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Home My WebLink About20241397.tiffRESOLUTION RE: APPROVE GRANT APPLICATION AND WORK PLAN FOR HIGH -IMPACT HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROGRAM, AND AUTHORIZE CHAIR TO SIGN 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 a Grant Application and Work Plan for the High -Impact Human Immunodeficiency Virus (HIV) Prevention Program from 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, to the Colorado Department of Public Health and Environment, with further terms and conditions being as stated in said application and work plan, and WHEREAS, after review, the Board deems it advisable to approve said application and work plan, 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 Grant Application and Work Plan for the High -Impact Human Immunodeficiency Virus (HIV) Prevention Program from 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, to 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 electronically sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of June, A.D., 2024. ATTEST: %,1 G_Jll:4 Weld County Clerk to the Board BY. -al Deputy Clerk to the Board VEDAS County Atto Date of signature: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, 7 C.-- Kevi Ross, Chair Perry L. B ,: , Pro-Tem Mike ' reeman Saine cc : I4L.CrcfsM/L3F), AcT(cp/c.o) o6/u 2024-1397 HL0057 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: CDPHE High -Impact HIV Prevention Grant DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: May 20, 2024 PERSON REQUESTING: Jason Chessher, Executive Director Shaun May, Public Health Services Division Director Brief description of the problem/issue: Per 2023 data provided by Colorado Department of Public Health and Environment (CDPHE), Weld County ranks in the top 5 in the State of Colorado for new HIV diagnoses. For many years Clinical Services has provided HIV testing and education/health navigation support for those who test positive. Our main goal is to connect those who are positive with HIV with treatment and continued support programs with the aim of reducing the burden of HIV in Weld County. This work has historically not been supported by a grant. The County Cost is estimated at $25K per year. CDPHE recently published an RFP for High -Impact HIV Prevention (RFA# 23625263). This funding opportunity will allow us to continue the HIV prevention and treatment work we have been doing but will provide a grant source to offset County funding. Weld County Department of Public Health and Environment is prioritized by CDPHE in this funding award consideration due to the relatively high rates of new HIV cases in our county. It is our request to be approved by the BOCC to pursue this grant by making application for Track 1: HIV Testing, Navigation, and Linkage to Care Services. The application requests funding through Track 1 for services provided within our clinic and targeting high -risk populations in our community. The anticipated term of this grant would start August 1, 2024, and run until May 31, 2029. The anticipated average award is $30,000 to $50,000 for 5 years. What options exist for the Board? Consequences: By declining to apply for this grant, we will not be able to seek this grant funding to offset County cost currently supporting our HIV PrEP program. Impacts: By approving WCDPHE to apply for this grant, we are likely to receive additional funding to help offset County cost allocated to our HIV PrEP program and allow us to provide increased HIV testing and connection to treatment in our community. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): Our HIV PrEP program currently uses approximately $25,000 per year of County funding in the approved department budget. County funding would be largely offset, or completely substituted by grant dollars. No additional staff is requested as a part of this grant proposal. Recommendation: I recommend approval of the application to apply for the High -Impact HIV Prevention grant with the Colorado Department of Public Health and Environment. 2024-1397 (9/3 N LoC5`1 Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro -Tern Mike Freeman Scott K. James Kevin D. Ross , Chair Lori Saine COLORADO Department of Public Health & Environment REQUEST FOR APPLICATIONS COVER SHEET & SIGNATURE PAGE Date: May 28, 2024 RFA Number: 23625263 Submit Colorado Department of Public Health Et CDPHE Contact: OSHV Contract Monitoring Electronic Environment, Office of STI/HIV/VH Team Applications to: (OSHV) cdphe_sthv_contractrnonitoring@state.co. us RFA Submission 5/28/2024 Deadline: 12:00 p.m. (Mountain Time) Applicants are responsible for ensuring timely receipt. Office of STI/HIV/VH Per the attached specifications, terms, and conditions *F.E.I.N.: aa-s0008,3 DUNS: 075757955 Authorized Signature: Kevin Ross ova arol oa: sasoo Original signature (in wet ink or digital) acknowledges acceptance of all terms and conditions of the solicitation. Typed/Printed Name: Kevin D. Ross Title: Weld County Commissioner, Chair Company Name: Weld County Department of Public Health and Envionmental Health Address: 1555 North 17th Avenue City: Greeley Phone Number: 97O -336-72O4 State: CO Zip: actor Fax Number:970-336-7233 Contact for Clarifications: Sonya Oster Title: Business Operations Manager Phone Number: 970-400-2332 Fax Number: 970-304-6416 Email Address: sos.r@.dgov IMPORTANT: The following information must be on the outside of the Application Packaging or referenced in the subject line if the application may be submitted electronically: >RFA #23625263< Applicants are urged to read the solicitation document thoroughly before submitting an application. THIS PAGE MUST BE COMPLETED, SIGNED, AND RETURNED WITH RESPONSE 1IPage High -Impact HIV Prevention Attachment B Application Submission Checklist Submission checklist by track: Track 1: HIV Testing, Navigation, and Linkage to Care Services Track Track 2: Syringe Access Services Track Document Section Track 1 Track 2 Attachment A Request for Application Cover Sheet and Signature Page ✓ Attachment B Application Submission Checklist ✓ Attachment C 1 Executive Summary Track 1 Questionnaire ✓ Attachment D Track 1 Project Narrative ✓ Attachment E Attachment F Track 2 Questionnaire[ Attachment G Track 2 Project Narrative Attachment H 'Work Plan ✓ Attachment I Budget ✓ Attachment J Key Personnel ✓ Attachment K Other Required Documents ✓ Attachment L Financial Risk Assessment Questionnaire Page 1 of 1 Weld County Department of Public Health and Environment High -Impact HIV Grant Application Attachment C — Executive Summary Track 1 Strategies 1 & 2 Executive Summary In response to the increasing burden of STIs, inclusive of HIV, in Weld County, the department allocated approximately $320,000 of County cost in FY 2024 to our STI and $50,000 in PrEP/PEP programs annually. Total expenses for STI are approximately $400,000 with $300,000 in personnel, and total revenue of approximately $80,000 per year. In our PrEP/PEP program, we receive little to no revenue and our total expenses are approximately $50,000. Our aim in applying for this grant is to acquire financial assistance and stability for our growing STD program over the next 5 years. Historically, the department has allocated significant amounts of its County -supported funds to build our STI program. Our expenses in FY 2023 increased by $100,000, largely due to increased personnel cost ($75,000) but also a 100% increase in our testing costs ($25,000). While our expenses are increasing dramatically in our STI program, we are facing expiring funding. Our current STI grant will end in January 2025 accounting for 90% of our STI revenue. We are currently pursuing an agreement to work with CDPHE in our efforts to reduce Syphilis rates by way of Field Delivered Therapy. We are also looking for CDPHE funds to help support the work we are already doing for STI and HIV testing in the Weld County Jail. We have approximately 9,000 patients in our STI/HIV/TB and PrEP/PEP clinics each year. Our Outreach team currently sees another 2,000 STI patients through "pop-up" clinics 2 days a week out in the community most every week for about 8 months out of the year. Our goal, through the "opt -out" approach, is to see a 50% increase in our healthcare setting HIV testing and in our Outreach HIV testing in Year 1. We have set up a system in 14 non -healthcare community settings where we partner with key community organizations to offer STI and HIV testing. This has enabled us to connect with hard -to -reach populations that are some of our most vulnerable communities in Weld County. We also believe that the delivery of our new mobile medical unit, 100% County funded at $550,000, in Summer 2025 will be a game changer for us in our Clinical Outreach, especially our STI, HIV, and TB programs. We think it will enable us to connect with more people in the priority population groups, especially Hispanic women in Spanish-speaking communities as well as MSM and those using IV drugs. The main goal is to detect HIV in undiagnosed individuals. We are requesting at least $250,000 of funding each year for the next 5 years to help us continue to grow in our testing, treatment, prevention, navigation, and linkage to care systems to combat ever increasing cases of HIV and other associated STIs. High -Impact HIV Prevention Attachment D Track 1: HIV Testing, Navigation, and Linkage to Care Services Questionnaire Name of Applicant: Weld County Department of Public Health and Envrironment Applicant Eligibility Please choose the type of approved entity for the applicant: ■ ■ Non profit organization that is governed by a board of directors organization with the benefit of tax-exempt status pursuant to section 501(c)(3) of the federal "Internal Revenue Code of 1986" Ia A county, district, or municipal public health agency ❑ Colorado Federally Recognized Tribes Program Experience A. Years of Experience. For the activities listed in the RFA that are included in your proposal, how may years has your agency directly provided those services? Years of experience 0 years 1 1 year I 2 years 3 years 4 years 5+ years N/A in HIV settings healthcare testing services I [1 f I I ii X ri a in HIV community testing non -healthcare services settings _ - -- I J HIV linkage to care . , P1 [i Version 2.0, Date 5/7/2024 Page 1 of 14 ,,years of experience 0 years 1 year 2 years 3 years 4 years 5+ years N/A PrEP navigation and linkage to care services O O O O RI O PEP navigation and linkage to care services O O O O X' O O C Report your metrics about your HIV testing, navigation, and linkage to care service delivery and performance in 2023 If the number is unknown or not applicable, enter "N/A" If the indicated service was offered but nobody was served, enter "0" Service Delivery Performance, f Number Questions for agencies applying to provide HIV testing in healthcare settings For the site(s) you intend to implement routine opt -out HIV screening, how many unique individuals did you serve, 63®® Of the individuals who were served, how many individuals received HIV tests, 810 Of the individuals who received HIV tests, how many tests came back with reactive results, Questions for agencies applying to provide HIV testing in non -healthcare settings and HIV/PrEP/PEP navigation and linkage to care services How many HIV testing sites in non -healthcare community settings does your agency operate, 14 How many unique individuals did your agency provide HIV testing services to, 498 How many HIV tests did your agency conduct, 502 Of the HIV tests conducted, how many tests came back with reactive test results, 1 Of the HIV tests with reactive test results, how many individuals were linked to HIV medical and support care, 1 How many days on average did it take to link individuals diagnosed by your agency into HIV medical and support care, 7 How many unique individuals did your agency provide PrEP navigation and linkage to care services to, N/A How many unique individuals did your agency provide PEP navigation and linkage to care services to, N/A Version 2 0, Date 5/7/2024 Page 2 of 14 Program Implementation a. Estimated Client Numbers. What is the total number of individuals that you intend to serve in the first year with this funding? If providing a number is not applicable because that activity is not part of your proposal, enter "N/A". Activity Estimated Number of Clients To Serve HIV routine testing opt in -out healthcare screening1250 settings, specifically HIV testing in non -healthcare community settings 750 HIV linkage to care services 10 PrEP navigation and linkage to care services 30 PEP navigation and linkage to care services 7 Condom distribution 21,000 Community education, about engagement, and funded marketing including to increase outreach. awareness 5,000 your services b. Priority Populations. Applicants must primarily reach the following priority population(s) who are disproportionately vulnerable to the acquisition of HIV. This focus acknowledges the intersectionality of multiple identities and geographies and does not limit how people identify. Estimate the percentage of your overall client base who you will reach who identifies as: Priority Population Percentage Number Men who have sex with (MS/A) 10 men Black/African American 5 Hispanic/Latino/Latina/Latine/Latinx I 75 Women including cisgender and transgender women 85 Spanish-speaking communities 75 Youth (15 - 24 years otd) 35 People who use drugs / people who inject drugs (PWUD/PWID) 15 Transgender individuals including nonbinary and gender -nonconforming 3 Native 1 American 6 Version 2.), Date 5/7/2024 Page 3 of 14 c. Illy Testing Service Delivery Model. Indicate how you intend to deliver HIV testing services by identifying what settings and type of availability you will implement with this funding. Check all that apply. If your agency is applying only for HIV testing in healthcare settings, answer this question then skip to (h). Yes HIV Testing Service Delivery Model Type MX Healthcare Lailt5Slyggisf setting jigaabLaLeigiljngLwbeanatIotattingLiggiartifl. Non leases/owns -healthcare community to deliver setting services at a fixed -site with storefront that your agency 71 Non agency -healthcare partners community with a community setting -based at a satellite organization fixed -site to deliver with storefront services that your Non community List -healthcare the types event of community outreach setting sites: via outreach site at a community -based venue and/or . Non -healthcare community setting via mobile testing unit r -- Non mail -healthcare -based community testing programs setting via self -testing at a person's home, including Appointment -based to receive services model where individuals must schedule their visit in advance in order XDrop -in or receive services walk-in model where individuals do not need to make an appointment to X HIV required) testing will be integrated with STI testing (not including rapid syphilis which is X HIV testing will be integrated with HCV testing X HIV testing will be integrated with TB testing X HIV testing will be integrated with testing mpox XCapacity to perform blood draws on -site to support rapid and confirmatory testing Version 2.0, Date 5/7/2024 Page 4 of 14 d. HIV Linkage to Care Service Delivery Model. Indicate how your agency intends to deliver HIV linkage to care services with this funding by checking off the activities listed below. The activities do not need to be completed by one person. Check all that apply. Yes HIV Linkage to Care Service Delivery Model Type XProvide with another active referral agency to an HIV navigator or Linkage to Care staff person in partnership Have direct agency access to link client with an HIV provider within your ill embedded/co-located XSupport identifying a HIV provider for the client to access HIV medical care services X Submit an ADAP application on behalf of the client XSupport scheduling the first appointment Attend the first appointment with the client { I XAssist the client to pick up their prescribed HIV medication Screen services, the substance client for use their needs treatment for essential services, and/or support housing services, like assistance mental needs health XRefer the client to identified essential support services Xi Follow-up after the first appointment with the HIV provider X Assist the client to pick up their prescribed HIV medication Follow-up after the second appointment with the HIV provider E 1 Offer incentives to clients XOffer transportation support , X Other: Referal to Northern Colorado Network Health X Over: Offer PHI P Other: . None of the above f ] Version 2.0, Date 5/7/2024 Page 5 of 14 e. HIV Linkage to Care Service Delivery Expected Turnaround Time. Estimate how tong it will take you and/or your partnering agencies to assist a client with accessing the following. First HIV Medical Appointment HIV Medication Referral to Support services Same Day Same DayX1 f 7 Li Same Day Within 7 days x Within 7 days x Within 7 days Within 30 days Within 30 days Within 30 days r i L j 30 or more days 30 or more days 30 or more days (J _1 N/A N/A N/A , j I I f. PrEP and PEP Navigation and Linkage to Care Service Delivery Model. Indicate how your agency intends to deliver PrEP and PEP navigation and linkage to care services with this funding by checking off the activities below. The activities listed below do not need to be completed by one person. Check all that apply respectively to PrEP and PEP specific services. PrEP PEP PrEP and PEP Navigation and Linkage to Care Service Delivery Model Type XAccept PrEP/PEP referrals from external agencies Contact clients by text on specific program cell phone Li I I 1 Contact clients by email I I XX Meet clients in -person ' 1 X X Assess client's PrEP/PEP eligibility, interest, and readiness X , X Follow-up medication with at the PrEP/PEP initial eligible navigation clients who session are not ready to start PrEP/PEP X Screen eligible the client for to see what financial assistance programs they might be X XX Submit patient assistance program applications on behalf of the client XSubmit Public Health Intervention Program applications on behalf of the client ["I Enroll and/or client marketplace in a health health insurance plans plan, including Medicaid, public, private, Check appointment medications the client's existing to estimate anticipated health insurance costs coverage for PrEP/PEP-related prior to medical services and 4 Version 2.0, Date 5/7/2024 Page 6 of 14 PrEP PEP PrEP and PEP Navigation and Linkage to Care Service Delivery Model Type X X Follow-up behalf with around inaccurate health insurance medical companies bills directly received to advocate on the client's X X Support services the client to identify a PrEP/PEP provider to access PrEP/PEP care X Have embedded/co-located direct access to link within client your with agency/building a PrEP/PEP prescriber X Refer the client to external PrEP/PEP prescribers X X Support/directly scheduling the first medical appointment X , X Attend the first appointment with the client Have direct access for client to pick up their prescribed PrEP/PEP medication embedded/co-located within your agency/building X X Assist the client to pick up their prescribed PrEP/PEP medication X X Follow-up with client to determine if PrEP/PEP medication was initiated XX . Screen the client for their needs for essential support services , XX Screen clients for intimate partner violence XX Refer the client to identified essential support services , XX Link the client to identified essential support services first Continue appointments medication supporting and/or pick-up the client prescriptions with any after PrEP/PEP-related the first medical medical appointment and Offer incentives to clients , . XX Offer transportation support Other: I_] ( j Other: [ , Other: [ F None of the above Version 2.0, Date 5/7/2024 Page 7 of 14 g. PrEP Linkage to Care Service Delivery Expected Turnaround Time. Estimate how long it will take you and/or your partnering agencies to assist a client with accessing the following. first PrEP Medical Appointment PrEP Medication Referral to Support services Same Day Xi Same Day X Same Day X Within 7 days Within 7 days Within 7 days ._ J Ei Within 30 days Within 30 days Within 30 days D L 1 _' 7 30 or more days 30 or more days O 30 or more days h. Partnering Agencies. List the names of all partnering agencies who you have agreements with to provide HIV testing and HIV/PrEP/PEP navigation and linkage to care services and/or where your agency will send referrals to. a. Note: Ideally provide a letter of support for named partnering agencies. Full points for letters of support will be given for this specific evaluation factor for agencies who are able to submit a letter of support for each named partnering agency. b. Note: If you have more than 12 partnering agencies to list, please provide those partners in a separate document using the table template below and include as part of Attachment H. Partnering Agency Services Available 1 Northern Colorado Health Network Linkage to care 2 North Colorado Family Medicine Linkage to care 3 Salud (CARES) Clinic - Fort Collins Linkage to care 4 UCHelath Infectious Disease clinic Linkage to care 5 Julie Northern Colorado RN SANE Medical Center services PEP Rojas, 6 7 Version 2.0, Date 5/7/2024 Page 8 of 14 8 9 10 11 12 Partnering Agency Services Available ■ County -level Geographic Location of Services. Indicate which Colorado counties you intend to offer HIV testing and HIV/PrEP/PEP navigation and linkage to care services as part of your proposal. Counties identified with asterisks (***} are prioritized for this RFA. At least one of the counties must be one of the prioritized Colorado counties. Adams 'k* ❑ Alamosa ❑ Arapahoe *** ❑ Archuleta ❑ Baca ❑ Bent ■ ■ o Boulder *** Broomfield Chaffee Cheyenne Clear Creek Conejos Costi lla Crowley Custer Delta Denver **" Dolores Douglas Eagle Elbert Et Paso *4* Fremont *** ■ Garfield ❑ Grand ❑ Gunnison ❑ Hinsdale ❑ Huerfano ❑ Jackson ❑ Jefferson ❑ Kiowa ❑ Kit Carson La Plata Lake (! Larimer ' ❑ Las Animas Lincoln Logan ❑ Mesa Mineral Moffat ❑ Montezuma Montrose ■ ■ ■ ■ ■ ❑ Morgan Otero Ouray ■ ■ *** [] Park ❑ Phillips ❑ Pitkin Prowers ■ ❑ Pueblo *' ❑ Rio Blanco ❑ Rio Grande Routt ❑ Saguache ❑ San Juan ❑ San Miguel ❑ Sedgwick ❑ Summit Teller ❑ Washington ■ ■ III Weld ❑ Yuma ALL COUNTIES ■ *** Version 2.0, Date 5/7/2024 Page 9 of 14 j• Street -Level Geographic Location of Services. List the approximate address location(s) where HIV testing, navigation, and linkage to care services will be provided. If the exact address location is not available, list the closest cross streets. Note: If you have more than 6 site locations to list, provide those locations in a separate document using the table template below and include as part of Attachment H. Check which service. Will at this site be offered _ HIV HIV PrEP - PEP nav Site Name Address City testing linkage to care linkage nay to and care and linkage to care 1 See attached 2 r 3 1 4 5 6 • Version 2.0, Date 5/7/2024 Page 10 of 14 WCDPHE: Fort Lupton Clinic University of Northern Colorado: Gender and Sexuality Resource Center Aims Community College: Greeley Aims Community College: Fort Lupton Aims Community College: Windsor Weld County Justice Services -Alternative Sentencing Programs/Work Release Weld County Jail ICCS: Intervetion Community Correction Services Weld 2950 9th Street 2215 10th Avenue 5401 West 20th Street 260 College Avenue 1120 Southgate Drive 1390 North 17th Avenue 2110 0 Street 1101 H Street Fort Lupton Greeley Greeley Fort Lupton Windsor Greeley Greeley Greeley # Pr P`oav PETy aoaoI HIV HIV, linkage aid,iinkage linkage to TESTING _ to care to rare care X X X XX X X X X X X True North Intensive Services: North Range Behavioral Health 1309 10th Avenue Greeley Greeley Greeley Greeley Greeley WINGS: North Range Behavioral Health Project Connect: United Way of Weld County Weld County Adult Treatment Court Greeley Pride 2350 3rd Street Road X X 501 North 14th Avenue X X 934 9th Avenue X X 5401 West 20th Street X Monitoring Plan Describe who will be involved in the agency's local monitoring plan The monitoring plan should identify staff who will be responsible fo`r entering client -level service delivery data into CDPHE's prevention database, staff (e g program coordinator, data manager, etc ) responsible for ensuring data quality, timeliness, completeness, and accuracy, and staff responsible for providing progress report summaries at appropriate intervals as required by the contract Monitoring Activity - Anticipated Frequency Staff Position(s) Responsible for Monitoring Activity Staff position(s) who will enter client -level service delivery data into CDPHE's prevention database weekly Annette Odell, FNP - C Darci Hata - Clinical Outreach Coordinator Shanti Sanchez, MA Staff position(s) who will verify client -level service delivery data entry is complete, accurate, and on time weekly Annette Odell, FNP - C Darci Hata - Clinical Outreach Coordinator Staff position(s) who will review service delivery outcomes for Quality Improvement and Program Evaluation monthly Annette Odell, FNP - C Sonya Oster, MBA Busniess Opertions Manager Cynthia Horn, CNO NP Staff position(s) who will provide monthly progress narrative report summaries to CDPHE monthly Annette Odell, FNP - C Darci Hata, Clinical Outreach Coordinator Staff position(s) who will provide monitoring and oversight of service delivery, including developing policies and procedures weekly Annette Odell, FNP - C Cynthia Horn, CNO NP Shanti Sanchez, MA Version 2 0, Date 5/7/2024 Page 11 of 14 Sustainability Sustainabihty is defined as the use of CDPHE's Office of STI/HIV/VH funds for high -impact prevention activities that can continue to function without future CDPHE's Office of STI/HIV/VH funds A Describe any matching funds or in -kind contributions associated with the proposed work If there are no in -kind or matching programs, list "N/A" Currently our STI clinical and outreach programs (syphilis, gonorrhea, chlamydia, HIV, HCV, etc) are funded by County Cost except for our CDPHE STI grant ($70,000) which ends in January 31, 2025 County will continue to fund our STI program as it has done for many years County has also purchsed a $550,000 mobile medical unit scheduled for delivery in Summer 2025 County has been funding our Clinical Outreach Coordinator position for over 2 years now along with over $100,000 in coxss associated with our Outreach programs B Has the applicant applied for and received any of the following funding sources outside of CDPHE's Office of STI/HIV/VH within the past three years? Check all that apply Applied For Received Funding Source RI K( CDPHE, Family Planning Program ❑ ❑ CDPHE, Harm Reduction Grant Fund ® ka CDPHE, other non-OSHV grant program O O Behavioral Health Administration (BHA) ® ® Local or municipal resources ❑ O Foundations ❑ O Centers for Disease Control and Prevention (CDC) ❑ O Substance Abuse and Mental Health Services Administration (SAMHSA) ❑ ❑ Human Resources and Services Administration (HRSA) O O Other C If applicable, is the applicant enrolled as a Health First Colorado (Colorados Medicaid program) provider? Q Yes O Not yet but plan to enroll O No O N/A within the next year D If applicable, does the applicant accept private health insurance? © Yes O Not yet but plan to enroll O No within the next year Version 2 0, Date 5/7/2024 O N/A Page 12 of 14 Weld County Department of Public Health and Environment High -Impact HIV Grant Application Attachment E — Project Narrative Track 1 Strategies 1 & 2 Response Prompts a Required Program Approaches , Within the Clinical Services branch of the Public Health Services division, we currently implement a patient -centered, whole -person approach in several different ways It starts with all patient communications As 60+ percent of our patients are Spanish Speaking, we specifically recruit for Spanish Speaking Nurse Practitioners, Registered Nurses, Medical Assistants, Caseworkers, and Administrative staff We also have a County -wide stipend program for those meeting specific requirements for speaking, writing, and reading in Spanish , Being able to communicate in Spanish with our patients helps us provide better customer service and help us run more effectively from an operational perspective In addition to communication strategies, our diverse clinical team brings a meaningful perspective and cumulative benefit for patients Our licensed healthcare providers (MDs, NPs, and RNs) work closely with our healthcare support team (Medical Assistants, Caseworkers, and Admin Staff) to ensure superior cost-effective services Our healthcare support team provides direct educational, referral, and navigation support services for our clinical patients Our Caseworkers spend much of their time working with patients to overcome challenges that are often associated with social and health inequities They are skilled in evaluating the Social Determinants of Health for everyone they consult with We do our best to ensure that every patient that comes through our door receives the best of all the services we can provide during their visit Syndemics are important in our STI program that we have operated for over several decades We have been offering gonorrhea, syphilis, chlamydia, and HIV testing at all our community outreach events Two years ago, we created a new position for a Clinical Outreach Coordinator'that would help us organize and plan "pop-up clinics" in the community offering increased STI testing and access to school -age required vaccinations for those in our community that needed our help the most By reaching out to our most vulnerable communities, we held just at 100 events in our first year, surpassing our initial goal of 30 In our 2025 budget, we are seeking approval to hire a full-time RN to add to the Clinical Outreach team The focus of the Clinical Outreach team is to provide clinical services to those in rural communities, to those at greatest risk, and to those who are most vulnerable in our community We will also be bringing on a medical mobile unit online in Summer 2025 Finally, we are opening a new clinic in the Ft Lupton area in August 2024 This is a community with significant need for preventative public health programs b. HIV Testing in Healthcare Setting Services Patient eligibility criteria will be all patients encountered in our Family Planning (Title X), STI, and TB clinical programs. If awarded this grant, our Policy and Procedure Workgroup (comprised of a diverse group of NPs, RNs, Mas, and Admin staff) would create the routine opt -out screening program procedures. This procedure would be approved by the Chief Nursing Officer, Medical Director, Division Director, and the Executive Director for the department. The Medical Director will write standing orders to provide clear medical direction for our clinical team. Referrals to internal programs and caseworkers along with community partners will be part of the procedure. Patients will be provided written notification of our "opt -out" HIV testing policy and purpose and will be required to provide their written consent. We will state that we will not be charging for the HIV test and related office visits. The signed acknowledgement of the policy and purpose and their consent will be entered into the patient chart. All HIV tests will be collected in individual patient rooms by either a RN or MA with proven phlebotomy experience and sent to LabCorp for testing or we may use the rapid HIV test. Those with a negative HIV test result will meet with our STI NP Program Coordinator to discuss general sex education, discuss PrEP/PEP care, and to get a warm handoff to our Caseworkers and Admin staff who can help with counseling, referrals, navigation, and other support services. If client is interested in PrEP, we will assist with PHIP enrollment. Those with a positive HIV test result will meet with our STI NP Program Coordinator to review test results, explain the referral process for getting them to a HIV treatment specialist partner, enroll them in the State Drug Assistance Program (SDAP), connect with our Caseworkers and Admin staff for wrap -around support services, and assist patients with obtaining a primary care physician as well. We do not anticipate any barriers to implementing routine opt -out HIV screening. c. HIV Testing in Non -Healthcare Community Settings with HIV linkage to Case Services We will work with our population epidemiologist to determine priority focus regions in Weld County that align with all the HIV population subsets that are a priority focus group. We will then work with the Weld County Communications team to develop an HIV testing campaign. The Communications team will help us develop a multifaceted approach to reaching and building trust with these communities and individuals. Up until Summer of 2025, we will continue to host community -based pop-up clinics that will offer rapid HIV and syphilis tests as well as gonorrhea/chlamydia tests. All tested patients will receive education on safe sex and on our PrEP/PEP programs. Those indicated positive with rapid tests will be asked to consent to a confirmatory test. All those with positive STI results (syphilis, GC/CT), will be notified and receive treatment at no cost. Clients who are confirmed to be positive for HIV will be connected to HIV care. Those seeking additional services will be referred to our brick -and -mortar clinics in Greeley or Ft. Lupton. This will change when we receive our mobile medical unit in Summer 2025. Once working in the mobile unit, we will be able to provide testing and offer treatments. Referrals (linkage to care) and navigation services would occur by follow-up from our Caseworkers and Admin staff. We already have many testing sites set-up with key community partners. We partner with other community health organizations that serve in rural areas, at -risk populations, and those most vulnerable in the community. The goal for non -healthcare setting would be to provide linkage to HIV care services within 7 calendar days. We do not anticipate any barriers with linkage to HIV care. d. PrEP and PEP Navigation and Linkage to Care Services In our clinical outreach, we will discuss with every patient who agrees to HIV testing about our PrEP and PEP programs. Our overall communication plan will include strategies specifically for our PrEP and PEP program. We will focus on events at partner locations where we know our priority populations work, live, go to school, gather, and play. We will utilize our "promotoras" to help us find strong partners and locations to increase our impact. Additionally, we will use our health data unit to use statistical analysis of community health data sets and provide zip code level outcome data on HIV trends in Weld County. We will use this zip code level data to help inform the locations of our community outreach. Until our mobile medical unit arrives in the Summer of 2025, patients that are eligible and willing to get either PrEP or PEP will be referred to our Greeley or Ft. Lupton clinic to start the process. Once the mobile medical unit arrives, we will evaluate and determine if this treatment can be offered on the mobile unit. Individuals who are eligible for and interested in PrEP/PEP are identified by the outreach staff members who interact with the clients. They provide the education and encourage clients to ask questions about PrEP/PEP. They ask the clients if they would like to learn more or make an appointment with the NP to get started on PrEP. Our entire STI team (Admin staff, Caseworkers, MAs, RNs, and NPs) would be involved in the navigation and linkage to care process. An appointment is made to meet the needs of the individual's schedule. If transportation is an issue, the client will be given a bus pass. During the appointment with the NP, the client and provider decide together if PrEP/PEP is indicated. The client may receive PrEP the same day along with counseling, education, and enrollment in PHIP and Advancing Access to help pay for the office visit, lab work, and medication. We do not anticipate any barriers to providing PrEP/PEP as we have been providing this service for several years. e. Staffing and Staff Training Our team will create a Policy and Procedure along with a training protocol for new staff members and an annual review for current staff members. We will use the National HIV Curriculum as well as CDC STI training modules and the manufacturers rapid HIV testing video. This will ensure that all team members have an understanding of the process which will improve quality and accuracy. Our approach to staff retention is to provide training and to listen to staff's concerns as they arise. As part of our strategic plan, we have a work group that specifically addresses recruitment and retention. We try to avoid staff burnout through alternative work schedules, paid time off, social events and showing respect to one another as professionals. In the event of staff turnover, we have a robust team that is cross trained in STI/HIV prevention and testing that can cover during vacations or vacancies. All contracts with Weld County departments must go through our Board of County Commissioners (BOCC) contract approval process which requires departmental, legal, contract administration, and budget/fiscal review before being placed on the BOCC posted action agenda before the Board. Our Clinical Services Business Operations team and Fiscal team in our department would work with our STI Program NP Coordinator and their STI clinical team (MDs, RNs, MAs, Caseworkers, Admin Staff) and Outreach team (existing outreach coordinator, existing promotoras, new Outreach RN, and new Outreach MA) to ensure successful administration and execution of the award deliverables. The Weld County Code sets forth the requirements for all our operations. We use the system tools provided by the County Administrative and Financial teams. High -Impact HIV Prevention RFA Work Plan Track 1: HIV Testing, Navigation, and Linkage to Care Services Project Name High Impact HIV Grant Applicant Name Weld County Department of Public Health and Environment Projected Dates 8/1/2024 - 5/31/2025 Application Contact Name, Title, Phone and Email Annette Odell, FNP - C, 970-400-2324, aodell@weld.gov Fiscal Contact Name, Title, Phone and Email Sonya Oster MBA, 970-400-2332, soster@weld.gov Other Implementing Organization(s) Instructions: 1) Do not remove the text in bold in the table below. Main Goals and Objectives are pre -populated. You can edit the language to be specific to your proposed program 2) Define the work to be completed including a description of all elements of the project. 3) Add any additional Objectives if necessary to describe your proposed program. Any additional Objectives should be SMART: Specific, Measurable, Achievable, Realistic, and Timely 4) For each objective, identify the primary activity to carry out the objective. You must have at least one activity for each objective. Add more activities if necessary. 5) For each primary activity, identify the sub -activities that are necessary to carry out the primary activity. Add more sub -activities if necessary. 6) For each listed activity and sub -activity, identify the responsible party/individual, the estimated timeframe, the desired outcome, and any corresponding deliverables. 7) You can delete any blank rows if they are not needed. You can add more rows for activities and sub -activities if they are needed to describe your proposed project. 8) Use 11 point font size and do not exceed 10 pages. Goal # 1: Goal #2: Goal # 3: Prevent HIV Improve health outcomes for individuals living with HIV Reduce HIV -related health disparities Goal # 1: Prevent HIV Goals #1, Objective # 1 : By May 2025, increase availability of and accessibility to HIV testing services. Activities Sub -Activities 1 1.1 1.2 1.3 1.4 Using an opt -in approach, will increase Will offer HIV testing to all clients who Will offer HIV testing to all clients met in Responsible Annette Odell Darci Hata Estimated Timeframe May 2025 31 -May -25 Desired Outcome Increase in the number of An increase in the number Deliverables Will submit the monthly narrative Will submit the monthly narrative Goals #1, Objective # 2 : By May 2025, increase navigation and linkage to PrEP services among individuals vulnerable to acquiring HIV. Activities Primary Sub -Activities 1.1 Using a patient -centered care approach, Responsible Will evaluate all clients who present to the WCDPHE clinic to determine if they would benefit from taking PrEP. Annette Odell Estimated 31 -May -25 Desired Outcome An increase in the number of individuals who are taking PrEP to prevent HIV. Deliverables Will submit the monthly narrative report to CDPHE Page 1 of V. 1 Mar. 2023 1.2 Will evaluate all clients who present to Darci Hata 31 -May -25 Will submit the monthly narrative 1.3 Will provided education about PrEP to Annette Odell and 1.4 Will meet with NP at the WCDPHE clinic to Goals #1, Objective # 3 : By May 2025, increase navigation and linkage to PEP services among individuals who likely have been exposed to HIV. Activities Responsible Estimated Desired Outcome Deliverables Primary 1 _ Using a patient -centered care approach, 1.1 Will evaluate all clients who present to Annette Odell and 31 -May -25 An increase in the number Will submit the monthly narrative Sub -Activities 1.2 Meet with Sexual Assault Nurse Examiners Cristina Arellano 1 -Aug -24 Improved communication 1.3 PEP Client will meet with social worker for Cristina Arellano 31 -May -25 All PEP clients will meet L4 Goals #1, Objective # 4: By May 2025, increase the availability of condoms. Activities Responsible Estimated Desired Outcome Deliverables Primary 1 Will stress the importance of condom use 1.1 Will order condoms and monitor Shanti • Sanchez and 1 -Aug -24 Will keep the inventory of Sub -Activities 1.2 Will have condoms readily available at all Shanti Sanchez and 1 -Aug -24 An increase in condom 1.3 1.4 Goals #1, Objective # 5: _ By May 2025, increase awareness of PrEP, PEP, and other prevention approaches. Activities Responsible Estimated Desired Outcome Deliverables Primary 1 Educating the public about PrEP, PEP and 1.1 Will increase signage in the clinic as well as Shanti Sanchez and 1 -Aug -24 An increased awareness of 1.2 Will update the WCDPHE website Darci Hata and 1 -Aug -24 An increased awareness of 1.3 Sub -Activities 1.4 Goals #1, Objective # 6 : Activities Responsible Estimated Desired Outcome Deliverables Primary 1 1.1 1.2 1.3 Sub -Activities 1.4 Goal # 2: Improve health outcomes for individuals living with HIV Goals #2, Objective # 1 : j By May 2025, increase receipt of HIV medical care through linkage to HIV medical care services. Activities Responsible Estimated Desired Outcome Deliverables Primary 1 Early detection and treatment of HIV is 1.1 When a client in either the WCDPHE clinic RN/MA at 1 -Aug -24 Will confirm a positive Sub -Activities 1.2 Appointment will be made to review RN/MA at August 2024 Client will receive 1.3 Once HIV result has been confirmed, client Cristina Arellano August 2024 Client will meet with social 1.4 NP will make referral to HIV medical care NP 1 -Aug -24 Client will receive an _ Goals #2, Objective # 2 Activities Responsible Estimated Desired Outcome Deliverables Primary 1 I 1.1 Sub -Activities 1.2 r 1.3 1.4 Goals #2, Objective # 3 Activities Responsible Estimated Desired Outcome Deliverables Primary 1 1.1 Sub -Activities 1.2 1.3 Page 2 of V. 1 Mar. 2023 1.4 Goal # 3: Reduce HIV -related health disparities Goals #3, Objective # 1 By May 2025, increase referrals and linkage to other essential support services for individuals living with HIV and those vulnerable to acquiring HIV. Activities Responsible Estimated Desired Outcome Deliverables Primary 1 treated with care and respect using a whole person approach. This includes _ 1.1 Client will be referred to North Colorado 1 -Aug -24 . Sub -Activities 1.2 Client will meet with WCPHE social worker Cristina Arellano 1 -Aug -24 1.3 1.4 Goals #3, Objective # 2 : Activities Responsible Estimated Desired Outcome Deliverables Primary 1 Individuals who are vulnerable to acquiring 1.1 Clients will be referred to WCDPHE clinic for PrEP education An increase in the number Sub Activities 1.2 Clients will meet with WCDPHE social Cristina Arellano 1 -Aug -24 Vulnerable clients will 1.3 1.4 Goals #3, Objective # 3 : Activities Responsible Estimated Desired Outcome Deliverables Primary 1 1.1 Sub -Activities 1.2 1.3 1.4 needs as well as Page 3 of V. 1 Mar. 2023 Exhibit C Budget Colorado Department of Public Health and Environment BUDGET JUSTIFICATION FORM Contract Routing # Colorado Department of Public Health and Environment Contractor Name Weld County Department of Public Health Budget Period 8/1/2024 - 5/31/2025 Project Name High -Impact HIV Program Contact Name. Title. Phone and Email Annette O'Dell, NP Program Manager 970-400-2324 aodell@weld.gov Fiscal Contact Name. Title. Phone and Email Sonya Oster Business Operations Manager 970-400-2332 soster@weld.gov Contract (CT or PO) Number Expenditure Categories Personal Services Gross or Annual Salary Fringe (35%) Percent of Actual Match or In- Kind (If Applicable) Total Amount Requested from Time (FTE) on Contract/ Purchase Order CDPHE Position Title/Employee Name Description of Work (for hcurly employees, please include the hourly rate and number of hours in your description) Public Health Nurse II Strategy 1: collect samples, review results, provide navigation, provide treatement if needed $82,424.00 $28,848.00 15.00% $16,691.00 Medical Assistant Strategy 1: process and collect smaples and prepare them for lab, referal and navigation support $58,903.00 $28,012.00 ° 20.00% $17,383.00 Program Supervisor Strategy 1 aid Strategy 2: Provide program oversight, run reports, and submit data to CDPHE for grant $153,499.00 $53,725.00 15.00% $31,084.00 Outreach Coordinator Strategy 2: provide outreach planning and oversight; logistical, scheduling, and operational support for outreach clinics. Increase local capcitj around testing and treatement for those at greatest risk of contracting and/or transmitting HIV in the community. $80,035.00 $28,012.00 50.00% $54,024.00 Public Health Nurse II Strategy 2: :ollect samples, review results, provide navigation, provide treatement if needed $82,424.00 $28,848.00 70.00% $77,890.00 Total Personal Services (including fringe benefits) $0.00 $197,072.00 Supplies & Operating Expenses Item Description of Item Rate Quantity Match or In kind (if applicable) Total Amount Requested from CDPHE HIV Lab Testing HIV lab testing combo and diff 6.00 750 $4,500.00 HIV Rapid Tests HIV rapid test 13.00 2500 $32,500.00 Total Supplies & Operating. Expenses $0.00 r $37,000.00 Travel Item Description of Item Rate Quantity (if applicable) Requested from Mileage travel to clin cs and back to the office 0.62 4000 $2,480.00 Page 1 of Draft -Dec 2012 Exhibit C Budget Total Travel $0.00 $2,480.00 I. )thcr Costs Item Description of Item Rate Quantity (if applicable) Requested from Training STI State Training 3 -day class 250 2 $500.00 Total Other Costs $0.00 $500.00 Contractual (payments to third parties or entities) Item Subcontractor Entity Name and/or Description of Item Rate Quantity (if applicable) Requested from "Total Contractual $0.00 $0.00 SUB- TO TAL BEFORE INDIRECT $237,052.00 Ind irect Item Description of Item Indirect cost rate $40,963.46 specific indirect costs in Total Indirect $0.00 $40,963.46 TOTAL MATCH OR IN KIND $0.00 TOTAL. $278,015.46 Expenditure Categories Personal Services Including Fringe Benefits $197,072.00 Supplies and Operating Expenses $37,000.00 Travel $2,480.00 Other Costs $500.00 Contractual Payments $0.00 Subtotal Before Indirect $237,052.00 Indirect $40,963.46 Total $278,015.46 Page 2 of Draft -Dec 2012 Key Personnel for HIV Prevention Grant -Attachment J Shaun May, MPH is the Public Health Services Director at Weld County Department of Public Health since 2021 Shaun has a passion for public health and is currently working on his Dr PH He has worked in local public health for over 20 years and has been a division director for almost 15 years Shaun was born in the UK, lived for the first 15 years of his life in El Taif, Saudi Arabia and then moved to the US for high school Sonya Oster, MBA is the Business Operations Manager for Clinic Services at Weld County Department of Public Health since 2023 She has expertise in grant management and budgets Annette Odell, FNP-C- Annette is the STI and Family Planning coordinator at Weld County Department of Public Health Employed here since 2005 She started the PrEP program in 2016 Her expertise is in STI/HIV prevention, PrEP/PEP and syphilis Cynthia Horn, FNP-C-Cynthia is the Chief Nursing Officer at Weld County Department of Public Health Employed here since 2000 She has expertise in STI and FP as well as grant budgets Bea Bachenberg, WHNP-Bea has been employed here since 2014 and is another NP who serves clients in the STI/FP Clinic She has been an NP for 38 years There are 5 RNs who rotate through the clinic seeing patients both in clinic and at outreach events Two of the RNs are fluent in Spanish with experience working in Mexico in the health care system There are 4 Medical assistants who also work in the clinic and outreach doing HIV testing Three of these MAs are Spanish speaking They relate very well with our Hispanic clients One of the MAs became a mother when she was a teen Darci Hata is our outreach coordinator and knows the community and Weld County extremely well She has been in this role since 2022 and has grown our program to include several recurring outreach events where STI testing, education and prevention efforts are done Cristina Arellano, BSW is one of our Caseworkers and began working with us in early 2024 She has worked at the Crossroads Safehouse in Ft Collins for domestic violence victims as well as at Northern Colorado Health Network Her expertise is in patient navigation and case management for those diagnosed with HIV She is a champion of connecting those clients to HIV care She immigrated to the US as a child from Mexico and is fluent in Spanish She is very familiar with the process to become an American citizen COLORADO HEALTH NETWORK INC. May 24, 2024 Shaun May, M.P.H., Director of Public Health Services Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, Colorado 80631 Dear Mr. May, I am writing this letter in support of the Weld County Department of Public Health and Environment's efforts to secure the High -Impact HIV prevention grant (RFA Number: 23625263) from the Office of STI/HIV/VH (OSHV) with the Colorado Department of Public Health and Environment. Colorado Health Network, Inc. is a proud partner with the Weld County Department of Public Health and Environment to provide superior focus and care for people with and without HIV from a whole -person, patient -centric approach to diagnosing, treating, and preventing HiV. We appreciate the important role of the public health department as they provide HIV education, testing, navigation, treatment, and referral services. We have successfully worked cooperatively with the Weld County Department of Public Health and Environment for over (# of years) year and look forward to working with them over the next 5 years to increase HIV surveillance and improve linkage to services. Colorado Health Network fully supports the Weld County Department of Public Health and Environment as a valuable partner in testing, navigation, and linkage to support and care for those who are at -risk and for those who have HIV as they purse this High -Impact HIV prevention grant. As a public health institution in Weld County, they truly care for the community they serve, and we look forward to continuing to work with them to reduce the burden of HIV and improve supports for those with and without HIV. Sincerely, tti/a Darrell Vigil Chief Executive Officer 02,60 East Colfax Ave. Denver, CO 80220 1 303337 0166 se owl I Family Health Centers { Et10ELLEWCE. EVERY PATIEIIT 8818EY 1 Shaun May, M P H , Director of Public Health Services Weld County Department of Public Health and Environment 1555 North 17`h Avenue Greeley, Colorado 80631 Stanley J Brasher Administrative and Training Center 203 South Rollie Avenue Fort Lupton, CO 80621 (303) 892-6401 www saludchnic org TO CONTACT SALUD CLINICS (303) MYSALUD (697 2093) (970) 484 0999 CLINIC LOCATIONS BRIGHTON AUDREY C FARLEY WOMEN'S CENTER COMMERCE CITY COMMUNITY REACH CENTER SALUD ESTES PARK FORT COLLINS BLUE SPRUCE FORT COLLINS WEST FORT LUPTON FORT MORGAN FREDERICK LONGMONT STERLING MOBILE UNIT Salud Family Health Centers is accredited by the Joint Commission Dear Mr May, I am writing this letter to show support for the Weld County Department of Public Health and Environment in its effort to secure the High -Impact HIV prevention grant (RFA Number 23625263) from the Office of STI/HIV/VH (OSHV) with the Colorado Department of Public Health and Environment The CARES Clinic at Salud Family Health is a proud partner with the Weld County Department of Public Health and Environment to provide superior focus and care for people with and without HIV from a whole -person, patient -centric approach to diagnosing, treating, and preventing HIV We appreciate the important role of the public health department as they provide HIV education, testing, navigation, treatment, and referral services We have successfully worked cooperatively with the Weld County Department of Public Health and Environment for over several years and look forward to working with them over the next 5 years to increase HIV surveillance and improve linkage to services The CARES Clinic at Salud Family Health fully supports the Weld County Department of Public Health and Environment as a valuable partner in testing, navigation, and linkage to support and care for those who are at -risk and for those who have HIV as they purse this High -Impact HIV prevention grant As a public health institution in Weld County, they truly care for the community they serve, and we look forward to continuing to work with them to reduce the burden of HIV and improve supports for those with and without HIV Sincerely, Tanner Ball CARES Clinic Coordinator Salud Family Health 970-494-2936 Tanner ball@saludclinic org ti,►nncr I health North Colorado Medical Center Shaun May, M.P H , Director ofPubhc Health Services Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, Colorado 80631 Dear Mr. May, lam wnting this letter to show support for the Weld County Department of Public Health and L;nvuontnenl in its effort to secure the High -Impact I I1V prevention grant (RFA Number- 23625263) from the O1iice of STI/HIV/VH (OSI IV) with the Colorado Department of Public Health and Environment. Banner Health is a proud partner with the Weld County Department of Public Health and Environment to provide superior focus and care for people with and without 11IV front a whole -person, patient -centric approach to diagnosing, beating, and preventing 111V. We appreciate the important role of the public health department as they provide III V education, testing, navigation, treatment, and referral services We have successfully worked cooperatively with the Weld County Department of Public I leatth and Envnonment for many years and look forward to working with them over the next 5 years to increase HIV surveillance and improve linkage to services. Banner I health fully support; the Weld County Department of Public health and Environment as a valuable partner in testing, navigation, and linkage to support and care for those who arc at -risk and for those who have IItV as they purse this High -Impact 111V prevention grant As a public health institution in Wetd County, they truly dare for the community they serve, and we look forward to continuing to work with them to reduce the burden of HIV and improve supports for those with and without HIV Sincerely, Julie Rojas MSN, RN, SANE; A, SANE -P Forensic Nurse Program Manager julic rd jasfulbannencealth.eom r'nicrgsnmy Service 1801 16.1S1 • Greeley, CO 85631 • 970-150-6244 • PAX 970-355-5141 • www b,mnerhultth umi li. sues l ladth North Colorado Medical Center Shaun May, M P.H , Director ofPublic Health Services Weld County Department of Public Health and Environment 1555 North I75 Avenue Greeley, Colorado 80631 Dear Mr. May, I am wnttng this letter to show support for the Weld County Department of Public Health and Envnonment in its effort to secure the High -Impact I ltV prevention grant (RUA Number 23625263) from the Office of S f[/HI V/Vt I (OSt I V) wills the Colorado Department of Public Ilcaith and Ihitvironment Banner Health is a proud partner with the Weld County Department of Public Health and Environment to provide superior focus and care fir people with and without IIIV from a whole -person, patient -centric apptoacli to diagnosing, heating, and preventing IIIV We appreciate the important role of the public health department as they provide t t I V education, testing, navigation, treatment, and referral services We have successfully wcirked cooperatively with the Weld County Department of Public I tcalth and L:nvnonment lhr many years and look forward to working with them over the next 5 ye:us to incxease illy surveillance and improve linkage to services. Banner I iealth (idly supports the Weld County Department of Public Health and Environment as a valuable partner in testing, navigation, and linkage to support and care for those who are at -risk and for those who have,IIIV as they purse this High -Impact I ilV prevention grunt As a public health institution in Weld County, they truly care lirr the community they serve, and we look tinward to continuing to work with them to reduce the burden of HIV and improve supports for those with and without HIV Sincerely, LJ- ) Julie Rojas MSN, RN, SANE; A, SANE -1' Forensic Nurse Program Manager odic rcolas(cslhunnerhealth.com (somergcncy Services 1801 16°6 St • Greeley, CO 80631 •97(1-;5i5- 6244 • tax 970-150-6141 • www bannafii.alili cum COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT COLORADO LOCAL HEALTH AGENCY INDIRECT COST NEGOTIATION AGREEMENT Local Public Health Agency DATE December 12, 2023 Weld County Health Department P O BOX 758 915 10° Street Greeley, CO 80632 FILING REF This replaces Negotiation Agreement for the 07/01/23 to 12/31/23 Indirect Rate The indirect cost rate(s) approved in this agreement are for use on grants, contracts and other agreements with the Colorado Department of Public Health and Environment to which the Office of Management and Budget Title 2 of the Code of Federal Regulations, Part 200 (2 CFR 200), applies subject to the limitations contained in Section II, A , of this agreement The rate(s) was negotiated by the Weld County Department Public Health and Environment and the Colorado Department of Public Health and Environment SECTION I RATES Type Effective Period FROM TO Rate* Location Applicable To Fixed 1/1/24 12/31/24 18 96 % All Contracts with CDPHE *Base Modified Total Direct Cost (MTDC) MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of each subaward or subcontract (regardless of the period covered by the subgrant or subcontract) MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion ofeach subaward in excess of $25,000 SECTION II GENERAL A LIMITATIONS Use of the rate(s) contained in this agreement is subject to any statutory or administrative limitations and is applicable to a given grant or contract only to the extent that funds are available Acceptance of the rate(s) agreed to herein is predicated upon the conditions (1) that no costs other than those incurred by the grantee/contractor or allocated to grantee/contractor via an approved Central Service cost allocation plan were incurred in its indirect cost pool as finally accepted and that such incurred costs are legal obligations of the grantee/contractor and allowable under the governing cost principles, (2) that the same costs that have been treated as indirect costs have not been claimed as direct costs, (3) that similar types of costs have been accorded consistent treatment, and (4) that the information provided by the 2 1 grantee/contractor which was used as a basis for acceptance of the rate(s) agreed to herein is not subsequently found to be materially inaccurate. B. AUDIT: Adjustments to amounts resulting from audit of the cost allocation plan upon which the negotiation of this agreement was based will be compensated for in a subsequent negotiation. C. CHANGES: If a fixed or predetermined rate(s) is contained in this agreement it is based on the organizational structure and the accounting system in effect at the time the proposal was submitted. Changes in the organizational structure or changes in the method of accounting for costs which affect the amount of reimbursement resulting from the use of the rate(s) in this agreement, require the prior approval of the authorized representative of the Colorado Department of Public Health and Environment. Failure to obtain such approval may result in subsequent audit disallowances. D. FIXED RATE(S): The fixed rate(s) contained in this agreement is based on an estimate of the costs which will be incurred during this period for which the rate applies. When the actual costs for such period have been determined, an adjustment will be made in the negotiation following such determination to compensate for the difference between that cost used to establish the fixed rate and that which would have been used were the actual costs known at the time. E. NOTIFICATION TO OTHER LOCAL HEALTH AGENCIES: Copies of this document may be provided to other local health agencies if requested by them. F. SPECIAL REMARKS: Colorado Department of Public Health and Environment programs currently reimbursing indirect costs to this Local Health Agency by means other than the rate(s) cited in this agreement should be credited for such costs and the applicable rate cited herein applied to the appropriate base to identify the proper amount of indirect costs allocable to the program. Local Health Agency: Colorado Department of Public Health and Environment: ansigs.9- A e,. Oby/060 Name ecenkollere' Title Date Melissa Canaday Digitally signed by Melissa Canaday Date: 2023.1112 12.3a43 -07'00' Melissa Canaday Name Internal Audit Manager Title December 12, 2023 Date OVERVIEW Welcome RFA Overview Q&A COLORADO De.i moment of Public H .1. , Environme n t Maintenance Meeting will be recorded Write in questions in the chat box during presentation Hold verbal questions until the end Raise your hand to get into speaking queue itief COLORADO Department of Public Health Et Environment Purpose This funding opportunity prioritizes high -impact HIV prevention (HIHP) with a focus on comprehensive whole -person approach that supports scientifically proven, cost-effective, and scalable structural, behavioral, and biomedical interventions. It will address barriers to care and prevention of people living with HIV and living without HIV. The purpose is to diagnose, treat, and prevent HIV. The HIHP RFA supports: • Colorado HIV/AIDS Strategy (COHAS) • National HIV/AIDS Strategy (NHAS) • Ending the HIV Epidemic (EHE) COLORADO Department of Public Health & Environment Desired Outcomes Increase knowledge of status to 95% by ensuring all people living with HIV receive a diagnosis as early as possible. • Implement a comprehensive approach to treat people living with HIV by increasing linkage to care up to 95% and increase people living with HIV who have achieved viral suppression to 95%. • Increase the number of people who receive medically accurate information about HIV and HIV prevention services. COLORADO Department of Public Health Et Environment Increase access for people who are living with HIV, or who are vulnerable to acquiring HIV, to HIV care and/or HIV preventative services. Increase engagement among priority populations to appropriate HIV, STI, VH, and harm reduction services through coordinated and integrated efforts around promotion, education, testing events, and other community engagement activities. Improve health outcomes for all priority populations who experience the greatest burden of disease and the least available resources. itCOL+ RADO 0 a De artmen t o f Public co►t+ Health & Environment Funded Activities Track 1: HIV Testing, Navigation, and Linkage to Care Services (2 strategies) Track 2: Syringe Access Services COLORADO Department of Public Health. Et Environment Priority Populations (listed in order of HIV incidence) • Men who have sex with men (MSM) • Black/African American • Hispanic/Latino/Latina/ Latine/ Latinx • Women including cisgender and transgender women • Spanish-speaking communities • Youth (15 - 24 years old) • People who use drugs/People who inject drugs (PWUD/PWID) • Transgender individuals including nonbinary and gender -nonconforming • Native Americans Department of Public cofts dder4M. COLORADO H +ca►. th et Environment Proposal Overview Funded Services • Track 1: HIV Testing, Navigation, and Linkage to Care Services • Track 2: Syringe Access Services Priority Populations • MSM • Black/African American • • • • • Hispanic/Latino/Latina/Latine/ Latinx Women including cisgender and transgender women Spanish-speaking communities Youth (15-24 years old) PWUD/PWID Transgender individuals including nonbinary and gender -nonconforming Rural Native Americans COLORADO Department of Public Health Et Environment Eligible Applicants Types of organizations: • A nonprofit organization that is governed by a board of directors • An organization with the benefit of tax-exempt status pursuant to section 501 (c) (3) of the federal "Internal Revenue Code of 1986" • A county, district, or municipal public health agency • Colorado Federally Recognized Tribe Iteist COLORADO Department of Public HeattY► & Environment Eligible Applicants Must serve at least one of the identified priority populations Must deliver funded services in at least one of the following counties: o Adams o Arapahoe o Boulder o Denver o Douglas o El Paso o Jefferson o Larimer o Pueblo o Weld *85% of all funds allocated will be awarded to provide services in the counties listed above COLORADO Department of Public Health Et Environment Eligible Applicants (Track 2 on(y) Must operate their syringe access services in accordance with CRS 25-1-520 Must have demonstrated experience delivering syringe access services to people who use drugs and people who inject drugs COLORADO Department of Public Health Et Environment Approach • Whole person care approach • Health equity • Syndemic approach • Harm reduction framework (Track 2 only) COLORADO Department of Public Health & Environment Track 1 Strate�v 1 HIV Testing, Navigation, Linkage to Care Services • Routine opt -out HIV HIV testing in healthcare settings • HIV linkage to care • Documented processes for referral/linkage to PrEP and PEP care COLORADO tieDepartment of Public Health b Environment Track 1 Strate�� H V Testing, Navigation, Linkage to Care Services • HIV testing in non -healthcare community settings • HIV linkage to care • PrEP navigation and linkage to care • PEP navigation and linkage to care • Condom distribution • Community engagement COLORADO Department of Public Health & Environment FIGURE 1: HIV Testing, Navigation, and Linkage to Care Services Track Approach Activity Measures Short -Term Outcomes Immediate -Term Outcomes Long -Term Outcomes HIV Testing in Healthcare Settings • • • • I and % of HIV tests conducted I and ! of HIV tests conducted in conjunction with STI VH /TB/mpox testing ft and % of individuals tested who are newly diagnosed # and % of individuals of tested who are identified with a previous HIV diagnosis and are not in care or not virally suppressed • Increased availability of and accessibility to HIV testing services • Increased identification of individuals with new HIV diagnosis and irdividuaLs living with HP.' who are not in care or virally suppressed • • Increased knowledge of HIV status Reduced late HIV diagnoses - • • • Reduced number of individuals acquiring HIV iinprcr cd health outcomes for individuals living with HIV inctudir sustained viral suppression Reduced HIV related health disparities. ---., HIV Testing in Non- Healthcare Settings HIV L! rlk a e to Care • • • • # and % of individuals diagnosed with HIV who are Linked to HIV medical care within 7 days after diagnosis # and % of individuals diagnosed with HIV who are Linked to HIV medical care within 3O days after diagnosis Types of additional. health and support services offered, on -site and by referral L' of individuals diagnosed with HIV who are screened for additional health and support services, including mental health, substance • Increase rapid linkage to HIS' medical care • increased immediate engagement in ITV prevention, medical care, and treatment adherence services for individuals living with diagnosed HIV who are not in care or not virally suppressed A • • Increased receipt of HIV medical care Increased HIV viral suppression COLORADO Department of Public Heath & Environment Activity Measures w Short -Term Outcomes Immediate -Term Outcomes Long -Term Outcomes i iiV I: rHk 12,x_, to Care c c:? t ? r1 u e d . • use treatment, or housing assistance a of individuals diagnosed with HIV who are referred for additional health and support services, includt ng mental health, substance use treatment, or housing assistance • • Increased early initiation of ART Increased receipt of essential support services to improve quality of life • • • Reduced numfr-w- :rid., i acquirt n 7.: HIV Improved health outcomes for individuals living with HIV includinc sustained viral suppression Reduc c -Li HIV related health disparities PrEP Navigation and Linkage to Care • • • • te and % of individuals testing negative for HIV infection with indications for PrEP who received PrEP navigation services a and % of individuals testing negative for HIV infection with indications for PrEP who were referred to a PrEP provider S and % of individuals testing negative for HIV in f c c t i on With indications for Pr EP i ho were linked to a PrEP provider # and % of individuals testing negative for HIV infection with indications for PrEP who received a PrEP prescription • Increased linkage to PrEP services among individuals with indications for PrEP • Increased Pr EP prescriptions and use among individuals with indications for PiEP COLORADO Department of Public Health Et Environment Activity r - Measures • a Short *Term Outcomes Immediate -Term Outcomes Long•Term Outcomes PEP Navigation and Linkage to Care • • • • • 4 and 4 of PEP eligible individuals who have likely have been exposed to HIV who received PEP navigation services # and % of PEP eligible individuals who have likely have been exposed to HIV who were referred to a PEP provider 1t and % of PEP eligible individuals who have Likely have been exposed to HIV who were linked to a PEP provider v and % of PEP eligible 'individuals who have likely have been exposed to HIV who received a PEP prescription • Increased linkage to PEP services among ndividuals who lately have been exposed to HIV • Increased PEP prescriptions and u..e among ir--divtduals who likely have L c c. n exposed to t i lY • • • 4 Reduced number of individuals acquiring HIV Improved h c_ a t t h outcom L s for individuals living with HIV including sustained viral superCssicn Reduced HIV related health Condom Distribution • i a of condoms distributed • Increased availability of condoms • Increased accessibility and use of condoms `o mrr. Jr-.i ty Ln .. _L,crn _rat • • tt of community engagement activities to promote services. ir•clud'n2 outreach and education events a' of individuals served by outreach and education activities # of individuals reached by marketing activities • Increased awareness of PrEP, PER and other prevention approaches • increased knowledge of flits.' status • Reduced late diagnosis • Increased receipt of HIV/PrEP/PEP medical care • increased HIV viral. suppression I COLORADO Dcpartmcnr. cif Public Health & Environment Track 1 All Preferences • ADDITIONAL POINTS: Over 50% of estimated clients to be served fall within the select defined priority populations: o Black/African American and MSM o Hispanic/Latino/Latina/Latine/Latinx and MSM o Women including cisgender and transgender women • Demonstrated history of: o Linking individuals diagnosed with HIV to HIV medical care services within 7 days after HIV diagnosis ,COLORADO Department of Public Heatth & Environment Track 1 All Preferences • Demonstrate funding diversity • Demonstrate hiring/retaining a workforce of individuals with lived/living experience that is representative of the priority populations they intend to serve tar COLORADO Department of Public Hcafth. & Environment Track 1 Strate�� 1 Preferences • Do not currently have routine opt -out HIV screening practices in place within their agency • Plan to include offering PrEP/PEP navigation and linkage to care services individuals with negative HIV test results COLORADO Department of Public Health Et Environment Track 1 trjeav 2 Preferences • Demonstrated history of: o Offering and delivering integrated HIV/STI/VH testing services in non -healthcare community settings o Using non-traditional methods to deliver HIV testing services (i.e. home testing, social networking strategy, mobile) o Delivering HIV testing in non -healthcare settings results in over 1% HIV testing positivity of individuals tested with undiagnosed HIV o Ability to perform blood draws on -site Alt44", COLORADO 0 __ Department of Public Health & Environment Track 1 Strate�,v 2 Preferences • Provide direct medical services through a clinic with a provider who prescribes PrEP and PEP; and have a well -established low -barrier process in place for staff delivering PrEP/PEP navigation and linkage to care services to schedule medical appointments with the provider. • Demonstrate partnership with pharmacy/pharmacies with HIV treatment, PrEP, PEP medications in stock. • Existing partnership with pharmacists who directly prescribe PrEP and/or PEP (needs letter of support) COLORADO Department of Public Health & Environment Track 1 Strate�v 2 Preferences • Staff responsible for PrEP navigation and linkage to care services who have a PHIP user account established prior to 2024 to be able to directly submit applications on behalf of clients and have accessed the PHIP portal within the last year. • Demonstrated experience providing additional health and support services for individuals seeking HIV/PrEP/PEP linkage to care to be able to attend their first medical appointment, like transportation support, temporary cell phones, housing, referrals to food banks, etc. qPii COLORADO Department of Public Health & Environment Track 2 Syringe Access Services • Syringe access services • HIV testing • HIV linkage to care • Access to other essential support services Community engagement COLORADO Department of Public Health & Environment FIGURE 2: Syringe Access Services Track Approach Activity Measures Long -Term Immediate Outcomes -Term Short -Term Outcomes Outcomes Sitilittearsi= • • Provide access Provide needs to sterile syringe -based disposal syringes • distributed • P • r of of of sterile syringes participants syringes returned served • individuals • Reduced number acquiring PIN improved health outr"c►rocs for individuals living HIV with of • increased • • • Increased of Increased knowledge evidence- based Decreased overdoses SAPs S AP use s of fatal. f E availability harm services. including reduction of SAPs • Distribute prevention overdose materials and • " of • 4 of participant naloxone kits episodes education, naloxone testing strips and including fentanyi distributed • # strips of fentunyl distributed testing • Deliver HIVrSTI/VH ( • # of condoms distributed education • Promote syringe access services FIR' Testing • T and :l, of HIV tests • 4 • including sustained viral suppression Reduced HIV health disparities -related • Increased • Increased availability and to services HIV accessibility testing of • • Increased knowledge HIV Reduced NW status diagr fate uses of • Conduct on. site at HIV least testing once a conducted • P and` of HIV tests month conducted in • • Promote services Optional: another deliver agency HIV HIV Partner testing testing with to • • conjunction STl r tested diagnosed IT tested identified previous and and and ! VH are /TB/mpox % who % who of of not HIV with individuals are individuals are with in diagnosis carc newly a testing or of identification pc HIV people with not virally suppressed ple diagnosis in HIV care with living who of new arKi are or not virally suppressed iii;;Airstuk COLORADO -�--- Department of Public Health & Environment Activity Measures * . Short+Term Outcomes Immediate -Term Outcomes LongaTerm Outcomes , l it Y _laical= • Support linkage to or engagement of • # and of T n dh yr duals diagnosed with HIV who are linked to HIV • Ir• Lr ca s.: rapid linkage to HIV medical care • Increased receipt of HIV medical care • Reduced number of individuals ' individuals diagnosed with HIV into HIV medical care • Promote HIV linkage to care services • Optional: Partner with linkage to care coordinators at another agency • medical care within 7 days after diagnosis # and % of individuals diagnosed with HIV who are linked to HIV medical care within 30 days after diagnosis • • Increased immediate engagement in HIV prevention, medical care, and treatment adherence services Increased early initiation of ART • Increased HIV viral suppression • • acquiring WV Improved health outcomes for it dividuats living with HIV including sustained viral suppression Reduced HIV -related health disparities ittLcess to essential ups ort r i. ! ces • Support referrals and linkages to essential support services • Coordinate with providers of essential support services • Optional: Partner with case manager at another agency • • • Types of additional health and support services offered, on -site and by referral # of individuals referred to additional health and support services # of individuals linked to additional health and support services, if possible • I Increased receipt of essential support services to improve quality of life • # of xylazi ne testing strips distributed, if offered - - I COLORADO Department of Public Health & Environment Activity Measures Short -Term Outcomes Immediate -Term Outcomes long -Term Outcomes Catty Engagement, c • 1 engagement conducted drug outreach to partners, stakeholders not services of community. to health and activities in provide education interested who members, SAP • Increased availability reduction of SAPs • _ I ncreascd krfo4,•w led evidence- based SAPS g.c of • • • indiv Reduced number acquiring HIV improved health outcornes for individuals living HIV including sustained viral suppression Reduced HIV health disparities -related iduats of user and ill vary • • • hJa Harm presentations Community litter but ozone could reduction clean include_ traintn ups str7n - harm - services, inctt ding community enrolls are with COLORADO Department of Public Health & Environment Track 2 Preferences • Can offer on -site integrated HIV/STI/VH testing • Demonstrated history of: O Linking individuals diagnosed with HIV to HIV medical care services within 7 days after HIV diagnosis o Offering on -site or via telehealth: ■ Medications for Opioid Use Disorder ■ HIV/STI/HCV medical care • Demonstrate funding diversity COLORADO Department of Public Health & Environment Track 2 Preferences Demonstrate hiring/retaining workforce of individuals with lived/living experience that is representative of the priority populations they intend to serve • ADDITIONAL POINTS: Over 50% of estimated clients to be served fall within the select defined priority populations: o Black/African American and PWUD/PWID o Hispanic/Latino/Latina/Latine/Latinx and PWUD/PWID o Native American and PWUD/PWID COLORADO ile0 '-•-•.,,d---Department of Public cars HeaUh Et Environment Anticipated Funding Total Period of Performance: 5 Years Anticipated Term of Entire Project: August 1, 2024 - May 31, 2029 Anticipated Term of Initial Year: 10 -month period; August 1, 2024 to May 31, 2025 Total Available Funds for Initial Year: $1,500,000 Anticipated Award Ranges: $50,000 to $450,000 Anticipated Average Award: $150,000 with approximately 10 agencies funded COLORADO Department of Public Hcafth et Environment Funding Sources CDC-RFA- PS-24-0047 CDC's High -Impact HIV Prevention and Surveillance Programs SAMHSA's State Opioid Response Will support services to be delivered to PWUD/PWID `Other funds may be used to fund this RFA if identified Ryan White HIV/AIDS Program Rebate Will support HIV testing in non -healthcare community settings with high HIV testing positivity COLORADO Department of Public Health & Environment Budget Prioritization 30% 70% Adams and Denver Counties Other counties CDC-RFA-PS-24-OO47 Funding No less than 30% of the overall budgeted CDC-RFA-PS-24-0047 funds will be available for awards in Adams and Denver counties per CDC guidance. a COLORADO -- Department of Public o Health fr Environment Budget Prioritization 85% 15% Adams, Arapahoe, Boulder, Denver, Douglas, El Paso, Jefferson, Larimer, Pueblo, Weld Counties All Available Funding Other counties No less than 85% of the overall funds will be available for award Adams, Arapahoe, Boulder, Denver, Douglas, El Paso, Jefferson, Larimer, Pueblo, and Weld counties. 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I • Attachment D • Template provided o Two tabs o One tab for each Track • Define the work to be completed including a description of all elements of the program - objectives, activities, sub -activities COLORADO Department of Public Health & Environment • Attachment • Template provided • Two tabs • One tab for each Track • Comprehensive budget that will not be split/identified by service categories Pay attention to list of unallowable expenses (page 8) aap, COLORADO �--_ �•-�" Department of Public 4, ''" Health & Environment Key Personnel • Attachment J • No template provided • Do not provide copies of CVs or resumes • Provide brief narrative of key personnel who will be involved in project: o Qualifications o Experience o Opportunity to highlight any relevant lived/living experience if applicable #14i COLORADO Department of Public Health & Environment Other Required Documents • Attachment K (package all documents into one PDF file) • Letters of Support • If you run out of space in the questionnaire forms: o Additional partnering agencies o Additional street -level geographic location of services • Copy of most recent federally or CDPHE negotiated Indirect Rate Agreement of Applicant only COLORADO Department of Public Health & Environment rti 1 ♦- - •_ _ Il ."'�•`� . • .4 � _ I• - tt . 1 1. a,r • .•- -. r I r - M 1 - _ • 1. - .It ' :.j!r4_J :. 0, t _.� .1.• t_'ftL 1i 7 t—•C"f— l .� t14 • I�, t.� ••• i •• 1 — f F -4 .r 3 `` c )� W.}` ),.•• t II 7 + -- 14:.r .. 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I. 1 .fit I LINO. - I. -.: /.. •r ItIII 4 �.^ .j •YV .,� i.•• L •-• L •v_r} -.�-., .t__% -k411 .c ,' S; 1_4c . ,A > I. ;'t - •. 4117;.y. ~4. _...r ..1�• 1. •-.' -1, '-f z(� •{'mil Ste• a i rJ rll n y_ 1-1 I L'. -• 1 • �,. . - 1 ,;_•.�'•:r. l••- i- _ v 17n- 44-7471 -r • ly a :. • S al ••. yip l -v 1 tr - r,-fi ,lr.� ti • •f., •= --t• •21,- •r : 1.'11 �•_ e-'- '• I _ t' 1 1�'•L • _ -,.-'• - .0 StialAc- b.7 • L Y • plea iv:: Sign at fah • Attachment L • Template provided • If you are a local public health agency, this form is not required COLORADO Department of Public Health & Environment Document Section Track 2 Track Maximum Score 1 Maximum Score Attachment A Request for Application 0 0 Signature Page Cover Sheet and Attachment B Application Submission Checklist 0 0 Attachment C 5 5 Executive Summary Attachment D Track 1 Questionnaire 20 Attachment E Track 1 Project Narrative 20 Attachment F 20 Track 2 Questionnaire Attachment G 20 Track 2 Project Narrative Work Plan 20 20 Attachment H Attachment I Budget 20 20 Attachment J Key Personnel 5 5 Attachment K Other Required Documents 5 5 Attachment L 0 0 Financial Risk Assessment Questionnaire N/A Technical Review 5 5 Maximum Score by Track 100 100 ZADO . of Public Health & Environment Schedule • Full schedule available on the last page of the RFA •All questions must be to CDPHE via the cdphe sthv contractomonitorinc@stat e.co.us no later than 5:00 pm on May 13 •Applications are due to CDPHE by noon on May 28. Please account for a potential delay in transmission. Any application received after noon will not be considered. • Estimated notification date is June 24. COLORADO Department of Public Heafth Et Environment • Read the entire RFA packet • Refer to the requirements when completing the application. • If you want data from the STI/HIV/VH Office to include in your application, please look at our website and/or submit a data request to our team. • May take up to 10 working days to complete gat?, RADO - Department of Public Heat h.Et Environment • Written inquiries and questions for this RFA are to be emaited to cdphe sthv contractmonito ring@state.co.us • Inctude RFA name/number • Questions are to be submitted between April 24 - May 13, 2024 • Questions asked today will be added to the question document. COLORADO Department of Public Health & Environment • Electronic applications with attachments to: cdphe sthv contractmonito ring@state.co.us •Applications must be received electronically by 12 noon on Tuesday, May 28, 2024. •Please be sure to plan accordingly to ensure the application is received by CDPHE no later than noon. You may want to plan for a slight delay in message delivery. COLORADO Department of Public Health & Environment •A confirmation email will be sent with all documents submitted. Applicants are responsible for responding to the confirmation email and notifying CDPHE of any missing documents; resubmission of any missing items will be accepted within 24 hours of receipt of confirmation. •Signature pages can be signed digitally or in ink, preferably blue ink, by a person who is legally authorized to bind the applicant to the application. COLORADO Department of Public °0'" Health & Environment The Office of STI/HIV/VH cdphe sthv contractmonitori ng@state.co.us Please reach out for assistance. Any questions outside the specified time for inquires, may or may not be answered based on content. itaCOLORADO 0 —%._ er 1 Department of Public C°" "# Health & Environment COLORADO Department of Public Health Et Environment cdphe sthv_contractmonitoring@state.co. us Department of Public Health Et Environment Hello