Notices, Correspondence and Reports. 12.1. Notices, correspondence, reports, supporting documentation, and CERs from the contractors to ADHS shall be sent to: Xxxxxxxx Xxxxxx Workforce Development Program Manager Arizona Department of Health Services 000 X. 00xx Xxxxxx Phoenix, Arizona 85007-3242 Email: xxxxxxxx.xxxxxx@xxxxx.xxx
12.2. Invoices shall be emailed to: xxxxxxxx@xxxxx.xxx, and the Workforce Development Program Manager, xxxxxxxx.xxxxxx@xxxxx.xxx.
12.3. Notices, Correspondence, Reports, and Payments from ADHS to the Contractor shall be sent to: Contractor Pinal County Public Health Services District _
Notices, Correspondence and Reports. 1. Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to: Immunization Services Manager Immunization Program Office Arizona Department of Health Services 000 X. 00xx Xxxxxx, Xxxxx 000 Xxxxxxx XX 00000 Telephone: 602:000-0000 FAX: 602:000-0000
2. Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to: Gila County Health & Emergency Services 0000 Xxxxx Xxxxxx Xxxxxx, Xxxxx 000 Xxxxx, Xxxxxxx 00000 Attn: Xxxxxxx X’Xxxxxxxx, Director Phone: 000-000-0000 Fax: 000-000-0000 E-Mail: xxxxxxxxxx@xx.xxxx.xx.xx Contract Number INTERGOVERNMENTAL AGREEMENT PRICE SHEET ADHS13-041539 Activity Frequency Unit Rate Unit of Measure Total Total Salary/Fringe Yearly N/A Total $50,000.00 Immunization Visit for children zero (0) to eighteen (18) years of age Quarterly $50.00 Visit As approved by ADHS and authorized by purchase order Immunization Completion for children zero (0) to eighteen (18) years of age Quarterly $100.00 Visit Perinatal Hepatitis B Case Management – Prenatal Quarterly $300.00 Case Perinatal Hepatitis B Case Management – Postnatal Quarterly $200.00 Case School/Childcare IDR Management – Preparation and Submittal Quarterly $250.00 Each/per grade level IDR Immunization Visit for adults nineteen (19) years of age and older As funding is available $50.00 Visit Immunization Visit for Flu Vaccine, in children and adults When specific flu vaccine funds are available $50.00 Visit Contract Number INTERGOVERNMENTAL AGREEMENT EXHIBIT ONE (1) ADHS13-041539 Immunization Action Plan (IAP) February 1st Quarterly Progress Reports April 30th July 31st October 31st January 31st Childcare Immunization Data Reports November 15th School Immunization Data Reports November 15th Hepatitis B Line Listing Report (submitted with CER) April 30th July 31st October 31st January 31st Contractor Expenditure Report April 30th July 31st October 31st January 31st Contract Number INTERGOVERNMENTAL AGREEMENT EXHIBIT TWO (2)
Notices, Correspondence and Reports. 3.1 Notices, correspondence, and reports from DES to ADHS shall be sent to: Arizona Department of Health Services Bureau of Women’s and Children’s Health Maternal Infant and Early Child Home Visiting (MIECHV)000 Xxxxx 00xx Xxxxxx, Xxxxx 000 Phoenix, AZ 85007 Telephone: (000) 000-0000 Email: Xxxxx.Xxxxxxxx@xxxxx.xxx Fax: (000) 000-0000
3.2 Notices, correspondence, and reports from ADHS to DES shall be sent to: Arizona Early Intervention Program
Notices, Correspondence and Reports. 6.1. Notices, correspondence and reports from the Contractor to ADHS shall be sent to: Xxxxx Xxxx Xxxxxxxx, MBA Chief, Bureau of Women’s and Children’s Health Arizona MCH & CYSHCN Director 000 X. 00xx Xxx. Suite 320 Phoenix, Arizona 85007 (000) 000-0000
6.2. Notices, correspondence, and reports from ADHS to the Contractor shall be sent to: Xx. Xxxx Xxxxx Chief Medical Officer Arizona Health Care Cost Containment System 000 X. Xxxxxxxxx Street Phoenix, Arizona 85034 (000) 000-0000 FOR: ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM: YH23-0141 CPO - Authorized Signature FOR: ARIZONA DEPARTMENT OF HEALTH SERVICES: Xxxxx Xxxxx Digitally signed by Xxxxx Xxxxx Xxxx: 2023.05.31 10:41:24 -07'00' Date: 5/30/2023 Procurement Officer Date: Maternal Child Health/Early Periodic Screening, Diagnostic, and Treatment (EPSDT) Include ADHS in program planning and design meetings. Participation in routine EPSDT strategic planning meetings. Provide feedback and comment on any future changes to the AHCCCS’ medical policy manual as it pertains to maternal and child health populations. AHCCCS’ Quality Management Invite BWCH to participate in the quarterly AHCCCS Quality Management meetings. Participate in the quarterly AHCCCS Quality Management meetings. Will exchange information on relevant initiatives with healthcare maintenance organizations (HMOs). AHCCCS’ Maternal Mental Health workgroup Convene and facilitate the Maternal Mental Health workgroup. Participate in the Maternal Mental Health workgroup.
Notices, Correspondence and Reports. 7.1 Notices, correspondence, reports and copies of CERs/invoices from the County contractor to ADHS shall be sent to:
7.2 Notices, correspondence, and reports (and payments if sent to same address) from ADHS to the contractor shall be sent to:
Notices, Correspondence and Reports. 8.1 Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to: Office of Disease Integration and Services Arizona Department of Health Services Attn: Xxxx X. Xxxxxxx, Xxxx Xxxxx Part B Care and Service Program Manager 000 X. 00xx Xxxxxx, Xxxxx #000 Phoenix, AZ 85007
8.2 Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to:
Notices, Correspondence and Reports. 8.1. All invoices from the Contractor to ADHS shall be sent electronically via email to: xxxxxxxx@xxxxx.xxx.
8.2. AUTOMATED CLEARING HOUSE. ADHS may pay invoices for some or all Orders through an Automated Clearing House (ACH). In order to receive payments in this manner, the Contractor must complete an ACH Vendor Authorization Form (form GAO-618) within 30 (thirty) days after the effective date of the Contract. The form is available online at: xxxxx://xxx.xx.xxx/sites/default/files/GAO- 618%20ACH%20Authorization%20Form%20101019.pdf
8.2.1. ACH Vendor Authorization Form shall be emailed to Xxxxxx.Xxxxxxxxxxxxx@xxxxx.xxx
8.3. Notices, correspondence, reports and invoices from the Contractor to ADHS shall be sent to: Arizona Department of Health Services State Public Health Laboratory Microbiology Program Manager 000 Xxxxx 00xx Xxx Phoenix, AZ 85007 Phone: 000-000-0000 Fax: 000-000-0000
8.4. Notices, correspondence, reports and invoices from ADHS to Contractor shall be sent to: Qiagen LLC 19300 Germantown Germantown, MD 20874 1 19585 S-Blocks (24) $358.00 1 9001876 EZ1 Advanced XL, PrioPLUS $56,475.75 1 9001900 QIAcube HT, PrioPLUS $51,974.10 1 9001904 QIAgility HEPA/UV, PC, PrioPLUS $44,565.20 1 9240826 EZ1, IQ/OQ Service $3,873.00 1 950067 QIAcube HT Plasticware $331.00 1 990512 Filter-Tips, 50 μl (960) $180.00 1 990522 Filter-Tips, 200 μl (960) $181.00 1 990552 Tubes, graduated, flat-base 5 ml (50) $22.30 1 990554 Reagent Trough (with Lid), 70 mL (10) $82.00 1 990556 Reagent Trough (with Lid), 170 mL (20) $132.00 Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall • The Solicitation or Contract has an estimated value of less than $100,000; • Contractor is a sole proprietorship; • Contractor has fewer than ten (10) employees; OR • Contractor is a non-profit organization. Under A.R.S. §35-393:
Notices, Correspondence and Reports. 9.1. Notices, Correspondence and Reports and CERs concerning CSFP from the Contractor to ADHS shall be sent to: Arizona Department of Health Services Bureau of Nutrition and Physical Activity (BNPA) CSFP Manager 000 Xxxxx 00xx Xxxxxx, Xxxxx 000 Xxxxxxx, Xxxxxxx 00000 Email: Xxxxx.Xxxxxxxxxx@xxxxx.xxx Phone: 000-000-0000
9.2. Notices, Correspondence and Reports and CERs concerning SFMNP from the Contractor to ADHS shall be sent to: Arizona Department of Health Services Bureau of Nutrition and Physical Activity (BNPA) CSFP Manager 000 Xxxxx 00xx Xxxxxx, Xxxxx 000 Xxxxxxx, Xxxxxxx 00000 Email: Xxxxx.Xxxxxxxxxx@xxxxx.xxx Phone: 000-000-0000 9.3. Invoices shall be emailed to: Xxxxx.Xxxxxxxxxx@xxxxx.xxx 1.0 PERSONNEL SERVICES $3,400.00 2.0 EMPLOYEE RELATED EXPENSES $1,326.00 3.0 PROFESSIONAL & OUTSIDE SERVICES $0.00 4.0 TRAVEL EXPENSES $600.00 5.0 OCCUPANCY EXPENSES $0.00 6.0 OTHER OPERATING EXPENSES $122.00 7.0 CAPITAL OUTLAY EXPENSES $0.00 8.0 INDIRECT (IF AUTHORIZED) $0.00 TOTAL $5,448.00 WIC FMNP CHECK ISSUANCE $1.25 WIC Participant AS NEEDED
Notices, Correspondence and Reports. 9.1. Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to: Arizona Department of Health Services Public Health Emergency Preparedness Bureau Chief 000 X 00xx Xxxxxx Xxx.000 Xxxxxxx, XX 00000
9.2. Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to: Gila County Health and Emergency Services 0000 X. Xxxxxx Xxx, Xxxxx 000 Globe, AZ 85501 Attn: Xxxx Xxxx Phone: 000-000-0000 xxxxx@xxxxxxxxxxxx.xxx Additional funds to enhance current PHEP activities per the deliverables in Attachment A. 1 $200,419.00 $200,419.00 TOTAL $200,419.00 INTRODUCTION The Arizona Department of Health Services (ADHS) Budget Period 1 Supplemental XXXX Xxxxx Guidance (July 1, 2018- June 30, 2019) has been developed based on that information and the guidance set forth in the Centers for Disease Control and Prevention’s Office of Public Health Preparedness and Reponses funding opportunity announcement 2017- 2022 Hospital Preparedness program (HPP)-PHEP Cooperative Agreement CDC-RFA-TP17-1701. In the new cooperative agreement guidance, the awardee (Arizona Department of Health Services) and sub-recipients (tribal and county Health Departments) will increase or maintain their levels of effectiveness across six key preparedness domains using the logic model to achieve a prepared public health system. These domains are:
Notices, Correspondence and Reports. 9.1. Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to: Arizona Department of Health Services Public Health Emergency Preparedness Bureau Chief 000 X 00xx Xxxxxx Xxx.000 Xxxxxxx, XX 00000
9.2. Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to: Gila County Health and Emergency Services 0000 X. Xxxxxx Xxx, Xxxxx 000 Xxxxx, XX 00000 Attn: Xxxxx Xxxxxxxx Phone: 000-000-0000 xxxxxxxxx@xxxxxxxxxxxx.xxx Additional funds to enhance current PHEP activities per the deliverables in Attachment A. 1 $200,419.00 $200,419.00 TOTAL $200,419.00 INTRODUCTION As we enter into a new Public Health and Emergency Preparedness Cooperative Agreement Project Period 2017-2022, in PHEP Budget Period 1 (BP1) (July 1, 2017-June 30, 2018), we continue to look at ways to expand our preparedness to show measurable and sustainable progress. The Arizona Department of Health Services (ADHS) BP1 XXXX Xxxxx Guidance has been developed based on that information and the guidance set forth in the Centers for Disease Control and Prevention’s Office of Public health Preparedness and Reponses funding opportunity announcement 2017-2022 Hospital Preparedness program (HPP)- PHEP Cooperative Agreement CDC-RFA-TP17-1701. In the new cooperative agreement guidance, the awardee (Arizona Department of Health Services) and sub-recipients (Tribal and County HealthDepartments) will increase or maintain their levels of effectiveness across six key preparedness domains using the logic model to achieve a prepared public health system (to be attached). These domains are:
1. Community Resilience
a. Capability 1: Community Preparedness
b. Capability 2: Community Recovery
2. Strengthen Incident Management
a. Capability 3: Emergency Operation Coordination
3. Strengthen Information Management
a. Capability 4: Emergency Public Information and Warning
b. Capability 6: Information Sharing
4. Strengthen Countermeasures and Mitigation
a. Capability 8: Medical Countermeasure Dispensing
b. Capability 9: Medical Materiel Management and Distribution
c. Capability 11: Non-Pharmaceutical Interventions
d. Capability 14: Responder health and Safety Health 5. Strengthen Surge Management
a. Capability 5: Fatality Management
b. Capability 7: Mass Care
c. Capability 10: Medical Surge
d. Capability 15: Volunteer Management
