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HomeMy WebLinkAbout20121322.tiff RESOLUTION RE: APPROVE TASK ORDER CONTRACT FOR WOMEN'S WELLNESS CONNECTION PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Task Order Contract for the Women's Wellness Connection Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing July 1, 2012, and ending July 30, 2013, with further terms and conditions being as stated in said contract, and WHEREAS, after review, the Board deems it advisable to approve said contract, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Task Order Contract for the Women's Wellness Connection Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said contract. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of May, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:��a,,,,7'14 Sean P. C y, Chair Weld County Clerk to the Board IA n 1� illiam . Garcia, Pro-Tem BY: r O Deputy CIe7 to the Bo-��� ' .� 1, XCUSED O 111 1981 ra Kirkmeyer LOL ST• .'y'�� • cA David E. Long c ( 1 (d5• CiSativP Douglas illademache Date of signature: Cc •ai 4 trig -ck\te` Ct : 14-1, 2012-1322 5 a HL0039 1861 Memorandum l'UlkrgTO: Sean Conway, Chair r i Board of County Commissioners i J FROM: Mark E. Wallace, MD, MPH, Director Y Dept of Public Health & Environment COU NTT DATE: May 7, 2012 SUBJECT: Women's Wellness Connection Task Order Contract FY12-13 Enclosed for Board review and approval is a Task Order Contract between the Colorado Department of Public Health and Environment and the Weld County Board of County Commissioners for the benefit of the Weld County Department of Public Health and Environment for continuation of the Women's Wellness Connection (WWC) program. The WWC program provides low-income, uninsured and underserved women capable of demonstrating lawful presence in Colorado assess to timely, high quality screening and diagnostic services to detect breast and/or cervical cancer at the earliest stages. Currently, the maximum amount available for this contract for fiscal year 2012-2013 is $13,500.00 in federal pass-through funding. This represents a decrease of$4,000.00 from fiscal year 2011-2012. The term of this Contract is July 1, 2012 through June 30, 2013. I recommend your approval of this Task Order Contract. Enclosure 2012-1322 STATE OF COLORADO John W.Hickenlooper,Governor Christopher E. Urbina,MD,MPH 0p!;co2cip Executive Director and Chief Medical Officer Dedicated to protecting and improving the health and environment of the people of Colorado ,t i 4300 Cherry Creek Dr. S. Laboratory Services Division a * Denver,Colorado 80246-1530 8100 Lowry Blvd. Phone(303)692-2000 Denver,Colorado 80230-6928 Colorado Department Located in Glendale,Colorado (303)692-3090 of Public Health http://www.cdphe.state.co.us and Environment 6/25/12 Mark Wallace Weld County Department of Public Health & Environment 1555 North 17th Avenue Greeley, CO 80631 Dear Mr. Wallace, Enclosed is your copy of the fully executed Colorado Department of Public Health and Environment Task Order listed below. You may begin work on 7/1/12. Contractor Name: Weld County Department of Public Health &Environment Contract Number: 13 FLA 43185 Original Contract Number: 13 FLA 43185 Division: Prevention Services Division Program Name: Women Wellness Connection Project Name: Service Delivery Reason for Contract: New Contract Please contact me with questions or concerns. My contact information is listed below. Genevieve Ro den Contract Coordinator Prevention Services Division Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80246-1530 303-692-2553 genevieve.rowden@state.co.us r 1 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ROUTING NO.13 FLA 43185 APPROVED TASK ORDER CONTRACT This Task Order Contract is issued pursuant to Master Contract made on 01/17/2012,with routing number 13 FAA 00051 STATE: CONTRACTOR: State of Colorado for the use&benefit of the Board of County Commissioners of Weld County Department of Public Health and (a political subdivision of the state of Colorado) Environment for the use and benefit of the PSD-\X'WC Weld County Department of Public Health and 4300 Cherry Creek Drive South Environment Denver, Colorado 80246 1555 North 17 Avenue Greeley,Colorado 80631 TASK ORDER MADE.DATE: CONTRACTOR ENTrtY TYPE: 4/18/2012 Colorado Political Subdivision PO/SC ENCUMBRANCE NUNIBER: PO FLA PPG1343185 TERM: BEIJING STATEMENTS RECEIVED: This Task Order shall be effective upon Monthly approval by the State Controller,or designee, or on 07/01/2012,whichever is later. The STATUTORY AUTHORITY: Task Order shall end on 06/30/2013 Not Applicable PRICE STRUCTURE: CONTRACT PRICE NOT TO EXCEED: Reimbursement $13,500.00 PROCUREMENT METHOD: FEDHRAI.FUNDING DOLLARS: $13,500.00 Exempt STATE FUNDING DOLLARS: $0.00 BID/REP/LIST PRIG.AGREEMENT NUMBER: MAXIMUM AMOUNT AVAI IABLE PER FISCAL YEAR: Not Applicable FY 13: $13,500.00 LAW SPECIFIED VENDOR STATUTE.: Not Applicable STATE REPRESENTATIVE: CONTRACTOR REPRESENTATIVE: Chandra Hardwick Mark Wallace Department of Public Health and Environment Weld County Department of Public Health PSD-WWC and Environment 4300 Cherry Creek Drive South 1555 North 17th Avenue Denver,CO 80246 Greeley,CO 80631 SCOPE OF WORK: Perform work for the Women's Wellness Connection (WWC) Program to conduct breast and cervical cancer screenings of program eligible women. Page 1 of 6 Rev 6/25/09 o1O/oz—/3c2c Y I EXf!BITS: The following exhibits are hereby incorporated: Exhibit A- Additional Provisions (and its attachments if any—e.g.,A-1,A-2, etc.) Exhibit B - Statement of Work (and its attachments if any—e.g.,B-1,B-2, etc.) GENERAL PROVISIONS The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task Order Contract provide more specificity than these general clauses,the more specific provision shall control. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract including, but not limited to,Exhibit One thereto. The total term of this Task Order Contract, including any renewals or extensions,may not exceed five(5)years. The parties intend and agree that all work shall be performed according to the standards,terms and conditions set forth in the Master Contract. 2. In accordance with section 24-30-202(1),C.R.S.,as amended,this Task Order Contract is not valid until it has been approved by the State Controller,or an authorized delegee thereof. The Contractor is not authorized to,and shall not; commence performance under this Task Order Contract until this Task Order Contract has been approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor whatsoever for any work or services or,any costs or expenses,incurred by the Contractor prior to the effective date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its proposed effective date,then the Contractor shall commence performance under this Task Order Contract on the proposed effective date. If the State Controller approves this Task Order Contract after its proposed effective date,then the Contractor shall only commence performance under this Task Order Contract on that later date. The initial term of this Task Order Contract shall continue through and including the date specified on page one of this Task Order Contract,unless sooner terminated by the parties pursuant to the terms and conditions of this Task Order Contract and/or the Master Contract. Contractor's commencement of performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this Task Order Contract. 3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a part hereof as if fully set forth herein. Unless otherwise stated,all exhibits and/or attachments to this Task Order Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terms of this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or inconsistencies between the Master Contract and this Task Order Contract(including its exhibits and/or attachments),or between this Task Order Contract and its exhibits and/or attachments,such conflicts or inconsistencies shall be resolved by reference to the documents in the following order of priority: 1)the Special Provisions of the Master Contract;2)the Master Contract(other than the Special Provisions)and its exhibits and attachments in the order specified in the Master Contract;3)this Task Order Contract;4)the Additional Provisions-_Exhibit A,and its attachments if included,to this Task Order Contract;5) the Scope/Statement of Work-Exhibit B,and its attachments if included,to this Task Order Contract;6)other exhibits/attachments to this Task Order Contract in their order of appearance. Page 2 of 6 Rev 6/25/09 4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order Contract,shall perform and complete,in a timely and satisfactory manner,all work items described in the Statement of Work and Budget,which arc incorporated herein by this reference,made a part hereof and attached hereto as"Exhibit B". 5. The State,with the concurrence of the Contractor,may,among other things,prospectively renew or extend the term of this Task Order Contract, subject to the limitations set forth in the Master Contract,increase or decrease the amount payable under this Task Order Contract,or add to,delete from,and/or modify this Task Order Contract's Statement of Work through a contract amendment. To be effective,the amendment must be signed by the State and the Contractor,and be approved by the State Controller or an authorized delegate thereof. This contract is subject to such modifications as maybe required by changes in Federal or State law,or their implementing regulations. Any such required modification shall automatically be incorporated into and be part of this Task Order Contract on the effective date of such change as if fully set forth herein. 6. The conditions,provisions,and tenns of any RFP attached hereto,if applicable,establish the minimum standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's Proposal,if attached hereto,or any attachments or exhibits thereto, or the Scope/Statement of Work- Exhibit B,establishes or creates standards of performance greater than those set forth in the RFP,then the Contractor shall also meet those standards of performance under this Task Order Contract. 7. STATEWIDE CONTRACT MANAGEMENT SYSTEM[This section shall apply when the Effective Date is on or after July 1, 2009 and the maximum amount payable to Contractor hereunder is$100,000 or higher] By entering into this Task Order Contract, Contractor agrees to be governed,and to abide,by the provisions of CRS §24-102-205, §24-102-206, §24-103-601, §24-103.5-101 and§24-105-102 concerning the monitoring of vendor performance on state contracts and inclusion of contract performance information in a statewide contract management system. Contractor's performance shall be evaluated in accordance with the terms and conditions of this Task Order Contract, State law,including CRS §24-103.5-101,and State Fiscal Rules,Policies and Guidance. Evaluation of Contractor's performance shall be part of the normal contract administration process and Contractor's performance will be systematically recorded in the statewide Contract Management System. Areas of review shall include,but shall not be limited to quality,cost and timeliness. Collection of information relevant to the performance of Contractor's obligations under this Task Order Contract shall be determined by the specific requirements of such obligations and shall include factors tailored to match the requirements of the Statement of Project of this Task Order Contract. Such performance information shall be entered into the statewide Contract Management System at intervals established in the Statement of Project and a final review and rating shall be rendered within 30 days of the end of the Task Order Contract term.Contractor shall be notified following each performance and shall address or correct any identified problem in a timely manner and maintain work progress. Should the final performance evaluation determine that Contractor demonstrated a gross failure to meet the performance measures established under the Statement of Project, the Executive Director of the Colorado Department of Personnel and Administration(Executive Director),upon request by the Colorado Department of Public Health and Environment and showing of good cause,may debar Contractor and Page 3 of 6 Rev 6/25/09 prohibit Contractor from bidding on future contracts. Contractor may contest the final evaluation and result by: (i)filing rebuttal statements,which may result in either removal or correction of the evaluation(CRS §24-105-102(6)),or(ii)under CRS§24-105-102(6),exercising the debarment protest and appeal rights provided in CRS §§24-109-106, 107,201 or 202,which may result in the reversal of the debarment and reinstatement of Contractor,by the Executive Director,upon showing of good cause. 8. If this Contract involves federal funds or compliance is otherwise federally mandated, the Contractor and its agent(s)shall at all times during the term of this contract strictly adhere to all applicable federal laws, state laws, Executive Orders and implementing regulations as they currently exist and may hereafter be amended.Without limitation,these federal laws and regulations include the Federal Funding Accountability and Transparency Act of 2006(Public Law 109-282),as amended by§6062 of Public Law 110-252,including without limitation all data reporting requirements required there under. This Act is also referred to as HATA. Page 4 of 6 Rev 6/25/09 THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT * Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect. CONTRACTOR: STATE OF COLORADO: Board of County Commissioners of Weld John W.Hickenlooper, GOVERNOR County (a political subdivision of the State of Colorado) for the use and benefit of the Weld County Department of Public Health and Environment ent C/h`Legal Name of Contracting Entity ?Att-e4Y1- /^./ For Executive Director 1/ , Department of Public Health and Environment Signature of Authorized Officer L Sean P. Conway Print Name of Authorized Officer Depa t o am Ap oval: Chair MAY 3 0 2012 Print Title of Authorized Officer ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS§24-30-202 requires the State Controller to approve all State Contracts.This Contract is not valid until signed and dated below by the State Controller or delegate.Contractor is not authorized to begin performance until such time.If Contractor begins performing prior thereto,the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE CONTROLLER: David J.McDermott,CPA Date 6 - Page 5 of 6 Rev 6/25/09 C/O-/32a This page left intentionally blank. Page 6 of 6 Rev 6/25/09 EXHIBIT A ADDITIONAL PROVISIONS To Task Order Contract Dated 4/18/2012-Contract Routing Number 13 FLA 43185 These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above. 1. The list of acronyms attached hereto as Attachment A-1 may be referenced to in Exhibit A,Exhibit B, and all and any attachments thereof in this Task Order Contract. 2. This Task Order Contract contains federal funds(see Catalog of Federal Domestic Assistance(CFDA) number 93.283) 3. The United State Department of Health and Human Services("USHHS"),through the Centers for Disease Control and Prevention("CDC")has awarded federal funds under Award number U58DP003868-01, hereinafter"Award",to perform the following—breast and cervical cancer screenings,and diagnoses services,if needed,to the point of definitive diagnoses. If the underlying Award authorizes the State to pay all allowable and allocable expenses of a contractor as of the effective date of that Award,then the State shall reimburse the Contractor for any allowable and allocable expenses of the Contractor that have been incurred by the Contractor since the proposed effective date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable and allocable expenses of a contractor as of the effective date of that Award,then the State shall only reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by the Contractor on or after the effective date of this Task Order Contract,with such effective date being the later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the State Controller or delegee. 4. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 27,Annual Audit,for the purpose of this Task Order,the Contractor is a Vendor as defined by Office of Management and Budget(OMB)Circular A-133 (Audits of States,Local Governments,and Non-Profit Organizations). 5. Notwithstanding the terms contained in General Provisions of the Master Contract,Section 25, Conformance with Law,Contractor shall comply with all applicable requirements of the following for Contractor's respective entity type: a. 2 Code of Federal Regulations(CFR)Part 215, Uniform Administration Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations,formerly known as OMB Circular A-110; b. OMB Circular A-I 02, Grants and Cooperative Agreements with State and Local Governments; c. 2 C.F.R.230, Cost Principles for Nonprofit Organizations,formerly known as OMB Circular A- 122; d. 2 C.F.R.225, Cost Principles for State, Local, and Indian Tribal Governments, formerly known as OMB Circular A-87; e. 2 C.F.R.220, Cost Principles for Educational Institutions,formerly known as OMB Circular A- 21; f. OMB Circular A-133,Audits of States, Local Governments, and Non-profit Organizations 6. To receive compensation under this Task Order Contract,the Contractor shall provide cancer screening services to women during the term of this Task Order Contract.The Contractor shall also provide Women's Wellness Connection approved diagnostic services to women that meet the criteria in accordance with the Statement of Work attached hereto as Exhibit B and incorporated herein. The Contractor shall be paid in accordance with rates as outlined in this Task Order Contract. To be attached to CDPHE Page 1 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template EXHIBIT A To be considered for payment, all Women's Wellness Connection services must be entered into eCaST within thirty(30)days of service being performed. Cases that exceed sixty(60)calendar days in screening length and negatively affect the program's Core Performance Indicators may or may not be reimbursed at the discretion of the State. 7. Time Limit For Acceptance Of Deliverables. a. Evaluation Period. The State shall have thirty(30)calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable,except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable,or is otherwise deficient,then the State shall notify the Contractor of the failure or deficiencies,in writing,within thirty(30)calendar days of: 1)the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery;or 2)the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable,the Contractor shall have a reasonable period of time, not to exceed ten(10)calendar days,to correct the noted deficiencies. If the Contractor fails to correct such deficiencies within ten(10)calendar days,the Contractor shall be in default of its obligations under this Task Order Contract and the State,at its option,may elect to terminate this Task Order Contract or the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract. 8. Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination. The State has determined that this Task Order Contract does not constitute a Business Associate relationship under HIPAA. 9. Contractor must notify the State within thirty(30)days of a change of the Project Director or Principal Investigator responsible for the performance of services provided under this Task Order Contract. 10. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9,Rights in Data, Documents and Computer Software or Other Intellectual Property,unless otherwise provided for,all data collected or produced or derived exclusively from the Contractor's or subcontractor's work under this Task Order Contract shall remain the sole property of the State,whether in individual,aggregate, identified or de-identified form or any other form required by the State. To facilitate follow-up,research,surveillance and evaluation,any such data collected,used or acquired shall be made available in any form required by the State,to the State and any other entity designated by the State. Any such data collected,used or acquired shall be used solely for the purposes of this Task Order Contract. The Contractor and its subcontractors agree not to release,divulge,publish,transfer,sell,or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences,which utilize data collected under this Task Order Contract. Notwithstanding the foregoing,the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Task Order Contract and in accordance with professional standards. To be attached to CDPHE Page 2 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template EXHIBIT A Publications,journal articles,etc.produced under a Centers for Disease Control and Prevention(CDC) grant supported project must bear an acknowledgment and disclaimer,as appropriate,for example: "This publication(journal article,etc. was supported by the Cooperative Agreement Number above from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention." 11. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9,Rights in Data, Documents and Computer Software or Other Intellectual Property,or Section 23.i, General Provisions, Media or Public Announcements,the State of Colorado, specifically the Department of Public Health and Environment,shall be the owner of all printed materials,graphic representations,educational materials,audio-visual products,or any other media,in whatever form,created under this Task Order Contract. This requirement applies,but is not limited to,any brochure, flyer,presentation,billboard,radio spot,website,banner advertisement. The State reserves the right to require logos,or other wording on any material,representation,product or other media form created under this Task Order Contract. Any material,representation,product or other media form that will use the State's or logo or information must be approved by the State prior to production and distribution. A minimum of ten(10)business days is required for the review and approval process. Neither the U.S. Department of Health and Human Services(HSS)nor the Centers for Disease Control (CDC) logo may be displayed on any conference materials if such display would cause confusion as to the conference source or give false appearance of Government endorsement. Use of the HHS name or logo is governed by U.S.C. 13206-10,which prohibits misuse of the HHS name and emblem in written communication. A non-federal entity is unauthorized to use the HHS name or logo governed by U.S.C. 1320b-10.The appropriate use of the HHS logo is subject to review and approval of the Office of the Assistant Secretary for Public Affairs(OASPA). 12. Notwithstanding the terms contained in the General Provisions of the Master Contract,Section 25, Conformance with Law,the Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act of 1964, as amended,which states that"no person in the United States shall on the grounds of race,color or national origin,be excluded from participation in,be denied the benefits of,or be subjected to discrimination under any program actively receiving Federal financial assistance." The Office for Civil Rights has established that it is the responsibility of any program that is a recipient of federal funds to ensure that any Limited English Proficient(LEP)person or beneficiary have meaningful access to programs,services and information. The Contractor and contract personnel shall adopt and implement policies and procedures in which reasonable steps are taken to provide language assistance in order to ensure equal access to LEP persons or beneficiaries. The Contractor and contract personnel shall advise LEP individuals that language assistance will be provided at no cost to the LEP person or beneficiary. 13. The State may increase or decrease funds available under this Task Order Contract using a Grant Funding Letter substantially equivalent to Attachment A-2. The Grant Funding Change Letter is not valid until it has been approved by the State Controller or designee. 14. Notwithstanding anything in this Task Order to the contrary,the parties understand and agree that all terms and conditions of this Task Order which may require continued performance,compliance,or effect beyond the termination date of this Task Order and shall survive such termination date and shall be enforceable by the State as provided herein in the event of failure to perform or comply by the Contractor. To be attached to CDPHE Page 3 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template Attachment A-1 Commonly Used Acronyms and Abbreviations That May Be Referenced In the Scope of Work: ACS American Cancer Society ACNS Alamosa County Nursing Service ACF Administration for Children and Families ADA Americans with Disabilities Act ADAD Alcohol and Drug Abuse Division Al IA American Heart Association AIDS Acquired Immune Deficiency Syndrome ALA American Lung Association ALA(C) American Lung Association(of Colorado) AMCHP Association of Maternal Child Health Programs ANA Americans for Non-Smokers'Rights ARC Addiction Recovery Centers ARRA American Recovery and Reinvestment Act ASC Adams State College ASSIST American Stop Smoking Intervention Study ASTHO Association of State and Territorial Health Office B&G Boys&Girls BACCIIUS BACCHUS Peer Education Network BAG Build a Generation BBLHC Boulder Broomfield Latino Health Coalition BC Boulder County BCCP Breast and Cervical Cancer Program BCHD Bent County Health Dept BCPH Boulder County Public Health BCPHA Baca County Public Health Agency BCDSS Baca County Dept Social Services BCTEPP Bent County Tobacco Education Prevention Partnership BGC Boys&Girls Club BGCMD Boys&Girls of Metro Denver MIS Broomfield High School BMTF Baby&Me Tobacco Free BOCES Board of Cooperative Educational Services BOH Board of Health BRFSS Behavioral Risk Factor Surveillance System BVBAG Buena Vista Build a Generation BVSD Boulder Valley School District Bx Biopsy C Choice CAD Coronary Artery Disease CASB Colorado Association of School Board CB Community-based System CBE Clinical Breast Exam CBO Community-based Organization CC Clear Creek CC Custer County CC Community Coordination/Coordinator CCAP Larimer County Child Care Assistance Program CCC Colorado Cancer Coalition CCCHE Colorado Community Coalition for health Equity CCGC Colorado Clinical Guidelines Collaborative CCMC Colorado Clinical Managed Care Network CCMC Commission for Case Manager Certification CCPD Cancer,Cardiovascular,and Pulmonary Disease CCIAA Colorado Clean Indoor Air Act CCTCI Colorado Chew Tobacco Collaborative Initiative Page 1 of 6 Attachment A-1 CCTEPP Custer County Tobacco Education Prevention Partnership CDC Centers for Disease Control and Prevention CDE Colorado Department of Education CDPIIE Colorado Department of Public Health and Environment CDU Chronic Disease Unit CEC Career Education Center CEO Chief Executive Officer CFDA Catalog of Federal Domestic Assistance CFFC Colorado Foundation for Families and Children CHIN Community Health Information Network CICP Colorado Indigent Care Program CJD Colorado Judicial Department CM Case Management CMC Colorado Mountain College CMS Contract Management System CMS Creative Media Solutions CNCC Colorado Northwestern Community College CNS County Nursing Service CO Colorado COD Colorado Donated Dental Services Program COPAN Colorado Physical Activity and Nutrition Program COV Colorado Van Program CPCF Colorado Parent and Child Foundation CPI IA Colorado Public Health Association CPT Current Procedural Technology CRUE Culturally Responsive Urban Education CSAP Colorado Student Assessment Program CSH Coordinated School Health CSU Colorado State University CSU-P Colorado State University-Pueblo's CTC Connect to Care CTEPA Colorado Tobacco Education and Prevention Alliance CTFK Campaign for Tobacco-Free Kids CTRP Colorado Tobacco Research Program CTP Crossroads Turning Point CU University of Colorado,Boulder CWCCI Colorado Women's Cancer Control Initiative CY Contract Year DAISI Denver At-home Intervention Service Initiative DASH Division of Adolescent&School Health (CDC) DCMH Delta County Memorial Hospital DH Denver Health DI HA Denver health and hospital Authority DIIS Department of Human Services DHHS Unites States Department of Health and Human Services DOR Department of Revenue DOS Delta Opportunity School DSS Department of Social Services E&l Education and Information EAP Employee Assistance Program EBHV Evidence-Based Home Visiting to Prevent Child Maltreatment Grant Program ECC Early childhood council ECC Electrocardiogram ECCLC Early Childhood Council of Larimer County ECLC Early Childhood Leadership Council/Commission E.D. Executive Director El IS Early IJead Start EMR Electronic Medical Record Page 2 of 6 Attachment A-1 EMT Emergency Medical Technicians EPA Environmental Protection Agency EPE Epidemiology Planning and Evaluation ESL English as a Second Language ETS Environmental Tobacco Smoke(a.k.a.secondhand smoke) F1RC Family and Intercultural Resource Center FICA The Federal Insurance Contribution Act FDA Food and Drug Administration FNA Final Needle Aspiration FPP Family Planning Program FPL Federal Poverty Level FRCC Front Range Community College FTE Full Time Equivalent FTP File Transfer Protocol FY Fiscal Year FYI Family Youth Initiatives GASO Great American Smoke-out GED General Education Development GASP CO Group to Alleviate Smoking Pollution of Colorado Get R!EAL(GR) Resist!Expose Advertising Lies(Youth Empowerment Program) GLBT Gay,Lesbian,Bisexual,and Transgender GYN Gynecological HCP Health Care Program For Children with Special Needs HCYS Huerfano County Youth Services HHS Health and Human Services HIPPA Health Insurance Portability and Accountability Act of 1996 HIPPY Home Instruction for Parents of Preschool Youngster filT Health Improvement Team lily Human Immunodeficiency Virus HPV Human Papillomamavirus HR Human Resources h hour HRSA Health Resources and Services Administration HSL High School Leadership ID Identification IIK Invest in Kids ISHT Interagency School Health Team IT Information Technology JAC Juvenile Assessment Center KIS Keeping in STEPP KMH Keefe Memorial Hospital KPC Kevin Patrick Caleum LAHCDHD Las Animas Huerfano Counties District Health Department LBW Low Birth Weight LC Learning Community LGBT Lesbian,Gay,Bisexual,Transgender LEM Latinas en Movimiento LHA Local Ilealth Agency LIID Local Health Department LLC Limited Liability Company LRCC Latino Regional Community Coalition LRPC Latino a Research and Policy Center LST Life Skills Training LSTPEN Latino Statewide Tobacco Prevention and Education Netw LWB Live Well Broomfield MCHA Montezuma Housing Authority MCHD Montezuma County Health Department MCHS Montezuma-Cortez High School Page 3 of 6 Attachment A-1 MCPN Metro Community Provider Network MCRC Media Campaign Resource Center—CDC MD Medical Doctor MHCBBC Mental Health Center Serving Boulder and Broomfield Counties MIECHV Maternal,Infant and Early Childhood Home Visiting Program MO Month MOB Medical Office Building MOU Memorandum of Understanding MPA Master of Public Administration in Health and Human Services MPH Master of Public Health MRI Magnetic Resonance Imaging Scan MS Master of Science MSA Master Settlement Agreement MUH Multi-user Housing MYAT Multi-Disciplinary Youth Assessment Team N/A Not Applicable NACCHO National Association of County and City Health Officials NACR Native American Cancer Research NAQC North American Quitline Consortium NASBE National Association of State Board of Education NC HD Northeast Colorado I lealth Department NCI National Cancer Institute NE North East NIP Nurse-Family Partnership NFPNSO Nurse-Family Partnership National Service Office NIIVP Nurse Home Visitor Program NIDA National Institute on Drug Abuse NIH National Institute of I lealth NJH National Jewish Medical and Research Center N-O-T Not-on-Tobacco,(ALA's Youth Smoking Cessation Program) NP Nurse Practitioner NPP Nurturing Parenting Program NRT Nicotine Replacement Therapy NSBA National School Boards Association OSH Office on Smoking or Health (CDC) OTC Over the Counter PA Physician's Assistant PAC Prevention Awareness Crew PACT Partners Assessing Chew Tobacco PAT Parents as Teachers PCCHD Pueblo City-County Health Department PPC Personal Care Providers PE Presumptive Eligibility PEN Parent Engagement Network PVCHC Peak Vista Community Health Center MIN Public Health Nurse PIO Public Information Officer PM Peer Mentor PMC Parkview Medical Center PMR Planning Management Region PN Patient Navigator PO Purchase Order PPC Policy Partner Committee PPFC Pikes Peak Family Connections PPN Prevention Policy Network PRA Policy Resource Alliance PRAMS Pregnancy Risk Assessment and Monitoring Survey PRIDE Pure Respect Initiative Direct Education Page 4 of 6 Attachment A-1 PSA Public Service Announcement PSD Prevention Service Division PTEPP Pueblo Tobacco Education and Prevention Partnership PVC Prairie View Clinic Ql Quarter One Q2 Quarter Two Q3 Quarter Three Q4 Quarter Four QI Quality Improvement QOL Quality of Life RDAC Regional Disparities Advisory Council RFA Request for Applications RFP Request For Proposals RIE Reach,Implementation and Effectiveness RII IEL Regional Institute for Health and Environment RMC Rocky Mountain Center fur Health Promotion&Education RMRH Rocky Mountain Rural Health RMYC Rocky Mountain Youth Corps RN Registered Nurse Rx Prescription RY Reconnecting Youth SafeCare SAME ISA Substance Abuse Mental Health Services Administration SB School-based System SBAG Salida Build A Generation SBHC School-Based Health Centers SCYC School Community Youth Coalition SCRHC Southern Colorado Regional Health Collaborative SD Service Delivery SECH Southeast Colorado Hospital SEMHS Southeast Mental Health Services SES Socio-Economic Status SEW School Employee Wellness SGR Surgeon General's Report SHAC Smoke-free Housing Action Committee Sill School Health Index SHS Secondhand Smoke SIDS Sudden Infant Death Syndrome SLV San Luis Valley SMART Staying Motivated at Reducing Temptations SMART OUTCOME OBJECTIVE Specific,Measurable,Achievable,Realistic,Time-Bound SMSU Self Management Service Unit SRO School Resource Officer STD Sexually Transmitted Disease STEPP State Tobacco Education and Prevention Partnership STW Straight-to-Work SVVSD St.Vrain Valley School District SWOT Strengths,Weaknesses,Opportunities,Threats SYNAR Synar Regulation TA Technical Assistance TABS Tobacco Attitudes and Behavior Survey TAG Technical Advisory Group(for evaluation&TPEG) TANF Temporary Aid to Needy Families TARP Tobacco Advocacy and Resource Partnership TBD To Be Determine TCP Tobacco Control Partners TDAC Tobacco Disparities Advisory Council TDG Tobacco Disparities Grant Page 5of6 Attachment A-1 1 TDS Tobacco Disparities Subcommittee ! TEACH Teaching Equity to Advance Community Health TEFAP The Emergency Food-Assistance Program • TEPP Tobacco Education Prevention Partnership TFCCI Tobacco-Free Colorado Communities Initiative TFLC Tobacco Free Larimer County TFS Tobacco-Free Schools TFS Law Tobacco-Free Schools Law TGYS Tony Grampsas Youth Services Title V Title V of the Social Security Act TND Project Toward No Drug Abuse TPEG Tobacco Program Evaluation Group TPl Tobacco Prevention Initiative TRC Tobacco Education and Prevention and Cessation Program Review Committee TM Tobacco Rapid Improvement Activity '` TRIA Tobacco Rapid Improvement Assessment v TTl Tony Grampsas Tobacco Initiative UCD University of Colorado—Denver V: UCDHSC Health Sciences Center at UCD(sometimes abr.UCHSC) UCDHSC University of Colorado at Denver and Health Sciences Center US United States of America A'.. USSTC US Smokeless Tobacco Company ;;t VP Vice President Well COA Wellness Councils of America WHU Women's Health Unit WIC Women,Infants,Children .j WWC Women's Wellness Connection Y@C Youth at Crossroads YE Youth Empowerment YPH Youth Partnership for Health Yr Year YRBS Youth Risk Behavior Survey YSAP Youth Substance Abuse Prevention Coalition YTS Youth Tobacco Survey YVMC Yampa Valley Medical Center 5 A's Ask,Advise,Assess,Assist,Arrange 2A's R Ask,Advise,Refer Page 6 of 6 Attachment A-2 GRANT FUNDING CHANGE LETTER Date: I State Fiscal Year: I Grant Funding Change Letter# i CMS Routing# TO: Insert Grantee's name In accordance with Section of the Original Contract routing number , [insert the following language here if previous amendment(s), renewal(s) have been processed] as amended by [include all previous amendment(s), renewal(s) and their routing numbers], [insert the following word here if previous amendment(s), renewal(s) have been processed] between the State of Colorado, Department of Public Health and Environment and Contractor's Name beginning Insert start date <insert start date of original contract> and ending on Insert ending date <insert ending date of current contract amendment>, the undersigned commits the following funds to the Grant: The amount of grant funds available and specified in Section of<insert contract amendment number and routing number> is ❑ increased or❑ decreased by$amount of change to a new total funds available of$ <insert new cumulative total>for the following reason: Section is hereby modified accordingly. This Grant Funding Change Letter does not constitute an order for services under this Grant. The effective date of hereof is upon approval of the State Controller or , whichever is later. STATE OF COLORADO John W. Hickenlooper, GOVERNOR Department of Public Health and Environment PROGRAM APPROVAL: By: Lisa Ellis, Purchasing & Contracts Unit Director By: Date: ALL GRANTS REQUIRE APPROVAL BY 1'HE STATE CONTROLLER CRS§24-30-202 requires the State Controller to approve all State Grants.This Grant is not valid until signed and dated below by the State Controller or delegate.Grantee is not authorized to begin performance until such time.If Grantee begins performing prior thereto,the State of Colorado is not obligated to pay Grantee for such performance or for any goods and/or services provided hereunder. - • STATE CONTROLLER David J. McDermott, CPA By: Date: Page 1 of 1 EXHIBIT B STATEMENT OF WORK To Task Order Contract Dated 04/18/2012-Contract Routing Number 13 FLA 43185 These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. I. Project Description: Project Period: Date of fully executed contract-June 30,2013. Background: The WOMEN'S WELLNESS CONNECTION (WWC) program provides low-income, uninsured and underserved women demonstrating lawful presence in Colorado access to timely, high-quality screening and diagnostic services to detect breast and/or cervical cancer at the earliest stages. It is a state-run program funded by the National Breast and Cervical Cancer Early Detection Program(NBCCEDP),which is administered through the Centers for Disease Control and Prevention (CDC), and Amendment 35 Tobacco Tax state funds. Services are available across Colorado. Direct Beneficiaries: Direct beneficiaries are women residing in Colorado who are uninsured or underinsured; and who meet age, income and lawful presence requirements of the program. Target populations include women of diverse ethnic backgrounds, women living in geographically isolated and medically underserved areas, those who are rarely or never screened for breast and/or cervical cancer, and women between the ages of 50-64 for screening mammograms. Project Goals: 1. To deliver quality breast and cervical cancer screening and diagnostic services. 2. To provide women with an abnormal screening with quality case management services. 3. To provide these services at Medicare rates. II. Definitions: Breast Cancer Screen — Standard testing performed to determine the presence or non-presence of breast cancer. Standard screening tests include a clinical breast exam(CBE)and a mammogram. Bundled Payment System—Reimbursement system developed and administered by the WWC Program. Reimbursement within this system is provided at the end of the case and at increasing levels depending on case complexity. Cervical Cancer Screen — Standard testing performed to determine the presence or non-presence of cervical cancer. The standard screening tests are a Pap test and pelvic exam. Contractor—Agency responsible for signing and administering this contract. Definitive Diagnosis—The final point in cancer screening care where it is determined whether a woman has or does not have breast or cervical cancer, This information is usually obtained after diagnostic services have been rendered. Diagnostic Testing—Further testing used when a definitive diagnosis is unable to be determined by the results of prior screening tests. Page I of8 Exhibit B-Statement of Work V l/MAR2012 EXHIBIT B eCaST—An electronic database system the WWC Program uses to track women screened,administer payment to contractors for services performed and for report data to the CDC. Lost to Follow Up—Clients screened within the program are considered to be lost to follow up when the Contractor has contacted the client three times,once by certified letter,before ending case management efforts. Evidence of these contacts should be part of the client's medical record. Network — Any provider site that works under the contractor name and receives fiscal and administrative assistance to do business. Progress Report—A report that provides meeting standard(green),close to standard(yellow)and far from standard(red)performance ratings on various deliverables in this scope of work. This report is generated by WWC on a quarterly basis and shared with Contractors individually. This report may be used as the basis for determining Contract Monitoring System ratings, funding decisions,and implementation of performance improvement plans. Three or more far from standard(red)ratings on this report will cause a Contractor to receive a below standard rating in the deliverables section of the Contract Monitoring System worksheet. Refused—Clients screened within the program are considered to be refusing care if they choose not to complete follow up care that is recommended for them. This refusal may occur verbally or in writing. Documentation of this refusal should be kept in the client's medical record. Subcontractor—An entity in the community that provides services for the Contractor that the Contractor cannot perform onsite. Agreements are made between the Contractor and the subcontractor directly; WWC is not involved in these negotiations or agreements. WWC is not responsible for reporting to or providing reimbursement for any services to subcontracted entities. An additional Acronym list will be included with the Additional Provisions(Exhibit A). III. Performance Requirements/Deliverables: Under this arrangement,the contractor shall provide and perform the following: 1. Administration: a. Contact information must be updated annually to start work under this contract. An Agency& Site Contact Form shall be sent to the Contractor by the State;the Contractor must complete and submit the form by July 1,2012 in order to start work under this contract. All staff changes during the contract year must be reported to the WWC within fifteen(15)calendar days. b. Security access to eCaST must be renewed annually to start work under this contract. An eCaST Renewal Form shall be sent to the Contractor by the State;the Contractor must complete and submit the form by July 1,2012 in order to start work under this contract. c. If applicable,the Contractor must maintain a network of subcontractors and submit an updated list of these subcontractors annually to start work under this contract. A Subcontractor Form shall be sent to the Contractor by the State;the Contractor must complete and submit the form by July 1,2012 in order to start work under this contract. i. All subcontractor changes during the contract year must be reported to the WWC within fifteen(15) calendar days. d. The Contractor must identify and support a WWC Coordinator,Contacts Description document is located at: http://womenswellnessconnection.org/sowfv13appendices.html. i. The role of the WWC coordinator will be the point of contact between the Contractor and WWC and will be considered the lead for the program at the agency level. ii. It is expected that the WWC coordinator will promote and distribute the communication of updates, policy changes,trainings,conference calls,progress reports,etc. throughout the Contractor and to necessary staff. iii. It is expected that the WWC coordinator will be responsible for ensuring that deliverables in this scope of work are achieved. Page 2 of 8 Exhibit B-Statement of Work V1/MAR2012 EXHIBIT B e. The Contractor must identify and support an eCaST Coordinator,Contacts Description document is located at: http://womenswellnessconnection.ore/sowfvl3appendices.html. The role of the eCaST coordinator is to ensure that all information about clients screened under the WWC Program is entered into eCaST. a. It is expected that the eCaST coordinator will maintain data in eCaST that is up-to-date and meets eCaST-specific Performance Indicators. Specific eCaST reports should be run and cleaned on a regular basis,guidance on running these reports is provided in the eCaST Reports Quick Reference located at: http://womenswellnessconnection.ore/sowfyl3appendices.html. b. Respond to biannual Minimum Data Element(MDE)clean-up activities within the deadline specified by WWC. c. The WWC Coordinator role and eCaST Coordinator roles may be filled by the same person at each Contractor. f. The Contractor must identify and support a Clinical Liaison,Contacts Description document is located at: http://womenswellnesseonneetion.org/sowfy13appendices.html. i . The clinical liaison must be a nurse(RN)or preferably a nurse practitioner,physician's assistant or physician. ii. Receive and disseminate information on clinical policy changes and implementation of clinical guidelines to all clinical staff involved with the program. iii. Ensure that program clinical guidelines and policies are understood and implemented by all clinical staff involved with the program. iv. Attend 100%of WWC clinical webcasts or review a recorded version at a later time. Disseminate information shared from webcasts with the Contractor's clinical staff. 2. Network: a. Contractors are strongly encouraged to perform basic breast and cervical cancer screening services on-site. These basic screening services include clinical breast exams,pelvic exams and Pap tests. b. For services that cannot be provided on-site,the Contractor must maintain a network of subcontractors to ensure that all steps involved in the breast and cervical screening and diagnostic process can be performed within 60 days of the first abnormal finding. All services referenced on the Current Procedural Technology (CPT)code list,information is located at: http://womenswellnessconnection.ore/sowfvl3appendices.html,should be provided via the Contractor, or through a subcontractor agreement. c. Subcontracts must be secured with local providers to the extent possible. Women should not be required to travel more than 60 miles for any service unless a highly specialized service(breast surgery,stereotactie biopsy,etc.) is required and is not available at any facility in that radius. d. Subcontractors: Service performed by subcontractors shall: 1. Be performed in an outpatient setting to the extent possible. 2. Not exceed the Medicare reimbursement rate as established in the annual CPT code list.This list is typically updated during the first few months of the calendar year,however,rates in the CPT code list that is included as part of this scope of work shall be the rates that Contractors use through the entire fiscal year. 3. Only perform and charge the Contractor for procedures in the CPT code list. 4. Not be charged to WWC eligible women unless services are performed that are not on the CPT code list. If services outside of the CPT code list are required,arrangements for completing and paying for services should be specified in the subcontractor agreement. Women may be charged for services outside the CPT code list,but should be notified before services are performed and be told how much they will cost. 5. Be agreed upon in writing through the use of a signed contract or memorandum of understanding which includes the Period of service. 3. Enrollment: a. The contractor must ensure that women screened under the WWC program: i. Meet WWC Program Eligibility Criteria,document located at: http://womenswellnessconnection.ore/sowfy 13appendices.html. ii. Eligibility guidelines may be updated during the period this scope of work is in effect. When new eligibility guidelines are adopted for implementation by the WWC,the Contractor will be notified Page 3 of 8 Exhibit B-Statement of Work V 1/MAR2012 EXHIBIT B and responsible for implementing necessary changes to the Contractor workflow by a date determined by WWC. iii. Provide eligibility screenings and referrals in Spanish or other languages as requested. b. Meet Lawful Presence Requirements. This requirement is met for each client by: i. Annually obtaining a signed lawful presence affidavit,a sample and information is located at: http://womenswellnessconnection.ore/sowfvl3appendices.html,and incorporated herein by this reference and keeping a copy in the patient's medical record before services are rendered. ii. Annually verifying required documentation for proof of lawful presence according to Department of Revenue guidelines: http://www.colorado.gov/cs/Satcllite/Revenue-Main/XRM/1216289012112. iii. Document verification of lawful presence on the WWC Patient History Form located at: http://womenswellnessconnection.org/sowfvl3appendices.html and in eCaST for each woman the Contractor will be requesting reimbursement. 1. The"Verified Legal Presence"box must be checked in the electronic record in eCaST. 2. Failure to document in eCaST will result in non-payment of all services rendered. 3. If documents used to verify lawful presence expire within the year following the original screening and the client is seeking additional services through the program,the Contractor is responsible for updating such documents before additional services are rendered. 4. Billing and Reimbursement: a. The Contractor shall only request reimbursement from the WWC for a case that meets eligibility, timeliness,performance and data requirements. b. Reimbursement is determined by the outcome of the case,therefore, cases must be clinically complete before reimbursement occurs. Reimbursement will occur according to the WWC Bundled Payment System located at: http://womenswellnessconnection.org/sowfvl3appendices.html,and incorporated herein by this reference. Rates may be revised or updated during the period this scope of work is in effect. If changes are required to the Bundled Payment System,the Contractor will be notified at least thirty(30)days prior. c. Cases may not be paid if: i. They are abnormal and they exceed sixty(60)days in screening length. ii. Procedures are entered into eCaST thirty(30)days or more after being performed. iii. The data is not entered completely or accurately into the eCaST data system. d. Cases closed in eCaST as Lost to Follow-Up or Refused will be paid at the highest level achieved as long as evidence of contact attempts is documented in the case management module of eCaST. e. It is expected that if a Contractor enrolls a client in WWC and provides initial cancer screening services,the same Contractor will be responsible for entering all data in eCaST and assuring that clinically appropriate follow-up care is completed through case management services. The WWC program will only pay one Contractor for services provided. f. The WWC program only provides reimbursement for each client's clinically complete case once per fiscal year. Short-term follow-up that occurs within the same fiscal year is not reimbursed. g. Women eligible for WWC may be enrolled in the program at any point in their screening or diagnostic cancer screening care prior to biopsy. Women should be enrolled and noted as"referred in for diagnostics" in eCaST. Once all data is entered and the case in clinically complete,cases will be reimbursed based on the difference between screening and diagnostic level achieved in the bundled payment system. h. It is expected that reimbursement will cover costs associated with: i. Enrollment of women into the WWC Program; ii. Cancer screening services,as outlined in the Current Procedural Technology(CPT)code list located at: http://womenswellnesseonnection.org/sowiv13appendices.html); iii. Patient navigation and case management services; iv. Entry of all information into eCaST;and v. Administrative procedures to place women with a positive diagnosis of breast and/or cervical cancer into the Medicaid Program. Data entered into eCaST are the basis for calculating reimbursement for each client screened. J. One reimbursement check for all completed screenings that have met data and quality standards will be sent to the Contractor each month. i. WWC will generate Contractor grant activity statements based on data entered into eCaST each month on the 15'5 or next business day thereafter. ii. WWC will generate the final grant activity statement on the last business day in July. Cases that were Page 4 of8 Exhibit B-Statement of Work V I/MAR2012 • EXHIBIT B clinically complete by June 30th,that are not entered,or not entered correctly, into eCaST by the last business day in July will not be paid by WWC. 5. Service Delivery: a. The Contractor shall follow and utilize all policies and guidelines according to the WWC Provider Toolkit located on the internet at: https://docs.eooele.com/file/d/OB9UrHzcBKK4hOTZINmI3YmYtZGY3MS00NzU3LWIvZTOtY2Y4Yzh mZTlxMzU0/edit?hl=en US i. The Provider Toolkit maybe updated during the period this scope of work is in effect.When new documents/policy/guidelines or toolkit directives are adopted for implementation,the Contractor will be notified and responsible for implementing necessary changes by a date determined by the WWC. ii. The Contractor shall implement the most current American Society for Colposcopy and Cervical Pathology(ASCCP)consensus guidelines for cervical cancer screening services and the California Department of Health Services Breast Cancer Diagnosis Algorithms for breast cancer screening services unless otherwise notified by the WWC program. b. All clients screened through WWC must be assessed for smoking status an provided with referrals to the Quitline per the WWC Tobacco Use Assessment Policy located at: http://womenswellnessconnection.org/sowfyl3appendices.html 6. Case Management a. Case management services are required for every client with an abnormal screening in the program. Within the Bundled Payment System,Contractors are reimbursed for case management services depending on the outcome or complexity of the case. b. Case management services are provided through a wide range of intervention types including but not limited to phone calls,letters,certified letters,clinic visits,social media and home visits. c. In order to receive reimbursement for case management services,Contractors must do the following: i. Notify the patient of an abnormal result within two(2)weeks of the procedure ii. Use WWC approved algorithms to determine next steps iii. Assess clients for barriers to completing recommending diagnostic tests iv. Actively schedule diagnostic appointments on the patient's behalf This may be completed directly by the Contractor or by the subcontractor. Clients should not be given a referral list and asked to schedule their own appointments. v. Implement the WWC Lost to Follow Up Policy located at: http://wo menswellnessco n nection.org/sowfy 13appendices.html) d. The following case management services should be offered on an as needed basis: i. Accompany clients to appointments ii. Arrange for qualified interpreter iii. Coordinate clinical care iv. Make referrals to other health care services v. Provide patient education,advocacy and/or coaching vi. Work with patient's support system/family vii. Provide emotional support e. Clinical aspects of case management should be provided by licensed health care providers in good standing to provide healthcare in the state of Colorado. 7. Performance Standards: a. The WWC program will conduct Contract Management System performance ratings three(3)times per year. b. The WWC program will conduct an annual contract monitoring assessment for each Contractor before July 1,2012. Contractors with high risk assessments may be required to have additional contract monitoring practices put into place. c. The contractor will meet or exceed WWC performance benchmarks. These performance benchmarks are reported to Contractors on a quarterly basis with WWC Progress Reports,a Progress Report Sample is located at: http://womenswellnessconnection.org/sowfyl3appendices.html. Page 5 of 8 Exhibit B-Statement of Work V 1/MAR2012 EXHIBIT B i. Contractors receiving three or more"far from standard(red)"ratings for a period of six(6)months or more will be given a below standard rating on the Contract Management System report. H. Contractors who receive a below standard will be contacted by the WWC within two(2) weeks and may be placed under a performance improvement plan. Hi. The performance improvement plan will have expectations set by the WWC with time frames for completion. 1. Contractors are responsible for developing and implementing a quality improvement plan to meet expectations. 2. Unmet expectations may result is cancellation or limitation of the contract. 8. Site Visits: a. The WWC will perform site visits to Contractors as needed. The purpose of a WWC site visit is to provide, promote and ensure quality breast and cervical cancer screenings in Colorado at local agencies by focusing on administrative and management functions and clinical oversight. b. Selection of contractors to visit is based on,but not limited to,the following: i. WWC Progress Reports; ii. eCaST data reports, iii. Technical assistance needs; iv. Adherence to this scope of work; v. Participation in program trainings,conference calls and webinars;and vi. Ability to refer positively diagnosed women to Medicaid treatment. c. Site visits will include, but not be limited to: i. Completion of the WWC site visit prep tool; H. Chart audit; Hi. Review of subcontractor agreement(s); iv. Review of program administration and program management; v. Review of clinical services and case management activities; and vi. Implementation of a corrective action plan for agencies not meeting two or more performance indicators for a period of six(6)months or more prior to the site visit d. WWC will provide a final report to the contractor within thirty(30)days of the visit. 9. eCaST System: a. WWC staff,(WWC Current Staff Listing located at: http://womenswellnessconnection.ore/sowfyl3appendices.html)will provide training on the eCaST system to the Contractor, its administration staff, fiscal staff and provider site staff unless otherwise approved by the program. i. Any changes to Contractor staff responsible for WWC data entry must be reported to the Department within fifteen(15)days. H. New data entry staff must be trained by WWC on eCaST within thirty(30)days of hire,unless otherwise approved by the program. 10. Communication: a. When corresponding with the WWC Staff,Contractors must use all privacy and security measures to protect the client's personal health information. i. Accepted forms of communication include: 1. WWC identification number used in unencrypted email conversations; 2. Mail or fax clearly marked"Confidential"; 3. HIPAA compliant files transmitted via secure File Transfer Protocol(FTP)sites; and 4. Secure encrypted email. H. If a Contractor intends to use data from eCaST for publications,conference presentations,and/or research projects,the Contractor must notify and receive prior approval from the WWC Program. Hi. WWC will include the Contractor in all relevant program communications that may impact the success of this contract, including: 1. eConnect; 2. eCaST Broadcast messages; 3. Special announcements to WWC providers;and Page 6 of 8 Exhibit B-Statement of Work V 1/MAR2012 EXHIBIT B 4. Other communications. b. Contractor staff will respond to WWC emails,voicemails and faxes within 72 hours unless otherwise specified. c. Contractors are encouraged to contact WWC staff at any time with program questions or needs. 11. Training a. At least one representative from the Contractor and/or its network provider sites must attend meetings or conference calls hosted by WWC staff or review meeting minutes or a recorded version at a later time to ensure compliance with this contract. i. The Contractor will attend WWC sponsored conference calls, meetings and trainings, including but not limited to: 1. 50%of WWC monthly Health Improvement Team(HIT)calls; 2. 50%of bimonthly eCaST Users Group Conference Calls; 3. 100%of WWC clinical webinars; and 4. Other meetings and trainings upon request. ii. WWC will attend conference calls and meetings as needed and upon special request of the Contractor. 12. Medicaid Treatment for WWC Women Diagnosed with Cancer a. The Contractor will ensure enrollment of eligible women with a positive diagnosis of breast or cervical cancer into the Breast and Cervical Cancer Medicaid Program through the following specific procedures: i. Using of the Step Enrollment Process, information located at: thttp://womenswellnessconnection.org/sowly13appendices.html. ii. Submitting initial completed paperwork to WWC within five(5)business days of cancer diagnosis. The initial paperwork includes: • WWC Personal History form; • WWC Rules Form; • Lawful Presence affidavit; and • Pathology report confirming the diagnosis. iii. Completing eCaST data entry within twenty-four(24)hours of diagnosis. iv. Submitting final completed paperwork to WWC within five (5)business days of receiving approval for presumptive eligibility. This final paperwork includes: • Medicaid application signature page; and • Presumptive eligible form. v. Submitting complete Medicaid application to local Social Service agencies within fifteen(15)days after diagnosis. b. Documents used in the process of enrolling women into Medicaid for treatment may be updated during the period this scope of work is in effect. When new documents are adopted for implementation by WWC,the Contractor will be notified and responsible for implementing necessary changes by a date determined by the WWC. 13. Budget Management a Each Contractor receives a capped funding amount that they can use to provide services under the WWC program each fiscal year. Once this funding cap has been reached, the WWC program will not pay for any additional expenses incurred by the Contractor. b. The capped funding amount is determined based on a competitive application process that will take place each spring prior to the start of the fiscal year. Funding amounts will be adjusted based on the results of this competitive application process. If a Contractor does not submit and competitive application for funding by the specified deadline,no additional will be allocated to that Contractor during the fiscal year. c. Contractors are responsible for management of funds including: i. Ensuring that all funds are fully spent by the end of the contract period; ii. Running eCaST report#81 —Screening Budget Tracking—monthly(after the 15`h of the month)to determine spending status; and iii. Making programmatic changes as needed to adjust spend rate. d. Changes to basic eligibility requirements of the program may not be made by the Contractor without WWC approval including: Page 7 of 8 Exhibit B-Statement of Work V I/MAR2012 EXHIBIT B i. Age requirements; ii. Income requirements; iii. Insurance status;and iv. Legal presence requirements. e Contractors who are under spent in their budgets may have funds taken back and reallocated to other Contractors at any time during the contract period. IV. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Program's Women's Wellness Connection Unit Manager. Methods used will include review of documentation reflective of performance to include quarterly progress reports and site visits,CMS Reports,eCaST data and surveys. The Contractor's performance will be evaluated at set intervals and communicated to the contractor.A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. V. Resolution of Non-Compliance: The Contractor will be notified in writing within thirty(30)calendar days of discovery of a compliance issue. Within sixty(60)calendar days of discovery,the Contractor and the State will collaborate,when appropriate,to determine the action(s)necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s)and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line,the Contractor must email a request to the Women's Wellness Connection Unit Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s)to ensure time lines are met and the issue(s)is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan,the State may exercise its rights under the Remedies section of the General Provisions of this contract. Page 8 of 8 Exhibit 8-Statement of Work V I/MAR2012 1 6 6 1 2 0 1 Memorandum TO: Office of Clerk to the Board to the Weld We County Commissioners WELD.-CC OUNTY FROM: Administration Division-Department of Public Health and Environment DATE: Su I a- a 3, 4940, 2- SUBJECT: yjvJC CO Oa c r Attached to this memo is the finalized contract that the Health Department has received. Please sign and date below indicating you have received the finalized contract and return this signed memo to the Administration Division of the Health Department. Please send the confirmation receipt to my attention. Thank you for your assistance with the processing of this document. ATTN: (.4 a t.) Contract Name: Wt roc nIS VvLti nit ss Connect) CM (enheaCr Resolution Number: a Di a / 3 90- Finalized Contract Received By: TOY11\ -Son- 1SDIri .,. Vq N 1;% .! ni fe 'um Date Received: "1 - 13y-1a C r so it = cng f" D mZi �-< o `" C. Enclosure Hello