HomeMy WebLinkAbout20021371.tiff RESOLUTION
RE: APPROVE TASK ORDER RENEWAL LETTER#2 FOR EARLY AND PERIODIC
SCREENING DIAGNOSIS AND TREATMENT (EPSDT) 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 Task Order Renewal Letter#2 for the
Early and Periodic Screening Diagnosis and Treatment (EPSDT) 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, 2002, and ending
June 30, 2003, with further terms and conditions being as stated in said Task Order Renewal
Letter#2, and
WHEREAS, after review, the Board deems it advisable to approve said Task Order
Renewal Letter#2, 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 Task Order Renewal Letter#2 for the Early and Periodic
Screening Diagnosis and Treatment (EPSDT) 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 Task Order Renewal Letter#2.
(7C % 77EL, Cy Q.,;AS S t`� 2002-1371
HL0029
TASK ORDER RENEWAL LETTER#2 FOR EPSDT PROGRAM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 29th day of May, A.D., 2002.
BOARD OF COUNTY COMMISSIONERS
®�// L WELD /;0UNTY, COLORADO
ATTEST: E 7Ne(Ey/W�//! !+ �°�e`//��, .,.ea_a,t lhis...C.
V GIeTuVaad, Chair
Weld County Clerk to th o. '
1861 ?1& Gc�1c-
Davi. E. L g, Pro-Ter
BY: r,. • ���,. ' AI
Deputy Clerk to the B (1 h f~'# /-
M. J. Geeile0�
APPROVED A T6 FORM: le"'^�'•O“'
< illiam H. Jerke
County Atto ney �/
Robert D. Masden
Date of signature: �6
2002-1371
HL0029
STATE OF COLORADO
Bill Owens,Governor
Jane E.Norton,Executive Director O! CO(
Q p
Dedicated to protecting and improving the health and environment of the people of Colorado �Q
.v o
4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division
Denver,Colorado 80246-1530 8100 Lowry Blvd. •�;,,. }
Phone(303)692-2000 Denver,Colorado 80230-6928 .._1a76...- '.
TDD Line(303)691-7700 (303)692-3090 Colorado Department
Located in Glendale,Colorado of Public Health
hap;//www.cdphe.state.co.us and Environment
May 23,2002 Task Order Renewal Letter
Task Order Renewal Letter Number 02, Contract Routing Number 03 FAA 00250
State Fiscal Year 2002-2003, Early and Periodic Screening Diagnosis and Treatment(EPSDT)Program
Pursuant to Part F.3.of the Master Contract with contract routing number 00 FAA 00008 and paragraph E.17.of the Task Order with
contract routing number 01 FAA 00214 and contract encumbrance number PO FAA EPS0100214,as amended by Task Order Change
Order Letter 1,contract routing number 01 FAA 01220,Task Order Change Order Letter 2,contract routing number 02 FAA 00163 and
Task Order Renewal Letter 1,contract routing number 02 FAA 00142,hereinafter referred to as the"Original Task Order"(a copy of
which is attached hereto and by this reference incorporated herein and made a part hereof)between the State of Colorado,Department of
Public Health and Environment and Board of County Commissioners of Weld County for the renewal term from July 1,2002,
through June 30,2003,the parties agree that the maximum amount payable by the State for the eligible services referenced in Part B of the
Original Task Order is increased by EIGHTY-THREE THOUSAND FOUR HUNDRED DOLLARS,($83,400.00)for a new total
financial obligation of the State of TWO HUNDRED FIFTY-SEVEN THOUSAND FIVE HUNDRED FIFTY-THREE DOLLARS
($257,553.00). The Scope of Work,which is attached hereto as"Attachment 1",and the budget,which is attached hereto as"Attachment
2",are incorporated herein by this reference and made a part hereof. The first sentence in Part C of the Original Task Order is hereby
modified accordingly. All other terms and conditions of the Original Task Order are reaffirmed. The proposed effective date of this Task
Order Renewal Letter is July 1,2002. However,in accordance with section 24-30-202,C.R.S.,as amended, in no event shall this Task
Order Renewal Letter be deemed valid until it shall have been approved by the State Controller or such assistant as he may designate.
Please sign,date,and retum all four(4)originals of this Task Order Renewal Letter by June 17,2002,to the attention of:Peggy Becker,
Colorado Department of Public Health and Environment,4300 Cherry Creek Drive South,Denver,Colorado 80246-1530,Mail
Code:PAD-HCP-A4. One original of this Task Order Renewal Letter will be returned to you when fully approved.
Board of County Commissioners of Weld County STATE OF COLORADO
(a political subdivision of the state of Colorado) Bill Owens,Governor
By: By:
Name: Glenn Vaad For the Executive Dir ct
Title: Chair DEPARTMENT OF ' :LIC HEALTH
FEIN: 84-6000813 AND ENVIRONME T
Date: May 29. 2002
FOR THE STATE CONTROLLER: PROGRAM APPROVAL:
Arthur L.Barnhart,State Controller
By: � - By:
Date: 773/O .Z
WELD COUNTY DEPARTMENT OF
PU UC HEA� ENV
BY:
o:\EPSDT2002-2003 Grant\Weld-Task Order Renewal Later doc Mark E. Wallace, MD, AWE-Director
aooz-/37/
ATTACHMENT 1
EARLY AND PERIODIC SCREENING,DIAGNOSIS AND TREATMENT (EPSDT)
EPSDT Outreach and Case Management Program
Colorado Department of Public Health and Environment
FY 2002 -2003
SCOPE OF WORK
FOR CONTRACTED LOCAL PUBLIC HEALTH DEPARTMENTS AND COUNTY
NURSING SERVICES
•
1. Authority Health Care Policy and Financing (HCPF) is the single state agency
responsible for the administration of Medical Services (Medicaid) pursuant to Title XIX
of the Social Security Act; and HCPF is mandated by the U.S. Department of Health and
Human Services (HHS) to administer the Medicaid Early and Periodic Screening,
Diagnosis and Treatment (EPSDT) Program according to provisions as specified in 42
CFR 441.50-441.62, 42 CFR 432.2, 42 CFR 432.50 and OBRA 89, FIB 1089. HCPF is
authorized to enter into interagency agreements with the state agency responsible for the
administration and supervision of Title V services in the State of Colorado (Section 26-4-
104, CRS 1973, as Amended).
Pursuant to an Interagency Agreement between HCPF and the Colorado Department of
Public Health and Environment (CDPHE), CDPHE is authorized to prepare subcontracts
between C DPHE a nd local he alth o r alternative qua lified a gencies (Local Agency) to
accomplish the EPSDT outreach and case management activities. CDPHE shall
effectively determine local contract allocations, including staffing arrangements, based
upon workload expectations, performance, cost and budgetary factors.
2. Confidentiality. Local Agency shall protect the confidentiality of all applicant/client
records and other materials that are maintained in accordance with this Scope of Work.
Except for purposes directly connected with this Scope of Work, no information about or
obtained from any applicant/client in Local Agency's possession shall be disclosed in a
form identifiable without the consent of the applicant/client or the parent or guardian of a
minor applicant/client, or without a valid order of a court of competent jurisdiction.
Local Agency shall have written policies governing access to, duplication, and
dissemination of, all such information. Local Agency shall advise its employees, agents,
and subcontractors, if any, that they are subject to these confidentiality requirements
before access to confidential data is permitted. Such requirements shall be subject to the
Public (Open) Records Act, § 24-72-101, et seq., C.R.S., as amended. Local Agency
shall inform CDPHE of any such requests made to Local Agency under this Scope of
Work. All information shared shall meet the requirements of the Health Insurance
Portability and Accountability Act (HIPAA) 2701 of the PHS Act, 42 U.S.C. 300gg ( c).
•
The Integrated Registration Information System (IRIS) uses the Internet to transmit
information about clients on a statewide basis. IRIS restricts access to HCP, EPSDT,
Prenatal Plus, and Family Planning data to authorized CDPHE staff members and
authorized Local Agency subcontractor staff only. IRIS includes internal security that
includes data accessible by specific CDPHE staff members. All authorized users of IRIS
shall be required to have separate user identifications and passwords for access to IRIS.
Additionally, IRIS training shall include matters related to confidentiality and approval
procedures prior to deployment. Any breach of the confidentiality agreement shall
constitute grounds to terminate the contract between CDPHE and any Local Agency.
3. Record Keeping Requirements. Local Agency shall maintain a complete file of all
records, documents, communications, and other materials that pertain to this Scope of
Work for a period of three (3) years from the date of final payment under this Scope of
work, unless CDPHE requests that the records be retained for a longer period. Such files
shall be sufficient to properly reflect all direct and indirect costs of labor, materials,
health-related services, equipment, supplies, and services, and other costs for which a
payment was made. These records shall be maintained according to generally accepted
accounting principles, community medical record documentation standards, and shall be
easily separable from other cooperating agency records. Copies of all such records,
documents, communications, and other materials shall be the property of CDPHE and
shall be maintained by Local Agency in a central location except for client/patient
records, which shall be maintained by providers or vendors. If an audit by or on behalf of
the federal and/or state government has commenced, but is not completed at the end of
the three (3) year period, then the materials shall be retained until the resolution of the
audit findings.
4. Remedial Actions: The Executive Director of CDPHE, or his/her designee, may exercise
the following remedial actions should s/he find that Local Agency substantially failed to
satisfy the scope of work found in this Agreement. "Substantial failure to satisfy the
scope of work" shall be defined to mean incorrect or improper activities or inaction by
Local Agency. These remedial actions are as follows:
a) Withhold payment to Local Agency until the necessary service or corrections in
performance are satisfactorily completed;
b) Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by Local Agency
cannot be performed or if performed would be of no value to the State. Denial of
the amount of payment shall be reasonably related to the amount of work or
deliverable lost to CDPHE.
5. Local Agency Outreach and Case Management Reauirements. Local Agency shall assure
the continued provision of the mandated EPSDT outreach and case management services
in a manner that is consistent with the most current federal regulations governing the
conduct of EPSDT benefits.
2
a) Local Agency, in consultation with and approval by CDPHE, shall develop,
revise, and implement a strategic plan for FY 2002-2003 for each of the following
topic areas, in order of priority:
• Improving Coordination of Medicaid Dental Visits
• Improving Local Access to Medicaid Non-Emergent Medical Transportation
• Coordinating with the Enrollment Broker to Maintain Provider Lists
Such plans will b e m odified a s ne eded t o m eet t he g oals o f t he agencies and
provide a focus of services for Local Agency. These strategic plans will be
presented to CDPHE no later than August 15, 2002 for approval.
b) Local Agency shall monitor the EPSDT Outreach and Case Managers to ensure
delivery of outreach and/or case management activities according to Volume VIII,
Section 8.286.06 requirement, using the IRIS system and on-site visits. Local
Agency shall m onitor to ensure that services listed in paragraph (a) above are
implemented as expected.
c) Local Agency shall ensure that all EPSDT outreach coordinators have access to
consultation, either locally or through CDPHE, from a registered nurse currently
licensed in Colorado, w hen a medical is sue is p resented through E PSDT case
management activities.
d) Local Agency shall ensure that the EPSDT Outreach and Case Manager offers and
provides, when requested and/or necessary:
i. Assistance with scheduling appointments for EPSDT screening services;
ii. Assistance with scheduling appointments for follow-up diagnostic and
treatment services, including medical, dental, vision care, mental
health/behavioral care, and hearing services;
iii. Information, referral and coordination assistance to the Medicaid-enrolled
client and/or parent/guardian concerning the availability of non-emergent
medical transportation services offered through the local County
Departments of Human/Social Services;
iv. Assistance with specialty provider selection as appropriate and when
resources permit; including, but not limited to, expanded services;
v. Maintenance o fa list o f a gencies o r hum an resource groups (including
names, addresses and telephone numbers) who have expressed a
willingness to provide uncovered services at little or no expense to the
Medicaid-enrolled client and/or family;
3
vi. Referral of Medicaid-enrolled clients in the Women, Infants, and Children
Program (WIC) or Commodities target populations to the local programs
where available;
vii. Initiation and promotion of collaborative activities, including the
exploration for opportunities for EPSDT outreach coordinators to conduct
cross-training with Prenatal Plus, Head Start, Early Childhood
Connections, Family Resource Centers, Bright Beginnings, the Colorado
Child Health Plan Plus (CHP+), Teen Pregnancy Prevention Program,
Special Connection, Health Care Program for Children with Special Needs
(HCP), Medicaid HMOs, Medicaid providers, Medicaid waiver programs,
school districts, school-based health centers, and other child health related
agencies available in each local county; and
viii. Continue to develop procedures to encourage the referral of Medicaid-
enrolled clients needing uncovered treatment, health services, or social
services, and Medicaid-enrolled clients who lose Medicaid eligibility to
community and rural health centers, CHP+, Colorado Indigent Care
Program, Title V agencies, or other community agencies that provide
assistance, either at no cost or on a sliding fee scale, to low-income
populations.
e) CDPHE will continue to provide Local Agency with the most current information
identifying EPSDT-eligible clients made available to CDPHE by HCPF. HCPF
will continue to provider CDPHE with the MMIS generated accretion report that
will be forwarded to Local Agency.
f) Local Agency will ensure that the following EPSDT Program documentation
requirements are met:
i. Documentation is maintained that identifies EPSDT outreach/case
management activities on b ehalf o f t he M edicaid-enrolled client. F iles
shall be kept in an organized manner, in a central location by each EPSDT
Outreach and Case Manager, sorted by individual client, and ordered
chronologically by event. All documentation shall be legible, timed,
dated, and specific as to the intervention and event. The EPSDT Outreach
and Case Manager shall include in the documentation an indication that
Medicaid-enrolled client intervention materials were utilized by the
EPSDT Outreach and Case Manager.
ii. Revision, availability, and maintenance of program manuals and/or
procedures that describe 1) the methods used to assure that outreach and
case management services are provided appropriately and in a timely
manner; 2) how written and/or computerized documentation is accessed
and utilized at the local agency and/or health offices; and 3) how EPSDT
4
outreach and case managers can access a local nurse consultant or a nurse
consultant at CDPHE.
g) Local Agency shall immediately notify CDPHE of any EPSDT outreach and case
management staffing changes and shall coordinate the timely training of new
EPSDT outreach and case managers with CDPHE.
h) CDPHE shall conduct formal on-site reviews on a biennial basis, and more
frequently if deemed necessary, at the Local Agencies based upon a mutually
designed schedule, with ad hoc visits as needed. The schedule will designate date,
county agency, and assigned staff for on-site reviews. CDPHE will develop and
utilize effective procedures for conducting on-site review. At least annually,
CDPHE shall initiate changes in policies and/or procedures which may be
required by on-site reviews to bring the EPSDT outreach and case management
activities into compliance with federal requirements for EPSDT, and submit such
updated procedures to HCPF.
i) CDPHE will document on-site reviews within 30 days of the review, including the
names of agencies reviewed, the assigned EPSDT Outreach and Case Manager(s)
and the de signated nurse consultant, the r eviewer's name, the 1 ist o f a ctivities
reviewed at the agency, the complete compliance status, corrective action to be
taken by the agency to bring activities into compliance with federal requirements,
due dates for the corrective action, and plan for monitoring the status of corrective
action, if needed. The evaluation report shall also describe the training activities
provided to EPSDT outreach and case managers and/or nurse consultant by the
reviewer(s).
j) CDPHE shall continue to develop and implement procedures for providing
orientation for all newly hired EPSDT outreach and case managers and nurse
consultants. Orientation for EPSDT outreach and case managers and consultants
will be conducted in a timely manner using state and regional technical assistance
meetings and staff and local site visits.
k) CDPHE shall conduct statewide and/or regional conferences for EPSDT outreach •
and case managers and their designated nurse supervisors. Where appropriate,
provisions will be made to include Head Start, Child Find, WIC, Medicaid
HMOs, Special Connection, Prenatal Plus Program, Medicaid providers, Health
Care Program for Children with Special Needs, and other maternal/child health
advocates, professionals and providers. For FY 2002-2003, conferences shall
focus on activities to improve dental care for children and facilitation of cost-
effective transportation services.
1) CDPHE will coordinate with Local Agency to assure that EPSDT case managers
receive timely information and training with respect to Medicaid contracted
prepaid health plans being implemented in their service area. CDPHE will advise
contracted Medicaid prepaid health plan providers of the availability of EPSDT
5
services in their county or counties and will encourage utilization of EPSDT
services as indicated by Medicaid-enrolled client need. CDPHE will also
coordinate with Local Agency to provide training and information to local County
Departments of Social Services, as necessary, as it relates to EPSDT outreach and
case management activities.
m) CDPHE shall monitor development and delivery of the Integrated Registration
Information System (IRIS) II outreach and case management software application.
Local Agency shall utilize IRIS II to record and report EPSDT outreach and case
management activities. All Local Agency staff using IRIS II shall attend
trainings and demonstrate a proficiency in using IRIS II as determined by CDPHE.
•
n) Funds received from CDPHE by Local Agency shall be used exclusively for
EPSDT outreach and case management activities. Reimbursement for nurse
consultation is excluded. Designated EPSDT Lead Workers shall maintain at
lease a one-quarter caseload based on the total number of EPSDT-eligible clients
for that Local Agency's specified county.
6. Definitions
At-risk client: The Medicaid-enrolled client with identified actual and/or potential health care
needs, who may require outreach and case management efforts more intensive than the non-risk
Medicaid-eligible clients. The at-risk or priority clients may include clients in families with no
established linkage to health care and/or who need assistance with specialty provider selection,
newborns and infants up to age two, teenagers, particularly those newly enrolled in Medicaid,
pregnant Medicaid-enrolled clients, refugee children in need of EPSDT and case management
services, children and youth requiring preventive health and corrective treatment services or
assistance with referral services for children with special health care needs, pregnant women
eligible for enhanced prenatal services and clients identified by EPSDT subsystem reports as
being in need of follow up and referral services.
Client: any person determined to be eligible for Medicaid benefits by the appropriate County
Department of Social Services pursuant to Federal and State law and regulation and amendment
thereto.
Early Childhood Connections for Infants, Toddlers and Families: The statewide, coordinated
system of services made available through the Individual Disabilities Education Act, Infant and
Toddler Section, as governed by the Colorado Department of Education. Services include an
early intervention system of supports and services that are directed at meeting the needs of
infants and toddlers with disabilities and their families.
Enrollment Broker: A non-governmental agency contracted with Colorado Medicaid to enroll
or disenroll Medicaid clients in a managed care plan.
EPSDT: Early and Periodic Screening, Diagnosis, and Treatment.
6
•
EPSDT Medical Screening Service The health care benefit that includes all of the following
components: comprehensive health and developmental history with physical and mental health
components, comprehensive unclothed physical examination, appropriate immunizations
according to age and health history, laboratory tests, including blood lead levels, health
education, including anticipatory guidance.
EPSDT Outreach and Case Management: The EPSDT outreach and case management
services provided by the EPSDT Outreach and Case Manager which are complementary to the
health care services provided by the Medicaid provider. The health care services are aimed at the
promotion of health, the prevention and treatment of disease and improved access to health care
services. T he E PSDT s ervice inc Ludes,b ut m ay not be limited to: (a) contacting Medicaid-
enrolled clients to provide in-depth explanation of EPSDT benefits and its importance of the
medical benefits which are available; (b) offering assistance and information to the Medicaid-
enrolled client which will facilitate overcoming barriers which might impede the client's access
to EPSDT services; (c) clarifying, if needed, the role of the primary care provider and, when
appropriate, the managed care/prepaid health plan, including Health Maintenance Organizations;
(d) promoting the client's responsibility to maintain the linkage between the child/youth and the
primary care physician; (e) maintaining annual periodic contact, as needed and feasible, with the
client to encourage the utilization of EPSDT services needed or promoted by referrals and
assisting with referrals as needed; (0 initiating collaborative activities with other child-related
health and social services agencies and resources within each county and referring clients as
needed to those agencies and resources; (g) promoting linkages with local County Departments
of Human/Social Services and presumptive eligibility sites, including, but not limited to,
assistance with the mandated EPSDT inform process as well as referrals to the Enrollment
Broker at the time of application for Medicaid.
EPSDT Outreach and Case Manager: The individual responsible for providing EPSDT
services of outreach and case management to Medicaid-eligible children and their families.
Expanded Services: Federally defined optional medical services not included within the
Colorado State Medicaid Plan.
HCFA: Health Care Finance Administration
HCP: Health Care Program for Children with Special Needs
HCP Services: Title V services which include care coordination, selected diagnosis and
treatment services, goods, and devices for children/youth with special needs.
Health Care Program for Children with Special Needs (HCP): A Title V program
administered by the Colorado Department of Public Health and Environment, Family and
Community Health Services Division.
Local Agency: The local health or alternative qualified agency designated by CDPHE to
accomplish the EPSDT outreach and case management activities.
7
Medicaid-enrolled client: Any individual under the age of 21 declared as eligible for Medicaid
by the appropriate County Department of Human/Social Services pursuant to federal and state
laws and regulations.
Medicaid Provider/Vendor: Any entity or individual who has met the certification requirement
established b y t he State to participate in the Colorado Medicaid Program, and who provides
covered EPSDT medical/dental services, goods and/or devices in accordance therewith.
Prenatal Plus Program: The health care program option that includes a package of enhanced
Medicaid prenatal services addressing non-medical issues including nutritional and psychosocial
behaviors that could impact pregnancy outcome.
Prepaid Health Plan (PPHP): A commercial health care plan contracting with Colorado
Medicaid to provide comprehensive health care services, coordination, and monitoring of patient
utilization of services through the utilization of primary care physicians. The primary care
physicians agree to serve as gatekeepers for comprehensive health services, including EPSDT
services, as provided to Medicaid clients.
Primary Care Physician (PCP): A Colorado Medicaid enrolled physician who has agreed to
serve as the "gatekeeper" for all medical care received by Medicaid clients, who have chosen
him/her within the Primary Care Physician Program or Health Maintenance Organization.
EPSDT medical screenings are conducted by the selected primary care physician or a qualified
provider upon referral from the PCP, when applicable.
Primary Care Physician Program (PCPP): The health care program option in which Medicaid-
enrolled clients select a physician who agrees to enroll or has enrolled in the Colorado Medicaid
Primary Care Physician Program. Under this program, the physician accepts the responsibility of
the clients' health care, guaranteeing a 24-hour access arrangement. Under this program, the
physician shall refer the Medicaid-enrolled client to other Medicaid providers for medically
necessary medical care and health care services. The provider must be enrolled as a Medicaid
provider, provide appropriate coverage on a 24-hour a day basis, and refer patients to specialists
and other health care providers as necessary. The PCP will serve as a client's medical case
manager and is responsible for authorizing, coordinating, and monitoring the client's health care
services.
Provider or Vendor: Any entity or individual who has met the certification requirements
established by HCPF to participate in the Colorado Medical Assistance program, and who
provides covered medical services, goods and/or devices in accordance therewith.
Provider Interface: The responsibility of the EPSDT Outreach and Case Manager to work with
local Medicaid providers. This process may include: (a) identifying providers in a local county
or adjacent client accessible counties, who will deliver medical screening, diagnostic and
treatment services, dental, mental health, vision, hearing, or other services to the Medicaid-
enrolled client; (b) explaining to the providers the nature and importance of the EPSDT benefits,
including the PCP referral requirement; (c) referring interested providers to the coordinator of the
8
Primary Care Physician Program at HCPF for assistance in acquiring more information
concerning the role of the primary care physician; (d) acting as a resource to providers who have
identified families in need assistance with EPSDT case management services including
community referrals; and (e) educating providers about the importance of the completion of the
screening component of the EPSDT claim form.
Screening: An E PSDT medical service provided to Medicaid-enrolled clients by a Medicaid
primary c are physician, o r alternatively, b y a provider qualified to furnish medical screening
services upon referral from the primary c are p hysician o r m anaged care system, orb y o ther
qualified providers in areas without available primary care physicians. A partial EPSDT
screening consists of any screening less than -all of the five (5) required components. The
EPSDT medical service screening includes the following components:
• Comprehensive health and developmental history with physical and mental/behavioral health
components
• Comprehensive unclothed physical examination
• Appropriate immunizations according to age and health history
• Laboratory tests, including blood lead levels
• Health education, including anticipatory guidance
Subcontract: A written agreement between CDPHE and local health agencies and/or other local
agencies which shall serve as a basis for EPSDT outreach and management activities at the local
level.
WIC: Women, Infants, and Children Program.
9
From: "Peggy Becker" <pabecker@smtpgate.dphe.state.co.us>
To: "LEE JOSEPH" <ljoseph@smtpgate.dphe.state.co.us>
Date: 5/23/02 1:47PM
Subject: Weld's EPSDT 03 Task Order Renewal Letter
Lee, attached is the Task Order Renewal Letter for Weld county. Also
attached is the Scope of Work (Attachment 1) . Please forward to Judy
Nero, along with the budget page as Attachment 2.
Thanks
Peggy Becker
Contract Coordinator
Colorado Department of Public Health and Environment
Prevention and Intervention Services for Children and Youth Division
Maternal and Child Health Section
Health Care Program for Children with Special Needs (HCP)
4300 Cherry Creek Drive South
PSD - HCP - A4
Denver, Colorado 80246-1530
Telephone Number: 303-692-2404
FAX Number: 303-782-5576
E-mail Address: peggy.becker@state.co.us
ATTACHMENT 2
A
APPLICANT: Weld County Health Department
PROJECT: EPSDT
DETAILED BUDGET FOR THE PERIOD: July 1,2002 to June 30,2003
Annual Number Total
DIRECT COST Salary Months %Time Amount Applicant Requested EPSDT
Rate Budget Required and Other from CDH
PERSONNEL SERVICE 2.1
Vacant 20,131 12 0% 0 0 0
Korgan,C. 28,138 12 100% 28,138 28,138 28,138
Mireles 25,275 12 100% 25,275 25,275 25,275
Contractual/Fee for Service:
Supervising Personnel:
Weinmeister,C. 51,383 12 10% 5,138 3,923 1,215 1,215
Fringe Benefits 17,565 1,177 16,388 16,388
Total Personnel Services 76,117 5,100 71,016 71,016
OPERATING EXPENSES:
(includes Building/Facility
Cost not part of Indirect)
Operating 1,622 1,622 1,622
Subtotal Operating 1,622 0 1,622 1,622
TRAVEL:
2,000 2,000 2,000
Subtotal Travel 2,000 0 2,000 2,000
EQUIPMENT:
0 0 0
Subtotal Equipment 0 0 0 0
Total Direct Costs(Personnel+Operating+Travel+Equip) 79,739 5,100 74,638 74,638
Administrative/Indirect Cost-11.74%TDC- 9,361 599 8,762 8,762
TOTAL PROJECT COST 89,100 5,699 83,400 83,400
Source of Funding for"Applicant and Other"
5,699
Total Applicant and Other $5,699
"This contract will pay the actual approved rate for indirect costs finalized by the Colorado Department
of Health and subject to the maximum rates allowed by the Prevention and Intervention Services
Division,Colorado Department of Health. The finalized rate will be retroactive to the beginning of the contract.
Memorandum
fst ‘ir,
TO: Glen Vaad, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
O Department of Public Health and
Environment �QA, . c
COLORADO
DATE: May 23, 2002
SUBJECT: Renewal Letter to Task Order for
EPSDT Program
Enclosed for Board review and approval is a renewal letter to the task order between the
Colorado Department of Public Health and Environment (CDPHE) and Weld County for the
EPSDT Program.
This letter is for renewal funding for the time period July 1, 2002 through June 30, 2003. The
funding will be used to provide case management, outreach, and support services for children
ages 0 to 21 who are on Medicaid. Emphasis is on educating families about age appropriate well
child services and helping them utilize these services that are available in our community. For
these activities, WCDPHE will be reimbursed a sum not to exceed $83,400.
I recommend your approval of this renewal letter.
Enclosure
2002-1371
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