HomeMy WebLinkAboutDoc 439 - Amend IGA - Health SvcsDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of July 11,2012
QAIS.: July 5, 2012
FROM: Nancy Mooney, Contract Specialist. Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2012-439, Amendment #10 to Intergovernmental
Financial Agreement Award #135558 between the Local Public Health Department and the Oregon
Health Authority for the financing of Local Public Health Services for fiscal year 2011-2013.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The Oregon Health Authority (OHA) was created by the 2009 Oregon legislature to bring most health
related programs in the state into a single agency to maximize its purchasing power; the
Intergovernmental Agreement (#135558) outlines the services and financing for fiscal year 2011-2013.
There are separate grants associated with individual public health programs represented in the
Intergovernmental Agreement, ranging from disease prevention and maternal child health to school
based health centers, women, infants and children (WIC), bioterrorism preparedness and family
planning. Each grant has an associated set of Program Assurances which are the service and
quality performance expectations connected with the delivery of the various components of the
program itself.
The funding attached to this amendment #10 is for fiscal year 2012-2013. The current total award
amount is $5,377,869. Financial Assistance Award amounts for the period July 1, 2011 through
June 30,2012, as amended, have been disbursed and remain part of the total award under this
agreement. The award pages included in amendment #10 reflect funding, as amended, for the
period July 1. 2012 through June 30, 2013.
FISCAL IMPLICATIONS:
Maximum funding reimbursement for specific Program Elements for year 12-13 is $2,594,842.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document #2012-439, Amendment #10 to Intergovernmental Financial
Agreement Award #135558 between the Local Public Health Dept. and the Oregon Health Authority is
requested.
fATTENDANCE: Kate Moore, Program Manager
fDISTRIBUTION OF DOCUMENTS:
E-mail Signature Page (connie.thies@state.or.us) or fax 503-373-7889 the Signature Page; executed
documents to Nancy Mooney, Contract Specialist
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DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted wtth ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not InclUded with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for !racking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: !June 27, 2012 I
Department: I Health Services, Public Health Division .1
Contractor/Supplier/Consultant Name: I Oregon Health AuthOrity I
Contractor Contact: 1 Connie Thies, Office of Contracts & Procurements I
Contractor Phone II: I 503-373-7889 I
Type of Document: Amendment # 10 to Intergovernmental Agreement
Goods and/or Services: The Oregon Health Authority (OHA) was created by the 2009 Oregon
legislature to bring most health-related programs in the state into a single agency to maximize its
purchasing power; the amendment to Intergovemmental Agreement (#135558) outlines the
services and financing for fiscal year 2012-2013.
Background & History: OHA is at the forefront of lowering and containing costs, improving
quality and increasing access to health care in order to improve the lifelong health of
Oregonians. In the public sector, OHA will consolidate most of the state's health care programs,
including Public Health, the Oregon Health Plan (OHP), HealthyKids Connect, employee
benefits and public-private partnerships. This will give the state greater purchasing and market
powerto begin tackling issues with costs, quality, lack of preventive care and health care
access. In both the public and the private sector, OHA will be working to fundamentally improve
how health care is delivered and paid for, but because poor health is only partially due to lack of
medical care, OHA will also be working to reduce health disparities and to broaden the state's
public health focus. Ultimately, OHA is charged with delivering a plan to the Legislature to
ensure that all Oregonians have access to affordable health care.
Through Intergovemmental Agreement #135558, OHA administers Federal public health grant
funds, pools these funds with state funds and then allocates these to local health departments.
This is the primary means by which State and Federal public health funds are delivered to the
local public health authority for Deschutes County.
There are separate grants associated with individual public health programs represented in the
Intergovemmental Agreement, ranging from disease prevention and matemal child health to
school based health centers, women, infants and children (WIC). bioterrorism preparedness and
family planning. Each grant will have an associated set of Program Assurances which are the
service and quality performance expectations connected with the delivery of the various
components of the program itself. The funding attached to this amendment #10 is for fiscal year
12-13.
Agreement Starting Date: I July 1, 2011 I Ending Date: I June 30,2013 I
6/2712012
Annual Value or Total Payment: The current total award amount is $5,377,869.
Financial Assistance Award amounts for the period July 1, 2011 through June 30, 2012,
as amended, have been disbursed and remain part of the total award under this
agreement. The award pages included in amendment #10 re'flect funding, as amended,
for the period July 1, 2012 through June 30, 2013.
Check all that apply: o RFP, Solicitation or Bid Process
D Informal quotes «$150K)
cgJ Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
Funding Source: (Included in current budget? [8J Yes D
If No, has budget amendment been submitted? DYes
No
D No
Is this a Grant Agreement providing revenue to the County? DYes [8J No
Special conditions attached to this grant:
Deadlines for reporting to the grantor: L-I_--'
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that
it is a grant-funded position so that this will be noted in the offer letter: DYes D No
Contact information for the person responsible for grant compliance: Name: D
Phone#:D
Departmental Contact and Title: I Nancy Mooney, Contract Specialist I
Phone #: I 541-322-7516 I
Department Director APproval~tJ&t;. M~'\.~'D veo-io(..
Signature Date
Distribution of Document: e-mail (connie.thies@state.or.us) or fax 503-373-7889: entire
contract. Please return executed documents to Nancy Mooney, Contract Specialist
Official Review:
County Signature Required (check one): ~ BOCC 0 Department Director (if <$25K)
o Administrator (if >$25K but <$150K; if >$150K, BOee Order No. ____-')
fLegal Review ~4.-(lta!) Date 7 -2 '/ l.
Document Number =20=-1.:.::2:--4..:.;:3=9'--______
6/2712012 I
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~VIEWEII ~~~ (~
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LEGAL COUNSEL
In compliance with the Americans with Disabilities Act, this document is available in
alternate fonnats such as Braille, large print, audiotape, oral presentation and electronic
fonnat. To request an alternate fonnat, please send an e-mail to dhsalt@state.or.us or
contact the Office of Document Management at 503-378-3486, and TTY at 503-378
3523
Agreement #135558
TENTH AMENDMENT TO OREGON HEALTH AUTHORITY
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF PUBLIC HEALTH SERVICES
This Tenth Amendment to Oregon Health Authority 2011-2013 Intergovernmental Agreement
for the Financing of Public Health Services, effective July 1,2011 (as amended the "Agreement"), is
between the State of Oregon acting by and through its Oregon Health Authority ("OHA") and Deschutes
County, acting by and through its Deschutes County Health Services ("LPHA"), the entity designated,
pursuant to ORS 431.375(2), as the Local Public Health Authority for Deschutes County.
RECITALS
WHEREAS, OHA and LPHA wish to modify the series of Program Element Descriptions set
forth in Exhibit B of the Agreement,
WHEREAS, OHA and LPHA wish to modify the Provider lnsurance Requirements set forth in
Exhibit H of the Agreement by replacing them with a new Exhibi t I, and
WHEREAS, OHA and LPHA wish to modify the Financial Assistance Award set forth in
Exhibit C of the Agreement;
AGREEMENT
NOW, THEREFORE, in consideration of the premises, covenants and agreements contained
herein and other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties hereto agree as follows:
1. Exhibit B "Program Element Descriptions", Program Element #08: Ryan White Program, Part
B HIV/ AIDS Services, Attachment 1 "Oregon Ryan White Program, Part B. HIV Case
Management Quality Improvement Program, Care Services Budget" only is hereby superseded
and replaced in its entirety by Exhibit 1 attached hereto and incorporated herein (and the
Agreement) by this reference.
2. Exhibit H. "Required Provider Contract Provisions", Section 8. "Auto lnsurance", Section 9.
"General Liability Insurance", Section 10. "Workers Compensation", and Section 10. "Proof of
Insurance, etc." only are hereby deleted in their entirety.
3. Exhibit 1. "Provider lnsurance Requirements" is added as Attachment 1 attached hereto and
incorporated herein (and the Agreement) by this reference.
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE I OF 12 PAGES
135558-10 PGM.OOC -DESCHUTES COUNTY HEALTH SERVICES
DC -201Z--A39
4. Section 1 of Exhibit C entitled "Financial Assistance A ward" of the Agreement is hereby
superseded and replaced in its entirety by Exhibit 2 attached hereto and incorporated herein
(and into the Agreement) by this reference.
a. Exhibit 2 must be read in conjunction with Section 4 of Exhibit C, entitled "Explanation
of Financial Assistance Award" of the Agreement.
b. Financial Assistance Award amounts for the period July 1,2011 through June 30, 2012,
as amended, have been disbursed and remain part of the total award under this
Agreement. The award pages included in this Amendment reflect funding, as amended,
for the period July 1, 2012 through June 30,2013 only. The current total award amount
is $5,377,869.00.
5. LPHA represents and warrants to OHA that the representations and warranties of LPHA set
forth in Section 2 of Exhibit E of the Agreement are true and correct on the date hereof with the
same effect as if made on the date hereof.
6. Capitalized words and phrases used but not defined herein shall have the meanings ascribed
thereto in the Agreement.
7. Except as amended hereby, all terms and conditions of the Agreement remain in full force and
effect.
8. This Amendment may be executed in any number of counterparts, all of which when taken
together shall constitute one agreement binding on all parties, notwithstanding that all parties
are not signatories to the same counterpart. Each copy of this Amendment so executed shall
constitute an original.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE 2 OF 12 PAGES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
9. This Amendment becomes effective on the date of the last signature below.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the dates set
forth below their respective signatures.
APPROVED:
STATE OF OREGON ACTING BY AND THROUGH ITS OREGON HEALTH AUTHORITY (OHA)
By:
Name: Jean O'Connor, JD, DrPH
Title: Deputy Public Health Director
Date:
DESCHUTES COUNTY ACTING BY AND THROUGH ITS DESCHUTES COUNTY HEALTH SERVICES
(LPHA)
By: Anthony DeBone, Chair
Name: Deschutes County Board of
Title: Commissioners
Date:
DEPARTMENT OF JUSTICE ApPROVED FOR LEGAL SUFFICIENCY
Approved by D. Kevin Carlson, Senior Assistant Attorney General on June 13, 2012. Copy of
approval on file at oCP .
OFFICE OF CONTRACTS & PROCUREMENT (OCP)
By:
Name: Phillip G. McCoy, OPBC, OCAC
Title: Contract Specialist
Date:
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE 3 OF 12 PAGES
13SSS8-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
Attachment 1 to Amendment #10 to Agreement #135558
OREGON HEALTH AUTHORITY
2011-2013 INTERGOVERNMENTAL AGREEMENT
FOR THE FINANCING OF PUBLIC HEALTH SERVICES
EXHIBIT I
PROVIDER INSURANCE REQUIREMENTS
LPHA shall require its first tier Providers(s) that are not units oflocal government as defined in ORS
190.003, if any, to: i) obtain insurance specified under TYPES AND AMOUJ'l'TS and meeting the
requirements under ADDITIONAL INSURED, "TAIL" COVERAGE, NOTICE OF
CANCELLATION OR CHANGE, and CERTIFICATES OF INSURANCE before the Providers
perform under contracts between LPHA and the Providers (the "Provider Contracts"), and ii) maintain
the insurance in full force throughout the duration of the Provider Contracts. The insurance must be
provided by insurance companies or entities that are authorized to transact the business of insurance
and issue coverage in the State of Oregon and that are acceptable to OHA. LPHA shall not authorize
Providers to begin work under the Provider Contracts until the insurance is in full force. Thereafter,
LPHA shall monitor continued compliance with the insurance requirements on an annual or more
frequent basis. LPHA shall incorporate appropriate provisions in the Provider Contracts permitting it to
enforce Provider compliance with the insurance requirements and shall take all reasonable steps to
enforce such compliance. Examples of "reasonable steps" include issuing stop work orders (or the
equivalent) until the insurance is in full force or terminating the Provider Contracts as permitted by the
Provider Contracts, or pursuing legal action to enforce the insurance requirements. In no event shall
LPHA permit a Provider to work under a Provider Contract when the LPHA is aware that the Provider
is not in compliance with the insurance requirements. As used in this section, a "first tier" Provider is a
Provider with whom the LPHA directly enters into a Provider Contract. It does not include a
subcontractor with whom the Provider enters into a contract.
TYPES AND AMOUNTS.
1. WORKERS COMPENSATION. Insurance in compliance with ORS 656.017, which requires
all employers that employ subject workers, as defined in ORS 656.027, to provide workers'
compensation coverage for those workers, unless they meet the requirement for an exemption
under ORS 656.126(2). Employers Liability insurance with coverage limits of not less than
$500,000 must be included.
2. PROFESSIONAL LIABILITY. Covers any damages caused by an error, omlsSIOn or
negligent act related to the services to be provided under the Provider Contract, with limits not
less than the following, as determined by OHA, or such lesser amount as OHA approves in
writing:
~ Per occurrence for all claimants for claims arising out of a single accident or occurrence:
2011-2013 bTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE40F 12 PAGES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
Provider Contract not-to-exceed amount: Required Insurance Amount:
Not over $1,000,000. $1,000,000.
Over $1,000,000, but not over $2,000,000. $2,000,000.
Over $2,000,000, but not over $3,000,000. $3,000,000.
Over $3,000,000. $4,000,000.
Professional liability insurance is required for professionals or entities that provide professional
services for which professional liability insurance is available for the profession.
3. COMMERCIAL GENERAL LIABILITY. Covers bodily injury, death, and property
damage in a form and with coverages that are satisfactory to OHA. This insurance shall include
personal injury liability, products and completed operations. Coverage shall be written on an
occurrence form basis, with not less than the following amounts as determined by OHA, or
such lesser amount as OHA approves in writing:
Bodily Injury, Death and Property Damage:
~ Per occurrence for all claimants for claims arising out of a single accident or occurrence:
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Provider Contract not-to-exceed amount: Required Insurance Amount:
. Not over $1,000,000. $1,000,000.
Over $1,000,000, but not over $2,000,000. $2,000,000.
Over $2,000,000, but not over $3,000,000. $3,000,000.
Over $3,000,000. $4,000,000.
4. AUTOMOBILE Liability Insurance. Required for First Tier Providers when the scope of
work includes transportation. Covers all owned, non-owned and hired vehicles. This coverage
may be written in combination with the Commercial General Liability Insurance (with separate
limits for "Commercial General Liability" and "Automobile Liability"). Automobile Liability
Insurance must be in not less than the following amounts as determined by OHA, or such lesser
amount as OHA approves in writing:
Bodily Injury, Death and Property Damage:
~ Per occurrence for all claimants for claims arising out of a single accident or occurrence:
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Provider Contract not-to-exceed amount: Required Insurance Amount: I
Not over $1,000,000. $1,000,000.
Over $1,000,000, but not over $2,000,000. $2,000,000.
Over $2,000,000, but not over $3,000,000. $3,000,000.
Over $3,000,000. $4,000,000.
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5. ADDITIONAL INSURED. The Commercial General Liability insurance and Automobile
Liability insurance must include the State of Oregon, its officers, employees and agents as
Additional Insureds but only with respect to the Provider's activities to be performed under the
Provider Contract. Coverage must be primary and non-contributory with any other insurance
and self-insurance.
2011-2013 INTERGOVERNM ENTAL AGREEM ENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE 50F 12 PAGES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
6. tiT AIL" COVERAGE. If any of the required insurance policies is on a "claims made" basis,
such as professional liability insurance, the Provider shall maintain either "tail" coverage or
continuous "claims made" liability coverage, provided the effective date of the continuous
"claims made" coverage is on or before the effective date of the Provider Contract, for a
minimum of 24 months following the later of: (i) the Provider's completion and LPHA 's
acceptance of all Services required under the Provider Contract or, (ii) the expiration of all
warranty periods provided under the Provider Contract. Notwithstanding the foregoing 24
month requirement, if the Provider elects to maintain "tail" coverage and if the maximum time
period "tail" coverage reasonably available in the marketplace is less than the 24-month period
described above, then the Provider may request and OHA may grant approval of the maximum
"tail" coverage period reasonably available in the marketplace. If OHA approval is granted,
the Provider shall maintain "tail" coverage for the maximum time period that "tail" coverage is
reasonably available in the marketplace.
7. NOTICE OF CANCELLATION OR CHANGE. The Provider or its insurer must provide 30
days' written notice to LPHA before cancellation of, material change to, potential exhaustion of
aggregate limits of, or non-renewal of the required insurance coverage(s).
8. CERTIFICATE(S) OF INSURANCE. LPHA shall obtain from the Provider a certificate(s)
of insurance for all required insurance before the Provider performs under the Provider
Contract. The certificate(s) or an attached endorsement must specify: i) all entities and
individuals who are endorsed on the policy as Additional Insured and ii) for insurance on a
"claims made" basis, the extended reporting period applicable to "tail" or continuous "claims
made" coverage.
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE 6 OF 12 PAGES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
EXHIBIT 1
Attachment 1
Oregon Ryan White Program, Part B
HIV Case Management Quality Improvement Program
Care Services Budget
HIV CASE MANAGEMENT AND SUPPORT SEUVICES
BUDGET
FY 2013 (JULY 1, 2012 -JUNE 30, 2013)
COUNTY/SERVICE PROVIDER: Deschutes County
Public Health Department AdminlstratorlED:Scott JQhsllon .
HIV Case MaI~agement and Support Services Progrlun Sl\pervisor:Thomas Kuhn
PllOne:541·322-7410
Fax:___ e-mail: Thomas·Kubll(<ilco.ds;schute§.or.ps
SECTION 1: Awal~d Anoeatlon
1. Amount of funds awarded for Case Management services: $73,786+$6,444=
$80,230
Amount offunds awarded for Support Service.,c;: $25,777M $6,444= $19,333
2. Does your agency accept this award?
I8J Yes, the county/service concurs with the Oregon Health Authority, lIlV
Community Services Program piau for services in FY 2013,
o No, the county/service declines to accept the funds ns."Iigned. The agency
understands that in choosing this option tlte Oregon Heallh Authority will identify a
service provider to provide case management ill the community for FY 20J 3.
3. 111e county/service provider has the option to move up to 25% of the Support Services
allocation to the ('.fise Management line item. Would you like to exercise this option?
o No, the county/service provider will use the original award aIJocation presented
above.
X Yes, the county/service provider would like to move 2.5.% of the support services
ftward to the cnse management earmark. Al)J'ROVI<;D: 3/28/2012, A. Benson-Scott
HIV ClIse Management and Support ServiL'Cs Budget FY 2013
PAGE 7 OF 12 PAGES2011.2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
1
SECTION II: Budget Projections
IMPORTANT ~ 1. This form must be completed by staff responsible for program budgets and fiscal monitoring.
2.. If you are sub-contracting fOT services, the county must submil a Care Service Budget form for
t~e sub-contracting agency nruJ the county/service provider '.'m.m. ~
3.#of 5. Total4. Adminl 6. Other
Hours! Indirect Fuuds
(Agency
than 10%)
(no moreMonth
Contribution)
Nat
Personnel
$ 90,429 .70 120.86 $
Maungemcllt
Case
Susan McCreedy
(non-nurse
staff)
$ $
$ $
$ $
$ $100,2.17 34.53 $ 3,118
Management
Nurse Case .20
Cyna Columbo
(RN)
Name 0/Staff
$ 7,437
Management
$ 123,945 10.36Non-Case
Thomas Kuhn
01' Supel'visol'Y
Services
Name
$10,555I 65.7S $ $ 9{},785Total Salaries $ .96
& To(nl #of
HW Case Management and SUPPOlt Services Budget "FY 2013 2
PAGE 8 OF 12 PAGES2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
Line 1. Annual Salary &
Fringe
(Direct SerYices)
Hours Per
Month
Direct
Program Costs
(materials,
equipment,
Other Indirect
(please
describe):
Grand Total $
(Equal to lotal
Case
Management
l.FfE 3. # of
Hoursl
Month
4. Adminl 5. Total 6.0thcl'
Indirect Funds
(no more (Agency
than 10%) Contribution)
(rotal
Indirect)
$ $1,017 $1,011
$. $ 16,067 $16,067
:$ $ 107,869 $ 21,639
SUJ)port Services Earmark Oo]y
I.ine Item 1. Direct $ervices-'-.-"'2-,A-C--d-m'--ln/In--d·-ir-cc-t-'-~3-.-G-'r-a·-n--d-l-'0-ta-·-I-c·"""'-4-.~Olh-er-.E-i'iindS
(no more than (Equal to total (Agency
10%) Support Sel'1'ices Conb'lbutlon)
Earmark) Not Refillired
Support Services $ 19,086 $ $ 19,333 $ 0.00
Pl..EASE NOTE: {fany line item changes within each em'mark by more than 25%
within the fiscal year, the county must submit an updated budget.
HIV Case Management and Support Services Budget FY 2013 3
PAm:90F 12 PAGES2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVlCES
If AdminJTndlrecl is reported on tbe line item budget for either the Case Management or Support
Services Earmark please answer the following questions.
1. Attach the county/service provider's Indirect Schedule/Cost AIJocalion Plan. If this is
not availahle please list wbat your agencies Indirect covers (Le. rent, phone, supplies)
2. Describe in detail how Ihese funds will be used to support and mOllitor the lllV Case
Management and Support Services Program and the coullties/agencies sub-contractors
(i.e. frequency of sile visits. dIad reviews, etc.). The program reserves the right 10
request time activity logs related to this work within the FY.
IS!GNATUUE LINES:!
Budget completed by: Sherri Pinner
Fiscal Manager (or responsible parey): Sherri Pinller, Business Manile,er
Date: ;'18/12
mck.beu!,!on@Statc.or.us
Or mail to;
OHA-HIV Community Services
800 NE Oregon St. # 1105
attn; HlV Financial Operations Analyst
Portland, OR 97232
April 1, 20U
Call Atmick Benson, 971-673-0142 or allllick.oonsoll.@state.or.us
my Case Management and Support Services Budget FY 2013
PAGE 10 OF 12 PAGES2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
4
EXHIBIT 2
FINANCIAL ASSISTANCE AWARD
1) Grantee
State of Oregon
Oregon Health Authority
Public Health Division
2) Issue Date
Name: Deschutes County Health Dept June 6, 2012
Street: 2577 N. E. Courtney 3) Award Period
Page 1 of 2
This Action
ORIGINAL
FY2013
City: Bend From July 1,2012 Through June 30, 2013
State: OR Zip Code: 97701
4) DHS Publ ic Health Funds Approved
Previous Increasel Grant
Program Award (Decrease) Award
PE 01 State support for PubUc Health 177,143
PE 03 TB Case Management 2,349
PE 07 HIV Prevention Services
HIV Prevention BlOck Grant Services
Ryan White Title II HIV I AIDS Services
PE 08 Ryan White--Case Management 80,230
PE 08 Ryan White-Support Services 19,333
PE 12 Pub. Health Emergency PreparedneSS/(July-Aug. 9) 12,474
( g )
PE 12 Pub. Health Emergency PreparednesS/(Aug ·10-June30) 115,438
PEl3 Tobacco Prevention & Education 132,877
PE 40 Women, Infants and Children 651,359
FAMILY HEALTH SERVICES ( c,d)
PE 40 WIC PEER Counseling 44,100
FAMILY HEALTH SERVICES ( h )
PE 41 Family Planning Agency Grant 193,233
FAMILY HEALTH SERVICES ( b )
5) FOOTNOTES:
a) Funds will not be Shifted between categories or fund types. The same program may be fUnded
by more than one fund type., however, fedeml funds may not be used as match for other
federal fUnds ( such as Medicaid ).
b) Please note that Chlamydia and High Cost Contraceptives funds have been folded into the
Title X funds and are no lOnger a separate line item.
e} July -September grant is $162,840 ; and includes $6,257 of minimum Nutrition Education: and
$7,821 for BreasHeeding Promotion.
d) October-June grant is $488,519 : and includes 597.704 of minimum Nutrition Education amount
and $23,463 for Breastfeeding Promotion.
e) The $600 Conference travel award is for the 2013 Immunization Providers Conference, and
may be retracted if the Conference is canceled.
f) This funding must be reported separately and is for the activities detailed in PE 43, 4.0 subject to
the availability of funds from CDC.
6) Capitrll Outlay Requested in This Action:
Prior approval is required for Capital Outlay, Capital Outlay is defined as an expenditure for equip
ment with a purchase price in excess of $5,000 and a life expectancy greater than one year.
PROGRAM ITEM DESCRIPTION
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PROG.
COST APPROV
PAGE 11 OF 12 PAGES2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES
135558·10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES
State of Oregon Page 2 of 2
Oregon Health Authority
Public Health Division
1) Grantee 2) Issue Date This Action
Name: Deschutes County Health Dept. June 6, 2012 ORIGINAL
FY2013
Street 2577 N. E. courtney 3) Award Period
City: Bend From July 1,2012 Through June 30, 2013
State: OR Zip Code: 97701
4) OHS Public Health Funds Approved
Previous Increasel Grant
Program Award (Decrease) Award
42 MCH/Chiid &Adolescent Health --General Fund 11,376
FAMILY HEALTH SERVICES ( a)
PE 42 MCH-TitieV -Child &Adolescent Health 17,953
FAMIL Y HEALTH SERVICES ( a )
PE 42 MCH-TltIeV Flexible Funds 41,891
FAMILY HEALTH SERVICES ( a)
PE 42 MCHIPerlnatal Health General Fund 6,063
FAMILY HEALTH SERVICES ( a )
PE 42 Babies Rrst 19,196
FAMILY HEALTH SERVICES
PE 42 Oregon MothersCare 22,903
FAMILY HEALTH SERVICES
PE 43 Immunization Special Payments 39,783
FAMILY HEALTH SERVICES
PE 43 Immunization -ACA Adult Grant 51,994
FAMILY HEALTH SERVICES ( f)
PE 43 Immunization Conference Travel 600
FAMIL Y HEALTH SERVICES ( e )
PE 44 School Based Health Centers 205,000
FAMILY HEALTH SERVICES
PE 47 Linking Actions for Unmet Needs in Child Health Project
FAMILY HEALTH SERVICES
PE 48 Teen pregnency Prevention -P. R. E. P. 98.493 1
FAMIL Y HEALTH SERVICES
TOTAL 0 ° 2,594,842
5) FOOTNOTES:
g) July-August 9th awards must be spent by August 9th and a report submitted for that period.
h) July to September grant is $11,025 ; October to June grant is $33,075.
6) Capital Outlay Requested in This Action:
Prior approval is required for Capital Outlay. Capital Outlay is defined as an expenditure for equip
ment with a purchase price in excess of $5,000 and a life expectancy greater than one year.
PROGRAM ITEM DESCRIPTION
I
I
PROG.
COST APPROV
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES PAGE 12 OF 12 PAGES
135558-10 PGM.DOC -DESCHUTES COUNTY HEALTH SERVICES