Loading...
HomeMy WebLinkAboutResolutions - 2008.10.02 - 9605has awarded the 984; and included in the by the CPBC has Year 2008; and MISCELLANEOUS RESOLUTION #08209 October 2, 2008 BY: General Government CommIttee, Christine Long, Chairperson IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - 2008/2009 COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) AGREEMENT ACCEPTANCE To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Michigan Department of Community Health 1?un0 Oakland County Health Division funding in the amount of $9,419. WHEREAS this amount includes $880,892 in funding formerly agreement with the Department of Environmental Quality: and WHEREAS funding for the other public health programs funded decreased $620,245 (6.77%) from final amended levels in Fiscal WHEREAS this agreement is for the period of October 1, 2008 through September 30, 2009; and WHEREAS the CPC Agreement has been submitted through the County Executive Review Process and is recommended for approval. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby accepts the 2008/2009 Comprehensive Planning, Budgeting, and Contracting (CPBC) agreement for funding in the amount of $9 1 419 1 984 for the period of October 1, 2008 through September 30, 2009. BE IT FURTHER RESOLVED that the future level of service, including personnel, be contingent upon the level of funding for this program. BE IT FURTHER RESOLVED that the Board Chairperson is authcrized to execute this agreement and any changes and extensions to the agreement, not to exceed fifteen percent (15%), which is consistent with the agreement as originally approved. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners authorizes its Chairperson to execute this Agreement subject to the following additional condition: that the County's approval for entering into this Agreement is specifically conditioned and premised upon the acceptance, approval and execution of the Agreement containing Addendum A, by the Michigan Department of Community Health, and that the failure of the Michigan Department of Community Health to execute the Agreement as specified shall, without any further act of the Oakland County Board of Commissioners, automatically negate and void the County's approval and/or acceptance of this agreement as provided for in this resolution. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE OANN.4\c_ GENERAL GOVERNMENT Motion carried unanimously on a roll call vote with Gingen absent. COUNTY OF OAKLAND DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH DIVISION FY 2008/2009 COMPREHENSIVE PLANNING, BUDGETING, AND CONTRACTING AGREEMENT (CPBC) ACCEPTANCE • The Oakland County Health Division (OCHD) is accepting funding through the CPBC Agreement from the Michigan Department of Community Health (MDCH) in the total amount of $9,419,984, which includes funding in the amount of $880,892 for Local Public Health Operations normally received separately from the Department of Environmental Quality. • Funding for other Public Health programs funded by the CPBC has decreased by $620,245 compared to the final allocations for Fiscal Year 07/08; funding levels are expected to fluctuate throughout the fiscal year as MDCH and OCHD amend the CPBC. • The Agreement is for the period October 1, 2008 through September 30, 2009. • The Agreement provides for categorical grant funding and partial reimbursement for services provided in accordance with the Public Health Code (P.A. 368 of 1978, as amended). Changes included in the FY 2008/09 Agreement include:. , • Funding in the amount of $100,854 has been awarded to equip and staff the laboratory to maintain "Level B" status, which will allow the laboratory to examine potential bioterrorism- related materials. • Other Bioterrorism-related funding includes $223,528 for the Cities Readiness Initiative, a program to dispense medications to large populations in very short time frames in the event of an emergency, and $8,600 to defray the costs of housing the Regional Epidemiologist. Funding to support preparations for Pandemic Flu has been discontinued. • Funding in the amount of $109,520 has been allocated for continued support of the Infant Mortality Coalition program. • Grant funding for the Nurse Family Partnership has been continued at the previous year's level of $324,155, Page 1 of 3 Tom Rockier From: Piir, Gaia [piirg@oakgov.com ] Sent: Friday, September 12. 2008 4:39 PM To: 'Fockler, Tom '; `Linda Pearson' Subject: Grant Sign Off Health Division - FY 08/09 Comprehensive Planning, Budgeting, and Contracting (CPBC) Agreement - Grant Acceptance Attachments: CPBC Grant sign off pkg.pdf The et_litA i attached. GRANT REVIEW SIGN OFF — Health Division GRANT NAME: FY 08/09 Comprehensive Planning, Budgeting, and Contracting (CPBC) Agreement FUNDING AGENCY: Michigan Department of Community Health DEPARTMENT CONTACT PERSON: Tom Fockler / 452-2151 STATUS: Grant Acceptance DATE: September 12, 2008 Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have completed internal grant review. Below are the returned comments The captioned grant materials and grant acceptance package (which should include the Board of Commissioners Liaison Committee Resolution, the grant agreement/contract, Finance Committee Fiscal Note, and this Sign Off email containing grant review comments) may be requested to be placed on the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. DEPARTMENT REVIEW Department of Management and Budget: Approved. —Laurie Van Pelt (08/29/2008) Department of Human Resources: Approved. — Cathy Shallal (08/30/2008) Risk Management and Safety: Approved..— Andrea Plotkowski (09/10 12008) Corporation Counsel: have reviewed the above referenced Agreement and approve same for submission to the Board of Commissioners for approval. — John Ross (08/27/2008) COMPLIANCE The grant agreement guideline references a number of specific federal and state regulations. Below is a list of these specifically cited compliance related documents for this grant. Federal Health Insurance Portability and Accountability Act of 1996 (111PAA, Title http:/iwww.cms.hhs.itov/1-1IPAAGenInfo/Downloads/H1PAAlawdelailacir Single Audit Act of 1984 (with amendments in 1996) htm://www.whitellouse,v,ov/omb/financialifin Federal Office of Management and Budget (OMB) Circular No. A-I33. This Circular sets forth standards for obtaining 9/i 2:200S Page 2 of 3 consistency and uniformity among Federal agencies for the audit of States, local governments, and non-profit organizations expending federal awards. http://www.whitehouse.eov/ombicircularsia133/a133Jitm I Michigan — Minimum Program Requirements — Public Health Code (Excerpt) Act 368 of 1978, Sec .2472 Services eligible for cost sharing; criteria and procedures for additional services; minimum standards for delivery of services. httn://www.le2islature.mi.gov/(S(nfhreOmea I tsvvi311x.mm045))/mileg.astrx 9mtgsztetObjeciA.objectNmpe--mcl-111- 24728:quervid=15189839 Federal Office of Management and Budget (OMB) Circular No, A-87. This Circular establishes principles and standards for determining costs for Federal awards carried out through grants, cost reimbursement contracts, and other agreements with State and local governments and federally recognized Indian tribal governments (governmental units). http://www.whitehouse.goviomb/circularsta087/a87_2004.html#atta Lobbying Disclosure Act of 1995 (2 USC 1601) httmilwww.scriate.t!ovireferenceresourcesipdficontacting10465.pdf Anti-Lobbying - Section 503 (Public Law 104-208) http://grants.nilLgov/grants/ttuide/notice-fiies/not97-032.html Michigan Elliott-Larsen Civil Rights Act — "Act 453 of 1976" http://www.legislature.mi.govi (uci3lxgeltrnri5z55z21.1iwv45)/milmamx?Daee=2etokliect&obiectname -rnel-Act-4s -)-nf-1476&.mrpryir1=1,01R 54n Michigan Persons with Disabilities Civil Rights Act "Act 220 of 1976" httpliwww.legislature,rni.gov/ (tio3 I xgeltmri5z55z2uiwv45)/mileaspODa2e=getobiect&obiectnarnc=mcl-Act-220-of-1976ataucryid=14718589 Federal Office of Management and Budget (OMB) Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement) (2 CFR, Part 180) http://Www.access.gpo.gov/naraicfrIwatis idx_08/2c fr180_08.h MI I Federal Environmental Tobacco Smoke "Pro-Children Act of 1994" ht1p://www.cdc.ttov/tobacco/rescarch_data/vouth/464119.hun Federal Hatch Act - Political Activity of Certain State and Local Employees http://www.osc.govilatchact.htrn Intergovernmental Personnel Act of 1970 (42 U.S.C. Sections 4728-4763) http://ftwebgate.aucess.gno.govictti-bin4etdoc qi-Abname=browse,_usc&docid=Cite--421.JSC4728 Clean Air Act of 1970 http://www , epa.govioar/caa/caa_history.htm I gcaa70 Executive Order 11738- Providing for administration of the Clean Air Act and the Federal Water Pollution Control Act with respect to Federal contracts, grants, or loans htm://www. arch i ves.govilfederal-regisrer/codi ficati on lexecutive-order/11738.htnnl Environmental Protection Agency regulations (40 C.F.R.) http://www.access.gpo.Rovinarakfriwaisicix 05n40cfrv I 05.htm I Federal — The Copeland "Anti-Kickback" Act http://www.doLgovicompl ianceilawskomp-copeland.htm Federal Davis-Bacon Act http://www.doLgoviesa/programs/dbra The Contract Work Hours and Safety Standards Act (CWHSSA) http://www.dol.govicompliartcellawsicomp-evvlissa.htth Federal Office of Management and Budget (OMB) Circular No. A-102. This Circular establishes consistency and uniformity among Federal agencies in the management of grants and cooperative agreements with State, local, and tribal governments. hap://www.whitehouse.goviombicircuiarsia I 02/a102.htm1 Michigan — Conflict of Interest- Contracts or Public Servants with Public Entities — "Act 317 of 1968" hno://www.iev,islature,rn o v/(tici3 1 xr4eltmri 5 z..5 z2 w v45)/mi I e.9..astv ?DaQ e—zeto b (-;:tnante=r-rs r.1- A 7-of- 9112/2008 19688quervid=14761946 Gala V. Piir Grants Compliance and Programs Coordinator Oakland County Fiscal Services bivisior. Prone (248) 858-1037 Fax (248) 858-9724 piirg@oakgov.cam 9112/2008 Contract #: Agreement Between Michigan Department of Community Health hereinafter referred to as the "Department" 'and County of Oakland hereinafter referred to as the "Local Governing Entity" 1200 North Telegraph Road, Department 432 Pontiac, Michigan 48341-0432 Federal ID: 38-6004875 hereinafter referred to as the "Contractor for The Delivery of Public Health Services under the Comprehensive Planning, Budoetina and Contract (CPBC) Arm -Apr:vent Part I 1. Purpose: This agreement is entered into for the purpose of setting forth a joint and cooperative Contractor/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 Contractor and the Department. Public health services to be delivered under this agreement include Local Public Health Operations (LPHO) and Categorical Programs as specified in the attachments to this agreement. 2 Period of Agreement: This Agreement shall commence on October 1, 2008 and continue through September 30. 2009. This agreement is full force and effect for the period specified. The Department has the option to assume no responsibility for costs incurred by the Contractor prior to the signing of this agreement. rviDu-ii:-..ms FY osio9 0710e Pwaa 1 DI 3. Fro ramBud et and 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 $9,419,984. B. Equipment Purchases and Title: Any equipment purchases supported in whole or in part by the Department with categorical funding must be specified in an attachment to the Program Budget Summary. Equipment means tangible, non-expendable, personal property having useful life of more than one (1) year and an acquisition cost of $5,000 or more per unit. • Title to equipment having a unit acquisition cost of less than $5,000 shall vest with the Contractor upon acquisition. The Department reserves the right to retain or transfer the title to all items of equipment having a unit acquisition cost of S5,000 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 Adfustments: 1. Transfers between categories within any program element budget supported in whole or in part by state/federal categorical sources of funding shall be limited to increases in an expenditure budget category by $10,000 or fifteen percent (15%) whichever is greater. This transfer authority does not authorize establishment of new budget categories, purchase of additional equipment items or new subcontracts with state/federal categorical funds without prior written approval of the Department. 2. Any transfers, or adjustments involving State/Federal categorical funds, other than those covered by C.1, including any related adjusbilei te the-total state amount of the budget, must be made in writing through a formal amendment executed by all parties-to-tits-agmurrient in accordance with Section VIII. A: of Part II. 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 shall be recovered proportionately from each local Contractor that, during the course of the agreement period, chose to reduce or transfer iocal funds from the Family Planning program. roacticros FY 08,0i: 07108 Paco 2 V: Agreement Attachments; A. The following documents are attachments to this Agreement Part I and Part I! - General Provisions, which are part of this agreement through reference: 1. Attachment I Annual Budget 2. Attachment III - Program Specific Assurances and Requirements 3. Attachment IV - Funding/Reimbursement Matrix B. The attachments are added into this Agreement as follows: 1. Original Agreement (Part I and Part 0) -Attachment III, IV 2. First Amendment - Attachment I and IV (Revised) 5. Statement of Work: The Contractoragrees to undertake. perform and complete the services described in Attachment III - Program Specific Assurances and Requirements and the other applicable attachments to this agreement which are part of this agreement through reference. 6. Method of Payments and Financial Reports: The payment procedures shall be followed as described in Part ll and Attachment I - Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part of this agreement through reference. 7. Performance/Progress Report Reguirements: The progress reporting methods, as applicable, shah i be followed as described in IV - Funding/Reimbursement Matrix, which are part of this agreement through reference. 8. General Provisions: The Contractor agrees to comply with the General Provisions outlined in Part II, which are part of this agreement through reference. 9. Administration of Agreement: The person acting for the Department in administering this Agreement (hereinafter referred to as the Contract Consultant) is: Richard McCubbin. OP BC Consultant, 517-241-2493. McCubbinR@michigan,gov (Contract Consultant Name), Title Phone E-mail Address UMH/CMF.n FY08109 07/0B Pam 2a 24 .10. Special Conditions: A. This agreement is valid upon approval by the State Administrative Board as appropriate and approval and execution by the Department. B. The Department and Contractor, under the terms of this agreement shall, subject to availability of funding and other applicable conditions, provide resources and continuous services throughout the period of this agreement as shown in. Attachment I - Annual Budget. 11. Special Certification: The individual or officer signing this agreement certifies by his or her signature that he or she is authorized to sign this agreement on behalf of the responsible governing board, official or Contractor, 12. Signature Section: For the COUNTY OF OAKLAND Name and Title Signature Date For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Susan Kangas, Deputy Director Date Operations Administration MDCH/CMS FY cleico 07105 P.Roe 4 ;:q Version: CPEIC MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 08109 AGREEMENT ADDENDUM A 1. This addendum adds the following section to Part 1 and renumbers existing 11 Special Certification to 12 and existing 12 Signature Section to 13; and adds the following changes to CPBC Agreement for 10/01/07 through 9/30/08. 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 arty limitations upon any Department funding obligations herein, the Parties specifically intend and agree that the Contractor may discontinue, without any penalty or liability whatsoever, arty 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 Contractormay 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. Version: CPBC This addendum modifies the following sections of Part II. General Provisions: Part II I. Responsibilities.Contractor J. Software Compliance. This section will be deleted in its entirety and replaced with the following language. The Michigan Department of Community Health 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 ts entirety and replaced 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. J. Health Insurance Portability and Accountability Act. The provisions in this section shall be deleted in their entirety and replaced with the following language: Contractor agrees that it will comply with the Health Insurance Portability and Accountability Act of 1996, and the lawfully enacted and applicable Regulations promulgated thereunder. IX. Liability. Paragraph A. will be deleted in its entirety and replaced with the following language: A. Except as otherwise provided for in this Contract, all liability, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of the Contractor under this Contract shall be the responsibility of the Contractor and not the responsibility of the Department, if the liability, loss, or damage is caused by, or arises out of the actions or failure to act on the part of the Contractor. its employees, officers or agents. Nothing therein shall be construed as a waiver of any governmental immunity for the Contractor, its agencies, employees, or Oakland Version: C PBC County, as provided by statute or modified by court decisions. 3. Special Certification: The individual or officer signing this agreement certifies by his or her signature that he or she is authorized to sign this agreement on behalf of the responsible governing board, official or Contractor. 4. Signature Section: For the COUNTY OF OAKLAND Name and Title Signature Date For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Nick Lyon, Deputy Director Date Operations Administraton Part II General Provisions Responsibilities • Contractor The Contractor in accordance with the general purposes and objectives of this agreement will: A. Publication Rights 1. Where activities supported by this agreement produce books, films, or other such copyrightabie materials issued by the Contractor, the Contractor may copyright such but shall acknowledge that the Department reserves a royalty-free. non-exclusive and irrevocable license to reproduce, publish and use such materials and to authorize others to reproduce and use such materials. This cannot include service recipient information or personal identification data. 2. Any copyrighted materials or modifications bearing acknowledgment of the Department' s name must be approved by the Department prior to reproduction and use of such materials. 3. The Contractor shall give rec-egrriarreto--the Department in any and A publication papers and presentations arising from the program and service contract herein; the Department will do likewise. B. Fees Make reasonable efforts to collect 1'1 and 3 rd party fees, where applicable, arid report these as outlined by the Department' s fiscal procedures. Any underrecoveries of otherwise available fees resulting from failure to bill for eligible services will be excluded from reimbursable expenditures. C. Program Operation Provide the necessary administrative, professional, and technical staff for operation of the program. ID. Reporting Utilize all report forms and re-prortrrp:rfarrrrate required by the Department at the effective 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. MDC,11/C VI3 FY 08.V.-: 07/06 Pagii 5 o' 24 Assure that all terms uf the dyi eel net it wid be appropriately adhered to and, that records and detailed documentation for the project or program identified in this agreement will be maintained for a period of not less than three (3) years from the date of termination, the date of submission of the final expenditure report or urtii litigation or audit findings have been resolved. F. Authorized Access Permit upon reasonable notification and at reasonable times, access by authorized representatives of the Department, Federal Grantor Agency, Comptroller General of the United States and State Auditor General, or any of their duly authorized representatives, to records, files and documentation related to this agreement, to the extent authorized by applicable state or federal law, rule or regulation. G. Audits 1.•• Single Audit Provide, consistent with the regulations set forth in the Single Audit Act Amendments of 1996, Pl. 104-156. and Section .320 of the Office of Mar lagement and Budget (OMB) Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations," a copy of the Contractor's annual Single Audit reporting package, including the Corrective Action Plan, and management letter (if one is issued) with a response to the Department. The Contractor must assure that tne 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 The Single Audit reporting package, management letter (if one is issued) with a response and Corrective Action Plan shall be submitted to the Department within nine months after the end of the Contractor's fiscal year. The Single Audit reporting package, management letter, and Corrective Action Plan shall be filed with the Department even if • there are no findings or disclosures reported in the audit pertaining to Department programs. 4. Penalty If the Contractor does not submit the required Single Audit reporting package, management letter (if one is issued) with a response, and Corrective Acton Plan within nine months after the end of the Contractor's fiscal year and an extension has net been approved by the cognizant or oversight agency for audit, the Department may withfreld ft UFII tile 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 MDCH1CMS FY ir.1D9 07/08 PirRe 5 cf retain the amount withheld if the Contractor 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 Contractor 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. 5. Where to Send A copy of the Single Audit reporting package, management letter (if one is issued) with a response, and Corrective Action Plan must be forwarded to: Michigan Department of Community Health Office of Audit Quality Assurance and Review Section P.O Box 30479* Lansing, Michigan 48909-7979 *For Express Delivery Capital Commons Center 400 S. Pine Street Lansing, Michigan 48933 Alternatives to paper filing may be viewed at vvww.michiqan.qov/mdch by selecting inside Community Health - MDCH Audit. H. SubrecipientiVendor Monitoring The Contractor must ensure that each of its subrecipients comply with the Single Audit Act requirements. The Contractor must issue management decisions on audit findings of their subrecipients as required by OMB Circular A-133. The Contractor must also develop a subrecipient monitoring plan that addresses "during the award monitoring" of subrecipients to provide reasonable assurance that the subrecipient administers Federal awards in compliance with laws, regulations, and the provisions of contracts, and that performance goals are achieved. The subrecipient monitoring plan should include a risk-based assessment to determine the level of oversight, and monitoring activities such as reviewing fnancial and performance reports, performing site visits, and maintaining regular contact with subrecipients. The Contractor must establish requirements to ensure compliance by for- profit subrecipients as required by am Circular A-133, .Section .210(e). The Contractor must ensure that transactions with vendors comply with laws, regulations and provisions of contracts or grant agreements in compliance with OMB Circular A-133. Section .210 (f). MDCHiC;Ms Fy oa,,o9 07108 Dago 7 e 2= Notification of Modifications Provide timely ilutilidatioe iu the Department, in writing, of any action by the Contractor. its governing board or any other funding source which would require or result in significant modification in the provision of services, funding or compliance with operational procedures. J. Software Compliance The Contractor must ensure that software compliance and compatibility with the Department's data systems for services 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 shall be provided in an accurate and timely manner without interruption, failure or errors due to the inaccuracy of the Contractor's business operations for processing date/time data. K. Human Subjects The Contractor agrees that prior to the initiation of the research, the Contractor 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 applicetiun dlid 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 Contractor's IRB Chairperson or Executive Officer(s). L. Terms To abide by the terms of this agreement including all attachments. M. Minimum Program Requirements To comply with Minimum Program Requirements promulgated 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 To 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 and IV of this agreement via Contractor/D- s. -• - • • ). Failure to submit a complete Annual Budget and Plan by the due date wili result in the deferral of Department payments until these documents are submitted. MDCHICMS FY 08100 0710S Pape. a of 24 0. Maintenance of Effort AU agencies shall comply with maintenance of effort requirements for LPHO, as defined in the current Department approoriation act, and Family Planning . in accordance with federal requirements, except as noted in Section 3.C.3 of Part I. P. Accreditation 1. All Contractors shall comply with the local public health accreditation standards and follow the accreditation process and schedule established by the Department to achieve full accreditation status. Contractors that fail to meet all accreditation requirements and/or implement UUI Teetive plans of action within the prescribed time period will receive the status of "Not Accredited." Contractors designated as "Not Accredited" may have their Department allocations reduced for costs incurred in the assurance of service delivery. Contractors that disagree with on-site review findings or their accreditation status may request an inquiry through written request to the Department. The request must identify the disagreement and resolution sought. The inquiry participants will be comprised of Contractor 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" Contractors: a. Contractors designated as "Not Accredited", will receive a Consent Agreement Package from the Department. Contractors and their local governing entities shall be given 75 days to review the package, meet with the Department, and sign/return the Consent Agreement. Fulfillment of the terms and conditions of the Consent Agreement will not affect dULA status, but impacts the Contractors' ability to fulfill its contractual obligations under the Comprehensive Planning, Budgeting and Contracting Agreement. Contractors designated as ''Not Accredited', will retain tt lib designatioll until the subsequent accreditation cycle. c. Contractor 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 fo:- a hearing within 60 days after receipt of an Administrative Compliance Order, the order and MOCI-i/CM5 FY OMI9 07IK 9 24 proposeo compliance cate shall be 'final. After a hearing, the Department may reaffirm, modify, or revoke the order or modify the time permitted for compliance. e. If the local governing entity fails to correct a deficiency for which a final order has been issued within the period permitted for compliance, the Department may petitto-rethe-appropriate circuit court for a writ of mandamus to compel correction. Q. Medicaid Outreach Activities Reimbursement The Contractor agrees to report allowable costs and request reimbursement for the Medicaid Outreach activities it provides in accordance with 2 CFR, Part 225 (OMB Circular A-87) and the Teg 'dire me nts in Medicaid Bulletin number: MSA 05-29. The Contractor agrees to 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 Ole oust allocation plan or the Department determines it is invalid. The Contractor will 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, the Contractor agrees to target their Medicaid outreach effort toward Department established priorities. For FY 08109, the Depar trner it pi ienties 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 Contractor will submit a report using the MDCH Local Health Department Medicaid Outreach form describing their outreach activities targeting the priorities 30 days after the end of a fiscal year quarter to the Division of Family and Community Health, Michigan Department of Community Health, P.O. Box 30195, Lansing, MI 48909. IL Responsibilities - Department The Department in accordance with the general purposes and objectives of this agreement will: A. Payment Provide payment in accordance with the terms and conditions of this agreement based upon appropriate reports, records, and documentation maintained by the Contractor. B. Report Forms Provide any repoi t forms arid r'pui1rig furmats required by the Department at the effective date of this agreement, and to provide the Contractor with any new repea foe arid rourtilly rut tildtS proposed for issuance thereafter at least ninety (90) days prior to redu:red esage to afford the Contractor an opportunity for review ard commentary. MDCHICIA3 FY 01110::, 07/08 ?age tC -14 C. Terms Abide by the terms of this agreement including all attachments. D. Notification of Modifications To notify the Contractor in writing of mudteatiot is-to Federal cm- State laws, rules and regulations affecting this agreement: E. Identification of Laws To identify for the Contractor relevant laws, rules, regulations, policies, procedures, guidelines and State and Federal manuals, and provide the Contractor with copies of these documents to the extent they are not otherwise available to the Contractor. F. Modification of Funding • To notify the Contractor in writing within thirty (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 Management and Budget on behalf of the Governor or the Legislature. Implementation of the modifications will be determined jointly by the Contractor and the Department. G. Monitor Compliance To 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. H. Reimbursement To reimburse local agencies for costs based upon timely, accurately completed Financial Status Reports in accordance with Section IV. Technical Assistance To make technical assistance available to the Contractor for the implementation of this agreement. J. Health Insurance Portability and Accountability Act The Department assures that it will be in compliance with the Health Insurance Portability and Accountability Act. K. Accreditation The Department agrees to ad here-to-treacrrErdtatturrrequirements including the process for 'Not Accredited" Contractors. The process includes developing and monitoring consent agreements, issuing and monitoring administrative compliance orders, participating in administrative hearings and petitioning appropriate circuit courts. S410cHiciV.S FY OS/C.S Q7/08 Pcgo ol 2.1 L. Medicaid Outreach Activities Reimbursement The Department agrees to reimburse tne Contractor for all allowable Medicaid Outreach activities that meet the standards of the Medicaid 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 Contractor. Ill. Assurances The following assurances are hereby given to the Department A. Compliance with Applicable Laws The Contractor will comply with applicable federal and state laws, guidelines, rules and regulations in carrying out the terms of this agreement. The Contractor will also comply with all applicable general administrative requirements such as OMB Circulars covering cost principles, grant/agreement principles, and audits in carrying out the terms of this agreement. B. Anti-Lobbying Act The Contractor will comply with the Anti-Lobbying Act, 31 USC 1352 as revised by the Lobbying Disclosure Act of 1995, 2 USC 1601 et seq. and Section 503 of the Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act (Public Law104-208). Further, the Contractor shall 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 shall certify and disclose accordingly. C. Non -Discrimination 1. The Contractor agrees not to discriminate against any employee or applicant for employment or service aelivery and access, with respect to their hire, tenure, terms, conditions or privileges of employment, programs and services provided or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height weight, marital status, physical or mental disability unrelated to the individual's ability to perform the duties of the particular job or position or to receive services. The Contractor further agrees that every subcontract entered into for the pei rui I riri Z.;t: of any contract or purchase order resulting herefrorn will contain a provision requiring non-discrimination in employment, service deiivery 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 37.2201 et seq, and the Persons ',.Arth Disabilities Civii Rights Act, 1976 PA '220, as ME.OWCMS FY 081a 07/08 Parn 12 cd, 2d amended, MCL .37.1101 et seq, and any breach thereof may be regarded as a material breach of the contract or purchase order. 2. Additionally, assurance is given to the Department that t ifurts 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 Contractor shall • incorporate language in all contracts awarded: (1) prohibiting discrimination against minority owned and women owned businesses and businesses owned by persons with disabilities in subcontracting; and (2) making discrimination a material breach of contract. D. Debarment and Suspension Assurance is hereby given to the Department that the Contractor will comply with Federal Regulation 2 CFR part 180 and certifies to the best of its knowledge and belief that the Contractor' s local health department or an official of the Contractor' s local health department and the Contractor' s subcontractors: 1, Are not presently debarred, suspended. proposed for debarment, declared ineligible, or voluntarily excluded from coveied tier isa-ctiune by any federal department or Contractor; 2. Have not within a three-year period preceding this agreement been .convicted of or had a civil judgment rendered against them for commission of fraud or a crim rial offense in connection with • • obtaining, attempting to obtain, or performing a public (federal, state, or local) 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, or receiving stolen property; 3. Are not presently indicted or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in section 2, and; 4. Have not within a three-year period preceding this agreernel it had one or more public transactions (federal, state or local) terminated for cause or default. E. Federal Requirement: Pro-Children Act 1. Assurance is hereby given to the Department that the Contractor will comply with Public Law 103-227, also known as the Pro-Children Act of 1994, 20 USC 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 services, education or library services to children under the age of 18, if the services are funded by feueral programs either directly or through state or local governments, by federal grant, contract, loan or loan guarantee. The law also applies to children' s services that are provided in indoor MDCI-1/CMS y DO9 0710B 1.3 :I! 24 facilities that are constructed, operated, or maintained with such federal funds. The law does not apply to children' s services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service 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 Contractor also assures that this language will be included in any subawards which contain provisions for children' s services. 2. The Contractor also assures, in addition to compliance with Public Law 103-227. any service or activity funded in whole or in part through this agreement will be delivered in a smoke-free facility or environment. Smoking shall not be permitted anywhere in the facility, or those parts of the facility under the control of the Contractor. If activities or services are delivered in facilities or areas that are not .under the control of the Contractor (e.g., a mall, restaurant or private work site). the activities or services shall be smoke-free. F. Viatcl) pglitical Activity Act and Intergovernmental Personnel Act The Contractor will comply with the Hatch Political Activity Act 5,USC 1501- 1508 and the Intergovernmental Personnel Act of 1970, as amended by Title VI of the. Civil Service Reform Act, Public Law 95-454, Section 42 USC 4728, Federal funds cannot be used for partisan political purposes of any kind by any person or organization involved in the administration of federally-assisted programs. G. Home Health Services If the Contractor provides Home Health Services (as defined in Medicare Part B), the following requirements apply' 1. The Contractor shall not use State LPHO or categorical grant funds provided under this cigreerniil lu unfairly compete for home health services available from private providers of tl -reesarrreetype-of-services in the Contractor' s service area. 2. For purposes of this agreement, the terrr "unfair competition" shall 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 Contractor' 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 Contractor is not in compliance with its assurance not to use state LPHO and categorical grant funds to unfairly compete. the Department shall follow the procedure required for failure by local health depa,Liileets to adequately provide required MDCH,CNIS r Min 07/08 Page '1.:A services set forth in Sections 2497 and 2498 of 1978 PA 368 as amended (Public Health Code). MCI_ 333.2497 and 2498, MSA 14.15 (2497) and (2498). H. Subcontracts Assure for any subcontracted service, activity or product: 1. That a written subcontract is executed by all affected parties prior to the initiation of any new subcontract activity. Exceptions to this policy may be granted by the Department upon written request. 2. That any executed subcontract snail require the subcontractor to comply with all applicable terms and conditions of this agreement. In the event of a conflict between tl lie agi eument anti the provisions of the subcontract, the provisions of this agreement shall prevail. A conflict between this ayreement and a subcontract, however, shall not be deemed to exist where the subcontract: a. Contains additional non-conflicting provisions not set forth in this agreement; or b. Restates provisions of this agreement to afford the Contractor the same or substantially the same rights and privileges as the Department; or c. Requires the subcontractorzo perform duties and/or services in less time than that afforded the Contractor in this agreement, 3. That the subcontract does not affect the Contractor' 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 nrierp it gni irce documentation on costs and services, 5. That the Contractor will submit a copy of the executed subcontract if requested by the Department. 6. That subcontracts in suppeit of pruyiallis or elements utilizing funds provided by the Department, the State of Michigan or the federal government in excess of $10.000 shall contain provisions or conditions that will: Aliow the Contractor or Department to seek administrative, contractual or legal remedies in instances in which the Contractor violates or breaches cut &act terms, and provide for such remedial action as may be appropriate. b. Provide for termination by the Contractor, 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 govern ci lee it of eilioun:s in excess of $100,000 shall contain a MDCHICMS FY O81D9 07/06 Pape 15 uf 24 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 USC 1358), 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 Contractor shall include a provision: a. For compliance with the Copeland "Anti-Kickback" Act (18 USC 874) as supplemented in Department of Labor regulations (29 CFR, Part 3). b. For compliance with the Davis-Bacon Act (40 USC 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 USC 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 al laborers. Procurement Assure that all pu I'd lase he, teautiuns, whether negotiated or advertised, shall be conducted openly and competitively in accordance with the principles and requirements of OMB Circular A-102 as revised, implemented through • applicable portions of the associated "Common Rule as promulgated by responsibte-fecieral Contractor(s), or 2 CFR, Part 215 (OMB Circular A-110) as amended, as applicable and that records sufficient to document the significant history of all purchases are maintained for a minimum of three years after the end of tl i gruemel it period. J. Health insurance Portability and Accountability Act To the extent that this act is pertinent to the services that the Contractor provides to the Department under this agreement, the Contractor assures that it is in compliance with the Health Insurance Portability and Accountability Act (HI PAA) requirements including the following: 1. The Contractor must not share any protected health data and information provided by the Department that falls within HIPAA requirements except to a subcontractor as appropriate under this agreement. MDCri/CMS FrY OBico 07/08 Facie 15of 24 2. The Contractcr must require the subcontractor not to share any data and information from the Department that falls under HIPAA requirements in the terms and conditions of the subcontrace 3. The Contractor must only use the protected health data and information for the purposes of this agreement. 4. The Contractor must have written policies and procedures addressing the use cf 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 Contractor's employees. 5. The Contractor must have a policy and procedure to report to the Department unauthorized use or disclosure of protected health data and information that falls under the HIPAA requirements of which the Contractor becomes aware. 6. Failure to comply with any of these contractual requirements may result in the termination of this agreement in accordance with Part II, Section V. Termination. 7. In accordance with HIPAA requirements, the Contractor is liable for any claim, loss or damage relating to unauthorized use or disclosure of protected health data and nformation received by the Contractor from the Department or any other source. 1V. Payment and Reporting Procedures A, Operating Advance Under the pre-payment reimbursement method, no additional operating advances will be issued. B. Comprehensive Planning and Budgeting Contract (CPBC) Prepayments 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 Department will send to the Contractor a worksheet itemizing the individual program amounts ircluded in the monthly prepayment within five working days of processing the monthly prepayment. 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 and/or Contractor adjustment requests per Department approval DrUier,TE mnc hifCM5 FY 081:19 07/08 Page )7 cr C. Prepayment Adjustments If the sum of. the prepayments do not equal at least 90% of the Contractor' s expenditures for a quarter of t • *9 the Contractor may submit documentation for an adjustment to the monthly prepayment amount via the following process: 1. Submit a written request for the adjustment to the Department' s Accounting Division, Expenditure Operations Section. 2. 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 receivea from the Department and the expenditures must be for the same reporting quarterly FSR period. 3. The Department will review the requests and if an adjustment is approved, it will be included in the next scheduled monthly prepayment. 4. 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. 5. 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 quartet. D. Financial Status Report Submission A Financial Status Report (FSR) DCH-0412 must be submitted for all programs listed on Attachment IV. All FSR's must be prepared in accordance with the Department's FSR nstructions and submitted not later than thirty (30) days after the close of the fiscal quarters. The reports are due 1/30/XX. 41301XX, and 7/30/XX. All FSR's must be submitted to: Michigan Department of Community Health. Bureau of Finance, Accounting Division P.O. Box 30720, Lansing, Michigan 48909-8220 A copy of each quarterly FSR and final FSR must also be submitted electronically to PublicHealthFSRmicniean.qov. FSR's must report total actual program expenditures regardless of the source of funds, The Department will reimburse the Contractor for expenditures in accordance with the term • • .oreement. Failure to comply with the reporting due dates will result in the deferral of the Contractor's monthly prepayment. MDCHiCMS FY MX-, 07/08 Paoe 1544 24 E. -Reimbursement Method The Contractor will be reimbursed in accordance with the reimbursement methods for applicable program elements described as follows: 1. Performance Reimbursement - A reimbursement method by which local health departments 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 eliririL uperaled under such provisions of this agreement may be transferred by the Contractor 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 l and Section.XIV-of Part I I. If local health department 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 ielatiuli iv lhe minimum performance, 2. Staffing 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 as a source before any local funding requirement unless a specific local match condition exists. 3. Fixed Unit Rate Reimbursement - A reimbur sernent nretl iud by which local health departments are reimbursed a specific amount for each output actually delivered and reported. 4. LPHO - A reimbursement method by which local health departments are reimbursed a share of resoriaLIt uiiJ allowable costs incurred for required services, as noted in the current Appropriations Act. F. Reimbursement Mechanism All Contractors 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 MarIdyiIlI1L dfld Budgets web site: http ://www. cp exp res s. state. m i. us/ G. Unobligated Funds Any unobligated balance of funds held by the Contractor at the end of the agreement period will be returned tc the Department or treated in accordance with instructions provided by the Department. MDC WOW FY 08.10ri C7I0 ,3 l'age 10 H. Fiscal Year-End Reporting • A Preliminary Close Out Report is based on annual guidelines and due date using the format provided by the Department The Contractor must provide, by program, an estimate of total expenditures for the entiie ayieenielit period (October 1 through September 30). This report must represent the Contractor' 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 iepurted on the Final FSR without materially overstating or uncerstating the year-end obligations for this agreement. The Department compares the total estimated expenditures from this report to the total amount reimbursed to the Contractor 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 adjustrrrerts-ar greement amendments, the Contractor may owe the Department funding for overpa . - • & is • .y be due funds from the Department for underpayment of a program at fiscal year-end. Within 90 days after the agreement fiscal year-end, the Contractor must liquidate any unpaid year-end commitments and obligations. Any obligation remaining unliquidated after 90 days from the end of the agreement period shall revert to the Department for disposition in accordance with applicable state and/or federal requirements, except as specifically authorized in writing by the Department. Final Total Contractor FSR "DA fjn •(total Contractor FSR is due December 15, after the agreement period end date. WIC financial data reporting and final FSR must be received by November 30. Upon receipt of the final FSR, the Department will determine by program, if funds are owed to the Contractor or if the Contractor owes funds to the Department. If funds are owed to the Contractor, payment wiil be processed. However, if the Contractor underestimated their year-end obligations in the preliminary close out report as compared- to-the final FSR and the total reimbursement requested does not exceed the agreement amount that is due to the Contractor, 'the Department will make every effort to process full reimbursement to the Contractor 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 Contractor to send in a payment. instead the Department will make the necessary entries to offset other payments and as a result the Contractor will receive a net. monthly prepayment. When this does occur, clarifying documentation will be provided to the Contractor by the Department' s Accounting Division. 1V1DCH/CMS FY 08/09 07/D8 P ag* J. Penalties for Reporting Noncompliance - For failure to submit the final total Contractor FSR report by December 31, after the agreement pel iod end date. the Contractor may be penalized with a one-time reduction in their current LP HO allocation for noncompliance with the fiscal yi-iU fepoi Ling deadlines. Any penalty funds will be reallocated to other CPBC Contractors (local health departments). Reductions will be one-time only and will not canyforward to the next fiscal year as an ongoing reduction to a Contractor' s LPHO allocation. Penalties will be assessed based upon the postmark date of the mailing envelope . LPHO Penalties for Noncompliance with Reporting Requirements: 1, 1% - 1 day to 30 days late; 2. 2% - 31 aays to 80 days late; 3. 3% - over 60 days late with a maximum of 3% reduction in the Contractorr s LPHO allocation. V. .Agreement.Termination The Department may cancel this agreement without further liability or penalty to the Department for any of the following reasons: A. This agreement may be terminated by either party by giving thirty (30) days written notice to the other party stating the 'easons for termination and the effective date. B. This agreement may also be terminated on thirty (30) days prior 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 thirty (30) day period. C. This agreement may be terminated immediately if the Contractor' s local health department, or an official of the Contractor' s local health department, is convicted of any activity referenced in Part II, Section 111.D, of this agreement during the term of this agreement or any extension thereof. VI. Final Reporting upon Termination Should this agreement be terminated by either party, within thirty (30) days after the termination, the Contractor shall provide the Department with all financial performance, and other reports required as a condition of the agreement. The Department will make payments to the Contractor for allowable reimbursable costs not covered by previous payments, other state or federal programs. The Contractor shall immediate!y refund to the Department funds not authorized for use and any payments advanced to the Contractor in excess of allowable reimbursable expenditures. Any dispute arising as a result of this agreement shall be resolved in the State of Michigan. VII. Severability If any provision of this agreement or any provision of any document attached to or incorporated by reference is waived or held to be invalid, such waiver or invaildity shall not affect other provisions of this agreement. MDCH/CMS FY OEIrG 07/D8 Pac;:i 21 of 24 VIII. Amendments • Any changes to this agreement will be valid only if made in writing dl id autepltrti by all par-ti ee tu this agreement. A. This agreement, including attautiniei its, may be amended by mutual written consent of the Contractor and the Department. When submitting a proposed agreement/budget amendment, the Contractor must submit copies of the revised sheets and a summary description of the changes. B. In the event that circumstances occur II h I Ic dIC I 01 I intbUI IciblY foreseeable, or are beyond the Contractor's or Department's control, which reduce or otherwise interfere with the Contractor's or Department's ability to provide or maintain specified services or operational procedures, immediate written notification must be provided to the other party and an amendment to this agreement negotiated. C. Amendments-to-thi ayirre-nt shall be made as follows: 1. Any change proposed by the Contractor which would effect the State funding of any element funded in whole or in part by funds provided by the Department, subject to Part I, Section 3.C, of the agreement, must be submitted in writing to the Department immediately upon determining the need for such change. The proposed change may be implemented upon receipt of written notification from the Department. Within thirty (30) days after receipt of the proposed change, the Department shall advise the Contractor in writing of its determination. Subsequently the Department will initiate any necessary formal amendment to the agreement for execution by all parties to the agreement. Any changes proposed by the Department must be agreed to in writing by the Contractor and upon such written agreement, the Department shall initiate any necessary formal amendment as above. 2. Other amendments of a routine nature including applicable changes . in budget categories, modified indirect rates, and similar conditions which do not modify the agP.Ibl I Id! It wpe., amount of funding to be provided by the Department or. the total amount of the budget may be submitted by the Contractor at any time prior to June 2nd. The Department will provide a written response within thirty (30) calendar days. Al! amenoments must be submitted to the Department by June 2nd to assure the amendment can be executed prior to the end of the agreement period. IX. Liability A. All liability to third parties loss, or damage as a result of claims, demands, costs, orjuUiii th iiiiny out of actvites, such as direct service delivery, to be carried out by the Contractor in the performance of this agreement shall b.e the responsibility of the Contractor, and not the responsibility of the MDCHICKS FY 08/09 07/08 1 C,": 24 Department, if the liability, loss,. or damage is caused by, or arises out of, the actions or failure to act on the part of the Contractor, any subcontractor, anyone directly or indirectly employed by the Contractor, provided that nothing herein shall be construed as a waiver of any governmental immunity that has been provided to the Contractor or its employees by statute or court decisions. B. All liability to third parties, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities, such as the provision of policy and procedural cirecticn, to be carried out by the Department in the petrfonliariee el Li is agreement shall be the responsibility of the Department, and not the responsibility of the Contractor, if the liability, loss, or damage is caused by, or arises out of, the action or failure to act on the part of any Department employee or agent, provided that nothing herein shall be construed as a waiver of any governmental immunity by the State, its agencies (the Department) or employees as provided by statute or court decisions. C. In the event that liability to third parties, loss, or clainciyu ai isete as a result of activities conducted jointly by the Contractor and the Department in fulfillment of their responsibilities under this agreement, such liability, loss, or damage shall be borne by the Contractor and the Department in relation to each party's responsibilities under these joint activities, provided that nothing herein shall be construed as a waiver of any governmental immunity by the Contractor, the State, its agencies (the Department) or their employees, respectively, as provided by statute or court decisions. X. Conflict of Interest The Contractor and the Department are subject to the provisions of 1968 PA 317, as amended, MCL 15.321 et seq, MSA 4.1700(51) et seq, and 1973 PA 196, as amended, MCL 15.341 et seq, MSA 4.1700(71) et seq. Xl. State of Michigan Agreement This is a State of Michigan Agreement and is governed by the laws of Michigan. Any dispute arising as a result of this agreement shall be resolved in the State of Michigan. XII. Confidentiality Both the Deed! teient ii J LE it: Contractor shall assure that medical services to and information contained in medical records of persons served under this agreernent, or other such recorded information required to be held confidential by federal or state law, rule or regulation ; in connection with the provision of services or other activity under this agreement shall be privileged communication, shall be held confidential, and shall not be divulged without the written consent of either the patient or a person responsible for the patient, except as may be otherwise required by applicable law or regulation. Such information may be disclosed in summary, statistical, or other form which does not directly or indirectly identify particular MI:ICH/CMS FY 08109 07/08 Fwge 23 s! 2.1 X111. 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 Contractor, 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. XIV. Funding A. State funding for thib iall be provided from the applicable and available Department appropriations for the current fiscal year. The Department provided funds shall be as stated in the approved Annual Budget - Attachment I , the Program Specific Assurances and Requirements - Attachment 111, and as outlined in the Funding/Reimbursement Matrix - Attachment IV. B. The funding provided through the Department for this agreement shall not exceed the amount shown for each federal and state categorical program element except as adjusted by amendment The Contractor must advise the Department in writing by May 1 if the amount of Department funding may not be used in its entilety or appears to be insufficient for any program element. LPHO transfer reauests between MOCK. MDA and MDEQ must also be requested in writing by May 1. Ali LPHO required services must be maintained throughout the entire period cf the agreement. C. The Department may periodically redistribute funds between agencies during the agreement period in order to ensure that funds are expended-to-me-et the varying needs for services. Such redistributions will be based upon projections obtained in consultation with the Contractor. Any redistributions will be effected through the established amendment process. MDCH/CMS FY GB/OC! 07/08 F,age .7.1. OAKLAND COUNTY HEALTH DEPARTMENT For FY 08/09, special requirements are applicable for the remaining program elements and funding sources listed in the attached pages and checked below: Lead Safe Home Program Local Maternal and Chid Heath (MOH) Local Public Health Operations (LPHO) Local Tobacco Reduction Michigan Care Improvement Registry (MCIR) Michigan Care Improvement Registry (MCIR) - Regional Michigan Colorectal Cancer Screening Program Nurse Family Partnership (NFP) Rape Prevention Education Safe Routes to School Prcgrarn Sexually Transmitted Disease (STD) Control SIDS SMILE Michigan Dental Sealant Program TB Control (DOT) Varnisri Michigan Speciai Project WIC Services WISEWOMAN Coordinatien Iv ..3 - 1;1_1 MDCH;CMS OMB ATTACHMENT II Oakland County IleaIth Department FY 2008-2009 CPBC AGREEMENT MDCH Funding MocationstReimbursernent Mechanisms Matrix Attachment IV Total (c) State (d) State Funded Minimum MOC11 Funding Reimbursement Method Performance 'Target Perform. :Funded Target Performance Percent Vendor I Rut Proven.) ElementlFuntling Source (a) Source Fed/St Amount (b) Output Measurement Expect. Pe dorm. Number (e) recipient (r) Rioterrorism Emergency Preparectneiss Bioterrorisrn thru 6/9109 Reg Ake. F $328,160 Staffing (6), (15) N/A N/A WA N/A NA SAI•rrir:er.2 9 iaterrorisrri ail (von - 9)30/09 Reg, Alloc. F TOD Sta-.1fing (6).06) rim N,'A WA WA WA 5...1ftmcipiem Cif.e.f., Illaciirress Snifiatives thru 8.199109 Reg. Alloc. F $223,528 Staffing (6),(15) WA NM ,r,J1A WA WA Cities Re adine ss initiatives 800109 -.Wt;(09 Reg. Alloc.. F TOO Staffing (6),(16) N/A Nrk NIA NIA Regional Ell Workspace thru 819109 Reg. Alloc. F 56.000 Staffing (6),(16) NIA NIA N/A N/A NlIA, n,,kr,upenri . Regional EPI Workspace 8110109 - 9/30/04 Reg. Allot.. F $1,400 Staffing (4(16) t.L.A Na NIA N/A NIA ,I.,b,c•pherwr ...-- ..-.. Childhood Lead Poisoning Prevention Reg. /WOO. F $67,896 Satin(6) r NM WA WA', NM NIA Smit,e Ore+ - It (.: SFICS Case Mgt/Care Coordination Cale.. Arnt. Various Fixed Unit Rate ( I ) (7) N/A N/A N/A NIA N/A r.rmiar .. .... — C SI-ii7.S Outreach & Advocacy Reg. Ailoc. F 5127,482 Slating (6) N/A N/A N/A N/A NIA c!rtg. Alloc. s 59n.01.9 1,LA mcli F F oily Warnino trylectious Disease Surveillance Reg. Alitx:. F $4.640 Sloffing (6). ( I 5.i N/A N/A WA NIA Vrrolo. Tulve I ends -//31/08 _ _ F-,xparodcd HIV Testing Reg. Aloe. F $240,a00 Staffing (6) NIA N/A N,`A N/A Nth 5tve-dpva - _ Generation with Promiso Reg. Alloc. s $15,000 :iitalting (6) N/A NIA NIA N/A NIA V^ncl. _ _ .---- -.....-.- 1-11WAIDS Prevention Categorical Reg. Alloc. F $497,900 Staffing (6) NM N/A N/A N/A N/A F.01.4Kipien. 11111111.1nizations Assesment. Feedback, Incentive Exchange Colc. Amt. F $50/e nh Fixed Unit Rate (2).(.1) !.L'A. WA NIA Comprehensive Provider Site 'Visit himirni:7alicr Artier! Flap) Reg. Alloc. F $492.119 blotting (6) N/A N/A NIA N/A NIA tr../rf.e Frliirwir in f"..`..nic. Amt. F $1501each Fixed Unit Rate (2),(7) NA 19/.4 WA WA Ne'!'t tl /'I'kl if.5 /rig Reg. .Altc s $99,561 Staffing (61 N/A WA WA WA WA VI, C 1onIF.) Provider Site Visits Cato, Arid F S-150/each Fixed Unit Rate (2),(7) Nfik NIA N/ /A WA N/A vamikw VIC1.A.FIX Basic Provider Site Visits Cale. Amt. F $290/each Fixed Uri( Rale (.2i,(7) NA WA. WA N/A Vcrmfor VFO/AFI.X Comprehensive Provider Site 'Visits epic. Amt F $250/each Fixeiri Unit Rale (2),(7) N/A WA WA N/A N/A Iritairt Mortatity Coalition Support Reg Mins r $54,760 Staffing (6) WA NfA, N/A N/A N/A Reg. Alloc. F_ $54,750 Informed Consent Calc..Amt. S $50/each Fixce Unit Rate (2),(7) N/A . WA WA WA N/A ve,-10., _ - !._ a lil e rat ory Services Uloterrorism Lab film 819/09 I? e=g. Alloc. F $100,854 Staffing (6),(16) N/A WA WA NIA NIA ilieredurisrn Lab 8110/09 - 9/30109 Reg. Mon. F TBD Staffing (61, 061 N/A N/A WA NIA NIA Et.0 Lab 1/1/09- 9/30/09 Reg'. Alkx:. F TBD Staffing (6) WA WA WA WA WA St r0e,:ia.crq Local .MCH progrem to be deterrnOrpd brined (Yr plan After Program approval, appric:rule Local 114C1-71 funding will be incorporated under The program elements selected fn the Man. aforw Local IVIC: F Iota approved au.fpert pedermance measures, vp'a amendment Si,t,r.TerFicrri $33.Z,964 approva, _ Page 1 TOTAL MDCH FUNDING $9,419,984 Oakland County Health Department FY 2008-2009 CPBC AGREEMENT NIDCH Funding AllocationslReirnbursernent Mechanisms Matrix Attachment IV e Total (c) State (d) State Funded Minimum MDCH Funding Reimbursement Method Performance Target Perform. Funded Target Performance Percent VendOe / Sub Prograin Etement/FundOng Source (a) Source Fedi'St Amount fb) Output Measurement Expect Perform, Number i(e) recliplienr in Local Public Health Operations I MDA Reg. Alice. S $853,593 Performance % or Food Service N/A 75% NIA NM verwlot Licensees receiving required in spedions M DC.11 Reg Alice S $2,566,254 LPF10 (3),(4) NA\ NIA MA NM N/A V mrrdni EIDE° Drink,ng 'Water Reg. ARoc. s 5510.917 LP HO (3).(4'; MA MA MA N/A N./A. v..a. MULL./ Cln•Sile Sewage Rog.. Moo. s $3,975 LRI-10_132111 NIA MA NA N/A 14/A V r.ttn+ ---... . Maternal Infant Support total MCH F Staffing (6} u,,A. tilit MA 4l1,A WA 71 Jhrreple7+1 NEI fF.P Family Partnership Rag. Alloc r $162,077 S1Affil9 (6),(12) N/A ten bziA N/A tok Reg. Alloc. s $162.0713 Sexr 'ally transmitted Disease (STD) Control Reg Mon, F $53,608 Performance %of required ts to !.1 ,,r1 .c..%isrnI 9 NfA NM . peoviders perform Pd U% 4 923. Alice. S $26,056 . ._ ._ . . __...... ..... „ SIDS Cate..4mt, F 565 each r 1 xe LI Orlit itale(2..(1 i) No'fk MA MA N/A N/A Vrnnr.or in Control {DOT). Ilt,9 Mine r $17,152 staff,rig (5) tr:A tr N.ls NA rrrA v.dig .. ' WIC Resident Services Rix). Allot:. F 51,858,600 Performance (a) PAverage Morthly nun ' 97% Partkr-paitn ' SI, RCIF!C OUTPUT PERFORMANCE, MEASURES WILL BE INCQRPORA rEv VIA AMENDMENT Rage 2 OTES: FY 08 09 (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 (c) Negotiated starting from the average of the past two complete years actual number where available. (d) Calculated by multiplying the "Total Performance rxpectation" column by the ratio of the elements total State funding (DOH 0410, Line 24) to "Total (e) Calculated by multiplying the "State Funded Element Target Performance" column by the "Percent" column. (f) Refer to roaster comprehensive agreement and budget instructions package for further explanation regarding these designations. (1) CSHCS Care Coordination 1 Case Management A. Maximum of six services per year H Reirnbuisement $201.58 per service provided face-to-face in the home setting 2 CARE COORDINATION LEVEL IN AN CM- CARE 1 Annual Plan of Care in the home or home-like setting that requires the Care Coordinator lo travel fu a non-LHD site $150 2 Arinual Plan of Care over the telephone $100 B. LEVEL. ii CARE COORDINATION 1 Level 11 Care Coordination is reimbursed at $50.00 per unit 2. A maximum of 10 units per benefidary per eligibility year will be reimbursed. (21 Reimbursement Chart for Fixed Rates A. AIUSIIIlV Prevention $11.00 per blood draw for non-categorical health departments. Limited annually to $2,000. Noll Categorical Feedback $50 per site visit, not to exceed the maximum set for each individual Contractor. Incentive Exchange KAFI.X.) Comprehensive T etrAt Alcohol Spectrum $85 per vi.sit up to six visits. Disorders Immunization NUM° $150 per session, upon completion and submission of Provider Contracts and Report Forms. Reimbursement can only be Education made for one in-service module session per physician clinic site per year. Immunization VFC (only) $150 per site visit, not to exceed the maximum set for each individual Contractor. Provide) Site Visits Irninunization VFDAFIX $200 per site visit, riot to exceed the maximum set for each individual Contractor. Basic Provider Site Visits Initilunization VFC/AFIX $250 per site visit, not to exceed the maximum set for each individual Contractor. Comprehensive Provider Site Visits July 2048 08/09 July WU 0e1051 Irtiorn icd Consent $60 per woman served, for each woman that expressly states that she is seeUig a pregnancy test or confirmation of a pregnancy for the purpose of obtaining an abortion and is provided the services. Laboratory Services - $2 00 for each specimen for diagnosis of gonorrhea and chiamyclia infections using a nucleic acid amplification assay, STO & AIDS SIDS SMILE! Michigan $85 for each family support visit. A maximum of six (6) visits per infant death is reimbursable. $10 per dental sealant placed, not to exceed the maximum set for each individual contractor. Varnish! Michigan $15 per fluoride varnish application, not to exceed the maximum set for each individual contractor. Allocation to !he reflected in individual programs during budgeting proce,ss. f I Funding Source (not a single element). ; Subject to Statewide Maintenance of Effort requirement for Title X. i Slate funding is first source (after fees and other earmarked sources). Fixed unit rate subject to actual costs. 1 ; The performance reimbursement target will be the base target caseload established by MDCH. i Sohicel 1c a match requirement (hard or in-kind) of $1 for each $3 of MDCH agreement funding for lArisewornan Coordination.. Pixeci .Linit rate limited to contract amount. Up to six (6) visits per family. f.-;hbject to a match requirement (hard or in-kind) of $2.50 for each $10 of MDCH agreement. Kalamazoo match requirement is $1.00 for each $10 of MDCH agreement. Non-c.ateciorically funded Health Departments will be reimbursed at $11.00 perl-IN test conducted up to a maximum of $2.,000 annually. The performance reimbursement target Title X base caseload established for the Family Planning - General services program element is exclusive of Plant First! enrollees. Quarterly FP.AR data will be used to determine total Title X users and Plan First! enrollees. I) Etioterrorism funds are for ten months only and must be expended by August 9, 2009. ) Bioterrnrism funds are for August 10, 2009- Septenter 30, 2009 'j l'io;ect meets the Research and Development criteria as defined by 0MB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations. V: Some Footnotes may not apply to this agency FISCAL NOTE (MR #08209) October 2, 2008 BY: FINANCE COMMITTEE, MIKE ROGERS, CHAIRPERSON IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - 2°08/2009 COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING (CPBC) AGREEMENT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above referenced resolution and finds: 1. The Michigan Department of Community Health (MDCH) has awarded Oakland County Health Division funding in the amount of- $9,419,984 for the period October 1, 2008, through September 30, 2009. 2. The FY 2009 award reflects a decrease from the latest FY 2008 award. 3. Total Health Fund Revenue is as follows: Michigan Dept. of Community Health $2,666,254 Food Protection 853,593 Nurse Family Partnership 324,155 Sexually Transmitted Disease 109,696. Total Health Fund $3,953,698 4. Total Grant Fund Revenue is as follows: Aids Prevention $ 497,900 Bioterror Coordinator 328,160 Cities Readiness Initiative 223,528 Childhood Lead 67,896 EPI Planner Workplace 10,000 CSHCS Outreach and Advocacy 187,500 Early Warning Infectious Dis. Surv. 4,640 Expanded HIV Test 240,000 Generation with Promise 15,000 Immunization Action Plan 492,119 Infant Mortality Coalition Support 109,520 Maternal and Infant Support 332,954 MDEQ Drinking Water 510,917 . MDEQ On-Site Sewage 369,975 TB Control 17,152 ET Lab Program 100,854 Vaccine Replacement/Handling 99,561 WIC 1,858,600 Total Grants $5,466,286 Total Program 9,419,981 5. A budget amendment is recommended to FY 2009 and FY 2010 per the attached Schedule A, to reflect the FY 2009 award. FIN127CE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote with Rogers absent. Resolution #08209 October 2, 2008 Moved by Rogers supported by Gershenson the resolutions (with fiscal notes attached) on the Consent Agenda be adopted (with accompanying reports being accepted), AYES: Burns, Coulter, Crawford, Gershenson, Gingell, Gosselin. Gregory, Greimel, Hatchett, Jacobsen, KowaII, Long, Middleton, Nash, Potter, Potts, Rogers, Scott, Spector, Woodward, Zack, Bullard. (22) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent Agenda were adopted (with accompanying repub beirly accepted). MY APPROVE ilfrRIREGOING RESOUITION ACTING PURSUANT TO 1973 PA 139 STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Ruth Johnson, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on October 2, 2008, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 2nd day of October, 2008. ede Ruth Johnson, County Clerk