Revision Purpose. The purpose of this revision is to extend the period of performance from June 30, 2021 to December 31, 2021; add funding and extend end date for Task 3 FFY21 COVID19 VACCINE SERVICES-CARES through December 31, 2021; add FFY20 ELC EDE LHJ ALLOCATION & FFY19 ELC COVID ED LHJ Allocation funding and revise language for Tasks 1 2; add Task 4 and funding information for MASS VACCINATION FEMA 100% and add Program Specific Requirements and DOH program and fiscal contact information. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding (LHJ Use Start Date Period Only) End Date Current Consideration Change Increase (+) Total Consideration BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/30/21 589,636 0 589,636 FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.96.26 74310209 07/01/20 12/31/21 18,941 460,864 479,805 FFY20 ELC EDE LHJ ALLOCATION 93.323 333.93.32 1897120D 01/15/21 12/31/21 0 1,136,958 1,136,958 FFY19 ELC COVID ED LHJ ALLOCATION 93.323 333.93.32 1897129G 01/01/21 12/31/21 0 508,422 508,422 *MASS VACCINATION FEMA 100% 97.036 333.97.03 934V0200 01/21/21 04/20/21 0 0 0 TOTALS 608,577 2,106,244 2,714,821 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Participate in public health emergency preparedness and response activities for COVID-19. This may include surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications and or other preparedness and response activities for COVID-19. Examples of key activities include: • Incident management for the response • Testing • Case Investigation/Contact Tracing Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount • Sustainable isolation and quarantine • Care coordination • Surge management • Data reporting Previous funding provided by DOH for COVID response (federal Crisis Cooperative Agreement funding, state Disaster Recovery Account funding) must be fully utilized before these funds can be accessed. The total state funding consideration is for the period of December 31, 2020 through June 30, 2021. NOTE: The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance, epidemiology, case investigations and contact tracing, laboratory capacity, infection control, mitigation, com...
Revision Purpose. The purpose of this revision is to provide additional funding, add activities and deliverable due dates, and extend the period of performance and funding from September 30, 2020 to September 30, 2021 for continuation of MCHBG-related activities. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding Period (LHJ Use Only) Start Date End Date Current Consideration Change Increase (+) Total Consideration FFY18 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120281 01/01/18 09/30/18 88,015 0 88,015 FFY19 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120291 10/01/18 09/30/19 105,006 0 105,006 FFY20 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120292 10/01/19 09/30/20 105,006 0 105,006 FFY21 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120293 10/01/20 09/30/21 0 105,006 105,006 TOTALS 298,027 105,006 403,033 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount
Revision Purpose. The purpose of this revision is to provide additional funding, add activities and deliverable due dates, and extend the period of performance and funding period from September 30, 2024 to December 31, 2024, for continuation of MCHBG related activities, and update Program Specific Requirements. NOTE: The FFY25 funding allocation in this SOW is for the period of October 1, 2024 through December 31, 2024. Deliverables with due dates after December 31, 2024 are shown for informational purposes only. A new SOW will begin in the next consolidated contract term on January 1, 2025 for continuation of this project through September 30, 2025. Any funds unspent from October 1, 2024 through December 31, 2024 will be added to the new SOW in an amendment in Spring 2025. DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Funding Period Start Date End Date Current Allocation Allocation Change Increase (+) Total Allocation FFY22 MCHBG LHJ CONTRACTS 78101221 93.994 333.93.99 01/01/22 09/30/22 64,866 0 64,866 FFY23 HRSA MCHBG LHJ CONTRACTS 78101231 93.994 333.93.99 10/01/22 09/30/23 84,217 0 84,217 FFY24 HRSA MCHBG LHJ CONTRACTS 78101241 93.994 333.93.99 10/01/23 09/30/24 84,217 0 84,217 TOTALS 233,300 21,054 254,354 Task # Activity Deliverables/Outcomes Due Date/ Time Frame Payment Information and/or Amount Maternal and Child Health Block Grant (MCHBG) Administration 1a Report actual expenditures for the six-month period October 1, 2021 through March 31, 2022 Submit actual expenditures using the MCHBG Budget Workbook to DOH contract manager May 27, 2022 Reimbursement for actual costs, not to exceed total Task # Activity Deliverables/Outcomes Due Date/ Time Frame Payment Information and/or Amount 1b Develop 2022-2023 MCHBG Budget Workbook for October 1, 2022 through September 30, 2023 using DOH provided template. Submit MCHBG Budget Workbook to DOH contract manager September 9, 2022 funding consideration. Monthly Reports must only reflect activities paid for with funds provided in this statement of work for the specified funding period. See Program Specific Requirements and Special Billing Requirements. 1c Participate in DOH sponsored MCHBG fall regional meeting. Designated LHJ staff will attend regional meeting. September 30, 2023 1d Report actual expenditures for October 1, 2021 through September 30, 2022. Submit actual expenditures using the MCHBG Budget Workbook to DOH contract manager. December 2, 2022 1e Develop 2...
Revision Purpose. The purpose of this amendment is to update the MI coding for Task Outreach and Emergency Financial Assistance. There were no other changes to the SOW. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding (LHJ Use Start Date Period Only) End Date Current Consideration Change None Total Consideration FFY21 XX XXXXX YEAR LOCAL (REBATE) N/A 334.04.98 1261851C 07/01/21 12/31/21 232,292 0 232,292 STATE DRUG USER HEALTH PROGRAM N/A 334.04.91 12405100 07/01/21 12/31/21 20,000 0 20,000 FFY21 RW LOCAL PROVISO N/A 334.04.98 12618595 07/01/21 12/31/21 41,748 -41,748 0 HIV LOCAL PROVISO - XX XXXXX YEAR 2021 N/A 334.04.98 12618511 07/01/21 12/31/21 0 41,748 41,748 TOTALS 294,040 0 294,040 Task Number Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Syringe Service Program (SSP) Syringe Service Program (SSP): To provide comprehensive Syringe Service Program (SSP) to people who use drugs (PWUD). This plan of action is directed to distribute syringes to communities that use drugs to prevent transmission of infectious disease. SSP programs will operate during scheduled hours to provide new harm reduction supplies and syringes to prevent transmission of disease. SSP will offer referrals to address social determinants of health. Identify and submit annual projections for each of the SSP deliverables. Enter deliverable data into database for tracking SSP activities by the 15th of each month following service. Monthly by the 15th of the following month. $20,000 – MI 12405100 – State Drug User Health $20,000 for 07/01/21-12/31/21 Task Number Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount HIV Community Services - Care Outreach Services – Peer Navigation Outreach Services provide the following activities: 1) linkage or re-engagement of PLWH who know their status into HRSA RWHAP services and/or medical care, 2) referral to appropriate supportive services. Outreach Services provided to an individual or in small group settings cannot be delivered anonymously, as some information is needed to facilitate any necessary follow-up and care. Agency must enter data into the approved DOH data system for each consumer receiving Outreach Services within 48 business hours from the time of Client Intake. Agency must adhere to DOH ID Reporting Requirements $41,748 – MI 12618595 – Local Proviso $41,748 for 07/01/21-12/31/21 $41,748 – MI 12618511 – Local ...
Revision Purpose. The purpose of this revision is to revise deliverable due dates, correct the BARS Revenue Code, move a portion of the funding to COVID-19 VACCINES, add a link for allowable activities under Program Specific Requirements, and update DOH Program Contact information for COVID -19 Vaccine Services-Task 3; update DOH Fiscal Contact information and add special language for DCHS COVID-19 Response-Task 1 and 2; and extend the funding period from April 20, 2021 to July 20, 2021 for MASS VACCINATION FEMA 100%-Task 4. This revision also includes a task funding guide for all tasks under Program Specific Requirements. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding (LHJ Use Start Date Period Only) End Date Current Consideration Change None Total Consideration BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/31/21 589,636 0 589,636 FEMA-75 COVID LHJ ALLOCATION 97.036 333.97.03 1897129W 07/01/20 12/30/20 0 0 0 FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.93.26 74310209 07/01/20 12/31/21 479,805 -460,864 18,941 FFY20 ELC EDE LHJ ALLOCATION 93.323 333.93.32 1897120D 01/15/21 12/31/21 1,136,958 0 1,136,958 FFY19 ELC COVID ED LHJ ALLOCATION 93.323 333.93.32 1897129G 01/01/21 12/31/21 508,422 0 508,422 *MASS VACCINATION FEMA 100% 97.036 333.97.03 934V0200 01/21/21 07/20/21 0 0 0 COVID 19 VACCINES 93.268 333.93.26 74310229 07/01/20 12/31/21 0 460,864 460,864 TOTALS 2,714,821 0 2,714,821 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Participate in public health emergency preparedness and response activities for COVID-19. This may include surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications and or other preparedness and response activities for COVID-19. Examples of key activities include: · Incident management for the response · Testing Exhibit A, Statements of Work Page 3 of 22 Contract Number CLH18242-18 Revised as of May 14, 2021 AMENDMENT #18 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount · Case Investigation/Contact Tracing · Sustainable isolation and quarantine · Care coordination · Surge management · Data reporting Previous funding provided by DOH for COVID response (federal Crisis Cooperative Agreement funding, state Disaster Recovery Account funding) must...
