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Home My WebLink About20240017.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #8 FOR NURSE HOME VISITOR PROGRAM (NHVP) AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY 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 Contract Amendment #8 for the Nurse Home Visitor Program (NHVP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Early Childhood, commencing on July 1, 2019, and ending June 30, 2024, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Contract Amendment #8 for the Nurse Home Visitor Program (NHVP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Early Childhood, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to electronically sign and submit said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of January, A.D., 2024, nunc pro tunc July 1, 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY .COLORADO ATTEST: dstif.„O •11D•,4, Weld County Clerk to the Board BY. rn .tioitu i car✓ Deputy Clerk to the Board County A torney Date of signature: )1l o I z4 Ke ' Ross, Chair Perry ck, Pro-Tem Mike 5,reeman cC: I -IL 02./13/24 2024-0017 HL0057 Corrl1uac+Iba Tl 1 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: NURSE FAMILY PARTERNSHIP (NFP) CONTRACT AMENDMENT # 8 DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: December 14, 2023 PERSON REQUESTING: Jason Chessher, Executive Director Shaun May, Clinical & Community Health Director Brief description of the problem/issue: For the Board's review and approval is a contract amendment # 8 between the Colorado Department of Early Childhood (CDEC) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE). The proposed contract amendment allows for the change of one full-time position to two part-time positions at twenty hours per week each. This change was requested to retain an experienced nurse who can no longer work full-time. The Colorado Coordination Team, including the Colorado Department of Early Childhood (CDEC) and Invest In Kids (IIK) strongly supports position changes such as these to support retention and recruitment of nurses across Colorado. Retention of experienced, skilled home - visiting nurses allows the department to provide quality services to program participants. To move forward, CDEC is requesting this formal contract amendment. One full-time position will be converted to two half-time positions. Equivalent FTE remains at 1.0. There are increased costs associated with training, travel and equipment which are funded by an increase of $41,074 in grant allocation. We have a staff nurse with 6+ years of experience who is requesting to go half-time due to family circumstances. We also have interest from at least one former employee in returning to the program part time. What options exist for the Board? With the approval of the Board, this will allow the NFP to retain a highly qualified Registered Nurse (RN) and recruit for a half-time RN. Consequences: If the Board declines approving this contract amendment, we will lose our current full- time RN and will need to recruit for a new full-time RN. Impacts: The loss of a full-time RN will reduce our ability to maintain current caseload and will shift workload to other team members until we can hire and train a new RN. The current recruiting market for RNs is very challenging. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): There is a $41,074 increase to the program (grant) budget and no increase to County cost associated with this request. Grant rules require a contract amendment for this change. Equivalent FTE remains unchanged at 1.0. Recommendation: I recommend approval of this contract amendment for the NFP program with the Colorado Department of Early Childhood. 2024-0017 1 /3 H LOpTI Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman, Char Scott K. James Kevin D. Ross Lori Saine Cheryl Hoffman From: Sent To: Subject: Approve Sent from my iPhone Mike Freeman Monday, December 18, 2023 11:45 AM Cheryl Hoffman Re: 9 Pass arounds for review > On Dec 18, 2023, at 1:57 PM, Cheryl Hoffman <choffman@weld.gov> wrote: > Hi Mike, > Please review these 9 pass arounds and let me know if you approve placement on the BOCC agenda. > Thank you! > Cheryl L. Hoffman > Deputy Clerk to the Board > 1150 O Street/P.O. Box 758 > Greeley, CO 80632 > Tel: (970) 400.4227 > choffman@weld.gov a COLORADO Department of Early Childhood CONTRACT AMENDMENT #8 SIGNATURE AND COVER PAGE State Agency Colorado Department of Early Childhood 710 South Ash Street, Building C Glendale, CO 80246 Original Contract Number 20 IHIA 129479 Contractor Amendment Contract Number Weld County Department of Public Health and Environment CT QAAA 2024* 1062 1555 North 17. Avenue Greeley, CO 80631 Current Contract Maximum Amount Contract Performance Beginning Date Initial Term July 1, 2019 State Fiscal Year 2020 $954,006* *An appropriation for NHVP General Accounting Current Contract Expiration Date Encumbrance (GAE) is hereby added to this contract in the amount of $190,000, subject to appropriated funds which is split among other NHVP vendors. See Exhibit June 30, 2024 C: Section 12. NHVP General Accounting Encumbrance (GAE). Extension Terms State Fiscal Yew 2021 $955,298* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract in the amount of $70,000, subject to appropriated funds which is split among other NHVP vendors. See Exhibit C: Section 12. NHVP General Accounting Encumbrance (GAE). State Fiscal Year 2022 $995,9110 *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract in the amount of $140,000, subject to appropriated funds which is split among other NHVP vendors. See Exhibit C: Section 12. NHVP General Accounting Encumbrance (GAE). State Fiscal Year2023 $1,125,872* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract in the amount of $70,000, subject to appropriated funds which is split among other NHVP vendors. See Exhibit C: Section 11. NHVP General Accounting Encumbrance (GAE). State Fiscal Year 2024 $1,303,852* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract in the amount of $90,000, subject to appropriated funds which is split among other NHVP vendors. See Exhibit C: Section 11. NHVP General Accounting Encumbrance (GAE). Total for All State Fiscal Years $5,334,913 Signature Page begins on next page 4 Amendment Contract Number: CT QAAA 2024* 1062 Page 1 of 4 CDEC V.2 Rev. 07/08/2022 DocuSign Envelope ID: 377FF93C-7EA4-4C4E-BAED-FE2774A718B0 CDEC COLORADO Department of Early Childhood THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizine his or her signature. CONTRACTOR Weld County Department of Public Health and Environment f DocuSigned by: STATE OF COLORADO Jared Polis, Governor Colorado Department of Early Childhood Lisa Roy, Ed.D., Executive Director DocuSigned by: 6 I - 4B4rDrDC361rMf;.. By: Chair, Weld County BOCC 1/18/2024 Date: By: SteDrafliEl1MWDeputy Executive Director Date: 1/19/2024 In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD t-DocuSigned by: By: (ALUM CIAM0W \-Eutfa iROW, CDEC Amendment Effective Date: Controller 1/23/2024 -- Signature and Cover Pages End -- Amendment Contract Number: CT QAAA 2024* 1062 Page 2 of 4 CDEC V.2 Rev. 07/08/2022 COLORADO Department of Early Childhood 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or December 1, 2023, whichever is later and shall terminate on the termination of the Contract. 4. PURPOSE In accordance with the provisions of this contract and its exhibits and attachments, the Contractor shall: Provide trained visiting nurses to help educate mothers on the importance of nutrition and avoiding alcohol and drugs, including nicotine, and to assist and education mothers in providing general care for their children. This Amendment shall decrease funds for SFY24 and amends Exhibit B. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. Increase the Contract Amount for SFY24 by $41,074 from $1,262,778 to $1,303,852 and Increases the Maximum Amount for All State Fiscal Years from $5,293,839 to $5,334,913. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. Exhibit A — Statement of Work Exhibit A — Amendment #8, which is attached and incorporated by this Amendment, shall replace Exhibit A — Amendment #7 of the Original Contract. Amendment Contract Number: CT QAAA 2024* 1062 Page 3 of 4 CDEC V.2 Rev. 07/08/2022 a co[c 1COLORADO Department of Early Childhood C. Exhibit B — Budget Exhibit B — Amendment #8, which is attached and incorporated by this Amendment, shall replace Exhibit B — Amendment #7 of the Original Contract. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Amendment Contract Dumber: CT QAAA 2024* 1062 Page 4 of 4 CDEC V.2 Rev. 07/08/2022 a COLORADO Department of Early Childhood STATEMENT OF WORK (SOW) Exhibit A — Amendment #8 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (WCDPHE) 1555 N. 17TH AVE GREELEY, CO 80631 JULY 1, 2023 - JUNE 30, 2024 Page 1 of 7 COLORADO Department of Early Childhood Exhibit A — Amendment #8 INTRODUCTION/BACKGROUND The Nurse Home Visitor Program (NHVP) was created in statute in FY 2000. The NHVP utilizes Nurse -Family Partnership (NFP), an evidenced - based, voluntary, community health nursing program aimed at improving the lives of families expecting their first child. Clients are partnered with a registered nurse early in their pregnancy and receive home visits until the child turns two. All nurses delivering NFP are trained on the model by the NFP National Servi©e Offi©e (NFPNSO) and receive nursing consultation and continuing education from Invest in Kids (IIK), IIK, the NFPNSO, and the University of Colorado monitor the data to ensure the program is being implemented with fidelity to the model as tested in the original randomized controlled trials. Per statute, Colorado Department of Early Childhood (CDEC) is responsible for fiscal oversight and contract management of the program. Eligible Population: The program is open to all first-time, low-income parents (individuals living with an annual income below 200% of federal poverty level). The cumulative average age of clients in Colorado is 24. NHVP is available in all 64 counties in Colorado. The total number of eligible mothers according to the CO Health Index Dataset is 7,437 in 2021 which is the last year data is available. Services: • Improve pregnancy outcomes by helping parents engage in preventative health practices including prenatal care from their healthcare providers, improving their diets, and reducing the use of cigarettes, alcohol, and illegal substances. • Improve child health and development by helping parents provide responsible and competent care. • Improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work. SCOPE OF WORK WCDPHE/Weld Nurse -Family Partnership shall positively impact pregnancy outcomes, child health and development and economic self-sufficiency of enrolled families in Weld County by delivering high quality nursing services that comply with NFP model fidelity. WCDPHE/Weld's goal for this project is to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting and promote child health and school readiness through the provision of high -quality Nurse -Family Partnership (NFP) home visiting services for a caseload of 150 eligible families. PERIOD OF PERFORMANCE July 1, 2023 — June 30, 2024 Page 2 of 7 a WORK PLAN (COLORADO Department of Early Childhood Exhibit A — Amendment #8 Work Plan OUTCOMES, BENCHMARKS, AND MILESTONES WCDPHE/Weld Nurse- Family Partnership shall positively impact pregnancy outcomes, child health and development and economic self-sufficiency of enrolled families in Weld County by delivering high quality nursing services that comply with model fidelity. Key Activity A: Provide ongoing training, supervision and professional development for all NHVP Staff including model specific training and state required trainings and events, including those offered by Early Childhood Council. Tune Period Del t P on(s) Responsible Bt d t Category A.1 In collaboration with each NHVP staff, identify learning needs and develop an individualized plan for professional development. Ongoing Staff receive ongoing professional development to ensure proficiency in delivering high quality NFP program services. 100 % of NHVP NFP staff have professional development (PD) goals identified annually NHVP NFP NS NHVP NFP Administrator (CNO) Training and Technical Assistance A.2 Secure approved contract and/or internal staffing for mental health consultation September 30, 2023 Nursing professional development, nurse retention, and compassion fatigue and/or other identified professional development needs # Of completed mental health case conferences as noted in NFP FLO database. NHVP NFP NS Clinical Community Health (CCH) Division Director Personnel Contract services Page 3 of 7 COLORADO Departrnent of Early Childhood Exhibit A — Amendment #8 T, s s Trnac'l''d: DeliC Measurement Person(s) Responsible Bt C 0 A.3 Agency shall Ongoing Agency implements referral coordination # of referrals Personnel coordinate referrals to NFP with maternal health care and community services, such as WIC. Contractor shall provide all pregnant women in need of resources for prenatal medical care information about programs such as Women, Infants, and Children (WIC), etc. as needed; and shall ensure that all children ages birth through two years who may be eligible for early intervention services are referred to Early between maternal and child health care services and NFP. received from community services, i.e. WIC # of referrals sent i to community services NHVP NFP NS NHVP NFP NHVs Operating Intervention Colorado. A.4 NHVP staff shall Ongoing NHVP staff receive information to # of required Personnel attend all mandatory calls and meetings facilitated understand and comply with NHVP statement of work, fiscal and contractual calls and meetings NHVP NFP NS Operating by state intermediary (IIK) and the CDEC expectations and NFP model expectations, to be able to provide high quality NFP services to clients and administer the program efficiently and effectively. attended. # of staff who attended. NHVP NFP Administrator (CNO) NHVP Data Support Team NHVP Fiscal Staff Clinical Community Health (CCH) Division Director Page 4 of 7 COLORADO Department of Early Childhood Exhibit A — Amendment #8 Key Activity B: Recruit and retain NHVP NFP eligible families, provide voluntary NFP home visits and services for funded caseload T s Time Period Deliverable Measurement Persons) Responsible't Bu aettatcgory B.1 Review NFP enrollment, disenrollment, re- enrollment and dual enrollment policies & procedures to ensure voluntary participation and prioritization of NHVP enrollments for clients identified as high risk within the NFP population of focus Update as needed. Ongoing At risk NHVP eligible clients are enrolled in the NFP program in pregnancy and no later than 30 days post- partum, per Colorado NFP program guidelines. 100% of clients meet NFP population of focus at enrollment, as noted on NFP client application. NHVP NFP NS Personnel Operating B.2 Provide NFP visits (telehealth and in -person) to current caseload per NFP standard visit schedule or agreed upon alternate visit schedule, based on client choice. Build funded caseload throughout the year, commensurate with staffing, to reach caseload. Ongoing Conduct family -centered visits in accordance with NFP model specific guidelines. # of client visits completed # of clients enrolled by 28 weeks pregnancy and # enrolled after 28`' week # of clients retained in the program NHVP NFP NS NHVP NFP NHVs Personnel Page 5 of 7 COLORADO Department of Early Childhood Exhibit A — Amendment #8 Key Activity C: Ensure accurate and timely data collection as specified by the NFP NSO and utilize data reports to assess and guide program implementation. ,16iXG �� i�u�cti �TM� �, i"�.F�u��s�u,r_�Ztui' i� ,„�,�� Ti, a �: ��i i�a� l eli ra le a a3� ' �^, m �,�� mw:�w�::i� � �� r rleas rement o�'',u i�.ri � {�) Buse C.1 Enter data into NFP data collection system and monitor data utilizing NSO and any additional data reports from IIK Ongoing Data collected to track performance and identify measurable improvements at site level NFP database reflects data collected and reported. NHVP NFP NS NHVP NFP Data Support Team Personnel Operating Keay Activity D: Provide efficient and effective fiscal and programmatic administration for all aspects of NHVP Program. ,max rl st , ; Time 1 od` l velrable r . vI`e s +e t e #on(s) Responsible Ct'„ D.1 Finance staff shall submit monthly invoices to Department of Early Childhood per expected timelines once reviewed and approved by NHVP program staff. Ongoing Contractor shall adhere to NHVP and State of CO fiscal processes regarding invoicing, budget modifications and statement of work changes to CDEC invoicing(a,state.co.us # of monthly financial invoices submitted to CDEC on time. NHVP Fiscal Staff Personnel Indirect (finance office staff time and effort) D.2 NFP staff shall contact Department of Early Childhood regarding needed budget modifications prior to expending grant funds to ensure compliance with NHVP fiscal requirements- this includes any changes in salary that are not accounted for in the contract budget. Ongoing as need arises Contractor shall adhere to NHVP and State of CO fiscal processes regarding invoicing, budget modifications and statement of work changes. Email communication with CDEC staff and submitted budget revision requests. NHVP NFP NS NHVP Fiscal Staff Personnel Indirect (finance office staff time and effort) D.3 Finance staff shall complete and submit NHVP year-end statements to per Department of Early Childhood requirements. June 30, 2024 Contractor shall adhere to NHVP and State of CO fiscal processes regarding invoicing, budget modifications and statement of work changes. Year-end invoicing completed and submitted per expected contract timelines. NHVP Fiscal Staff Personnel Indirect (finance office staff time and effort) D.4 Agency fiscal staff working on NHVP services connect with CDEC program manager within forty-five (45) days of starting position. Ongoing, as needed New fiscal staff shall meet with the CDEC NHVP manager for fiscal training. Meeting completed NHVP Fiscal Staff Personnel Page 6 of 7 Y COLORADO Department of Early Childhood Exhibit A — Amendment #8 Key Activity E: Develop plan to increase Medicaid billing. (choose the appropriate verb) task r,..r Time :Period e Delverabl Measurement erson(s) 4esponsible Cat E.l Develop plan to increase Medicaid billing with support from IIK consultant October 1, 2023 Plan is complete Completed plan NHVP NFP NS NHVP NFP Administrator (CNO) Personnel E.2 Bill Medicaid when clients receive services in one of the four billable areas (TCM, tobacco cessation, maternal depression screenings and preventative counseling) Ongoing Medicaid billing occurs HCPF Reporting NHVP NFP NS NHVP NFP Nurses NHVP Fiscal Staff Personnel SCHEDULE/MILESTONES WCDPHE/Weld's NFP program is affiliated with the NFP National Service Office and works closely with Invest in Kids, Colorado's State intermediary, to ensure the program is delivered in compliance with model fidelity. WCDPHE/Weld shall adhere to all the NFP Model elements which demonstrate implementation with fidelity to the model. ACCEPTANCE CRITERIA The acceptance of all deliverables shall reside with the Colorado Department of Early Childhood - NHVP. The designated program manager shall monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work has been met. The CDEC program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be accomplished. Page 7 of 7 Exhibit B - Amendment #8 ega, COLORADO Department of Early Childhood Colorado Department of Early Childhood BUDGET WITH JUSTIFICATION FORM Contractor Name Weld County Department of Public Health and Environment Budget Period July 1, 2023 - June 30, 2024 Project Name Nurse Home Visitor Program Counites Served Weld County Program Contact Name, Title Phone Email Dana Garvey, RN, BSN, CLC, Nurse Home Visitor Program Coordinator, Public Health Services 970-400-2405 dgarvey@co.weld.co.us Fiscal Contact Name, Title Phone Email Sonya Oster, Business Operations Manager 970-400-2332 soster@weldgov.com Funded Caseload 150 Expenditure Categories Personnel Services - Salaried Employees SFY 2024 Position Title Description of Work and Fringe Benefits Include: Medicare, unemployment, workers compensation, PERA, life/AD&D insurance, health insurance, accrual -vacation, accrual -holiday, accrual -sick Gross or Annual Salary Fringe Percent of Time on Project Total Amount For Project A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Nurse Home Visitor 1 Delivers home visiting to mothers & families in Weld County. Note: 1.0 FIE from 7/1/23-11/30-23 and .5 FTE from 12/1/23 - 6/30/24. $61,015 $27,054 100% $88,069 $0 $0 $88,069 Nurse Home Visitor 2 Delivers home visiting to mothers & families in Weld County. $80,442 $35,668 100% $116,110 $0 $0 $116,110 Nurse Home Visitor 3 Delivers home visiting to mothers & families in Weld County. $78,568 $34,837 100% 5113,405 $0 50 $113,405 Nurse Home Visitor 4 Delivers home visiting to mothers & families in Weld County. $74,693 $33,119 100% $107,812 $0 $0 $107,812 Nurse Home Visitor 5 Delivers home visiting to mothers & families in Weld County. $78,568 $34,837 100% $113,405 $0 $0 $113,405 Nurse Home Visitor 6 Delivers home visiting to mothers & families in Weld County. $74,783 $33,159 100% $107,942 $0 $0 $107,942 Nurse Home Visitor 7 - TBD Part Time Delivers home visiting to mothers & families in Weld County.Note: .5 FTE for 9 months. $32,302 $14,323 100% $46,625 $0 $0 $46,625 NHV Supervisor Provides oversight and assistance to home visitors to implement program within fidelity requirements. $107,602 $47,711 100% $155,313 $0 $0 $155,313 Chief Nursing Officer Provides oversight to ensure fidelity and quality of program delivery and assists the home visitors. $161,261 $71,503 5% $11,638 SO SO $11,638 Public Health Services Director Provides oversight to ensure fidelity and quality of program delivery and assists the home visitors. $133,843 $59,346 2% $3,864 So $0 $3,864 Office Technician Provides assistance in data uploading and general support for the NHVP, supervisor, and nurse home visitors. Position increased to support Medicaid billing and referral processing. $57,178 $25,353 100% 582.531 50 50 $82,531 1. Total Personnel Services (including fringe benefits) $946,714 $0 SO $946,714 Supplies & Operating Expenses SFY 2024 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Office Operating & Printing Expenses (i.e. supplies) Costs cover office supplies and printing which are necessary to perform the critical functions of this program. $0 SO $2,000 Client Support Materials Costs include books, educational toys for clients, video clips and items that the team deems necessary for client support. $0 SO $8,000 Translation Services Translation Services to serve clients with various language needs. $0 $0 $1,000 Postal & Shipping Services Covers costs for shipping requirements. $0 SO $150 Communications (cellular, network services) Costs include phone & cell phone services with unlimited texting and WIN for up to 7 laptop computers. This allows the home visiting nurses the ability to communicate with each other and clients to ensure the safety of nurse home visitors and to enable charting in the field through the use of their cell phone hot spot capabilities. $0 $0 $11,429 Medical Supplies Covers costs for medical items purchased for client home visits. $0 $0 $500 Outside Services Covers costs associated with the calibration and servicing of scales used during home visits. $0 $0 $750 Electronic Medical Records Covers computer and data processing expenses related to EMR maintenance and upgrades, EMR licenses, and EMR operation and technical support (outside technical support). EMR is a technology driven norm in the medical community and it enables us to progress from double charting to single charting in an electronic format. $0 $0 $61,313 Telehealth Operating Expenses Costs to cover expenses related to telehealth delivery of the NFP program. $0 SO $50 Subtotal $0 $0 $85,192 Items Excluded from MTDC: (Rental costs, tuition, scholarships/fellowships, participant support, equipment, capital expenditures) Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Program Support Fee (remove from MTDC) Required cost for NFP teams, NSO annual fee $0 $0 $23,364 Subtotal items removed from MTDC $0 $0 $23,364 2. Total Supplies & Operating Expenses $0 $0 $108,556 Page 1 of 2 Rev 02/15/2023 Exhibit B - Amendment #8 Training and Technical Assistance SFY 2024 Item Description of Item Per Fee # Total A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) NHV Education Required training for new NHV NHV $5,412 1 $5,412 $0 $0 $5,412 NFP Education Materials Cost to cover required materials for NFP NHV $687 1 $687 $0 $0 $687 DANCE Education Cost covers required NFP training NHV $767 1 $767 $0 $0 $767 DANCE Licensing Cost covers required NFP training materials NHV $72 4 $288 $0 $0 $288 PIPE Training Cost of PIPE training required for NHV NHV $385 1 $385 $0 $0 $385 Professional Development Covers cost of additional training NHVs NHV/Supervisor $600 8 $4,800 $0 $0 $4,800 3. Total Training and Technical Assistance $12,339 $0_ SO $12,339 Travel SFY 2024 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Visit Outreach Mileage Covers the costs for travel to client visits, community outreach, and trainings; as well as travel expenses for training 6 NHVs, 1 NHV supervisor, and 1 Site Administrator $0 $1,366 521,540 NFP Supervisor Meetings Covers the cost for three state nurse supervisor meetings $0 $0 $250 NFP Nurse Practice Council Meetings Covers the cost for three state nurse practice council meetings $0 $0 $250 S. Total Travel $0 $1,366 $22,040 Contractors/Consultants (payments to third parties or entities) SFY 2024 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Mental Health Consultation for Nurses Covers the cost for monthly maternal/fetal mental health specialist consultation services to help nurses address potentially volatile and complex situations with the clients $0 $0 $1,500 6. Total Contractors/Consultants $0 $0 $1,500 TOTAL DIRECT $0 $1,366 $1,091,149 COSTS MODIFIED TOTAL Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and subaward. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, the portion of each (MTDC) $25,000 of each costs and of $25,000. $0 $1,366 $1,067,785 DIRECT COSTS up to the first participant support subaward in excess Indirect Costs [not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached) SFY 2024 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Negotiated Indirect cost rate Negotiated rate of 19.92% of MTDC $0 $0 $212,703 Total Indirect $0 $137 $212,703 TOTAL $0 $1,503 $1,303,852 *Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 - 1.0) Page 2 of 2 Rev 02/15/2023 Contract Form Entity Information Entity Name* Entity ID* COLORADO DEPARTMENT OF @00004256 EARLY CHILDHOOD Contract Name" CDEC FY23-24 NURSE HOME VISITOR PROGRAM (NHVP) CONTRACT AMENDMENT #8 Contract Status CTB REVIEW Contract ID 7711 New Entity? Parent Contract ID 6685 Contract Lead * Requires Board Approval KJAKUS-HOTCHKISS YES Contract Lead Email Department Project # kjakus- hotchkiss@weldgov.com; tgeiser@weld.gov;Health -Contracts@weld.gov Contract Description * CDEC FY23-24 NURSE HOME VISITOR PROGRAM (NHVP) CONTRACT AMENDMENT #8 Contract Description 2 AMENDMENT CONTRACT # CT QAAA 20241062 ORIGINAL STATE CONTRACT # 20 IHIA 127479, 7/1/2019 Contract Type" Department AMENDMENT HEALTH Amount* $1,303,852.00 Renewable" NO Automatic Renewal NO Grant YES IGA NO Department Email CM-Health@weldgov.com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM Grant Deadline Date Requested BOCC Agenda Due Date Date* 12/30/2023 01/03/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID 7149 If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date 01/03/2024 Review Date* 03/31/2024 Termination Notice Period Committed Delivery Date Contact Information Contact Info Renewal Date Expiration Date* 06/30/2024 Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JASON CHESSHER DH Approved Date 12/19/2023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 01/03/2024 Finance Approver CHERYL PATTELLI Legal Counsel MATTHEW CONROY Finance Approved Date Legal Counsel Approved Date 12/19/2023 12/19/2023 Tyler Ref* 010324 Originator KJAKUS-HOTCHKISS Hello