HomeMy WebLinkAbout20011635.tiff RESOLUTION
RE: APPROVE TASK ORDER RENEWAL LETTER#1 FOR EPSDT 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 Renewal Letter#1 for the
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, 2001, and ending June 30, 2002, with further terms and conditions being
as stated in said task order renewal letter, and
WHEREAS, after review, the Board deems it advisable to approve said task order
renewal letter, 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 Renewal Letter#1 for the 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.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 20th day of June, A.D., 2001.
BOARD OF UNTY COMMISSIONERS
�..� WELD C TY, COLORADO
Eta
71
ATTEST: ged, >/ %, e/122
"; •
M. J. eile, Chair
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Weld County Clerk to thBE3 EXCUSED
WI Glenn Vaad, Pro-Tem
BY:
Deputy Clerk to the Boar.�..v►�
WI ' J ke(�
APP VED AS O FORM: U.
David E. Long
County ttorney
Robert D. Masden
de ' ALL 2001-1635
HL0028
NOV-25-2002 00:38 PREVENTION SERVICES DIV 303 753 9249 P.01/01
STATE OF COLORADO
Bill Owens,Governor
lane E.Norton,Executive Director
•
Dedicated to '�-�.-
protecfing and improving the health and environment of the people of Colorado
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4300 Cherry Creek Dr.S_ Laboratory and Radiation Services Division •': CG #e+
Denver,Colorado 80246-1530 8100 Lowry Blvd:
•
Phone(303)692-2000 Denver,Colorado 80230.6928 �
TOD Line(303)691-7700 (303)692.3090
Located In Clendale,Colorado C+OofP' DepatCneIIt
haiJ/www.cdphestate.co.us and Environment
lune 8,2001 Task Order Renewal Letter 81
EPSDT Program
State Fiscal Year 2001 -02, ' Task Order Renewal Letter Number I, Contract Routing Number 02.00142
Pursuant to Part FS,of the Master Contact with contact routing number 00-FAA00008 and paragraph E17 of the Task
Order with contract routing number 01-00214 and contract encumbrance number PO FAA EPS0100214,as amended by Task
Order Change Order Letter 1,with contract routing number 01-01220,hereinafter referred to as the•Original Task Order'(a
copy of which is attached hereto and by this reference incorporated herein and made a past hereof)between the State of
Colorado,Department of Public Health and Environment and the BOARD OF COUNTY COMMISSIONERS OF '
WELD COUNTY for the use and benefit of the Weld County Department of Public Health and Environment, for the
renewal term from July 1.2001,through June 30,2002 the parties agree that the inn-imam amount payable by the State for
the eligible services referenced in part B of the Original Task Order is increased by Eighty One Thousand Seven Hundred
E1oUars ($81,700.00)for a new total financial obligation of the State of ONE HUNDRED SIXTY NINE THOUSAND
ONE HUNDRED FIFTY THREE DOLLARS, (8169,15300). The revised project guidelines,which is attached hereto as
'Attachment A-1,and the renewal year budget, which is attached hereto as'Attachment B-1°,is 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_
MI other terms and conditions of the Original Task Order are hereby reaffirmed. This amendment to the Original Task Order
is intended to be effective as of July 1,2001. However,in no event shall this amendment be deemed valid until it shall have
been approved by the State Controller or such assistant as he may designate.
Please sign,date,and return all 4 originals of this Task Order Renewal Letter by June 22,2001 to the attention of:Lee
Joseph—PISCY A-4,Colorado Department of Public Health and Environment,4300 Cherry Creek Drive South,
Denver,Colorado 80246, One original of this Task Order Letter Renewal will be returned to you when fully approved.
BOARD OF COUNTY CO I;ONERS STATE OF COLORADO
OF WELD COUNTY Bill Owens,Governor
For the use and benefit of the
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMENT
(a political subdivision of the to of Colorado)By: By; )
Name: K. : Coils For the Executive r
Title: Chair (06/20/01) DEPARTMENTO P LICHEALTH
FEIN: 84-6000813 AND ENVIED
•
r APPROVALS:
FOR THE STATE CONTROLLER: ' PROGRAM;
Arthur L.Barnhart
By: C°^ LT(t�
U .
B cediV.417,17eF
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH AN ENVI
BY: -tACILA.k
TOTAL P.01
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ATTACHMENT A-1
EARLY AND PERIODOC SCREENING,DIAGNOSIS AND TREATMENT (EPSDT)
EPSDT Outreach and Case Management Program
Colorado Department of Public Health and Environment
FY 2001 - 2002
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, HB 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 CDPHE and local health or alternative qualified agencies (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.
The Integrated Registration Information System (IRIS) uses the Internet to transmit
information about clients on a statewide basis. IRIS restricts access to HCP, EPSDT, and
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Family Planning data to authorized DPHE staff members and authorized Local Agency
staff only. IRIS includes internal security that includes data accessible by specific DPHE
staff members. All authorized users of IRIS shall be required to have separate user
identifications and passwords for access to the Citrix server. 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 DPHE 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.
5. Local Agency Outreach and Case Management Requirements. Local Agency shall assure
the continued provision of the mandated EPSDT outreach and case management services
in a manner which is consistent with the most current federal regulations governing the
conduct of the EPSDT program that include the following:
a) Local Agency, in consultation with and approval by CDPHE, shall develop,
revise, and implement a strategic plan for FY. 2001-2002 for each of the following
topic areas, in order of priority:
• Improving Coordination of Medicaid Dental Visits
• Improving Local Access to Medicaid Non-Emergency Transportation
• Training and Assisting Providers with EPSDT services
• Coordinating with Enrollment Broker to Maintain Provider Lists
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Such plans will be modified as needed to meet the goals of the agencies, and to
provide a focus of services for Local Agency.
b) Local Agency shall monitor the EPSDT Outreach and Case Managers to ensure
delivery of outreach and/or case management activities upon written or verbal
request by the EPSDT-eligible client or upon referral from Medicaid providers or
other agencies. Local Agency shall routinely monitor to ensure that the top
priorities referenced 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 DPHE, from a registered nurse currently
licensed in Colorado, when a medical issue is presented through EPSDT 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 Program screening
services;
ii. Assistance with scheduling appointments for follow-up diagnostic and
treatment services, including medical, dental, vision care, mental health,
and hearing services;
iii. Information to the EPSDT-eligible client and/or parent/guardian
concerning the availability of transportation services offered through the
local County Departments of Social Services;
iv. Referral and coordination assistance to the EPSDT-eligible client requiring
transportation assistance;
v. Assistance with specialty provider selection as appropriate and when
resources permit; including, but not limited to, expanded services;
vi. Maintenance of a list of agencies or human resource groups (including
names, addresses and telephone numbers) who have expressed a
willingness to provide uncovered services at little or no expense to the
EPSDT-eligible client and/or family;
vii. Referral of EPSDT-eligible clients in the Women, Infants, and Children
Program (WIC) or Commodities target populations to the local programs
where available;
viii. 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+), waiver programs, school districts, school
based health centers, and other child health related agencies available in
each local county; and
ix. Continue to develop procedures to encourage the referral of EPSDT
eligible clients needing uncovered treatment, health services, or social
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services, and EPSDT-eligible 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 assist in securing the cooperation of the local County Departments of
Social Services to provide copies of the EPSDT-related components of the
application forms to facilitate the EPSDT outreach and case management
activities within each local county.
0 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 behalf of the EPSDT-eligible client. Files 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
EPSDT-eligible 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
outreach and case managers can access a local RN consultant or nurse
consultant at DPHE.
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 statewide and/or regional conferences for EPSDT outreach
and case managers and their designated RN consultants. Where appropriate,
provisions will be made to include Head Start, Child Find, WIC and other
maternaUchild health advocates, professionals and providers. For FY 2001-2002,
conferences shall focus on activities to improve dental care for children and
facilitation of cost-effective transportation services. CDPHE shall specify
trainings and meetings where attendance by Local Agency EPSDT outreach and
case managers is mandated.
i) CDPHE shall coordinate with Local Agency to assure that EPSDT case managers
receive timely information and training with respect to Medicaid contracted
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prepaid health plans being implemented in their service area. CDPHE will advise
contracted Medicaid prepaid health plan providers of the availability of EPSDT
services in their county or counties and will encourage utilization of EPSDT
services as indicated by EPSDT-eligible client need. CDPHE shall 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.
j) DPHE shall monitor development and delivery of the Integrated Registration
Information System (IRIS) II case management computer system. 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.
k) 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
least 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 EPSDT-eligible 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 EPSDT-eligible 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.
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EPSDT: Early and Periodic Screening, Diagnosis, and Treatment Program.
EPSDT-eligible client: Any individual under the age of 21 declared as eligible for Medicaid by
the appropriate County Department of Social Services pursuant to federal and state laws and
regulations.
EPSDT Medical Screening Service includes 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. The EPSDT service includes, but may not be limited to: (a) contacting EPSDT-eligible
clients to provide in-depth explanation of the EPSDT Program and its importance of the medical
benefits which are available; (b) offering assistance and information to the EPSDT-eligible 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 EPSDT client
to encourage the utilization of EPSDT services needed or promoted by referrals and assisting
with referrals as needed; (f) initiating collaborative activities with other child-related health and
social services agencies and resources within each county and referring EPSDT clients as needed
to those agencies and resources; (g) promoting linkages with local County Departments of 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 the EPSDT
Program services of outreach and case management to EPSDT 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
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.
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Medicaid Provider/Vendor: Any entity or individual who has met the certification requirement
established by the 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 EPSDT
eligible 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 EPSDT eligible 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 EPSDT-eligible
client; (b) explaining to the providers the nature and importance of the EPSDT Program,
including the PCP referral requirement; (c) referring interested providers to the coordinator of the
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.
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Screening: An EPSDT medical service provided to EPSDT eligible clients by a Medicaid
primary care physician, or alternatively, by a provider qualified to furnish medical screening
services upon referral from the primary care physician or managed care system, or by other
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 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 DPHE 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.
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ATTACHMENT B-1
•
APPLICANT: Weld County Health Department
PROJECT: EPSDT
DETAILED BUDGET FOR THE PERIOD: July 1,2001 to June 30,2002
Annual Number Total
DIRECT COST Salary Months %Time Amount Applicant Requested EPSDT
Rate Budget Required and Other from CDH
PERSONNEL SERVICES 2.8
Martinez, D. 20,131 12 100% 20,131 20,131 20,131
Korgan,C. 23,562 12 100% 23,562 23,562 23,562
Zamora,L 19,702 12 80% 15,762 15,762 15,762
Contractual/Fee for Service:
Supervising Personnel:
Weinmeister,C. 47,982 12 5% 2,399 2,399 0 0
Fringe Benefits 18,555 1,749 16,806 16,806
Total Personnel Services 80,410 4,148 76,261 76,261
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) 84,032 4,148 79,883 79,883
Administrative/Indirect Cost-12.9%TDC- 10,840 9,023 1,817 1,817
_TOTAL PROJECT COST 1 94,8721 13,171! 81,700 81 7001
Source of Funding for'Applicant and Other'
13,171
Total Applicant and Other $13,171
"This contract will pay the actual approved rate for indirect costs finalized by the Colorado Department
"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 Family and Community Health Services
Division,Colorado Department of Health. The finalized rate will be retroactive to the beginning of the contract.
6Cf(e.';4% Memorandum
TO: M.J. Geile, Chair
Board of County Commissiorteth
• FROM: Mark E. Wallace, MD, MPH, Director
COLORADO Department of Public Health and r(
Environment Kp, �,
DATE: June 18, 2001 l
SUBJECT: Renewal Letter#1 to Task Order for
EPSDT Program
Enclosed for Board review and approval is Renewal Letter Number One to the Task Order
between the Colorado Department of Public Health and Environment and Weld County
Department of Public Health and Environment for the EPSDT Program.
This letter is for renewal funding for the time period July 1, 2001 through June 30, 2002. The
funding will be used to provide case management, outreach, and support services for children
ages 0 to 21 who are on Medicaid. Emphasis in 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 $81,700.
I recommend your approval of this renewal letter.
Enc.
2001-1635
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