>Data subfolder in the appropriate
<VendorName> folder on SharePoint DTMB-Teams-COVID-Testing-Collection - MultiVendor - All
Documents (sharepoint.com)
Datafile can only be uploaded after access to the Vendor SharePoint Folder has been granted by the
TCC Team. The list of who has the ability to upload should be given at vendor onboarding meetings.
Subsequent staff updates or changes should be sent to MDHHS-
COVIDTestingSupport@michigan.gov copying the TCC Team Implementation Managers (see staff
directory).
Additional requirements:
PROJECT TITLE: NURSE-FAMILY PARNERSHIP (NFP) SERVICES
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
The Nurse-Family Partnership (NFP) program offers families one-on-one home visits
with a registered nurse. The model is grounded in human attachment, human ecology,
and self-efficacy theories. Home visitors use model-specific resources to build on a
parent’s own interests to attain the model goals.
Additional Reporting Requirements:
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 Section (HVS) Guidance Manual for
details about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVS 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. Medicaid Outreach Report (Berrien, Calhoun, Kalamazoo and Kent counties only):
Due within 30 days of the end of each quarter.
c. Work Plan: Due annually on May 30 to the HVS Model Consultant for preapproval.
Upon approval, upload the Work Plan to Groupsite. See the MDHHS Home Visiting
Section Guidance Manual for requirements related to Work Plan development and
reporting.
d. 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).
e. HVS data collection requirements due in REDCap and Flo on the 5th business day
of each month.
f. Quality Improvement Reporting:
• Documentation of a QI team will be submitted with the quarterly Work Plan
Report.
• Documentation of QI activities will be submitted with the quarterly Work
Plan Report.
• Annual summary of QI activities will be submitted to the HVS Model
Consultant by April 30.
g. HV CoIIN Reporting (for those LIAs participating) for QI efforts shall occur in
accordance with the CoIIN’s schedule. Participating LIAs are required to use the
HV CoIIN site to complete monthly submissions of PDSA cycles and required data
(the frequency of data collection may vary).
Reports (a-g) shall be submitted as described above. Additional guidance concerning
data collection and Quality Improvement is provided in the MDHHS Home Visiting
Section Guidance Manual.
Home Visiting Compensation Rates
The Local Implementing Agency (LIA) shall utilize MDHHS-Home Visiting Section (HVS)
funding to compensate home visitors at no less than the current MDHHS-HVS minimum
hourly salary requirement for a standard home visitor as identified below. The minimum
hourly salary is set utilizing the MIT Living Wage scale and may be subject to change.
Programs should not decrease compensation if home visitors are currently paid at a
higher hourly rate.
It is recommended, but not required, that programs compensate home visiting program
supervisors based on the hourly rate identified below.
Home Visiting Compensation Rates
Position Hourly Rate
Home Visitor $24.92
Home Visiting Supervisor $30.41
The expectation to meet this goal begins October 1. The HVS will work with all LIAs to
achieve this goal through a phase-in process as needed.
Additional requirements:
Maintain Fidelity to the Model:
The LIA shall adhere to the Nurse-Family Partnership National Service Office (NSO)
program standards and operate the program with fidelity monitored by the NSO review
and discussion of Quarterly Outcomes Reports, Network Partner Self-assessment,
Fidelity Index, Collaborative Success Plan, Site Visits and ongoing consultation.
Comply with MDHHS Program Requirements:
The LIA shall operate the program with fidelity to the requirements of the Michigan
Department of Health and Human Services based on the agreement executed in E-
GrAMS and the conditions as outlined in the MDHHS Home Visiting Section Guidance
Manual. The LIA will fulfill these requirements while strengthening efforts towards health
and racial equity through staff education, programmatic data evaluation and client
supportive services.
Data-Informed Outreach:
Michigan is using NFP as a specialized home visiting service strategy for first-time
mothers who are low-income. This specialized service strategy is a focused way of using
limited resources, directing them to populations who live in communities placing them at
higher risk. The LIA will conduct outreach activities to the population groups identified in
their MDHHS-HVS Outreach Toolkit in order to enroll families from those outreach efforts.
The MDHHS HVS expects the LIA to maintain a caseload capacity of 20 families
per 1.0 FTE.
P.A. 291:
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to PA 291.
Staffing:
The LIA’s NFP home visiting staff will reflect the community served. The LIA will provide
documentation to demonstrate due diligence if unable to fully meet this requirement
within 90 days of a MDHHS site visit in which this was a finding. See the MDHHS Home
Visiting Section Guidance Manual for requirements related to program staffing.
Performance Measures:
The LIA shall comply with MDHHS expectations of demonstrating improvement in the
performance measures described in the MDHHS Home Visiting Section Guidance
Manual.
Program Monitoring, Quality Assessment, Support and Technical Assistance (TA):
The LIA shall fully participate with the NFP NSO, the Department, and the Michigan
Public Health Institute (MPHI) with regards to program development and monitoring
(including annual site visits either in-person or virtual), training, support and technical
assistance services. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to program monitoring, quality assessment, support and TA.
Professional Development and Training:
All of the LIA NFP staff associated with this funding will participate in professional
development and training activities as required by the NFP NSO and the Department.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
professional development and training activities.
Supervision:
The LIA shall adhere to the NFP supervision requirements.
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall build upon and maintain diverse community collaboration and support with
authentic engagement of parent representatives who have the lived experience and
expertise.
The LIA shall participate in the Local Leadership Group (LLG) or, if none, the Great Start
Collaborative.
The LIA shall participate in the Regional Perinatal Quality Collaborative.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
engagement with community partners.
Data Collection:
The LIA shall comply with all NFP and MDHHS data training, collection, entry and
submission requirements. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to data collection.
Quality Improvement (QI):
The LIA shall participate in all NFP quality initiatives including research, evaluation and
continuous quality improvement.
The LIA shall participate in all state and local Home Visiting QI activities as required by
MDHHS. Required activities include, but are not limited to:
a. Developing and maintaining a QI team
b. Participating in QI activities during the fiscal year
c. Consulting with QI coaches
d. Submit a QI Summary each year by April 30
See the MDHHS Home Visiting Section Guidance Manual for requirements related to QI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements outlined in the MDHHS Home
Visiting Section Guidance Manual.
Project Title: Oral Health Kindergarten Assessment
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Local health departments (LHD) will perform no-cost oral health assessments on
children enrolling into kindergarten or first grade and refer for dental treatment as
assessment findings warrant.
Additional Reporting Requirements:
• The LHD shall submit quarterly progress reports on a form provided by the
Contract Manager. These reports shall include a narrative description of program
activities during the respective quarter.
• The above reports shall be submitted via email directly to the Contract Manager
no later than 30 days following the end of each quarter:
Michele Kawabe, MPH, RD, CDCES
Kindergarten Oral Health Assessment Program Consultant
kawabem@michigan.gov
Additional Requirements:
• The LHD must be designated as a grantee health agency under P.A. 161 (MCL
333.1625) and permitted to operate as a Mobile Dental Facility within the state of
Michigan unless the LHD subcontracts all assessments to an outside dental agency.
Any agency that is subcontracted by an LHD to conduct assessments must be both
designated as a grantee health agency under P.A. 161 and permitted to operate as
a Mobile Dental Facility within the State of Michigan.
• The LHD and any agency it subcontracts to perform oral health assessments
must follow all applicable federal, state, and local laws, and all administrative
rules, regulations, and
ordinances, including those required for their PA 161 designation and mobile dental
facility permit approval.
• The LHD and any agency it subcontracts to perform oral health assessments
must follow all guidance included in the Kindergarten Oral Health Assessment
Program Guidelines.
• The LHD shall develop an outreach plan to inform families, schools, daycare
facilities, and other relevant stakeholders of KOHA. This plan shall include
working collaboratively with school and other relevant community partners to
publicize and host screening events.
• The LHD shall conduct oral health assessments at a minimum rate of 50% of the
total number of kindergarteners eligible for free or reduced lunch within the LHD’s
jurisdiction; the assessments may be conducted by a subcontracted agency or
agencies on behalf of the LHD.
• The LHD and any subcontracted agencies shall adhere to all applicable safety and
infection control standards while providing dental assessments.
• The LHD shall attend scheduled meetings, calls, site visits, etc as requested by
MDHHS and comply to all KOHA requirements as they are developed.
PROJECT: Public Health Emergency Preparedness (PHEP)
and Cities Readiness Initiative (CRI) as applicable
9 Month Project – BIONINE/CRININE
Start Date: 10/1/2024
End Date: 6/30/2025
3 Month Project – BIOTHREE/CRITHREE
Start Date: 7/1/2025
End Date: 9/30/2025
Project Synopsis
As a Grantee of funding provided through the Centers for Disease Control and
Prevention (CDC) Public Health Emergency Preparedness (PHEP) Cooperative
Agreement, each Grantee shall conduct activities to build preparedness and response
capacity and capability. These activities shall be conducted in accordance with the PHEP
Cooperative Agreement guidance for BP1(2024-2025) plus any and all related guidance
from the CDC and the Department that is issued for the purpose of clarifying or
interpreting overall program requirements.
Reporting Requirements (if different than contract language)
1. Grantee are required to submit a 3-month (July 1 to September 30) budget and a
9-month (October 1 to June 30) for both Base PHEP and CRI funding, including
the 10% MATCH for those periods (see below for detail regarding Match).
Submitted to the Financial Specialist, Janis Tipton at tiptonj2@michigan.gov with
a cc to MDHHS-BETP-DEPR-PHEP@michigan.gov by April 12, 2024.
2. ALL activities funded through the PHEP cooperative agreement must be
completed between July 1, and June 30, and all BP1 funding must be obligated
by June 30, 2025, and activity completed by the July 31, 2025 Final FSR
submission deadline.
3. Grantee must submit required PHEP program data and reports by the stated
deadlines. This includes, but is not limited to, progress reports, performance
measure data reports, National Incident Management System (NIMS) compliance
reports, updated emergency plans, budget narratives, Financial Status Reports
(FSR), etc. Failure to do so will constitute a benchmark failure. All deliverables
must be submitted by the designated due date in the LHD BP1 work plan.
4. Grantee must maintain National Incident Management System (NIMS) compliance
as detailed in the LHD work plan and submit annually to the Department – DEPR
per the LHD BP1 work plan.
5. Each subrecipient Grantee must retain program-related documentation for
activities and expenditures consistent with Title 2 CFR Part 200; Uniform
Administrative Requirements, Cost Principles and Audit Requirements for Federal
Awards, to the standards that will pass the scrutiny of audit.
Any additional requirements (if applicable)
All Grantee activities shall be consistent with all approved BP1 work plan(s) and
budget(s) on file with the Department through the EGrAMS. In addition to these broad
requirements, the Grantee will comply with the following:
• Grantee provides the required 10% MATCH of the MDHHS Comprehensive
amount for July 1 to September 30 and October 1 to June 30. Grantee are
required to submit a letter (on agency letterhead) stating the source, calculation,
and narrative description of how the match was achieved, unless said match is
met using local dollars. This is due with the narrative budget submission to the
Division of Emergency Preparedness and Response-DEPR.
• Grantee will maintain a 1.0 full-time equivalent (FTE) emergency preparedness
coordinator (EPC) position, to support emergency preparedness and response
activities and as a program point of contact. This position will be supported at a
minimum of 75% with PHEP funding. Other grants may be used up to 25% to
support flexibility in grant utilization. In addition to the Grantee health officer, the
EPC shall participate in collaborative capacity building activities of the PHEP
Cooperative Agreement, all required reporting and exercise requirements and in
regional Healthcare Coalition (HCC) initiatives. Any changes to this staffing model
must be approved by the Public Health Emergency Preparedness Program
Manager at the Division of Emergency Preparedness and Response (517-335-
8150).
• Under the PHEP cooperative agreements, Grantees must continue to partner with
the Regional Healthcare Coalitions (HCC) and support HCC initiatives to ensure
that healthcare organizations receive resources to meet medical surge demands.
Working well together during a crisis is facilitated by meeting on a regular basis.
To this end, EPCs, supported by CDC PHEP are required to participate in and
support regional HCC initiatives. In addition, the EPC or designee is required to
attend regional HCC planning or advisory board meetings. The intent is for LHDs
that cross regional boundaries to align with one regional coalition.
• There are a number of special initiatives, projects, and/or supplemental funding
opportunities that are facilitated under this cooperative agreement. For example,
the Cities Readiness Initiative (CRI) performance and evaluation initiatives. Each
Grantee that is designated to participate in any of these types of supplemental
opportunities is required to comply with all CDC and the Department – Division of
Emergency Preparedness and Response (DEPR) guidance, and all
accompanying work plan and budgeting requirements implemented for the
purpose of subrecipient monitoring and accountability. Some or all supplemental
opportunities may require separate recordkeeping of expenditures. If so, this
separate accounting will be identified in separate project budgets in the EGrAMS.
These supplemental opportunities may also require additional reporting and
exercise activities.
• Budget amendments that contain line items deviating more than 15% or $10,000
(whichever is greater) from the original budgeted line item must be approved by
DEPR prior to implementation via email to the Financial Specialist, Janis Tipton at
tiptonj2@michigan.gov with a cc to MDHHS-BETP-DEPR-PHEP@michigan.gov
• In response to repeated communications from CDC strongly urging states to
ensure all funds are spent each year a threshold has been established to limit the
amount of unspent funds. A maximum of 2% of the Grantee allocation or $3,000
(whichever is greater) of unspent funds is allowable each budget period. Failure to
meet this requirement, or misuse of funds, will affect the amount that is allocated
in subsequent budget periods.
Unallowable and Allowable Costs
• Grantee may not use funds for research.
• Grantee may not use funds for clinic care except as allowed by law.
• Generally, Grantee may not use funds to purchase furniture or equipment. Any
such proposed spending must be clearly identified in the budget.
• Reimbursement of pre-award costs generally is not allowed unless the CDC
provides written approval to the recipient.
• Other than for normal and recognized executive-legislative relationships, no funds
may be used for:
a. Publicity or propaganda purposes, for the preparation, distribution, or use of
any material designed to support or defeat the enactment of legislation
before any legislative body.
b. The salary or expenses of any grant or contract recipient, or agent acting
for such recipient related to any activity designed to influence the
enactment of legislation, appropriations regulation, administrative action, or
Executive order proposed or pending before any legislative body.
• Lobbying is prohibited.
• The direct and primary recipient in a cooperative agreement must perform a
substantial role in carrying out project outcomes and not merely serve as a conduit
for an award to another party or provider who is ineligible.
• Grantee may not use funds to purchase vehicles to be used as means of
transportation for carrying people or goods, e.g., passenger cars or trucks,
electrical or gas-driven motorized carts.
• Grantee can (with prior approval) use funds to lease vehicles to be used as means
of transportation for carrying people or goods, e.g., passenger cars or trucks and
electrical or gas-driven motorized carts.
• Payment or reimbursement of backfilling costs for staff is not allowed.
• No clothing may be purchased with these funds.
• Items considered as give away such as first aid kits, flashlights, shirts etc., are not
allowable.
• None of the funds awarded to these programs may be used to pay the salary
of an individual at a rate in excess of Executive Level II or $199,300 per year.
• Grantee may not use funds for construction or major renovations.
• Grantee may not use funds to purchase a house or other living quarter for those
under quarantine.
• PHEP funds may not be used to purchase or support (feed) animals for labs,
including mice. Any requests for such must receive prior approval of protocols
from the Animal Control Office within CDC and subsequent approval from the CDC
OGS as to the allowable of costs.
• Grantee may supplement but not supplant existing state or federal funds for
activities described in the budget. Supplantation is the replacement of non-federal
funds with federal funds to support the same activities. Under Public Health
Service Act, Title I, Section 319(c), it strictly and expressly prohibits using
cooperative agreement funds to supplant any current state or local expenditures.
• Grantee may use funds only for reasonable program purposes including
personnel, travel, supplies and services.
• Grantee may (with prior approval) use funds for overtime for individuals directly
associated (listed in personnel costs) with the award.
• Grantee can (with prior approval) use funds to purchase material-handling
equipment (MHE) such as industrial or warehouse-use trucks to be used to move
materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type
not licensed to travel on public roads.
• Grantee can use funds to purchase caches of medical or non-medical counter
measures for use by public health first responders and their families to ensure the
health and safety of the public health workforce.
• Grantee can use funds to support appropriate accreditation activities that meet the
Public Health Accreditation Board’s preparedness-related standards.
Audit Requirement
A grantee may use its Single Audit to comply with 42 USC 247d – 3a(j)(2) if at least once
every two years the awardee obtains an audit in accordance with the Single Audit Act (31
USC 7501 – 7507) and Title 2 CFR, Part 200 Subpart F; submits that audit to and has the
audit accepted by the Federal Audit Clearinghouse; and ensures that applicable PHEP
CFDA number 93.069 are listed on the Schedule of Expenditures of Federal Awards
(SEFA) contained in that audit.
Pandemic and All Hazards Preparedness and Advancing Innovation Act of 2018
Requires the withholding of amounts from entities that fail to achieve PHEP benchmarks.
The following PHEP benchmarks have been identified by CDC and MDHHS-DEPR for
the Fiscal Year:
• Update risk assessment to include people who are disproportionately impacted by
public health emergencies (HE-A).
• Include critical response and recovery partners in required plans and exercises
(PAR-A).
• Identify and implement communication surveillance, media relations, and digital
communication strategies in exercises (RSK-B).
• Further guidance related to specific preparedness deliverables will be included in
the LHD workplan.
Benchmark Failure
Awardees are expected to “substantially meet” the PAHPIA benchmarks. Per the
Cooperative Agreement, failure to do so constitutes a benchmark failure, which carries an
allowable penalty withholding of funds. Failure to meet any one of the two benchmarks
and/or the spending threshold is considered a single benchmark failure. Any awardee (or
sub-awardee) that does not meet a benchmark, and/or the spending threshold will have
an opportunity to correct the deficiency during a probationary period. If the deficiency is
not corrected during this period, the awardee is subject to a 10% withholding of funds the
following budget period. Failure to meet the pandemic influenza plan requirement
constitutes a separate benchmark failure and is also subject to a 10% withholding. The
total potential withholding allowable is 20% the first year. If the deficiency is not
corrected, the allowable penalty withholding increases to 30% in year two and 40% in
year three.
Regional Epidemiology Support
For those Grantees receiving additional funds to provide workspace for Regional
Epidemiologists, the grantee must provide adequate office space, telephone connections,
and high-speed Internet access. The position must also have access to fax and
photocopiers.
PROJECT: Public Health Infrastructure
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
The Strengthening Public Health Workforce and Infrastructure in Michigan grant is
intended to support critical public health infrastructure needs in local jurisdictions related
to the public health workforce, foundational capabilities and data modernization.
Funding is intended to be highly flexible to meet the unique needs of each jurisdiction.
Additional Reporting Requirements:
Grantees will be required to report progress biannually in winter and summer of each
grant year. The MDHHS Division of Local Health Services will communicate the format
for grant reporting during the grant year.
Additional requirements:
Examples of allowable expenses include:
• Expenses related to recruitment/hiring of new staff or retention of existing staff
• Supplies and equipment necessary for staff to complete job functions
• Training and conference expenses
• Software or IT equipment purchases, leases, upgrades or repair
• Investments in workforce engagement, well-being and other related programs
and services
• Expenses related to purchasing or leasing office space in an existing building
• Physical infrastructure repairs, improvements etc. (buildings, vehicles,
equipment, etc.)
• Improvements to existing structures must be approved by the MDHHS Division of
Local Health Services (LHS) through the budget review process. Accompanying
justification will be required.
Examples of allowable activities:
• Hiring staff to fill new or existing positions
• Holding training events for new or existing staff
• Purchasing/leasing new vehicles, equipment, IT equipment, etc.
• Remodeling existing office space
Non-allowable expenses include:
• New building construction (e.g. breaking ground on a brand-new facility) or land
purchases
• Costs related to reducing pension liabilities or fees to enroll staff into a new
defined benefit plan
• Funding restrictions and limitations listed under CDC’s general terms and
conditions for non-research grants
see: https://www.cdc.gov/grants/documents/General-Terms-and-Conditions-Non-
Research-Awards.pdf)
Includes lobbying activities, advocacy/promotion of gun control, needle exchange
programs, certain telecommunications/surveillance services or equipment and
other limitations.
PROJECT TITLE: Regional Perinatal Care System
Start Date: 10/01/2024
End Date: 09/30/2025
Project Synopsis:
The aim of the Regional Perinatal Quality Collaboratives (RQPCs) is to develop data-
informed innovative strategies and efforts that are tailored to the strengths and
challenges of each region to improve maternal, infant, and family outcomes; especially
looking at preterm birth, very low birth weight infants, low birth weight infants, and
maternal health. Furthermore, RPQCs ensure statewide alignment with the strategies
and goals outlined in the Advancing Healthy Births: An Equity Plan for Michigan Families
and Communities and are tasked with addressing disparities in birth outcomes and health
inequities. Each RPQC engages cross-sector, diverse stakeholders and implements
evidence-based, or promising practice, interventions utilizing quality improvement
methodology.
Additional Reporting Requirements:
The Grantee shall submit the following reports on a quarterly basis:
• Report on Aim statement, measures, and corresponding outcomes, as identified
by the grantee and MDHHS, through submission of quarterly progress reports.
• RPQCs will submit quarterly narrative reports summarizing member agency
efforts, new partnerships, community achievements, member participation in and
status of other MDHHS initiatives, as well as the composition and number of
attendees at each Collaborative meeting. This report will be submitted with the
quarterly progress report to the Perinatal Quality Collaborative Nurse Coordinator,
Emily Goerge, via email at: GoergeE@michigan.gov. A template for the narrative
report will be provided.
• RPQCs are expected to comply with any other reporting requirements that may
arise during the fiscal year, as identified, and communicated by the Contract
Manager to RPQC leadership.
• When an RPQC has multiple funding sources in the contract budget, the fiduciary
must submit a breakdown of expenditures by funding source to the contract
manager with each FSR.
• RPQCs will be required to report on the number of participants with ‘active
membership’ in their quarterly progress reports. See definitions below for what
qualifies as ‘active membership’.
Any such other information as specified above shall be developed and submitted by the
Grantee as required by the Contract Manager.
Additional requirements:
• In alignment with the Regional Perinatal Quality Collaborative’s (RPQC) role of
authentically engaging families and convening diverse stakeholders, the
Collaborative must be comprised of a multi-stakeholder and diverse membership;
ensuring to recruit families, faith-based organizations, clinicians, Medicaid Health
Plans, community-based organizations, business partners, and etcetera.
• MDHHS stresses the importance of garnering the input and feedback of families
most impacted by adverse birth outcomes. There must be family representation in
the RPQC’s membership
• Family engagement is essential to the success of the RPQCs and can be fostered
via various avenues, for example: family groups through Great Start Collaborative
and Children Special Health Care Services, community centers, local churches,
focus groups, parent panel and etcetera
• RPQCs are expected to convene periodic (with frequency of at least quarterly)
collaborative meetings, inclusive of diverse regional partners, to garner feedback
and discussion, including but not limited to, regional maternal and infant vitality
concerns, review of data, analysis of gaps in care and birth outcomes, quality
improvement efforts, alignment with the Advancing Healthy Births: An Equity Plan
for Michigan Families and Communities.
*The collaborative meetings are to be in addition to any leadership or steering
team meetings that the RPQC may choose to convene as oversight for the RPQC.
Definitions
Active membership is defined as attending a minimum of two (2) Collaborative
meetings, participating in RPQC quality improvement efforts, reporting out on their
respective agency’s efforts related to maternal and infant mortality, and etcetera.
Family active membership is defined as a family presence at a minimum of two
(2) Collaborative meetings, garnering family input at least twice per fiscal year,
and/or participation in the planning or implementation of quality improvement
efforts.
• Family and community presence should comprise 10% of the RPQC’s active
membership.
Membership includes, but is not limited to:
• Families
• Clinicians
• Community-based organizations
• Local public health
• Medicaid health plans
• Faith-based organizations
• Business partners
• Others
To promote regional and state alignment, RPQCs will need to infuse maternal and infant
Statewide initiatives into their Collaborative (example: Michigan Maternal Mortality
Surveillance (MMMS), Fetal Infant Mortality Review (FIMR), Michigan Alliance for
Innovation on Maternal Health (MI AIM), Michigan Fatality Review and Prevention
(MFRP), and etcetera.)
• Each Collaborative will dedicate time during meetings for members to share
updates, as well as time for reporting out on participation in other Statewide
initiatives.
• In this fiscal year, RPQCs will specifically be required to:
1. Include updates on region-specific MI AIM efforts and best practices at a
minimum of two (2) collaborative meetings in the current fiscal year.
Updates should be given by MI-AIM birthing hospital leads and MI AIM
regional representatives.
2. Encourage birthing hospital and other clinical provider engagement and
participation in the RPQC, such as at Collaborative meetings, with quality
improvement efforts, on leadership team, etcetera to build stronger
community-clinical linkages and networks
3. Know the current MI-AIM designation status of the birthing hospitals in their
respective region.
• The names and titles of the RPQC leadership, and the Quality Improvement
project team leads, for the fiscal year must be identified on the work plans
submitted to the Perinatal Quality Collaborative Nurse Coordinator via email,
GoergeE@michigan.gov
• Selected quality improvement objective(s), corresponding evidence-based or
promising practices intervention(s), and all efforts put forth, must align with. the
Advancing Healthy Births: An Equity Plan for Michigan Families and
Communities.
All quality improvement efforts must:
• Be data informed.
• Utilize quality improvement methodology.
• Address disparate outcomes.
• Utilize evidence-based and/or promising practices interventions that address
improving outcomes for mothers, infants, and families.
• RPQCs must also actively address health inequities, social determinants of
health, and disparate outcomes throughout all efforts and as inclusive of their
dedication to improving birth outcomes.
• It is expected that RPQCs align with regional efforts to incorporate project focus
as directed by the current approved budget, as necessary.
• As the RPQCs are a conduit to the community, the region must provide
representation at MDHHS Division of Maternal and Infant Health hosted
meetings, as requested, such as the Mother Infant Health and Equity
Collaborative (MIHEC) meeting and the State Perinatal Quality Collaborative
meetings (i.e., RPQC Leadership meetings)
1. Attendance is required unless prior approval received from State consultant.
2. For MIHEC meetings, each RPQC should have two attendees present, with at
least one representing the leadership team.
3. For the quarterly State Perinatal Quality Collaborative meetings, at least two
members of the RPQC leadership team are required to attend.
4. Each region will be required to report on their efforts, challenges, successes
and etcetera at one of the quarterly MIHEC meetings.
5. RPQCs will host regional Town Hall meetings in collaboration with MDHHS, as
requested; not to exceed once per year.
6. Regional collaborative leadership is expected to work collectively with assigned
State consultant and other members of the State team.
Budget Allowances
To ensure most of the awarded funding is funneled into the community for quality
improvement efforts:
• Total budgets for external consultants hired as subject matter experts must be
capped at 20%.
• Total staffing budgets, including fringe/benefits, must be capped at 20% or
$150,000, whichever is more, for those hired to carry out the leadership, project
coordination, and/or quality improvement tasks of the collaborative.
• Indirect rates which cover a fiduciary agency’s overhead costs must be capped at
10%.
• Should funds be appropriated to RPQCs with the specific intent of supporting local
efforts and strategies to improve birth outcomes and address the root cause of
birth inequities within their respective Region, it is expected that each RPQC
allocate those funds to local entities and/or efforts for this purpose.
PROJECT: SDOH Hub Pilot
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
SDOH Hubs will strengthen how health care and social care organizations collaborate to
meet the needs of community members by developing and promoting the technological,
human, and organizational capacities necessary for coordinated social care.
Additional Reporting Requirements:
N/A
Additional requirements:
N/A
PROJECT TITLE: SEAL! Michigan Dental Sealant
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
SEAL! MI is the School Based Dental Sealant Program, providing oral health
prevention to students in Michigan schools.
Additional Reporting Requirements:
1. Program shall submit program quarterly progress reports on tracking form
provided by the School Oral Health Consultant.
• The above report shall be submitted via email directly to the School Oral Health
Consultant no later than 15 days following the end of each quarter:
Andre Whittaker, RDH, BS, MPA
School Oral Health Consultant
whittakera@michigan.gov
2. Program shall input student data information quarterly into the data capturing
platform – Qualtrics.
• The above information shall be completed no later than 15 days following the
end of each quarter.
3. The School Oral Health Consultant shall evaluate reports and student data
submitted for completeness and adequacy.
Additional requirements:
• At least one person from program must attend the SEAL! MI Annual Workshop, in
person, all day.
• All monies collected from insurance billing from dental sealants must be allocated
back into the SEAL! MI program (equipment, staff, supplies, travel, incentives
etc.).
• There must be ONE EXTRA complete treatment set up available for program use
in the event of portable equipment or dental mobile unit failure (including: portable
dental unit, curing light, Isolite other isolation system, patient chair, operator light
and operator chair).
• Patient privacy screens must be available for use
• Infection control policies must be followed in all SEAL! Michigan events.
Performance
• The LHD shall attend scheduled meetings, calls, site visits, etc as requested by
MDHHS School Oral Health Consultant.
• The LHD shall permit School Oral Health Consultant or its designee to visit and make
an evaluation of the program performance.
PROJECT TITLE: Sexually Transmitted Infection (STI) Control
Start Date: 0/1/2024
End Date: 9/30/2025
Project Synopsis:
Sexually Transmitted Infections (STIs) result in excessive morbidity, mortality, and health
care cost. Women, especially those of child-bearing age, and adolescents are particularly
at risk for negative health outcomes. Local health STI programs ensure prompt reporting
of cases, provide screening and treatment services for Michigan's citizens, and respond to
critical morbidity increases in their jurisdiction.
Additional Reporting Requirements:
Report Period Due Date(s) How to Submit Report
STI 340B
Utilization/Inve
ntory Report
Quarterly
Within 10 days
after the end of
the quarter
Log into SGRX340BFlex.com website,
generate a quarterly report on the reporting
tab, and it will be transferred automatically to
ScriptGuide/BHSP
Additional Requirements:
Grant Program Operation
1. Maintain core STI clinical service, including prioritizing the testing, treatment of
individuals referred by MDHHS DIS; this includes people reported with a positive
lab result and those identified as contacts to incident cases of syphilis, gonorrhea,
and HIV.
2. Participate in technical assistance/capacity development, quality assurance, and
program evaluation activities as directed by Bureau of HIV and STI
Programs/Sexually Transmitted Infections (BHSP/STI).
3. Implement program standards and practices to ensure the delivery of culturally,
linguistically, and developmentally appropriate services. Standards and practices
must address sexual minorities.
4. For gonorrhea and chlamydia cases in the Michigan Disease Surveillance System,
50% shall be completed within 30 days and 60% within 60 days from the date of
specimen collection.
5. For gonorrhea and chlamydia cases, develop plans to respond to issues in quality,
completeness, and timeliness.
Mandatory Disclosures
1. Inform STI program at least two weeks prior to changes in clinic operation (hours,
scope of service, etc.).
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in the
BHSP SHOARS system. These roles must match what the agency has listed for
these roles in the EGrAMS system. If you have access related questions, contact
MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov
3. The Bureau of HIV/STI Programs values the implementation of sexual orientation,
gender identity and expression (SOGIE) standards for all contractors of the
Bureau of HIV/STI Programs to assure the safety, privacy, and person-first service
of those of the LGBTQIA+ community. We want to deliver high quality care for
lesbian, gay, bisexual, transgender, queer, intersex, asexual and all sexual and
gender diverse people by ensuring training, policies and data collection standards
are responsive to the needs of LGBTQ+ community and provide assuring,
affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract (yearly) or
cumulatively across all BHSP contracts and all new staff funded at 25% or
more associated with this contract or cumulatively across all BHSP contracts
are required to attend trainings to ensure culturally appropriate communication
and interactions with the LGBTQ+ community. This training can be
accomplished through the Ruth Ellis Center (Ruth Ellis Center), SOGIE
Trainings on MDDHS’s Website (SOGIE trainings (michigan.gov)), or the
National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please ensure
all training certifications are attached for new employees in SHOARS on the
agency dashboard under “Program Requirements” within 90 days of hire and
all existing employees by the end of the fiscal year (September 30).
b. Submit a narrative or agency policy language documenting how person first
language is addressed on intake forms, patient interactions and program
materials. Report by September 30 via EGrAMS attachment.
PROJECT: Statewide Lead Case Management
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
All local health departments in Michigan are eligible to participate in this program to
receive reimbursement for nursing case management services to children not enrolled
in Medicaid, as well as reimbursement for community health workers (CHWs) to
complete case management activities. This will allow LHD nurses to offer case
management to all children regardless of insurance status. NCM visits will be
reimbursed at a rate of $221.74 and community health worker visits at a rate of $110.
This funding is to support local health departments in providing case management
services to all children with elevated blood lead levels in Michigan. All services should
be provided according to CLPPP guidance documents for case management for nurses
and community health workers.
Additional Reporting Requirements:
1. Quarterly FSR and FSR Supplemental Attachment
• Submit request for reimbursement through the EGrAMS system based on the
“fixed unit rate” method. The fixed rate for case management services is
$221.74 per home visit, for up to 6 home visits. Additionally, a FSR
supplemental attachment form is required to be uploaded in EGrAMS that
specifies the number of children and home visits for which reimbursement is
being requested on. The FSR and the FSR supplemental attachment form
must be submitted no later than thirty (30) days after the close of the quarter.
2. Quarterly Case Management Logs
• A complete spreadsheet of CM activities is due quarterly, submitted
electronically through the CLPPP’s secure DCH-File Transfer Site available
through MiLogin, using a template provided by CLPPP. The quarterly
spreadsheet must be submitted no later than thirty (30) days after the close of
the quarter.
3. Annual Report
• An Annual Report covering the reporting period for FY24 is May 1 –
September 30. The format for the submission will be determined by CLPPP,
communicated to the local health departments. The Annual report must be
submitted no later than thirty (30) days after the close of Quarter 4.
Additional requirements:
Continuation of this project is contingent upon funding availability.
The local health department shall:
• Have home case management conducted by a registered nurse trained by
MDHHS CLPPP. ** To be reimbursed for a home visit, the visit must be
completed by a registered nurse.
• Sign up for the DCH-File Transfer Site available through MiLogin maintained
by MDHHS CLPPP, to be used for data sharing of confidential information.
• Complete case management activities according to the MDHHS CLPPP Case
Management Guide.
• Document all required case management activities in the child’s electronic file
in the HHLPPS database. Required documentation includes an initial home
visit form, follow-up visit forms, dates of chelation therapy, and plan of care.
PROJECT TITLE: STI Specialty Services
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Sexually Transmitted Infections (STIs) result in excessive morbidity, mortality, and health
care cost. The purpose of this project is to provide a community access point for specialty
STI clinical service with a focus on the LGBTQ+ community.
Reporting Requirements (if different than agreement language):
Report Period Due Date(s) How to Submit Report
Quarterly Progress Report
& Data Report Quarterly 30 days after the
end of the quarter
Enter into MDHHS
EGrAMS
Quarterly Data Report Quarterly 30 days after the
end of the quarter
Email to MDHHS
contract liaison
Rapid STI/POC Testing -
CRF
As needed
in the
event of a
reactive
result
Within 24 hours of
confirmed positive
case
Contact local health
department via fax or
phone to report the
case
Lab STI Specimen – CRF
As needed
in the
event of a
reactive
result
Within 7 days of
confirmed positive
case
Contact local health
department via fax or
phone to report the
case
Additional Requirements:
Mandatory Disclosures
Inform STI program at least two weeks prior to changes in clinic operation (key staff,
hours of operation, scope of service, etc.).
Technical Assistance
1. Technical assistance (TA) requests must be submitted via the MDHHS SHOARS
system. In addition, if your contract is to be amended, the request will have to be
logged into SHOARS. Registration instructions and further information can be
found at: https://bit.ly/3HS7xdG
2. Recipient agency must register an Authorized Official and Program Manager in the
BHSP SHOARS system. These roles must match what the agency has listed for
these roles in the EGrAMS system. If you have access related questions, contact
MDHHS-SHOARS-SUPPORT MDHHS-SHOARS-SUPPORT@michigan.gov
3. The Bureau of HIV/STI Programs values the implementation of sexual orientation,
gender identity and expression (SOGIE) standards for all contractors of the
Bureau of HIV/STI Programs to assure the safety, privacy, and person-first service
of those of the LGBTQIA+ community. We want to deliver high quality care for
lesbian, gay, bisexual, transgender, queer, intersex, asexual and all sexual and
gender diverse people by ensuring training, policies and data collection standards
are responsive to the needs of LGBTQ+ community and provide assuring,
affirming, and inclusive environments.
a. All existing staff funded at 25% or more associated with this contract (yearly) or
cumulatively across all BHSP contracts and all new staff funded at 25% or
more associated with this contract or cumulatively across all BHSP contracts
are required to attend trainings to ensure culturally appropriate communication
and interactions with the LGBTQ+ community. This training can be
accomplished through the Ruth Ellis Center (Ruth Ellis Center), SOGIE
Trainings on MDDHS’s Website (SOGIE trainings (michigan.gov)), or the
National LGBTQIA+ Health Education Center
(https://www.lgbtqiahealtheducation.org/resources/type/video/). Please ensure
all training certifications are attached for new employees in SHOARS on the
agency dashboard under “Program Requirements” within 90 days of hire and
all existing employees by the end of the fiscal year (September 30).
b. Submit a narrative or agency policy language documenting how person first
language is addressed on intake forms, patient interactions and program
materials. Report by September 30 via EGrAMS attachment.
PROJECT TITLE: Substance Use Home Visiting
Start Date:10/1/2024
End Date: 9/30/2025
Project Synopsis:
The focus of the Substance Use Home Visiting programs is to increase support for
families who have been impacted by substance misuse either through the expansion of
home visiting services or Peer Navigator services that connect families to resources.
The MDHHS-HVS substance use programs encompass implementation of an evidence-
based home visiting model or the implementation of the MDHHS Peer Navigator Pilot
Home Visiting Expansion (Only applies to grantees implementing a Home Visiting
Model)
The Local Implementing Agency (LIA) shall submit all required reports in accordance
with the Department reporting requirements. See the Michigan Department of Health
and Human Services’ (MDHHS) Home Visiting Section (HVS) Guidance Manual for
details about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the HVS 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. In addition to other data required by MDHHS, LIAs are required to record and
submit monthly HMHB billable reporting through REDCap by the 5th business day
of each month. This data includes:
• Family Model ID#
• Funding Source
• Referral Source
• How Substance Use was identified
• Enrollment/Exit Status
• Family Type (e.g., pregnant, etc.)
c. Work Plan: Due annually on May 30 to the HVS Model Consultant for preapproval.
Upon approval, upload the Work Plan to Groupsite. See the MDHHS Home Visiting
Section Guidance Manual for requirements related to Work Plan development and
reporting.
d. 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).
e. HVS data/caseload collection and HMHB requirements due in REDCap by the 5th
business day of each month. In addition, grantees must use the appropriate model
database. HFA programs must use Home Visiting On-Line (HVOL) and NFP
programs must use FLO for all model and other MDHHS required data.
f. Quality Improvement Reporting:
• Documentation of a QI team will be submitted with the quarterly Work Plan
Report.
• Documentation of QI activities will be submitted with the quarterly Work
Plan Report.
• Annual summary of QI activities will be submitted to the HVS Model
Consultant by April 30.
g. HV CoIIN Reporting (for those LIAs participating) for QI efforts shall occur in
accordance with the CoIIN’s schedule. Participating LIAs are required to use the
HV CoIIN site to complete monthly submissions of PDSA cycles and required data
(the frequency of data collection may vary).
Reports (a-g) shall be submitted as described above. Additional guidance concerning
data collection and Quality Improvement is provided in the MDHHS Home Visiting
Section Guidance Manual.
Requirements for Home Visiting Model Implementation:
Home visitors funded through Family First Prevention Services Act will serve families
referred from local Child Welfare agencies, in proportion to their FFPSA FTE.
HFA
a. 13 HMHB families per 1.0 FTE for fully trained and experienced home visitors.
NFP
b. 20 HMHB families per 1.0 FTE
MOU
LIAs are required to work with MDHHS to complete a Memorandum of Understanding
with MDHHS to establish expectations for the relationship that is being built between
child welfare and the home visiting program.
Maintain Fidelity to the Model:
The LIA shall adhere to the Home Visiting model Best Practice Standards or Model
Elements. In addition, all Healthy Families America and Parents as Teachers affiliates
shall comply with the requirements of the Central Administration for HFA/PAT State
Office housed within the Michigan Public Health Institute.
Comply with MDHHS Program Requirements:
The LIA shall operate the program with fidelity to the requirements of MDHHS based on
the agreement executed in E-GrAMS and the conditions as outlined in the MDHHS Home
Visiting Section Guidance Manual. The LIA will fulfill these requirements while
strengthening efforts towards health and racial equity through staff education,
programmatic data evaluation and client supportive services.
P.A. 291:
The LIA shall comply with the provisions of Public Act 291 of 2012. See the MDHHS
Home Visiting Section Guidance Manual for requirements related to PA 291.
Staffing:
LIAs will reflect the community served. The LIA will provide documentation to
demonstrate due diligence if unable to fully meet this requirement within 90 days of a
MDHHS site visit in which this was a finding. See the MDHHS Home Visiting Section
Guidance Manual for requirements related to program staffing.
Performance Measures:
The LIA shall comply with MDHHS expectations of demonstrating improvement in the
performance measures described in the MDHHS Home Visiting Section Guidance
Manual.
Program Monitoring, Quality Assessment, Support and Technical Assistance (TA):
The LIA shall fully participate with the NFP NSO, the Department and the Michigan Public
Health Institute (MPHI) with regards to program development and monitoring (including
annual site visits either in-person or virtual), training, support and technical assistance
services. See the MDHHS Home Visiting Section Guidance Manual for requirements
related to program monitoring, quality assessment, support and TA.
Professional Development and Training:
All of the LIA’s NFP staff associated with this funding will participate in professional
development and training activities as required by the NFP NSO and the Department.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
professional development and training activities.
Supervision:
The LIA shall adhere to the NFP supervision requirements.
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall build upon and maintain diverse community collaboration and support with
authentic engagement of parent representatives who have the lived experience and
expertise.
The LIA shall build a relationship with their local DHHS office. LIAs are expected to
inform the DHHS worker for their assigned Title IV-E eligible families of the enrollment
date, referral status within two weeks of referral, if a home visitor has not been able to
connect with a family in two weeks, and closure date. LIA will coordinate with DHHS
when approaching annual review for any enrolled Title IV-E eligible families.
The LIA shall participate in the Local Leadership Group (LLG) or, if none, the Great Start
Collaborative.
The LIA shall participate in the Regional Perinatal Quality Collaborative.
See the MDHHS Home Visiting Section Guidance Manual for requirements related to
engagement with community partners.
Data Collection:
The LIA shall comply with all model and MDHHS HVS data training, collection, entry, and
submission requirements. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to data collection.
Quality Improvement (QI):
The LIA shall participate in all HV Model quality initiatives including research, evaluation,
and continuous quality improvement.
The LIA shall participate in all state and local Home Visiting QI activities as required by
MDHHS. Required activities include, but are not limited to:
a. Developing and maintaining a QI team
b. Participating in QI activities during the fiscal year
c. Consulting with QI coaches
See the MDHHS Home Visiting Section Guidance Manual for requirements related to QI.
Promotional Materials:
If the LIA wishes to produce any marketing, advertising or educational materials using
grant agreement funds, they must follow the requirements outlined in the MDHHS Home
Visiting Section Guidance Manual.
Peer Navigator Pilot (Only applies to grantees implementing the Peer Navigator
Pilot)
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 Section (HVS) Guidance Manual for details
about what must be included in each report.
a. Staffing Changes: Within 10 days of a staffing change, notify the MDHHS Home
Visiting Section Substance Use Coordinator 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. Grantees are required to record and submit monthly reporting through REDCap
within 48 hours of an encounter with a family.
This data includes:
• Referral Date
• Enrollment Date
• Exit Date
• Every Family Contact
• Plan of Safe Care Completion
• Community Service Referrals
• Referral Follow-up
• Engagement in Home Visiting
• Child Welfare Involvement
c. Work Plan: Due annually on May 30 to the to the MDHHS Home Visiting Section
Substance Use Coordinator for preapproval. Upon approval, upload the Work Plan
to Groupsite. See the MDHHS Home Visiting Section Guidance Manual for
requirements related to Work Plan development and reporting.
d. 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).
Comply with MDHHS Peer Navigator Pilot Program Requirements:
The LIA shall operate the program with fidelity to the requirements of the Michigan
Department of Health and Human Services (MDHHS) based on the agreement executed
in E-GrAMS and the conditions as outlined in the MDHHS Peer Navigator Pilot
Implementation Guide. The LIA will fulfill these requirements while strengthening efforts
towards health and racial equity through staff education, programmatic data evaluation
and client supportive services.
Data-Informed Outreach:
Michigan is using the Peer Navigator Pilot as a specialized service strategy for pregnant
and postpartum people impacted by substance misuse. The LIA will conduct outreach
activities to the families impacted by substance misuse identified in order to enroll
families from those outreach efforts.
• The MDHHS expects the LIA to maintain a caseload maximum of 30 families per
1.0 FTE Peer Navigator
Program Monitoring, Quality Assessment, Support and Technical Assistance (TA):
The LIA shall fully participate with the Department and with regards to program
development and monitoring, training, support, and technical assistance services.
Professional Development and Training:
Peer Navigator Pilot staff associated with this funding will participate in professional
development and training activities as required by MDHHS and those necessary to
continue their Peer Recovery Coach and Community Health Worker certifications. See
the Peer Navigator Pilot Implementation Guide for requirements related to professional
development and training activities.
Peer Mentoring Consultation:
The LIA shall adhere to engaging in Group Peer Mentoring Consultation at least
monthly. Individual mentoring sessions are available as needed to the LIA.
Engage and Coordinate with Community Members, Partners and Parents:
The LIA shall engage community members to build relationships, coordinate care, and
increase awareness of the Peer Navigator Pilot Program services in their community.
Data Collection:
The LIA shall comply with all MDHHS data training, collection, entry and submission
requirements including REDCaP data entry completed by the 5th business day of each
month and the completion of a Plan of Safe Care on every family enrolled in the Peer
Navigator Pilot.
PROJECT: Taking Pride in Prevention
Start Date:10/1/2024
End Date: 9/30/2025
Project Synopsis:
The purpose of this project is to implement a comprehensive, evidence-based teen
pregnancy prevention program for youth 12-19 years of age.
Additional Reporting Requirements:
The Grantee shall submit the following reports and data via the appropriate reporting
mechanism on the dates specified below:
Report Time Period Due Date Submit To
Work Plan
October 1 - December 31 January 31
Email to MDHHS
andersonk10@michigan.gov
January 1 - March 31 April 15
April 1 - June 30 July 31
July 1 - September 30 October 15
Program
Narrative
October 1 - December 31 January 31
Email to MDHHS
andersonk10@michigan.gov
January 1 - March 31 April 15
April 1 - June 30 July 31
July 1 - September 30 October 15
Participant
Level Data
(Youth)
October 1 - December 31 January 15
REDCap
https://chc.mphi.org
January 1 - March 31 April 5
April 1 - June 30 July 15
July 1 - September 30 October 5
Program
Level Data
(Parents)
October 1 - December 31 January 15
REDCap
https://chc.mphi.org
January 1 - March 31 April 5
April 1 - June 30 July 15
July 1 - September 30 October 5
Program
Level Data
(Performance
Measures)
October 1 - September 30
(MPHI will open this data
section in REDCap in June)
July 15 REDCap
https://chc.mphi.org
Fidelity Logs February 1 - 28 March 31 Email to MDHHS
andersonk10@michigan.gov May 1 - 31 June 30
*Any other information, as specified in the Statement of Work and TPIP Report Fact
Sheet, shall be developed and submitted by the Grantee.
Additional Requirements:
• Grantees must meet or exceed the number of unduplicated youth who complete
at least 75% of the intended program delivery (curriculum plus any supplemental
lessons):
• Grantees, if needed, must implement the following supplemental curriculum
lessons/activities as part of the program delivery:
a) Teen Outreach Program – “Abstinence & Expressing Affection” (LAM-HW-F6),
“Basics of Contraception” (LAM-HW-I2), “Using Condoms Correctly” (LAM-HW-
I3), “Understanding & Talking About STDs” (LAM-HW-A5), “Introduction to
Reproductive Anatomy” (LAM-HW-F1), and “Introduction to Healthy
Relationships” (CWO-REL-I3)
b) Promoting Health Among Teens! (Comprehensive) – “Healthy Relationships”
c) Making Proud Choices! – “Puberty and Adolescent Sexual Development” and
“Healthy Relationships”
• TPIP programming must be delivered separate and apart from any religious
education or promotion and funding cannot be used to support inherently religious
activities including, but not limited to, religious instruction, worship, prayer, or
Eligible Curriculum Intensity
Level Target Number Minimum Target
Number
Curriculum
length/number
of sessions
Unduplicated youth who
complete at least 75% of
the intended program
90% of the target
number
Teen Outreach Program High 77 69
Michigan Model-Healthy & Responsible
Relationships Medium 168 151
Reducing the Risk Medium 168 151
Promoting Health Among Teens!
(Comprehensive) Low 240 216
Making Proud Choices! Low 240 216
Cuidate! Low 240 216
proselytizing.
• Family planning drugs and/or devices cannot be prescribed, dispensed, or otherwise
distributed on school property at any time, including as part of the pregnancy
prevention education funded under TPIP.
• Abortion services, counseling and/or referrals for abortion services cannot be
provided as part of the pregnancy prevention education funded under TPIP.
• TPIP funding may not be used to pay for costs associated with health care services,
for which referrals are made.
• TPIP funding may not be used for fundraising activities, political education, or
lobbying.
• Grantees must adhere to all of the TPIP Minimum Program Requirements (MPRs).
PROJECT: Tobacco Control Grant Program
Start Date: 10/1/2024
End Date: 4/30/2025
Project Synopsis
The focus of the program is for health departments to educate communities about
evidence-based tobacco policies to decrease youth initiation and increase tobacco
dependence treatment, commercial tobacco-free spaces, and health equity by working
with populations who are the most negatively affected by tobacco use disparities.
Reporting Requirements (if different than contract language)
The Grantee shall submit the following reports on the following dates:
1. Evaluation data tracking tool bi-annually on April 15 and October 15 (format to be
provided by MDHHS TCP).
2. Quarterly progress reports are due January 15, April 15, July 15, and October 15
3. Quarterly financial status reports (FSR’s) are due January 30, April 30, July 30,
and November 30. These are submitted to the TCP Contract Manager via URL
http://egrams-mi.com/mdhhs/.
Any additional requirements (if applicable)
• Grantee will create action plans for any recommendation of the MDHHS TCP
Contract Manager. Grantee will meet every other month or more frequently, as
needed, with the MDHHS TCP Contract Manager.
• Grantee will communicate every other month or more frequently, as needed, with
their consultant about budget projections.
PROJECT: Tobacco Use Reduction for People Living with HIV
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Tobacco use remains the leading cause of preventable disease and death in the United
States with almost 500,000 people dying annually from tobacco-related diseases (heart
disease, cancer, stroke, COPD, and diabetes). People living with HIV (PLWH) who smoke
cigarettes die an average of 12 years sooner from smoking-related disease compared to
those who have not smoked (Helleberg, online Journal of Clinical Infectious Disease). In
Michigan, 42% of People Living with HIV (PLWH) are tobacco users according to the 2017
HIV Tobacco Reduction Client Survey, Tobacco Section MDHHS which is twice than the
state average. To reduce the smoking rate in PLWH, the MDHHS Tobacco Section and
HIV Care and Prevention Section have collaborated to fund AIDS Service Organizations,
Local Health Departments, and Infectious Disease clinics to provide Tobacco
Dependence Treatment services.
Additional Reporting Requirements:
Site visits:
Monitoring may include a review of fiscal, program, administrative, quality
management, and client health records to ensure compliance with Federal,
Department, and contract requirements.
a. Additional documentation will be requested to support FSRs, client chart
reviews, incentive tracking forms, etc.
b. This documentation can be provided electronically through secured
email, confidential fax, secure file transfer through MILOGIN
The Department will provide written notice of site visits, including an agenda and
the assessment tool to be used.
1. The Grantee must complete the Performance Improvement Plan (PIP)
template and submit to the Department within 30 calendar days of receipt of
the site visit report.
Quarterly Progress Reports:
Required CAREWare reports and supplemental documentation should be sent via
email to program monitor.
Data Entry:
The Grantee and its subcontractors are required to use the HRSA-supported
software CAREWare to enter client and service data into the centrally managed
database on a secure server.
The Grantee must:
• Enter all Ryan White services delivered to HIV-infected and affected clients.
• Enter all data by the 10th of the following month.
• Complete collection of all required data variables and the clean-up of any missing
data or service activities by the 10th of the following month.
Additional requirements:
1. Implement standardized work plan that describes the objectives, activities, and
measures for work to be performed under this contract. The work plan will
include measurable outcomes for services provided for each funded service.
• Workplan must include specific activities related to the following:
• Program priority populations, best practices, and promising
practices such as (but not limited to): Health Equity, Trauma
informed Care, Behavioral Health services, Peer support specialists,
telehealth, and outreach to communities with tobacco use disparities
(LGBTQ, Black/African American, Population between 25-34 years
of age, Population with education less than high school, Native
American, and Hispanic/Latinx).
• Transition plan for referring clients to evidenced based tobacco
dependence treatment services.
2. Ryan White is payer of last resort; as such, the Grantee must adhere to the Ryan
White HIV/AIDS Treatment Extension Act.
3. The Grantee must adhere to applicable federal and state laws, as well as policies
and program standards issued by the Department including but not limited to the
TURP Tobacco Treatment Specialist Manual. The Department may update and/or
add guidance within the contract year with written notice. The Department will
supply any new additions to the organization/agency.
The Grantee must adhere to:
All Federal and Michigan laws pertaining to HIV/AIDS treatment, disability
accommodations, non-discrimination, and confidentiality.
• Procedures for the confidentiality and security of client information.
• All Federal and state issued guidance(s) and policy(ies) for services provided.
• MDHHS Ryan White Guidance #20-03 regarding store cards, vouchers etc.
4. The Grantee will ensure that records are available for review by the Department
auditors, staff, and Federal government agencies, if applicable, to monitor
performance. The Grantee will maintain and provide access to primary source
documentation.
5. The Grantee may enter into subcontracts or vendor agreements to fulfill the service
delivery expectations of this agreement.
6. The Grantee must monitor subcontractors to assess compliance with the
subcontract; take primary responsibility to monitor follow-up and remediate in
cases where the subcontracted entity is not in compliance with the contract;
report the results of all contract monitoring activities to the Department.
• The Grantee must provide, upon request, a copy of all fully signed subcontracts,
memoranda of understanding (MOUs) or letters of agreement related to the
services.
7. The Grantee must provide immediate notification to the Department, in writing, in the
event of any of the following:
a. Any formal grievance initiated by a client and subsequent resolution of
that grievance.
b. Any event occurring, or notice received by the Grantee or subcontractor, that
reasonably suggests that the Grantee or subcontractor may be the subject of,
or a defendant in, legal action. This includes, but is not limited to, events or
notices related to grievances by service recipients or Grantee or subcontractor
employees.
c. Any staff vacancies funded for this project that exceed 30 days.
8. When issuing statements, press releases, requests for proposals, bid solicitations
and other documents describing projects or programs funded in whole or in part with
Federal money, the Grantee receiving Federal funds, including but not limited to
State and local governments and recipients of Federal research grants, must clearly
state:
1. The percentage of the total costs of the program or project that will be
financed with Federal money.
2. The dollar amount of Federal funds for the project or program.
3. Percentage and dollar amount of the total costs of the project or program that
will be financed by non-governmental sources.
9. The Grantee must participate in the Department needs assessment and planning
activities, as requested.
10. The Grantee must maintain, for a minimum of four years after the end of the budget
period, program and fiscal records and files including documentation to support
program activities and expenditures, under the terms of this agreement.
11. Each employee funded in whole or in part with Federal funds must record time and
effort spent on the project funded.
The Grantee must:
• Adhere to administrative cap on FTE for staff that are not providing direct tobacco
dependence treatment. This includes the following: managers, supervisors,
support staff, finance staff, etc. The FTE for these positions may not exceed .10
FTE.
• Have policies and procedures to ensure time and effort reporting.
• Assure the staff member clearly identifies the percentage of time devoted to
contract activities in accordance with the approved budget.
• Denote accurately the percent of effort to the project. The percent of effort may
vary from month to month, and the effort recorded for Ryan White funds must
match the percentage claimed on the Ryan White FSR for the same period.
12. The Grantee will participate in regular Grantee meetings which may be face-to-face,
teleconferences, webinars, etc. The Grantee must participate in trainings provided
by MDHHS and the Tobacco Section.
13. If it has been identified through fiscal monitoring, that funds will not be spent by the
end of the fiscal year as intended, then the Department reserves the right to reduce
award amount through an amendment.
• FTE and Budgets must be adjusted to reflect the reduced award amount and
must be reviewed and approved by the Department.
14. The Grantee must collaborate with the Tobacco Section staff to accomplish goals
through, bi-monthly calls, one annual site visit, and other grant monitoring tools and
technical assistance activities.
15. Performance will be measured on progress toward meeting the overall Tobacco
Use Reduction in PLWH workplan objectives.
16. Failure to comply with these requirements may result in punitive consequences
such as denial of future funding or other consequences as appropriate.
PROJECT: Tuberculosis Control
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
Each Grantee as a sub-recipient of the CDC Tuberculosis Elimination
Cooperative Agreement shall conduct activities for the purposes of tuberculosis
control and elimination.
• Funds may be used to support personnel, purchase equipment and supplies,
and provide services directly related to core TB control front-line activities, with
a priority emphasis on DOT (Directly Observed Therapy) and electronic DOT,
case management, completion of treatment and contact investigations.
• Funds may also be used to support incentive or enabler offerings to
mitigate barriers for patients to complete treatment.
• Disallowed Costs: Federal (CDC) guidelines prohibit the use of these funds
to purchase anti-tuberculosis medications or to pay for inpatient services.
• Examples of appropriate incentive/enabler offerings include retail coupons,
public transit tickets, food, non-alcoholic beverages, or other goods/services that
may be desirable or critical to a particular patient.
For more information and suggested uses of incentive/enabler options, refer to
CDC's Self-Study Module #6: Self-Study Modules on Tuberculosis Module 6
Managing Tuberculosis Patients and Improving Adherence (cdc.gov).
Additional Reporting Requirements:
DOT Logs are maintained on site and available if needed. All other data must be entered
into MDSS as stipulated in contract specific requirements.
Ensure that confidential public health data is maintained and transmitted to the
Department in compliance with applicable standards defined in the "CDC Data
Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted
Diseases, and Tuberculosis Programs"
http://www.cdc.gov/nchhstp/programintegration/docs/PCSIDataSecurityGuidelines.pdf
Additional requirements:
• Utilize DOT as the standard of care to achieve at minimum 80% of TB cases
enrolled in DOT or electronic DOT (Jan 1- Dec 31).
• Document in Michigan Disease Surveillance System (MDSS) all changes to
treatment regimen using the Report of Verified Case of Tuberculosis (RVCT)
comments field (pg. 12), and completion of therapy using RVCT Follow-Up 2 (pg.
7).
• Maintain evidence of monthly DOT logs on site (to be made available if needed).
Monthly submission of DOT logs is not required.
• Achieve at least 94% completion of treatment within 12 months for eligible TB
cases. The determination of treatment completion is based on the total number of
doses taken, not solely on the duration of therapy. Consult the most current ATS
document Treatment of Tuberculosis for guidance in the number of doses needed
and the length of treatment required following any interruptions in therapy.
• Maintain appropriate documentation on site (to be made available if needed).
Document the appropriate use of expenditures for incentive and enablers for
clients to best meet their needs to complete appropriate therapy.
• Ensure >90% completion of RVCT pages 1 - 6 in MDSS within one month of
diagnosis.
Unallowable Costs per federal guidelines
• Funds cannot be used for procurement of anti-tuberculosis medications.
• Funds cannot be used for research.
• Funds cannot be used for inpatient services.
PROJECT: Vector-Borne Disease
Surveillance
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
This agreement is intended to support the development of vector-borne disease
surveillance and control capacity at the local health department level. Funds may be used
to support a low-cost, community-level surveillance system for 1) the early detection of
arbovirus threats by identifying potential invasive mosquito vectors or local virus
transmission in mosquitoes and 2) populations of ticks including Ixodes scapularis,
Amblyomma americanum, and Haemaphysalis longicornis. This information can be
utilized by participating local health departments to notify its citizens of any local
transmission risk using education campaigns and to potentially work with local
municipalities to conduct vector control activities such as drain management, scrap-tire
campaigns, breeding site removal, landscape modifications, or pesticide application.
Requirements for participation in this program include providing for the placement of a
minimum number of mosquito traps, operating for at least five “trap-nights” per week,
conducting a minimum number of targeted tick “drags,” and identifying ticks and
mosquitoes. Bi-weekly (occurring every two weeks) reporting to MDHHS of grant
activities is also required. MDHHS EZID should be notified immediately if an invasive
mosquito or tick species is identified.
Additional Reporting Requirements:
The subrecipient shall submit bi-weekly tables of surveillance data (template provided)
documenting trap rates and disease detections to Emily Dinh (dinhe@michigan.gov) and
Rachel Wilkins (rwilkins3@michigan.gov) at the MDHHS EZID Section.
•A final report on all activities completed is due at the end of the fiscal year, by
October 15
Additional requirements:
•Mosquito and/or Tick Surveillance
•Minimum recommended mosquito and tick surveillance effort according to the
point formula in Table 1 (below) over a period of 14 weeks.
•Provide bi-weekly reporting of surveillance results to MDHHS EZID Section (see
contact information below).
•Use surveillance data to notify the public of risks related to vector borne disease in
mosquitoes or ticks in the jurisdiction.
• The total funds allocated for this project to participating local health departments
must be utilized prior to September 30.
• Each local health department as a sub-recipient of the State of Michigan Emerging
Public Health Funds shall conduct activities for the purposes of mosquito and tick
surveillance in their jurisdiction. For mosquito surveillance, funds may be used to
support personnel, to purchase equipment and supplies related to conducting
mosquito surveillance in areas of historically high incidence of arboviral disease,
and to produce and distribute educational and other materials related to mosquito-
borne disease prevention and control. For tick surveillance, funds may be used to
support personnel, to purchase equipment and supplies, and to produce and/or
distribute educational and other materials related to tick-borne disease prevention
and control.
• Activities can be conducted according to the needs of the local jurisdiction but
must conform to the point allocation formula in the table below. For instance, if
mosquitoes are more of a concern in the jurisdiction, the funded LHD can focus its
efforts on mosquito surveillance, educational activities, etc. If ticks are more of a
concern in the jurisdiction, the funded LHD can focus its efforts on tick
surveillance, educational activities, etc.
Local Health Department VBDSP Activity Formula
*Devices can include BG-2 traps, CDC light traps, resting boxes, etc.
Activity Required
Activity / Weeks
Metric
5 mosquito collection devices*
placed for 24-hour period
20/10 Report to MDHHS bi-weekly
2 mosquito collection devices*
placed for 24-hour period in
August
2/4 Report to MDHHS bi-weekly
1,000 meter tick drag 4 / 2 Report to MDHHS bi-weekly
Educational outreach activity /
event
Report to MDHHS bi-weekly
Press release Report to MDHHS bi-weekly
Coordination of control efforts
with local municipalities / other
prevention efforts
Report to MDHHS bi-weekly
PROJECT: West Nile Virus Community Surveillance
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
This agreement is intended to support the development of a low-cost surveillance
system for the early detection of West Nile virus in mosquitoes at the community level,
for the purpose of educating the public and healthcare providers and preventing
outbreaks. This information can be utilized by participating local health departments to
notify its citizens and healthcare providers of any local transmission risk using education
campaigns, press-releases and other means, and to potentially work with local
municipalities to conduct mosquito population mitigation activities such as drain
management, scrap-tire campaigns, breeding site removal, larviciding, and adulticiding.
Requirements for participation in this program include providing for the placement of a
minimum number of mosquito traps, operating for at least two “trap nights” per week,
identifying mosquitoes, and weekly reporting to the Department of surveillance results.
Additional Reporting Requirements:
The Grantee shall submit weekly tables of surveillance data (template provided)
documenting trap rates and disease detections to Emily Dinh (dinhe@michigan.gov),
and Rachel Wilkins (wilkinsr3@michigan.gov) at the MDHHS EZID Section.
•A final report on all activities completed is due at the end of the fiscal year, by
October 15.
Additional requirements:
Each Grantee as a sub-recipient of the Centers for Disease Control and Prevention
(CDC) Epidemiology and Laboratory Capacity Cooperative Agreement shall conduct
activities for the purposes of West Nile virus (WNV) surveillance among mosquito
populations in their jurisdiction. Funds may be used to support personnel and travel, to
purchase equipment and supplies related to conducting mosquito surveillance in areas
of historically high incidence of WNV, and to produce and/or distribute educational and
other materials related to West Nile virus prevention and control.
Mosquito Surveillance
•Minimum recommended mosquito traps for this project is 5 traps utilized per
county, operating 2 nights per week for a total of 10 “trap nights” per week for
approximately 16 weeks.
• Provide weekly reporting of surveillance results to the Department EZID Section
(see contact information below).
• Use surveillance data to notify the public and healthcare providers of any risk
related to West Nile Virus in mosquitoes in the jurisdiction.
• The total funds allocated for this project to participating local health departments
must be utilized prior to September 30.
PROJECT TITLE: Wisewoman
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis:
WISEWOMAN (Well-Integrated Screening and Evaluation for Women Across the Nation)
is a program designed to screen women for chronic disease risk factors, counsel them
about lifestyle changes to reduce risk factors, and refer them for medical treatment of
hypertension, hyperlipidemia, and/or diabetes mellitus.
Additional Reporting Requirements:
All Grantees implementing WISEWOMAN shall submit Quarterly Progress Reports
Period Covered Report Due
October 1 - December 31 January 31
January 1 - March 31 April 30
April 1 - June 30 July 31
July 1 - September 30 October 31
Quarterly Reports shall be submitted to the Program Director:
Courtney Cole
E-mail: ColeC13@michigan.gov
Each agency must provide matching funds in the amount of $1 for each $3 of
Coordination dollars. A WISEWOMAN Matching Funds Report form along with
instructions is issued by MDHHS for LCAs to use for documentation of amounts and
types of community match. It is available at www.michigan.gov/wisewoman The Matching
Funds Report should be submitted in EGrAMS as an attachment to Courtney Cole at
ColeC13@michigan.gov.
Additional requirements):
Instructions for contractor use of MBCIS, the statewide database, are provided in
manuals for programs that contribute data to this database. The CPCS will exchange
relevant program reports with appropriate contractors through a secure file transfer
system, as noted in the same program manuals.
For specific WISEWOMAN Program requirements, refer to the most current
WISEWOMAN Program Manual available at www.michigan.gov/wisewoman.
PROJECT: Women Infant Children (WIC)
WIC Breastfeeding
WIC Migrant
WIC Resident
Start Date: 10/1/2024
End Date: 9/30/2025
Project Synopsis
Women, Infants, and Children (WIC) is a federally funded Special Supplemental Nutrition
Program of the Food and Nutrition Service (FNS) of the United States Department of
Agriculture (USDA) and is administered by the Michigan Department of Health and Human
Services (MDHHS) to serve low and moderate income pregnant, breastfeeding, and
postpartum women, infants, and children up to age five who are found to be at nutritional risk
through its statewide local WIC agencies.
WIC is a health and nutrition program that has demonstrated a positive effect on pregnancy
outcomes, child growth and development. The program provides a combination of nutrition
education, supplemental foods, breastfeeding promotion and support, and referrals to health
care. Participants redeem WIC food benefits at approved retail grocery stores and
pharmacies. WIC foods are selected to meet nutrient needs such as calcium, iron, folic acid,
vitamins A & C.
Reporting Requirements (if different than contract language)
• A Financial Status Report (FSR) must be submitted to MDHHS on a quarterly basis by
deadlines as defined by MDHHS Expenditure Operations. Grantees shall (when
requested) annually report expenditures on a supplemental form, if needed and
required, to be provided by MDHHS and attached to the final Financial Status Report
(FSR) which is due on November 30 after the end of the fiscal year in EGrAMS.
• As part of the Breastfeeding Peer Counselor (BFPC) Grant the Grantee must submit
quarterly progress reports to the State Breastfeeding Peer Counselor Coordinator (or
designee) by the 15th of the month following end of quarter.
Additional Requirements
• The Grantee is required to comply with all applicable WIC federal regulations, policy
and guidance.
• The Grantee is required to comply with all State WIC Policies.
• The Grantee is required to complete the NE and BF Time Study as instructed by the
MDHHS WIC Program.
o Work completed by breastfeeding staff funded under the BFPC grant is not
eligible for inclusion in the time study. Work completed by breastfeeding staff
funded under the WIC Resident grant is to be included in the time study.
• The Grantee must follow guidelines provided by USDA FNS for the Breastfeeding
Peer Counselor grant, including those for allowable expenses.
The primary purpose of these funds is to provide breastfeeding support services through
peer counseling to WIC participants. The Grantee must follow the staffing
requirements specified in both the WIC Breastfeeding Model Components for Peer
Counseling and allocation letter for the Breastfeeding Peer Counselor grant. This
signed letter needs to be returned annually to the State Breastfeeding Peer Counselor
Coordinator.
Due to the limited nature of the Breastfeeding Peer Counselor Grant funding, total
indirect cost shall not exceed 30% of the total grant award (budgeted and/or reported,
whichever is less). To maintain consistency across budgets, County-City Central
Services reported under a direct expense line item will be included as indirect cost
even if captured outside of the indirect line item on the budget. Additional local funds
can be supplemented to cover indirect costs exceeding 30%.
• The grantee must comply with the requirements of the WIC program as
prescribed in the Code of Federal Regulations (7 CFR, Part 246) including the
following special provisions from Part 246.6 (f)(1)(2):
(f) Outreach/Certification in Hospitals. The State agency shall ensure that each
local agency operating the program within a hospital and/or that has a
cooperative arrangement with a hospital:
(1) Advises potentially eligible individuals that receive inpatient or outpatient
prenatal, maternity, or postpartum services, or that accompany a child under
the age of 5 who receives well-child services, of the availability of program
services; and
(2) To the extent feasible, provides an opportunity for individuals who may be
eligible to be certified within the hospital for participation in the WIC Program.
• The Grantee, in accordance with the general purposes and objectives of this
agreement, will comply with the federal regulations requiring that any individual that
embezzles, willfully misapplies, steals or obtains by fraud, any funds, assets or
property provided, whether received directly or indirectly from the USDA, that are of a
value of $100 or more, shall be subject to a fine of not more than $25,000.
• The Grantee is required to operate the Produce Connection (formerly known as
Project FRESH) Program within the guidelines as laid out in the “WIC Produce
Connection Local Agency Guidebook.”
• The Grantee is required to abide by the Dissemination License Agreement between
Michigan State University (MSU) and MDHHS for “Mothers in Motion,” and the
Dissemination License Agreement between MSU, Ohio State Innovative Foundation
and MDHHS for “Communicate to Motivate.” use of these licensed materials in the
provision of program related services is subject to the terms and conditions outlined in
the licensure agreement, which is included in Addendum 1, as reference.
• The Grantee is required to follow the basic standards for processing and tracking
covered complaints of discrimination as indicated in the Memorandum of Understanding
between USDA and MDHHS, which is included in Addendum 2, as reference.
• The Grantee is required to provide written assurance that it will operate in compliance
with applicable nondiscrimination laws, regulations, instructions, policies, and
guidelines, as detailed below. A signed copy of these assurances must also be
submitted by the Grantee to MDHHS-WicFinance@michigan.gov by Monday,
September 30, 2024.
WIC Resident Services/Migrant/Breastfeeding Training and Education Requirements:
The Grantee is required to comply with MI-WIC Policies 1.07 Local Agency Staffing and
Training, and 1.07A Staff Training Plan, requirements for WIC staff training and education.
FOOTNOTES: FY 2024/2025
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 - $221.74 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 - $165
2. Annual Plan of Care over the telephone -$110
B. LEVEL II CARE COORDINATION
1. Level II Care Coordination is reimbursed at $33.00 per unit
2. A maximum of 15 units per beneficiary per eligibility year will be reimbursed.
(2) Reimbursement Chart for Fixed Rates
Body Art $317.69 / appl. annual license prior to July1
$158.85/ appl. annual license after July 1
$142.95 / appl. temporary license
$317.69 / appl. renewal prior to December 1
$476.54 / appl. renewal after December/1
$31.76 / duplicate license
CSHCS-Medicaid Elevated Blood Lead Case
Management
$221.74 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
Fetal Infant Mortality Review (FIMR) Interviews $125 for each family support visit. A maximum of six (6) visits per infant death is
reimbursable
Informed Consent $50 per patient served, for each patient that expressly states that they are seeking
a pregnancy test or confirmation of a pregnancy for the purpose of obtaining an
abortion and is provided the services.
Vaccines for Children (VFC) Enrollment Site Visit $175
Vaccines for Children (VFC) Site Visit $175
Adult Vaccine Program (AVP) Site Visit $175
Unannounced Storage & Handling Site Visit $100
Birthing Hospital Site Visit $350
Immunization Quality Improvement Provider
(IQIP) Site Visit
$200
IQIP 12-month Follow-Up Complete $100
Nurse Education Regular Session $200
Nurse Education Lifespan Session $250
Statewide Lead Case Management $221.74 per home visit. A maximum of six (6) visits per home.
$110 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.