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Home My WebLink About970764.tiffRESOLUTION RE: APPROVE CONTRACT FOR RYAN WHITE TITLE II FUNDING BETWEEN THE WELD COUNTY HEALTH DEPARTMENT AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 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 Contract for Ryan White Title II funding 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 Health Department, and the Colorado Department of Public Health and Environment, commencing April 1, 1997, and ending March 31, 1998, 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 Contract for Ryan White Title II funding 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 Health Department, 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 21st day of April, A.D., 1997, nunc pro tunc April 1, 1997. y Clerk to the Board eputy Cler o the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO GeorgE. Baxter, Chair EXCUSED ance L. Har rbara J. Kirkmeyer 970764 HL0023 Form 6 -AC -02A (R 1/88) DEPARTMENT OR AGENCY NUMBER FAA CONTRACT ROUTING NUMBER 97-06519 CONTRACT THIS CONTRACT, made this 1st day of March 1991 by and between the State of Colorado for the use and benefit of the Department of Public Health and Environment, 4900 Cherry Creek Drive South, Denver Colorado X0772-1530 hereinafter referred to as the State, and the Weld County Health Department, 1517 16th Avenue Court Greeley, Colorado 80631 hereinafter referred to as the Contractor. WHEREAS,authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient unencumbered balance thereof remains available for payment in Fund Number 100, APPR code 383, Contract Encumbrance Number FAA SOD9706519; and WHEREAS, required approval, clearance and coordination has been accomplished from and with appropriate agencies; and WHEREAS, the State has been awarded funding from the U.S. Department of Health and Human Services, Bureau of Health Resources Development, Health Resources and Services Administration for the development and operation of a Human Immunodeficiency Virus (HIV) care consortia (Consortia) to improve the quality, availability and organization of health care and support services for individuals and families with HIV; and WHEREAS, the Contractor is considered by the Consortium and the State to be an appropriate agency to perform the services as herein set forth, NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual promises to each other, hereinafter stated, the parties hereto agree as follows: 1. The Contractor will provide the services outlined in the "Contractor: Weld County Health Department for the Northern Colorado Care Consortium" (copy attached and made a part hereof as Attachment A). 2. The Contractor will provide said services to affected populations in Northeastern Colorado including the counties of Weld, Larimer and Morgan. 3. The Contractor agrees to abide by the assurances outlined in the "Colorado Ryan White Tide II 1994 Consortium Assurances" (included within Attachment A). 4. The Contractor will develop and/or abide by existing confidentiality protocols in accordance with professional standards and applicable statutes including, but not limited to, C.R.S. 25-4-1401 et seq (HIV infection and AIDS) and C.R.S. 18-4-412 (medical records). 5. The Contractor will abide by the Reporting Requirements and Time Frames described in the CDH Page 1 of 6 Pages Guidance for the Development of Title II Funded Consortia Workplans, 1997-1998 (copy attached and made a part hereof as Attachment B). 6. The State will, in consideration of said services by the Contractor, cause to be paid to the Contractor an amount not to exceed t179,167 (ONF HIINDRED TWENTY-NINE THOUSAND ONF HUNDRF.D SIXTY-TWO DOT TARS for the period beginning April 1, 1997 and continuing through March 31, 1998. The dollar amount is subject to change based on differences between estimated and actual funding appropriations and legislative approval. Reimbursement shall be conditioned upon affirmation by the State that services were rendered in accordance with this contract, as follows: a) Upon receipt of a monthly reimbursement statement, submitted in duplicate, requesting reimbursement and delineating expenses incurred, payment shall be conditioned upon affirmation by the State of full and satisfactory compliance with the terms of this contract. b) Reimbursement may be withheld if quarterly narrative reports are delinquent. Contractor must notify the State two weeks before the due date of report to advise of reason for reporting delays. 7. The following budget shall govern the expenditure of funds by the Contractor as well as subsequent reimbursement by the State. Transfer of funds from one line item to another in excess of $10,000 (Ten Thousand Dollars) must have prior written approval of the State: Personnel Fringe Travel Supplies Contractual Other Administrative Costs $18,314 $ 4,762 $ 2,500 $ 2,000 $77,879 $11,965 t l l 747 TOTAL 129,162 8. Changes in reimbursement amounts for any of the budget periods for the above -named services in consideration of increased or decreased levels of utilization from the levels funded in the original contract shall be made with the approval of the Contractor, the State, the Program, and the State Controller as evidenced by a mutually signed Change Order Letter (copy attached and by this reference made a part hereof as Attachment C) which shall include the following: a. Identification of contract by contract number and number of affected paragraph; b. Type of services increased, decreased, or extended; c. Amount of increase or decrease in funding and new total for current year; d. Intended effective date of funding changes; e. Authorized signatures of the State, the Program, the Contractor and the State Controller or an assigned designee. It is understood that no change except funding amount will be made through the Change Order Letter. 9. The term of this contract is beginning April 1, 1997 and continuing through March 31, 1998. Page 2 o£ 6 Pages COLORADO DEPARTMENT OF HEALTH - hereinafter, under the General Provisions referred to as "Health". GENERAL PROVISIONS -- page 1 of 2 pages 1. The contractor shall perform its duties hereunder as an independent contractor and not as an employee. Neither the contractor nor any agent or employee of the contractor shall be or shall be deemed to be an agent or employee of the state. Contractor shall pay when due all required employment taxes and income tax withholding, shall provide and keep in force workers' compensation (and show proof of such insurance) and unemployment compensation insurance in the amounts required by law. Contractor will be solely responsible for its acts and the acts of its agents, employees, servants and subcontractors during the performance of this contract. 2. Contractor authorizes Health, or its agents, to perform audits and to make inspections for the purpose of evaluating performance under this contract. 3. Either party shall have the right to terminate this agreement by giving the other party thirty days notice by registered mail, return receipt requested. If notice is so given, this agreement shall terminate on the expiration of the thirty days, and the liability of the parties hereunder for the further performance of the terms of this agreement shall thereupon cease, but the parties shall not be relieved of the duty to perform their obligations up to the date of termination. 4. This agreement is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or effect whatsoever, unless embodied herein in writing. No subsequent novation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the State Fiscal Rules. 5. If this contract involves the expenditure of federal funds, this contract is contingent upon continued availability of federal funds for payment pursuant to the terms of this agreement. Contractor also agrees to fulfill the requirements of: a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or A -11O, whichever is applicable; b) the Hatch Act (5 USC 1501-1508) and Public Law 95-454 Section 4728. These statutes state that federal funds cannot be used for partisan political purposes of any kind by any person or organization involved in the administration of federally -assisted programs; c) the Davis -Bacon Act (40 Stat. 1494, Mar. 3, 1921, Chap. 411, 40 USC 276A -276A-5). This act requires that all laborers and mechanics employed by contractors or sub -contractors to work on construction projects financed by federal assistance must be paid wages not less than those established for the locality of the project by the Secretary of Labor; d) 42 USC 6101 et seq, 42 USC 2000d, 29 USC 794. These acts require that no person shall, on the grounds of race, color, national origin, age, or handicap, be excluded from participation in or be subjected to discrimination in any program or activity funded, in whole or in part, by federal funds; and e) the Americans with Disabilities Act (Public Law 101-336; 42 USC 12101, 12102, 12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47 USC 225 and 47 USC 611. 0 if the contractor is acquiring real property and displacing households or businesses in the performance of this contract, the contractor is in compliance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended (Public Law 91-646, as amended and Public Law 100-17,1O1 Stat. 246 - 256); g) when applicable, the contractor is in compliance with the provisions of the "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments (Common Rule). Page 3 of 6 Pages Rev. 06/01/92 (GEN070595) GENERAL PROVISIONS -- Page 2 of 2 pages 6. By signing and submitting this contract the contractor states that: a) the contractor is in compliance with the requirements of the Drug -Free Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 USC 701 et seq.); b) the contractor is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency. 7. To be considered for payment, billings for payment pursuant to this contract must be received within 60 days after the period for which payment is being requested and final billings on the contract must be received by Health within 60 days after the end of the contract term. 8. If applicable, Local Match is to be submitted on the monthly payment statements, in the column provided, as required by the funding source. 9. If Contractor receives $25,000.00 or more per year in federal funds in the aggregate from Health, Contractor agrees to have an annual audit, by an independent certified public accountant, which meets the requirements of Office of Management and Budget Circular A-128 or A-133, whichever applies. If Contractor is required to submit an annual indirect cost proposal to Health for review and approval, Contractor's auditor will audit the proposal in accordance with the requirements of OMB Circular A-87, A-21 or A-122. Contractor agrees to furnish one copy of the audit reports to the Health Department Accounting Office within 30 days of their issuance, but not later than nine months after the end of Contractor's fiscal year. Contractor agrees to take appropriate corrective action within six months of the report's issuance in instances of noncompliance with federal laws and regulations. Contractor agrees to permit Health or its agents to have access to its records and fmancial statements as necessary, and further agrees to retain such records and financial statements for a period of three years after the date of issuance of the audit report. This contract (does/does-not) contain federal funds as of the date it is signed. This requirement is in addition to any other audit requirements contained in other paragraphs within this contract. 10. Contractor agrees to not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. Page 4 of 6 Pages Rev. 06/01/92 (GEN070595) SPECIAL PROVISIONS CONTROLLER'S APPROVAL 1 . This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This provision is applicable to any contract involving the payment of money by the State. FUND AVAILABILITY 2. Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated, b':dgeted, and otherwise made available. BOND REQUIREMENT 3. If this contract involves the payment of more than fifty thousand dollars for the construction, erection, repair, maintenance, or improvement of any building, road. bridge, viaduct, tunnel, excavation or other public work for this State, the contractor shall, before entering upon the performance of any such work included in this contract, duly execute and deliver to the State official who will sign the contract, a good and sufficient bond or other acceptable surety to be approved by said official in a penal sum not less than one-half of the total amount payable by the teens of this contract Such bond shall be duly executed by a qualified corporate surety conditioned upon the faithful performance of the contract and in addition, shall provide that if the contractor or his subcontractors fail to duly pay for any labor, materials, team hire, sustenance, provisions, provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work contracted to be done or fails to pay any person who supplies rental machinery, tools, or equipment in the prosecution of the work the surety will pay the same in an amount not exceeding the sum specified in the bond, together with interest at the rate of eight per cent per annum. Unless such bond is executed, delivered and filed, no claim in favor of the contractor arising under such contract shall be audited, allowed or paid. A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with CRS 38-26-106. INDEMNIFICATION 4. To the extent authorized by law, the contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the contractor, or its employees, agents, subcontractors, or assignees pursuant to the teens of this contract. DISCRIMINATION AND AFFIRMATIVE ACTION 5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting discrimination and unfair employment practices (CRS 24-34-402), and as required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975. Pursuant thereto, the following provisions shall be contained in all State contracts or sub -contracts. During the performance of this contract, the contractor agrees as follows: (a) The contactor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. The contractor will take affirmative action to insure that applicants are employed, and that employees are treated during employment, without regard to the above mentioned characteristics. Such action shall include, but not be limited to the following: employment upgrading, demotion, or transfer, recruitment or recruitment advertisings, layoffs or terminations; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause. (b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. (c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, notice to be provided by the contracting officer, advising the labor union or workers' representative of the contractor's commitment under the Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor. (d) The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders. (e) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization, or expel any such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of race, creed, color, sex, national origin, or ancestry. (0 A labor organization, or the employees or members thereof will not aid, abet, incite, compel or coerce the doing of any act defined in this contract to be discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder, or attempt, either directly or indirectly, to commit any act defined in this contract to be discriminatory. Form 6 -AC -02B (GEN070595) Revised 1/93 395-53-01-1022 page 5 of 6 pages (g) In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in accordance with procedures, authorized in Fwcutive Order, Equal Opportunity and Affirmative Action of April 16, 1975 and the rules, regulations, or orders promulgated in accordance therewith, and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise provided by law. (h) The contractor will include the provisions of paragraphs (a) through (h) in every sub -contract and subcontractor purchase order unless exempted by rules, regulations, or orders issued pursuant to Fverutive Order, Equal Opportunity and Affirmative Action of April 16, 1975, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any sub -contracting or purchase order as the contracting agency may direct, as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation, with the subcontractor or ve-dor as a result of such direction by the contracting agency, the contractor may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado. COLORADO LABOR PREFERENCE 6a. Provisions of CRS 8-17-101 & 102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and are financed in whole or in part by State funds. b. When a construction contract for a public project is to be awarded to a bidder, a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is determined by the officer responsible for awarding the bid that compliance with the subsection .06 may cause denial of federal funds which would otherwise be available or would otherwise be inconsistent with requirements of Federal law, this subsection shall be suspended, but only to the extent necessary to prevent denial of the moneys or to eliminate the inconsistency with Federal requirements (CRS 8-19-101 and 102). GENERAL 7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation, execution, and enforcement of this contract Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra -judicial body or person or which is otherwise in conflict with said laws, rules, and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the contract is capable of execution. 8. AI all times during the performance of this contract, the Contractor shall strictly adhere to all applicable federal and state laws, rules, been or may hereafter be established. 9. The signatories aver that they are familiar with CRS 18-8-301, et seq., (Bribery and Corrupt Influences) and CRS 18-8-401, et seq., and that no violation of such provisions is present. and regulations that have (Abuse of Public Office), 10. The signatories aver that to their knowledge, no state employee has any personal or beneficial interest whatsoever in the service or property described herein. IN WITNESS WHEREOF, the parties hereto have executed this Contract on the day first above written. Contractor: State of Colorado (Full Legal N§ptne) Weld County Health Department /R��iy,\ROMER, GOVERNO By ' / / Ml I (ONM `/� Position(Title) CRATR ROe.R OF COUNTY CO TSSTON RS If Corporation, To Attest (Af§g Seal) B B Gale A. Norton Sant Attorney General State Services Section Fonn 6 -AC -02C (GEN070595) Revised 1/93 395-53-01-1030 Department of PUBLIC HEALTH AND ENVIRONMENT WELD * ""' J Dj�PR�,r,GLciT BY: • JOHN S. PICKLE DIRECTOR APPROVALS CONTROLLER cA�RQV $: By Page 6 which is the last of 6 pages Cliffo PROGRAM APPROVAL; A. Koleski,L)r., Fiscal Officer 970764 MTuActin-)EDT ,9 Contractor: Weld County Health Department for the Northern Colorado Care Consortium Funded Agencies: Weld County Health Department - lead agency (Tax ID# 84-6000813) Northern Colorado AIDS Project - contractual (Tax ID# 84-1035151) Northeast Colorado Health Department (Tax ID# 84-6002486) Contact Person: Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Avenue Court Greeley, Colorado 80631 (970) 353-0639, extension 2273 907x'4 Northern Colorado Care Consortium Proposal Description of the locality to be served: Geographic boundaries: The geographic boundaries covered by the Northern Colorado Care Consortium (NCCC) encompass Larimer, Weld, Morgan, Logan, Phillips, Sedgewick, Washington, and Yuma counties. These counties constitute those counties currently covered by the Weld County Health Department (WCHD), the Northern Colorado AIDS Project (NCAP), and the Northeast Colorado Health Department (NCHD). Characteristics of the population: Through December 31, 1996, there have been 185 AIDS and 115 HIV cases reported in northern Colorado. Currently, NCAP, WCHD, and NCHD serve an average of 65 HIV infected individuals monthly, approximately 70 percent and 30 percent being diagnosed with AIDS and HIV, respectively. This does not include individuals for whom there is no client level information, which averages approximately 40 individuals a month. Of those individuals provided services, 83 percent are Caucasian and 17 percent Hispanic; and approximately 20 percent are female and 80 percent are male. Three individuals currently receiving services are under the age of five years; the remaining are over the age of 20 years. Existing services: The existing HIV related services in Larimer County include those services provided by the Northern Colorado AIDS Project and the Larimer County AIDS Coalition. NCAP provides case management, client advocacy, a Buddy program, support groups, education, and financial assistance for individuals living in Larimer County, who are infected with or affected by HIV. NCAP also provides HIV testing and counseling services. The Larimer County AIDS Coalition provides education on HIV and AIDS, and tries to heighten the awareness of HIV infection and the incidence of AIDS within the communities of Larimer County. HIV related services in Weld County are provided by the Weld County Health Department and the Weld County AIDS Coalition. The HIV Resource Coordinator of the Weld County Health Department provides case management and support services for clients residing in Weld County and assists the Northeast Colorado Health Department in providing case management and support services in northeast Colorado. The Weld County Health Department also provides education on HIV and AIDS, and HIV testing and counseling. The Weld County AIDS Coalition also provides educational presentations on HIV and AIDS to communities, organizations, and agencies within Weld County. The HIV related services available in northeast Colorado (including the counties of Morgan, Logan, Yuma, Sedgewick, Phillips, and Washington), provided by the Northeast Colorado Health Department, include education on HIV and AIDS, and HIV testing and counseling, as well as case management and support services for individuals infected with or affected by HIV. Various other agencies in northern Colorado also offer services to HIV infected individuals and their families. These services include, but are not limited to, hospice, home health care, respite care, drug and alcohol treatment, spiritual support, financial assistance, transportation services, and other services not directly related to HIV infection. Service gaps: An issue with many individuals infected with HIV, who are living in northern Colorado, is the lack of sufficient services and availability of health care professionals. Consequently, many of these individuals have chosen to move, or travel, to more metropolitan areas for their care. The Weld County Health Department, the Northern Colorado AIDS Project, and the Northeast Colorado Health Department have been working to provide better case management and community liaison for infected individuals to help ensure a complete continuum of care for the infected individual and his/her family. Nonetheless, gaps in services still exist. Some of the current gaps identified by HIV infected individuals and care givers include: primary medical care, dental care, transportation, prescription drugs, and financial assistance. Individuals living in northeast Colorado especially suffer because of their geographic isolation, and from lack of service providers (medical and nonmedical) in that area. Many medical providers, practicing in northeast Colorado are willing to treat individuals infected with HIV, but their practices are currently closed to any new patients. The continuation of the voucher program, which was implemented during the 1993-1994 grant year has assisted many individuals in accessing medical and dental care, and in emergency situations. Description of the service plan: Planning process: The members of the Northern Colorado Care Consortium, which includes service providers, community based organizations providing HIV related services, and individuals infected with or affected by HIV, were brought together to review the ongoing client evaluations conducted throughout the year, and to discuss the issues that they encounter in their own work or personal lives. From these discussions and evaluations, the unmet needs of HIV infected individuals living in northern Colorado were identified. Based on these findings, and on the experiences of the case managers of the three funded agencies (WCHD, NCAP, NCHD), the Consortium developed a service plan for the April 1997 -March 1998 funding period. Service plan: The Weld County Health Department will serve as lead agency, receiving funds on behalf of the Northern Colorado Care Consortium. The HIV Resource Coordinator, of the Weld County Health Department, will provide case management and support services to HIV infected individuals and their families, who are living in Weld County. The HIV Resource Coordinator will also assist the Northeast Colorado Health Department in providing services in northeast Colorado. The HIV Resource Coordinator, too, will coordinate the activities of the Consortium, and will be responsible for the reporting and contractual duties to the Colorado Department of Public Health and Environment. The Northern Colorado AIDS Project will contract with the Weld County Health Department to provide case management and support services to HIV infected individuals and their families, who are living in Larimer county. Through other funds, NCAP will continue providing client advocacy, a Buddy program, education, and outreach to populations currently not being served. The Northeast Colorado Health Department will also contract with the Weld County Health Department for a part-time case manager and a part-time, bilingual outreach worker. The part- time case manager will provide case management and support services for clients, and their families, who are living in northeast Colorado. The case manager will also act as a liaison between NCCC and service providers in northeast Colorado. The role of the outreach worker will be to reach populations, living in Morgan, Logan, Washington, Yuma, Sedgewick, and Phillips counties, currently not receiving services or who are receiving inadequate services, and to assist the case manager in her duties. All three funded agencies will also be providing financial assistance, through a voucher program, to HIV infected individuals and their families, to ensure access to necessary services and resources. Assistance will be provided for dental and medical services, and emergency financial assistance to assist with expenses related to food, housing, rent, utilities, medications, or other critical personal needs. It is projected that approximately 120 HIV infected/affected individuals will be provided services. Of these, it is estimated that 20 will be female and 100 will be male; 18 will be Hispanic and 102 will be White; and 3 will be under the age of five years and 117 will be over the age of 20 years. Over the last few years the total number of individuals receiving services has not changed significantly. We have however seen an increase in the number of women and children receiving services. Reaching and serving newly diagnosed individuals: Newly diagnosed individuals can be reached through the State Disease Control Specialist, through service and health care providers, and through the local health departments. When The State Disease Control Specialist contacts a newly diagnosed individual she informs that person of the services offered by the Consortium. The local health departments provide HIV testing and counseling, and are aware of the services provided by the Consortium and they, too, will inform an individual, who receives a positive test result, of these services. As well, the HIV Resource Coordinator and the staff of the Northern Colorado AIDS Project and the Northeast Colorado Health Department have contacted many service providers to inform them of the services available through the Consortium. Public service announcements and news releases are also done periodically to help increase community awareness, and are often a source of self -referral. Service integration: Referrals between agencies are made on a case by case basis. The HIV Resource Coordinator and the staff of NCAP and NCHD have established contacts with many agencies in their respective communities, who will act as a point of contact when a referral to that agency is needed. An on -going goal of the Consortium has been to identify new HIV related services and providers. As new services are identified, the HIV Resource Coordinator and the staff of NCAP and NCHD will inform providers and clients of these services. A referral to any one of the three funded agencies can be made by a telephone call or letter. Case management services will be provided by all three funded agencies. An initial interview is done with the individual to establish him or her as a client, and (1) to obtain general demographic information from the client, (2) to determine the client's unmet meeds, and (3) to develop a service plan for that client. The service plan includes what services are needed, and the means/methods for accessing these services. Whenever possible, the family and/or significant others are included in the development of the service plan. The HIV Resource Coordinator or the staff of NCAP or NCHD will help link the client with health care, psycho -social services, and coordinate access to other support services, to ensure a complete continuum of care for that individual. A system for monitoring and evaluating the service plan with also be developed with the client. Clients will also receive a monthly mailing/newsletter to keep them up-to-date on new services and resources. Implementation plan: The majority of the Ryan White funds will be used to support case management services, which will be carried out by 2.35 FTE case managers divided among the three funded agencies. Funds will also be used to support the food bank (nutritional supplements), support groups, translation services, the voucher program, and a bilingual outreach worker. The Weld County Health Department will use Ryan White funds to support its part-time case management position (.75 FTE), and will provide case management and support services to individuals infected with or affected by HIV and AIDS, who reside in Weld County. WCHD's case manager will also assist NCHD's part-time case manager in providing case management in northeast Colorado. The WCHD will also use Ryan White funds to continue with the one support group currently in existence and to develop a second support group so that there are two separate support groups for those infected and for those affected, respectively. The WCHD will also continue the voucher program, providing financial assistance for accessing medical and dental care, and emergency financial assistance for expenses related to food, housing, rent, utilities, medications, or other critical needs. The Northern Colorado AIDS Project will continue to use Ryan White funds to support its two case managements positions (1.5 FTE), and will provide case management and support services to individuals infected with or affected by HIV and AIDS, who reside in Larimer county. They will also use Ryan White funds to continue with their two support groups (Infected Persons Group and Family & Friends Group), and to purchase nutritional supplements (e.g. Advera, Sustacal, Ensure, etc.), which they will make available to their clients as well as to the clients of the other two funded agencies. This year NCAP will implement their own voucher program, similar to that of the Weld County Health Department's. The Northeast Colorado Health Department will continue to use Ryan White Funds to support its part-time case manager (.1 FTE), who will provide case management and support services, with assistance from the WCHD, to individuals infected with or affected by HIV and AIDS, who reside in the counties of Morgan, Logan, Yuma, Sedgewick, Phillips, or Washington. Ryan White funds will also be used to support NCHD's part-time bilingual outreach worker (.01 FTE) and part-time outreach coordinator (.01 FTE), who will assist the case manager in her duties, and will also work with other community agencies to identify individuals currently not receiving 9 i 0,4 services or receiving inadequate services. Since many of NCHD's clients are Spanish speaking only, they will use Ryan White funds to provide interpreting services so that clients may more easily access other needed services. NCHD will also be using Ryan White funds to continue with their support group for individuals infected with or affected by HIV and AIDS. Description of Consortium Membership' Lead Fiscal Agent: The Weld County Health Department will receive and administer funds on behave of the Northern Colorado Care Consortium. This decision was made upon agreement by the members of the Consortium, during a special Consortium meeting held on September 30, 1996. Consortium members and services: Misti Aas. Psvchotherapi. t - individual counseling services, support group facilitator, and coordinator of the Weld County AIDS Coalition Social Security Administration - point of access for individuals applying for Social Security Disability and/or Supplemental Security Income, and Medicare Don Cooper. Citizen - source of knowledge and perspective Ackerman & Associates - provide mental health services Centennial Area Health Education Center - provide updated information, on HIV and AIDS to health care providers Pat Honker, Parent - source of knowledge and perspective Island Grove Treatment Center - provide substance abuse treatment and counseling Hospice of Larimer County - in -home health care, bereavement support services, and case management Weld County Health Department - public health agency Northeast Colorado Health Department - public health agency Northern Colorado AIDS Project - community based organization providing HIV related services Weld County Board of Health - oversee the health of the citizens of Weld County Coordination between member agencies: All members of the Consortium are aware of the services provided by each of the member agencies and organizations, and are familiar with the role of the HIV Resource Coordinator, the Northern Colorado AIDS Project, and the Northeast Colorado Health Department, and will make referrals as necessary. Description of member agencies receiving HIV care consortium funds: The Weld County Health Department, the Northern Colorado AIDS Project, and the Northeast Colorado Health Department will be receiving Ryan White funds for the 1997-1998 grant year. The Weld County Health Department is a public health agency supported by county tax dollars, state and federal grants, and fees for services provided. It's mission is "to prevent disease and to promote the health of county citizens". This is accomplished by monitoring the environment of the county and the health of its residents; by the development of policies and programs; and by assuring that basic health services are being provided. 9707f 4 The Northern Colorado AIDS Project will be subcontracting with the Weld County Health Department to provide case management and support services in Larimer county. NCAP is a community based, non-profit organization committed to serving those individuals impacted by HIV and AIDS in northern Colorado. NCAP strives to increase awareness and understanding of the AIDS epidemic, and supports endeavors to empower persons affected by HIV and AIDS. Services provided by NCAP include: case management, client advocacy, education and risk reduction, support groups, information and referral services, volunteer (Buddy) services for persons with AIDS, and HIV testing and counseling. NCAP also sponsors an outreach program that incorporates a speaker's bureau, brochures, a video and book library, and community networking and information sharing. The Northeast Colorado Health Department will also be subcontracting with the Weld County Health Department. As a public health agency, the Northeast Colorado Health Department provides services similar to those provided by the Weld County Health Department, for the counties of Morgan, Logan, Yuma, Sedgewick, Phillips, and Washington. Form of agreement between agencies: The lead agency, Weld County Health Department, and the contractual agencies, Northern Colorado AIDS Project and Northeast Colorado Health Department have an agreement in the form of a contract. Reporting and Evaluation Plan: Plan for data collection: The HIV Resource Coordinator and the subcontracted agencies will collect data according to the Standard Annual Administrative Report (SAAR). The HIV Resource Coordinator or the staff of NCAP or NCHD will conduct an initial interview to establish an individual as a client. During this visit the information required by the SAAR will be obtained. This information will then be reported to the Colorado Department of Public. Health and Environment on a monthly basis. The HIV Resource Coordinator and the staff of NCAP and NCHD will also collect information to identify the number of new clients, the number of client contacts, the types of services provided, who referred the client, agencies and service providers that referrals are made to, and the needs of the clients. Plan for evaluation: To evaluate the success in responding to the needs of the clients, the HIV Resource Coordinator or the staff of NCAP or NCHD will assess the needs of the client during the intake interview. These needs will then be documented in the form of a service plan, and will establish a baseline for evaluation. As the needs of the clients are met, this too will be documented. This information will be compared to the services available within the geographic boundaries of the Consortium. This comparison will be used to evaluate the success of the HIV Resource Coordinator and the staff of the Northern Colorado AIDS Project and Northeast Colorado Health Department in meeting the needs of the clients. This will also help to determine gaps in services that exist in the eight counties supported by the Consortium. 6 9i07f.'4 Plan for evaluating the cost-effectiveness of the program: Cost-effectiveness of the programs supported by HIV care consortium funds is difficult to determine in that standardized cost -for -service for such things as case management, support groups, buddy/companion service, etc. has never been determined. The HIV Resource Coordinator and the staff of NCAP and NCHD, however, attempt to assist clients in finding cost- effective alternatives to expensive services and treatments. We also assist clients in applying for any benefits that they may be eligible for to ensure that Ryan White funds are used as a payor of last resort. As well, when determining the budget for the Northern Colorado Care Consortium, a decision is made to how many individuals can be served at current funding levels. We strive to serve the maximum number of individuals with current allocations. Budget Justification: Table I: Personnel - The total funds for this category are $18,314, which is 14% of the entire budget. Staff will be utilized to carry out the Weld County Health Department's role as the fiscal agent, and to fulfill the goals of the implementation plan as stated in this document. Fringe Benefits - The total funds for this category are $4,762, which is 4% of the entire budget. Fringe benefits are provided to support the quality staff needed to carry out the activities of this project. Travel - The total funds for this category are $2,500, which is 2% of the entire budget. Travel funding will support the HIV Resource Coordinator in providing case management and in coordinating the activities of the Consortium, and will also be made available to other Consortium members to help assure greater attendance to the meetings. Supplies - The funds for this category are $2,000, which is 1% of the entire budget. This funding provides printing and postage to provide a monthly mailing to clients on updated resources, services, and information on other issues related to HIV and AIDS. These funds are also used to support the activities of the Consortium. Contractual - The funds for this category are $77,879 which is 60% of the entire budget. This funding allows the two subcontracting agencies to fulfill their part of the service and implementation plans. Other - The funds for this category total $11,965, which is 10% of the entire budget. This funding will be used to support the voucher program ($8,585/7%), which will provide access to medical and dental care, and emergency financial assistance for expenses related to food, housing, rent, utilities, medications, or other critical needs. These funds will also be used to pay for the services of a facilitator for the local support group ($3,380/3%). Administrative Costs - The funds for this category are $11,742, which is 9% of the entire budget. This funding is for standard administrative costs of the Weld County Health Department. 7 9i0;'f, Table II: Case Management Total funds for case management is $82,397. Total FTE's supported by this funding is 2.35. Approximately 120 clients will be served (15% women and children/85% men); an average of 70 clients being served quarterly with a quarterly total of 180 face to face contacts. All three funded agencies will be providing case management. Case management will assure that clients are receiving needed and adequate services, and will assure a continuum of care. Case management services are not being expanded, but we anticipate seeing a 5-10% increase in the number of clients served. Support Services Counseling - Total funds for support groups is $10,155. Approximately 45 clients will be served. Support groups will be available in Fort Collins, Greeley, and Fort Morgan. The current support group in Greeley will be divided to create two separate support groups for those infected and affected, respectively. It is anticipated that this will increase attendance by those infected. Facilitation of all four support groups will be provided by licensed counselors. Vouchers - 1. Dental Care - Vouchers are available to assist clients in accessing dental care. Total funds for dental care is $3,559. No FTE's are supported by this funding. Approximately 20 clients will be served. 2. Primary Medical Care - Vouchers are available to assist clients in accessing medical care. Total funds for primary medical care is $7,590. No FTE's are supported by this funding. Approximately 40 clients will be served. 3. Emergency Financial Assistance - Funding will be used to provide emergency financial assistance for expenses related to food, housing, rent, utilities, medications, and other critical needs. Total funds for emergency financial assistance is $9,790. No FTE's are supported by this funding. Approximately 60 clients will be served. With an increase (compared with the 1996-1997 allocation) in funding allocated for the voucher program, it is anticipated that the number of clients accessing vouchers will increase by approximately 10%. Food Bank/HDM - Total funds for food bank/IIDM is $1,815. These funds are used to purchase nutritional supplements (e.g. Advera, Suscatal, Ensure, etc.) for clients. No FTE's are supported by this funding. Approximately 15 individuals will be served. Transportation - Total funds for transportation is $1,936. These funds will be used to assist clients who have to travel out-of-town for medical care and other services. No FTE's are supported by this funding. Approximately 10 individuals will be served. This will be a new program for 1997-1998. Other Support Services - Total funds for other support services is $9,170. These funds will be used for outreach to populations currently not being served or to those populations being underserved; and for interpreting services for Spanish speaking clients only. Total FTE's supported by this funding is .2. 970T . 8 The provision of the above support services will improve the availability of health care for individuals who are infected with HIV by allowing them to more easily access services. Monitoring, and assuring the quality, of services will be done through regular case management visits with clients, and period client surveys. Consortium Expenses Total funds for consortium expenses is $2,750. These funds will be used for printing and postage related to the activities of the Northern Colorado Care Consortium, and for travel for Consortium members to and from Consortium meetings. No FTE's are supported by this funding. 9 9i07f Weld County Health Department for the Northern Colorado Care Consortium Colorado Ryan White CARE Act Title II Budget Request - April 1, 1997 through March 31, 1998 TABLE I Business Category White Title II Funds Requested Budget Request % of Total Budget Personnel $ 18,314 14% Fringe Benefits 4,762 4% Travel 2,500 2% Equipment Supplies printing/Postage Contractural 2,000 77,879 Other: Please Speciry 1% 60% 1. Vouchers 8,585 7% 2. Support Group Facilit ator 3,380 3% 3. Administrative Costs* 11,742 9% TOTAL 129,162 100% *A 10% administrative cost cap is mandatory as required by the reauthorized CARE Act. These costs can include (1) Usual and recognized overhead, including indirect cost rates; (2) Management and oversight of specific programs funded under Title II; (3) Audit expenses; and (4) Other types of program support such as quality assurance, quality control and other related activities. H \WPDOCSN97RWBUDG.IHA (W)1() 11 (a) 9 i O7*'.4 TABLE II Table II: Breakdown by Proposed HIV Service Category Category of Service Budget Request Other Funds Total Program Budget Ambu/Outpat. Medical Care Dental Care Case Management $82,397 $82,397 Harm Reduction (Federal funds r,�nt x used to support needle exchange.) Home Health Care Hospice Care Medications Mental Health Therapy Nutritional Services Rehabilitation Care Substance Abuse Treat. Support Services Adopt/Foster Care Buddy/Companion Client Advocacy Counseling 10,155 10,155 Day/Respite Care Emer. Financial Asst. Vouchers: Specify for each service area. I. Dental 3,559 3,559 2. Medical 7,590 7,590 3. Emergency Financial 9,790 9,790 Food Bank/HDM 1,815 1,815 Housing Assist. Transportation 1,936 1,936 Other Support Serv. 9,170 9,170 Consortium Expenses 2,750 2,750 TOTAL 129,162 129,162 H:\WPDOCS\RW97TBL.TBL II(b) Addendum (Assurances) Colorado Ryan White Title II 1994 Consortium Assurances In order to receive assistance from the State, the Consortium hereby assures the State that: A. Within the established locality in which the consortium will operate, the population and subpopulations of individuals and families with HIV disease have been identified by the consortium; B. The consortium's service plan addresses the special care and service needs of the populations and subpopulations identified by a needs assessment in the established locality; C. The consortium will comply with all data collection and reporting requirements as mandated by HRSA and the Colorado Department of Health; D. The consortium will be a single coordinating entity that will integrate the delivery of services among the populations and subpopulations identified in the established locality; E. The consortium will coordinate and expand existing programs before any new programs are created; F. The consortium shall deliver case management services that link available community support services to appropriate specialized medical services; G. The consortium will include participation by individuals with HIV disease in the assessment of service needs and the planning of the delivery of services; H. The consortium has or will create a mechanism to evaluate the success of the consortium in responding to the identified needs and the cost effectiveness of the mechanisms employed by the consortium to deliver comprehensive care; I. The consortium has or will adopt by-laws by which the consortium will operate. The by- laws will include the definition of a "member" of the consortium and a description of the process the consortium must follow in including new members. Membership definitions and processes will clearly demonstrate an open and inclusionary intent which will give all segments of the HIV service provider community an opportunity to participate on a continuous and ongoing basis. By-laws will also include a description of the process for selecting a lead agency; this process will ensure all consortium members have an opportunity to be considered for the role of lead agency, if interested, and to participate in selection of the lead agency; and 12 9707(3,1 J. All non-profit agencies receiving $25,000 or more in 'Title II funds will ensure an annual independent financial audit is conducted and a report submitted as specified in Section II -F, of the 1996-97 Tide II Consortia Workplan Guidance document. (The CFDA number for Title II funds is 93.917). @Inca Signature 0 k 13 2.11-97 Date 9707f 07f, Addendum (Agency Budgets) 9707f4 Northern Colorado AIDS Project Colorado Ryan White CARE Act Title II Budget Request - April 1, 1997 through March 31, 1998 TABLE I APRA. ityant:, T IeIIFunds teel: Business Category Budget Request % of Total Budget Personnel $31,688 54% Fringe Benefits 3,169 5% Travel 1,250 2% Equipment (Phone/1-8001) 1,200 2% Supplies (Printing/Postage) 1,200 2% Contractural Other: Please Specify 1. Vouchers 9,500 17% 2. Support Group Facilit ator 3,640 6% 3. Food Bank 1,500 3% Administrative Costs* 5,315 9% TOTAL 58,462 100% *A 10% administrative cost cap is mandatory as required by the reauthorized CARE Act. These costs can include (1) Usual and recognized overhead, including indirect cost rates; (2) Management and oversight of specific programs funded under Title II; (3) Audit expenses; and (4) Other types of program support such as quality assurance, quality control and other related activities. H \WPDOCSy9]RWBUDG.IBA (WIN) 11 (a) 9.C7'- TABLE II -• Table II: Breakdown by Proposed HIV Service Category Category of Service Budget Request Other Funds Total Program Budget Ambu/Outpat. Medical Care Dental Care Case Management $42,358 $42,358 Harm Reduction (Federal -. cannot be used to support needle exchange.) Home Health Care Hospice Care Medications Mental Health Therapy Nutritional Services Rehabilitation Care Substance Abuse Treat. Support Services Adopt/Foster Care Buddy/Companion Client Advocacy Counseling 4,004 4,004 Day/Respite Care Emer. Financial Asst. Vouchers: Specify for each service area. 1. Dental 1,650 1,650 2. Medical 4,400 4,400 3. Emergency Fin. Asst. 4,400 4,400 Food Bank/HDM 1,650 1,650 Housing Assist. Transportation Other Support Serv. Consortium Expenses TOTAL 58,462 58,462 H 1WPDOCS\RW97 BL.TBL 11(b) Northeast Colorado Health Department Colorado Ryan White CARE Act Title II Budget Request - April 1, 1997 through March 31, 1998 TABLE I '!IlibletilklyailWhiWTttioLUEunds,Requestedk Business Category Budget Request % of Total Budget Personnel $ 9,149 47% Fringe Benefits 2,013 10% Travel 960 5% Equipment Supplies 1,800 9% Contractural Other: Please Specify 1. Support Group 1,680 9% 2. Transportation 1,600 9% 3. Translation Services 450 2% Administrative Costs* 1,765 9% TOTAL 19,417 100% *A 10% administrative cost cap is mandatory as required by the reauthorized CARE Act. These costs can include (1) Usual and recognized overhead, including indirect cost rates; (2) Management and oversight of specific programs funded under Title II; (3) Audit expenses; and (4) Other types of program support such as quality assurance, quality control and other related activities. H:\WPDOCSy97RWBUDG.IBA (WIN) 11 (a) 9707? -1 TABLE II f _, Table II: Breakdown by Proposed HIV Service Category Category of Service Budget Request Other Funds Total Program Budget Ambu/Outpat. Medical Care Dental Care Case Management $ 7,472 $ 7,472 Harm Reduction (Fms,, fund, carrno, be used to support neeAe exchange.) Home Health Care Hospice Care Medications Mental Health Therapy Nutritional Services Rehabilitation Care Substance Abuse Treat. Support Services Adopt/Foster Care Buddy/Companion Client Advocacy Counseling 1,848 1,848 Day/Respite Care Emer. Financial Asst. Vwcbcrs: Specify for each service area. I . 2. 3. Food Bank/HDM Housing Assist. Transportation 1,760 1,760 Other Support Serv. 8,337 8,337 Consortium Expenses TOTAL 19,417 19,417 N:\ WPDOCS\R W9TTBL. TBL 11(b) 1Vr� 4 /RTThCH »1 e3'Y 13 COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT GUIDANCE FOR THE DEVELOPMENT OF TITLE II FUNDED CONSORTIA WORKPLANS, 1997-98 9707f7,1 I. GENERAL INFORMATION A. Introduction: The Colorado Department of Public Health and Environment (CDPHE) is receiving a 12 - month grant under the federal Ryan White C.A.R.E. Act of 1990 to "improve the quality, availability and organization of health care and support services for individuals and families with HIV disease." [Sec. 2611] Grant funds are restricted to specific types of activities and services. Grant funds may be used for the development and operation of HIV care consortia; home- and community -based care services; continuum of health insurance coverage; and the provision of treatments. It is the intention of the Act that funds be distributed in a manner consistent with the epidemiology of reported AIDS cases within the State. At least 7.42% of funds must be used to serve infants, children, women and families with HIV. B. Definitions: 1. HIV Care Consortia: An HIV care consortium, as defined in the Ryan Whit. C.A.R.E. Act, is "an association of one or more public, and one or more nonprofit private, health care and support service providers and community -based organizations." [Sec. 2613 (a) (1) and (2)] Consortia are established and operate within areas most affected by HIV disease to provide a comprehensive continuum of care to individuals and families with HIV disease. 2. Home- and Community -based Care: Home- and Community -based Care is defined as those skilled health services provided to an individual with HIV disease in his/her home pursuant to a written plan of care established by a case management team. 3. Continuum of Health Insurance Coverage: Continuum of Health Insurance Coverage is defined as financial assistance provided to eligible low-income individuals with HIV disease in maintaining a continuity of health insurance or receiving medical benefits under a health insurance program, including risk pools. 4. Provision of Treatments: Provision of Treatments is defined as the provision of treatments that have been determined to prolong life or prevent the serious deterioration of health arising from HIV disease. C. Overview: Under the auspices of the Governor's AIDS Council a subcommittee was formed to determine general disbursements of Title II funds. Determinations were made of funding amounts for each consortia area. Individual consortium will make their own decisions of how best to disburse those funds within their own geographic area. These decisions must I 9707f7,1 be made on documented needs assessment. D. Goal of the Program: It is the goal of the Colorado Department of Public Health and Environment to fund activities and services throughout the State in order to "improve the quality, availability and organization of health care and support services for low-income individuals and families with HIV disease." [Sec. 2611] 2 9i©7.f'4 II. STATEMENT OF WORK A. Period of Performance: The period of performance for this project is from April 1, 1997, through March 31, 1998. B. General Responsibilities: 1. To the maximum extent possible, ensure that HIV -related health care and support services provided will be without regard to the ability of the low-income individual to pay for such services and without regard to the current or past health condition of the person with HIV disease. 2. Ensure that services will be provided in a setting that is accessible to low-income individuals with HIV disease and provide outreach to low-income individuals with HIV disease to inform them of the services available through this grant. 3. Ensure that if an entity receiving Title II funds charges for services, it must do so on a sliding fee schedule that is available to the public. The following chart may be refered to for allowable charges: Individual/Family Annual Gross Income and Total Allowable Annual Charges INDIVIDUAL/FAMILY ANNUAL GROSS INCOME TOTAL ALLOWABLE ANNUAL CHARGES Equal to or below the official poverty line No charges permitted 101 to 200 percent of the official poverty line 5% or less of gross income 201 to 300 percent of the official poverty line 7% or less of gross income More than 300 percent of the official poverty line 10% or less of gross income 4. Conduct all programs in accordance with the accepted workplan, including remaining within the proposed budget and performing tasks within the specified time -frame. 5. Identify a project staff member to work with the Colorado Department of Public Health and Environment. 6. Work cooperatively with the Colorado Department of Public Health and Environment with the review and evaluation of program progress and the independent peer review program designed to assess the quality and appropriateness of health and support services provided through this grant. 3 9i07F C. Specific Responsibilities and Eligibility Requirements: 1. Responsibilities: a) To provide comprehensive outpatient, essential health and support services for low- income individuals and families with HIV infection. Services include (but are not limited to): i) essential health services: case management; medical, nursing and dental care; diagnostics; monitoring; medical follow-up services; mental health; developmental and rehabilitation services; home health; and hospice care. ii) essential support services: transportation; attendant care; homemaker services; day or respite care; benefits advocacy; advocacy services provided through public and nonprofit private entities; nutrition; housing referral; child welfare and family services (including foster care and adoption); and provision of information and counseling on living with HIV. b) To coordinate and expand existing services, and to identify service gaps. The consortium is the single coordinating body that will integrate the HIV services within a particular locality. If a locality has sub -populations with unique service requirements which cannot be adequately met by a single coordinating body, an additional consortium could receive Title II funds. c) To ensure that Ryan White funds are used as a payor of last resort. Clients who are eligible for third -party payments, including Medicaid and Medicare, and those who have private health insurance should be using those funds before CARE Act funds. 2. Eligibility Requirements: A consortium does not have to provide the services directly. Alternatively, it can coordinate the services. In addition, a consortium is not required to become a legally incorporated entity. Funds can be received by a lead member agency, on behalf of a consortium. In order to be eligible to receive funding, a consortium must comply with the following requirements: a) Membership: A consortium must include agencies and community -based organizations which provide services to populations and sub -populations with HIV infection within the community; represent the populations and sub -populations affected by HIV in the community; and are located in areas where these groups reside. Additionally, a consortium should include representation by persons with HIV infection. 4 9707f 41 b) Service Plan: i) A consortium must undertake a needs assessment and establish a service plan based on the results of the needs assessment in consultation with the public health agency that provides or funds ambulatory and outpatient HIV -related health services; other entities that directly provide ambulatory HIV health services; community -based organizations that are organized solely for the purpose of providing HIV -related support services to individuals with HIV infection; and in Ryan White Title I cities, the HIV Health Services Planning Council. ii) The consortium must assure that persons with HIV infection participate in the planning process, and that needs will be addressed through the coordination and expansion of existing programs before new programs are created; in metropolitan areas, the geographic area to be served by the consortium corresponds to the boundaries of local health and support service delivery systems, to the extent practicable; in rural areas, the consortium will provide case management services to link support services to specialized medical services; the full continuum of health and social services needed for persons with HIV infection has been considered; and adequate planning has occurred to meet the special needs of families with HIV infection, including family centered care. c) Reporting and Evaluation: The consortium must create a mechanism to evaluate its success in responding to identified needs and the cost-effectiveness of the mechanisms employed by the consortium to deliver comprehensive care. The results of these evaluations must be reported to the State. Data and information about the evaluation methodology the consortium used must also be available to the State. D. Reporting Requirements: Contractors must provide statistical and program achievement information and assurances to the Colorado Department of Public Health and Environment in a manner that meets the requirements of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS). This information includes: 1. Statistical and Program Achievement: All contractors receiving Title II funds MUST comply with the reporting requirements of the AAR and provide quarterly narrative reports and up-to-date fiscal information.. a) Four quarterly narrative and statistical reports must be submitted for the period of April 1 to June 30; July 1 to September 30; October 1 to December 31, 1997; and January 1 to March 31, 1998. These reports will be due by July 15 and October 15, 1997 and January 15 and April 15, 1998, respectively. Narrative reports should 5 9707r4 j include discussions of: progress in achievement of goals and objectives; problems and concerns encountered in completing activities within each category of service; plans to respond to any barriers encountered; and highlights of noteworthy achievements and developments. b) Contractors are required to submit monthly reports meeting the requirements of the AAR. c) Contractors are also required to produce an annual aggregate AAR to be submitted to HRSA. The reporting period is based on the calendar year, e.g., January 1 through December 31 of any given year. However, in the event a contract is not renewed for the new project period commencing April 1, 1997, the reporting period for calendar year 1997 shall be from January 1, 1997, to March 31, 1997. All contractors must plan to complete the standard scannable AAR which will be sent to you as soon as possible. The year-end form will be completed for the January 1, 1996 through December 31, 1996 time period and will be due in our office on March 3, 1997. E. Assurances: Consortia submitting workplans are required to sign the enclosed assurances and include them as an attachment to the workplan. F. Annual financial audit: If you receive $25,000 or more in Ryan White funds during your agency's 1996 fiscal year, you must have an annual financial audit conducted by an independent auditor. The audit report must be received by CDH no later than 90 days after the last day of the project period. Necessary and reasonable costs associated with this audit may be paid from the agency's administrative funds. A welcome change to the federal audit requirement is forthcoming. If a non-profit agency's fiscal year ends after June 30, 1997 an audit is required only if $300,000 or more in federal funds is received. 6 97©7 4 III. WORKPLAN GUIDELINES A. Workplan Submission: Submit two (2) copies of the workplan, including the original, to Karen Ringen, at the address below, no later than 2:30 p.m. on February 21, 1997. Please note it will take approximately 4-6 weeks to process contracts within CDPHE; therefore, if it is possible to submit workplans earlier, final contracts will be available sooner. The address is: Aim McGrath Colorado Department of Public Health and Environment DCEED-STD-A3 4300 Cherry Creek Drive South Denver, CO 80222-1530 B. Guidelines for Writing the Workplan: 1. The workplan narrative should not exceed ten (10) pages, be single spaced, in standard 10 or 12 point type, and use one -inch top, bottom and side margins. 2. The workplan shall have a cover -page which indicates: a. the HIV Care Consortium name which, in further references, shall be referred to as "Contractor"; b. the list of agencies, including federal tax identification numbers, to receive funds under this grant; and c. the name, address and phone number of a contact person appointed by the submitting consortium. 3. The workplan should clearly and concisely address how the contractor "improve[s] the quality, availability and organization of health care and support services for individuals and families with HIV disease." [Sec. 2611] 4. The workplan should include, as an addendum, evidence of strong local conununity support from persons with HIV disease, local health authorities and medical providers. 5. The workplan should include, as an addendum, the signed assurances included with this document. 7 9707f C. Workplan Format: Agencies submitting workplans' are required to write a narrative describing the consortium and to submit budgets which reflect the responsibilities and eligibility requirements of the consortium. 1. Narrative a) Description of the locality to be served, including: 1) the geographic boundaries and how they correspond to the boundaries of the local health and social services delivery systems; 2) the characteristics of the populations affected by HIV in the locality, based on the incidence of AIDS and the prevalence of HIV; 3) the existing HIV services available in the geographic area; and 4) service gaps, based on the assessment of existing service capacity and unmet needs. b) Description of the service plan, including: 1) the planning process by which the service plan was developed, including a description of how the public health agency, other local providers of ambulatory services (if the public health agency is not a direct service provider), and AIDS service organizations were consulted; and how persons with HIV infection participated in the development of the plan. 2) the service plan: what services will be provided and by which organizations; how many persons with HIV infection will be served by the proposed service; and what the methodology will be for reaching and serving{ persons newly diagnosed with HIV disease in the service area. Please include the demographic information that is used in the AAR; 3) the service integration: how referrals between agencies will be made; a description of the plan for case management; and 4) the implementation plan: based on the service plan, what activities will be undertaken and when; and which organization will be responsible for coordinating the specific activities in the implementation plan. c) Description of the consortium membership, including: 1) name of lead agency and documentation that all consortium members had the opportunity to be considered for the role 8 9707?. of lead agency and agree to the selection of the designated lead agency in their region; 2) a list of members and what services they provide, including a description of the coordination between member agencies in order to provide a quality and continuum of care; 3) a description of member agencies which will be receiving HIV care consortium funds; and 4) a description of the form of agreement between the agencies. d) Description of the plan for reporting and evaluation, including the mechanism the consortium will use to collect data from consortium members to evaluate its success in responding to the identified needs; and to evaluate the cost-effectiveness of the services provided. 2. Budget: Submitting agencies must submit completed budget tables and justifications which reflect the consortium budget as a whole and completed budget tables and justifications from each individual agency requesting funds under this program. a) Budget Tables: The enclosed budget tables should be completed according to the attached instructions. b) Budget Justification: The budget justification must reflect the amounts requested in the budget tables. The budget justification shall be broken out into two parts: 1) Table I: Description and Justification of Budget: Each object class/category should be justified by responding to these points: a) Business Category b) Total funds requested for the Business Category c) What percent of the total budget does this represent? d) Describe how the proposed business category will "improve the quality, availability and organization of health care and support services for individuals and families with HIV disease." [Sec. 2611] 2) Table II: Description and Justification of Planned HIV Service: This year, the HIV Service Categories are the same for both Title I and Title II; therefore, there are many more from which you can choose, based on the needs in your area. Justify your budget request for each of your chosen service areas by 9707E:1 responding to these points: a) Planned HIV service b) Total funds requested for this service (direct plus indirect costs) c) What is the number of full time equivalent employees (FTEs) that will be supported with the specified funds? d) Number of clients to be served by this service (4/1/97 - 3/31/98). At least 7.42 percent of services shall be provided to "infants, children, women and families with HIV disease." [Sec. 2612 (b)] Provide the number of clients to be served in each of these categories. e) Describe how the service will "improve the quality, availability and organization of health care and support services for individuals and families with HIV disease." [Sec. 2611] f) Explain the plan, including specific tasks to be performed, for providing the planned HIV service: How will clients benefit? g) Using quarterly objectives, what measurable units of service will be provided with these funds (e.g., number of clients, number of client contacts, etc.)? h) If planning an expansion of existing services, how many additional clients will be served? i) Describe the methods that will be used to monitor and assure the quality of the service. 10 9iCT?'- IV. BUDGET REQUEST INSTRUCTIONS PLEASE NOTE: Use level funding from last year's 96/97 allocation to create your 97/98 budget. In the event that Denver receives a whopping amount in their Supplemental, we will have to make adjustments later on. The tables and forms included in this section are to be completed by each consortium requesting funds under this project. Table I and II should contain combined information from all subcontracting agencies and the lead agency. The agency -level budgets should then be included as an addendum to the proposal. The information requested in Table I: Ryan White Title II Funds Requested and Table II: Breakdown by Proposed HIV Service Category is based on the total budget request, but is itemized in different formats. The totals on both tables should agree. The figures from these forms will be transferred directly to your monthly billing statements as beginning balances. Table II contains a column that allows you to list Other Funds that come into your agency for use in this service category. CDPHE needs this information because it shows that other funds are being used in support of AIDS services as well as Ryan White funds. Each consortium must maintain a level of effort from year to year and we need to have that information available for HRSA. Consortium lead agencies and subcontractors are subject to the 10% administrative costs cap requirements and definitions in the reauthorized Act. The lead agency's and subcontractor's administrative costs are: • usual and recognized overhead, including indirect cost rates • management and oversight of specific programs funded under Title II • other types of program support such as quality assurance, quality control and other related activities • audit expenses The HIV SERVICE CATEGORIES DEFINITIONS are attached, but the term contractual is explained below: Contractual: Services the consortium has been contracted to provide but are not provided by the lead/fiscal agency who sub -contracts with other providers in the consortium. This category is to be used solely by the lead/fiscal agency in order to track the flow of funds through sub -contracts. 11 97©7?4 Colorado Ryan White CARE Act Title II Budget Request - April 1, 1997 through March 31, 1998 TABLE I Table 1: Ryan White Title II Funds Requested Business Category Budget Request of Total Budget Personnel Fringe Benefits Travel Equipment Supplies Contractural Other: Please Specify 1. 2. 3. Administrative Costs* TOTAL *A 10% administrative cost cap is mandatory as required by the reauthorized CARE Act. These costs can include (1) Usual and recognized overhead, including indirect cost rates; (2) Management and oversight of specific programs funded under Title I1; (3) Audit expenses; and (4) Other types of program support such as quality assurance, quality control and other related activities. 11 (a) 970•"r4 TABLE II Table II: Breakdown by Proposed HIV Service Category Category of Service Budget Request Other Funds Total Program Budget Ambu/Outpat. Medical Care Dental Care Case Management Harm Reduction (Federalbinds cannot be used to support needle exchange.) Home Health Care Hospice Care Medications Mental Health Therapy Nutritional Services Rehabilitation Care Substance Abuse Treat. Support Services Adopt/Foster Care Buddy/Companion Client Advocacy Counseling Day/Respite Care Emer. Financial Asst. Vouchers. Specify for each service area. I. 2. 3. Food Bank/HDM Housing Assist. Transportation Other Support Serv. Consortium Expenses TOTAL l l:1 W PDOCS\R W97rBL.TBL 11(b) Colorado Ryan White Title II 1994 Consortium Assurances In order to receive assistance from the State, the Consortium hereby assures the State that: A. Within the established locality in which the consortium will operate, the population and subpopulations of individuals and families with HIV disease have been identified by the consortium; B. The consortium's service plan addresses the special care and service needs of the populations and subpopulations identified by a needs assessment in the established locality; C. The consortium will comply with all data collection and reporting requirements as mandated by HRSA and the Colorado Department of Health; D. The consortium will be a single coordinating entity that will integrate the delivery of services among the populations and subpopulations identified in the established locality; E. The consortium will coordinate and expand existing programs before any new programs are created; F. The consortium shall deliver case management services that link available community support services to appropriate specialized medical services; G. The consortium will include participation by individuals with HIV disease in the assessment of service needs and the planning of the delivery of services; H. The consortium has or will create a mechanism to evaluate the success of the consortium in responding to the identified needs and the cost effectiveness of the mechanisms employed by the consortium to deliver comprehensive care; I. The consortium has or will adopt by-laws by which the consortium will operate. The by- laws will include the definition of a "member" of the consortium and a description of the process the consortium must follow in including new members. Membership definitions and processes will clearly demonstrate an open and inclusionary intent which will give all segments of the HIV service provider community an opportunity to participate on a continuous and ongoing basis. By-laws will also include a description of the process for selecting a lead agency; this process will ensure all consortium members have an opportunity to be considered for the role of lead agency, if interested, and to participate in selection of the lead agency; and 12 9707* 4 J. All non-profit agencies receiving $25,000 or more in Title II funds will ensure an annual independent financial audit is conducted and a report submitted as specified in Section II -F, of the 1996-97 Title II Consortia Workplan Guidance document. (The CFDA number for Title II funds is 93.917). Signature Date 13 ✓ 1 07ft4 ATTACHMENT C STATE OF COLORADO Roy Romer, Governor Patti Shwayder, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado Main Building 4300 Cherry Creek Dr. S. Denver, Colorado 80222-1530 Phone (303) 692-2000 Laboratory Building P O Box 1 71 23 Denver, Colorado 80217 (303) 691-4700 ,1997 State Fiscal Year 19_ - Change Order Letter No. Colorado Department of Public Health and Environment Contract Routing Number In accordance with Paragraph _ of the contract with routing number and contract number (as amended by Change Order Letter routing number , and/or Renewal Letter routing number ), hereinafter referred to as the Original Contract (copy attached and by this reference made a part hereof) between the State of Colorado, Department of Public Health and Environment ( Division) and covering the period of 199_ through 199_, the parties agree that the maximum amount payable by the State for the eligible services in Paragraph _ of the Original Contract is being increased/decreased by DOLLARS ($ to a new total of DOLLARS ($ ) in accordance with the revised work plan attached hereto as Attachment A and revised budget attached hereto as Attachment B, both incorporated herein. The first sentence in Paragraph _ of the Original Contract is hereby modified accordingly. All other terms of conditions of the Original Contract are hereby reaffirmed. This amendment to the Original Contract is intended to be effective as of 199 but in no event shall it be deemed valid until it shall have been annroved by the State Controller or such assistant as he may designate. Please sign, date and return all _ originals of this letter as soon as possible to: Colorado Department of Public Health and Environment Division Mail Code: 4300 Cherry Creek Drive South Denver, Colorado 80222-1530 One original of this letter will be returned to you when fully approved. Contractor: State of Colorado: Full Contractor Name Roy Romer, Governor By: Signature By: Print Name: For the Executive Director Colorado Department of Public Health Title: and Environment APPROVALS: PROGRAM By: APPROVALS: CONTROLLER L. A. Koleski, Jr. By: Clifford W. Hall ® Printed on At a §4 Addendum (Consortium Lead Agency Selection) 9707f41 PUBLC HEALTH IS PUBLIC WEALTH NORTHEAST COLORADO HEALTH DEPARTMENT REGIONAL HEADQUARTERS P.O. Box 3300 / 700 Columbine / (970)522-3741 / FAX (970)522-1412 Sterling, Colorado 80751-0316 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, LOGAN COUNTY 700 Columbine Sterling, 80751 (970), 522, 3 rev aon t"'" Colorado Health -Department MORGAN COUNTY 228 West Railroad Ave FL Morgan, 80701 (970) 867-4918 eV fawn 115zne7e PHILLIPS COUNTY SEDGWICK COUNTY Courthouse Annex Courthouse Holyoke, 80734 Julesburg. 80737 (970) 854-2717 (970) 474-2619 WASHINGTON COUNTY Courthouse Annex Akron, 80720 (970) 3456562 VUMA COUNTY Courthous-7 W;tft758 M7'ft4 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Judy Foote Social Security Administration 9707f 4 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Don Cooper 9707f 4 701 HOSPICE OF LARIMER COUNTY January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Dorothy Turek Latimer County Hospice 9707F4 4 7604 Colland Drive, Fort Collins, Colorado 80525, (970) 663-3500, Fax (970) 663-1180 A United Way Agency PUBUC HEALTH IS PUBLIC WEALTH NORTHEAST COLORADO HEALTH DEPARTMENT REGIONAL HEADQUARTERS P.O. Box 3300 / 700 Columbine / (970)522-3741 / FAX (970)522-1412 Sterling, Colorado 80751-0316 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Loreen Miller Northeast Colorado Health Department LOGAN COUNTY 700 Columbine Sterling. 80751 (970) 522-3741 MORGAN COUNTY 226 West Railroad Ave Ft, Morgan, 80701 (970) 867-4916 PHILLIPS COUNTY SEDGWICK COUNTY Courthouse Annex Courthouse Holyoke, 80734 Julesburg, 80737 (970) 854-2717 (910) 474-2619 WASHINGTON COUNTY Courthouse Annex Akron, 80720 (970) 345-6562 VUMA COUNTY co:,r.nou_� wa January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, • L. Les Hembry eeeetteggeete aaea. Gear educations centeii Serving the northeast counties • Kit Carson • Larimer • Lincoln • Logan • Morgan • Phillips • Sedgwick • Washington • Weld • Yuma 1024 Ninth Avenue • Suite B • Greeley, Colorado 80631-4002 • Phone (970) 351-0755 • FAX (970) 351-0786 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Jan Moraczewski Centennial Area Health Education Center Cent&nnial AHEC is an affiliate of the Colorado AHEC System at the QJ University of Colorado Health Sciences Center .5707F4 r'c' January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, I (l' /(i' Pat Honaker 3707F .t Addendum (Letters of Support) 97017F ..1 enema area 4e -eat% eclacation center Serving the northeast counties • Kit Carson • tarimer • Lincoln • Logan • Morgan • Phillips • Sedgwick • Washington • Weld • Yuma 1024 Ninth Avenue • Suite B • Greeley, Colorado 80631-4002 • Phone (970) 351-0755 • FAX (970) 351-0786 1-30-97 To Whom It May Concern: I am writing to express my support for continued funding for Title II Ryan White Services offered through the Weld County Health Department. As local Education Coordinator for the Colorado AIDS Education and Training Center, I have utilized the expertise of the local HIV Resource Coordinator to identify local health care professionals who are interested in updated HIV/AIDS clinical information to better serve their patients. As a member of the Northern Colorado Care Consortium, I am aware of the extent of the valuable direct patient services that this funding allows the Health Department to provide. These services are especially important to infected individuals and families in the rural areas of Northeastern Colorado who experience more barriers in obtaining services. Thank you for ongoing support for the important services that the Weld County Health Department's HIV Resource Coordinator provides in Northeastern Colorado. Sincerely, 641 Jan Moraczski, M.Ed., M.S. Education Coordinator Centennial AHEC is an affiliate of the Colorado AHEC System at the 1 University of Colorado Health Sciences Center O~'?' teir, February 3, 1997 Misti Aas, M.A. PSYCHOTHERAPIST + Counseling for Adtdts, Children & Adolescents Supervised By David Welch, EdD Lic. Psychologist To Whom it May Concern I am writing in support of the continuation of Title II Funding of the Ryan White CARE Act. As both a counselor and HIV Educator, I see the imperative need of funds for drug reimbursement and home and community -based services on a daily basis. In my practice, I serve many PWAs who, due to their own limited financial resources, rely on the many services such as case management, nutritional assistance, and medical /dental vouchers provided through the Ryan White CARE Act. I am a member of the Northern Colorado Care Consortium. Our organization works diligently to successfully integrate, coordinate and expand available services, as well as to identify new clients and unmet service needs. The Title II Ryan White CARE Act is invaluable to our conununity. Thank you for your thoughtful consideration in this matter. Sincerely, MAst` Cis Misti Aas 1024 9th Ave • Suite C • Greeley, CO 80631 • 351 0234 9707T1 January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Frank Cohoon Island Grove Treatment Center 9:0'"', F" rt.. fi b - ssa 1997 STD/AIDS January 27, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Constantine Skoumbourdis Weld County Board of Health 3i017F4 Ah . tpti Northern Colorado AIDS Project February 10, 1997 Gabrielle Vergara I-IIV Resource Coordinator 1517 16th Ave Ct Greeley, CO 80631 Dear Gabrielle: As a member of the Northern Colorado Care Consortium, I recognize the Weld County Health Department as the lead fiscal agent for this consortium for the 1997- 1998 grant year. Sincerely, Jeffrey Hill Northern Colorado AIDS Project 107 Cameron Drive, Fort Collins, CO 80525 (970) 223-6227/fax(970) 223-1659 970117.4 Misti Aas, M.A. PSYCHOTHERAPIST Counseling for Adults, Children & Adolescents February 5, 1997 Gabrielle Vergara HIV Resource Coordinator Weld County Health Department 1517 16th Ave. Ct. Greeley, CO 80631 Dear Gabrielle: Supervised By David Welch, PAD Lic. Psychologist As a member of the Northern Colorado Care Consortium, I support the Weld County Health Department as the lead fiscal agent for the Consortium for the 1997-1998 grant year. Sincerely, Mit.Set 0-Ct� Misti Aas 1024 9th Ave • Suite C • Greeley, CO 80631 • 351 0234 frott1 Wilk. To COLORADO From mEmoRAnuum George Baxter, Chairman Board of County Commissioners Date John Pickle, Director, Health Department April 17, 1997 Subject: Ryan White Contract Enclosed for Board review and approval is a contract between the Weld County Health Department and the Colorado Department of Public Health and Environment for the sixth year of funding from Ryan White Title II monies. Under the provisions of the contract, the Health Department will provide case management services for HIV affected populations in Northeastern Colorado including but not limited to Weld, Larimer and Morgan counties. The Health Department will also process pass through funding to pay for clients' health care visits through a voucher system. Northern Colorado AIDS project (NCAP) and the Northeast Colorado Health Department will subcontract with WCHD to provide case management services. For these services, the Health Department will receive an amount not to exceed $129,162 for the period April 1, 1997 through March 31, 1998. Of these funds, 77,879 will be sub- contracted to the two other agencies listed above. I recommend your approval of this contract. Enclosure 9707,5,4 Hello