HomeMy WebLinkAbout20231788.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #7 FOR NURSE HOME VISITOR PROGRAM
(NHVP) AND AUTHORIZE CHAIR PRO-TEM 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 #7 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 #7 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 Pro-Tem 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 26th day of June, A.D., 2023, nunc pro tunc July 1, 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:.^EXCUSED
Mike Freeman, Chair
Weld County Clerk to the Board
B tea•,
eputy Clerk to the Board
APP;OVED
ounty orney
Date of signature: Co(XO9 ra
Perry/. Buck, Pro-Tem
Scott K. James
Lori Saine
cc: 1-11.-
O7/12/23
2023-1788
HL0056
�orr�vaCk►D �1l1c1
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: FY23-24 Nurse Home Visitor Program (NHVP) Contract Amendment #7 with the Colorado
Department of Early Childhood
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: June 20, 2023
PERSON REQUESTING: Jason Chessher, Executive Director
Brief description of the problem/issue:
For the Board's review and approval for placement on the agenda is the FY23-24 Nurse Home Visitor
Program (NHVP) Contract Amendment #7 between the Colorado Department of Early Childhood, 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) for the Nurse Home Visitor Program.
At no cost to the client, specially trained registered nurses provide home visits to vulnerable low-income,
first-time mothers residing in Weld County beginning in pregnancy and continuing until the client's child
reaches the age of two years. Clients are educated on positive maternal/child health practices,
infant/toddler developmental needs, effective parenting, and maternal economic self-sufficiency. This
evidence -based program has demonstrated multi -generational positive outcomes that benefit both
families and our community.
With the approval of this continuation contract, WCDPHE will be receiving funding of $1,262,778 to cover
activities performed beginning June 30, 2023 and ending June 30, 2024. Activities will be conducted by
current staff; no additional FTE is being requested.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
Approving this contract amendment will allow WCDPHE nurses to continue to provide evidence -based
education and interventions to at -risk first-time mothers and children in Weld County. These visits
follow strictly prescribed curricula which results in high levels of engagement and successful outcomes for
mothers and children.
Declining this grant will result in the loss of state funding for this evidence -based program that teaches
effective parenting and the development of maternal/parental self-sufficiency for low-income, first-time
mothers.
Recommendation: I recommend approval of this FY23-24 Nurse Home Visitor Program continuation
contract with the Colorado Department of Early Childhood.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman, Chair
Scott K. James
Kevin Ross
Lori Saine
rn'
2023-1788
le/21.0 OLDOtto
a
CDEC
COLORADO
Department of Early Childhood
CONTRACT AMENDMENT # 7
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Early Childhood
1575 Sherman Street, 1st Floor
Denver, CO 80203
Original Contract Number
20 IHIA 129479
Contractor
Amendment Contract Number
Weld County Department of Public Health and Environment
24 QAAA 182091
1555 North 17th Avenue
Greeley, CO 80631
Current Contract Maximum Amount
Contract Performance Beginning Date
Initial Term
July 1, 2019
State Fiscal Year 2020 $954,006°
Current Contract Expiration Date
*An appropriation for NHVP General Accounting
June 30, 2024
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 C: Section 12.
NHVP General Accounting Encumbrance (GAE).
Extension Terms
State Fiscal Year 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 Year 2023 $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 $1,262,778*
*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 $5,293,839
Signature Page begins on next page 4
Amendment Contract Number: 24 QAAA 182091 Page 1 of 4
CDEC V.2 Rev. 07/08/2022
DocuSign Envelope ID: F3D058C0-37B7-470C-BAE8-8C2C05FB17CE
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 authorizing his or her signature.
CONTRACTOR
Weld County Department of Public Health and Environment
DocuSigned by:
.1 bud,
By: §Hair 1 efa'County BOCC
Date:
6/26/2023
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Early Childhood
Lisa Roy, Ed.D., Executive Director
DocuSigned by:
By: Lisa'2asYtglia;Deputy Chief Financial Officer
6/26/2023
Date:
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.
By:
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
-DocuSiggn�e/d by:
Trot NWi icondesti
AndretTncr°tom6Williamson / Telly Belton
Amendment Effective Date:
6/26/2023
-- Signature and Cover Pages End --
Amendment Contract Number: 24 QAAA 182091
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 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 educate mothers in providing
general care for their children. This Amendment shall extend the contract expiration date for
SFY24, increase funds for SFY24, increases the GAE for SFY24, and amends Exhibits A, B, and
C.
MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. Extend the Contract Expiration Date from June 30, 2023 to June 30, 2024.
The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
B. Increase the Contract Amount for SFY24 by $1,262,778 and Increases the Maximum
Amount for All State Fiscal Years from $4,031,087 to $5,293,839.
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.
Amendment Contract Number: 24 QAAA 182091 Page 3 of 4 CDEC V.2 Rev. 07/08/2022
4:" C
COLORADO
Department of Early Childhood
Exhibit A — Statement of Work
Exhibit A — Amendment #7, which is attached and incorporated by this Amendment, shall be
added to Exhibit A of the Original Contract.
D. Exhibit B — Budget
Exhibit B — Amendment #7, which is attached and incorporated by this Amendment, shall be
added to Exhibit B — Amendment #4 of the Original Contract.
E. Exhibit C — Additional Provisions
Exhibit C — Amendment #7, which is attached and incorporated by this Amendment, shall
replace Exhibit C — Amendment #6 of the Original Contract.
5. 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 Number: 24 QAAA 182091 Page 4 of 4 CDEC V.2 Rev. 07/08/2022
go
COLORADO
Department of Early Childhood
STATEMENT OF WORK (SOW)
Exhibit A — Amendment #7
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
a
COLORADO
Department of Early Childhood
Exhibit A — Amendment #7
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 Service Office (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
el COLORADO
twoDepartment of Early Childhood
WORK PLAN
Exhibit A - Amendment #7
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement:
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.
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
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
Department of Early Childhood
Exhibit A — Amendment #7
A.3 Agency shall
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
Intervention Colorado.
Ongoing
Agency implements referral coordination
between maternal and child health care
services and NFP.
# of referrals
received from
community
services, i.e. WIC
# of referrals sent
to community
services
NHVP NFP NS
NHVP NFP NHVs
Personnel
Operating
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 #7
Key Activity B: Recruit and retain NHVP NFP eligible families, provide voluntary NFP home visits and services for funded caseload
Tasks
Time Period
Deliverable
Measurement
Person(s) Responsible
Budget Category
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 28th 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 #7
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.
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
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
Key Activity D: Provide efficient and effective fiscal and programmatic administration for all aspects of NHVP Program.
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
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 invoicingAstate.co.us
# of monthly
financial invoices
submitted to CDEC
on time.
NI-IVP 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
a
COLORADO
Department of Early Childhood
Exhibit A — Amendment #7
Key Activity
Develop
plan
to increase
Medicaid
billing.
(choose
the
appropriate
verb)
E:
Tasks
Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Time
Category
increase
I.I
with
consultant
Develop
support
Medicaid
plan
from
to
billing
11K
October
2023
1,
Plan
is complete
Completed
plan
NI
NHVP
Administrator
(CNO)
IVP
NFP
NE
P
NS
Personnel
E.2
clients
one
areas
cessation,
depression
preventative
Bill
of
(TCM,
receive
the
Medicaid
four
maternal
screenings
tobacco
counseling)
services
billable
when
in
and
Ongoing
Medicaid
billing
occurs
HCPF
Reporting
NI
NI
NHVP
IVP
IVP
NI'
NFP
Fiscal
P
NS
Nurses
Staff
Personnel
SCHEDULE/MILESTONES
WCDPHE/Weld's NFP program is affiliated with the NIP 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 #7
COLORADO
Department of Earty Ctuldhood
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,
Phone
Email
Tanya Geiser, Director Finance & Administration
970-400-2122
tgeiser@weldgov.com
Funded Caseload
150
Expenditure Categories
Personnel Services - Salaried Employees
SFY 2024
Position Title
Description of Work and Fringe includes: Medicare,
unemployment, workers compensation, PERA, life/ADELD
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)
Individual Nursing staff salary not to exceed $155,313 (A Contract Amendment is required if any additional funds are added to the total contract amount)
Nursing Staff includes 1 Nurse Supervisor
and 6 Nurse Home Visitors
Overall Program implementation and home visiting service delivery
T
5833,249
50
SO
$833,249
Non Nursing Staff
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
$0
$0
$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
$0
$0
$3,864
Office Technician 1
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.
$52,338
$23,207
50%
$37,772
$0
$0
$37,772
Office Technician 2
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
50%
$41,266
$0
$0
$41,266
lb.
Non
Nursing Staff Total
$94,540
$0
$0
$94,540
1. Total Personnel Services (including fringe benefits)
$ 927,789
$ -
$ -
$ 927,789
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
$0
$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
$0
$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
$0
$150
Communications (cellular, network
services)
Costs include phone & cell phone services with unlimited texting and WIFI 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
$10,000
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.
SO
$0
$54,500
Telehealth Operating Expenses
Costs to cover expenses related to telehealth delivery of the NFP program.
$0
$0
$50
2. Total Supplies & Operating Expenses
$0
$0
$76,950
Training and Technical Assistance
SFY 2024
Item
Description of Item
Total
A. Other
Sources
of
Funding
B.
Medicaid
Revenue
C. CDEC Funding
(NHVP)
Program Support Fee- All Teams
NSO Annual Program Support Fee For All Teams
$23,364
$0
$0
$23,364
Dance Education & Licensing
Required Dance licencing and education fees
$1,055
$0
$0
$1,055
Professional Development
All other professional development for NHVP team
$4,200
$0
$0
$4,200
3. Total Training and Technical Assistance
$28,619
$0
$0
$28,619
Equipment (Over $5,000 Per Item)
SFY 2024
Name
Description of Item
A. Other
of
Funding
BSources
Medicaid
Revenue
C. CDEC Funding
(NHVP)
No costs shall be reimbursed in this category by CDEC.
$0
$0
$0
4. Total Equpment
$0
$0
$0
Page 1of2
Exhibit B - Amendment #7
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
$21,540
NFP Supervisor Meetings
Covers the cost for three state nurse supervisor meetings
SO
$0
$250
NFP Nurse Practice Council Meetings
Covers the cost for three state nurse practice council meetings
$0
$0
$250
5. 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
SO
SO
$1,500
6. Total Contractors/Consultants
$0
$0 $1,500
Items that cannot be included in Modified Total Direct Costs (MTDC)
STY 2024
Item
Description of Item
A. Other
Sources
of
Funding
B.
Medicaid
Revenue
.
C. CDEC
Funding
(NHVP)
Program Support Fee- All Teams
NSO Annual Program Support Fee For All Teams
S0
$0
$23,364
7. Total Items that cannot be included in MTDC
$0
$0
$23,364
TOTAL DIRECT COSTS
$O
$1,366
$1,O56,898
$0
$1,366 $1,033,534
MODIFIED TOTAL DIRECT COSTS (MTDC)
Indirect Costs
SFY 2024
Item
Description of Item
A. timer
Sources
of
Fiindino
B.
Medicaid
Revenue
C. CDEC Funding
(NHVP)
Indirect Rate
Negotiated rate of 19.92% of MTDC
$0
$0
$205,880
Total Indirect
$0
$0
$205,880
TOTAL
$0
$1,366
$1,262,778
'Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 = 1.0)
Page 2of2
CDEC
COLORADO
Department of Early Childhood
ADDITIONAL PROVISIONS
Exhibit C — Amendment #7
1. SERVICE PROVISIONS
The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached
and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks,
duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the
performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this
contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW)
require an amendment to the contract.
2. GOALS AND OBJECTIVES
The Contractor shall be responsible for the achievement of any goals and objectives as specified within the
Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by
the State to the Contractor allowing adequate time for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any
provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract
Representative upon execution.
4. PAYMENT
In consideration of the provision of services and reporting and subject to all payment and price provisions and
further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the
State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of
this contract.
A. The Contractor shall submit requests for payment to CDECInvoicing@state.co.us no less than monthly
on forms prescribed and provided by the State.
B. Payment shall be made on a cost reimbursement basis for services rendered.
C. It is understood any vacancy savings in the personnel category and/or any savings in any other category
shall require written approval from the State prior to any redistribution of any savings by the Contractor.
ANY COST SAVINGS THAT ARE REDISTRIBUTED BY CONTRACTOR WITHOUT WRITTEN
APPROVAL SHALL NOT BE REIMBURSED BY THE STATE.
D. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT
BE PAID BY CDEC. If Contractor has a legitimate need for additional funds, the Contractor shall request
additional funds from the CDEC 60 days prior to projected depletion of contracted funds. CDEC shall
review each request and notify Contractor in writing of approval or denial. Approval of additional funds
shall require an official modification to the Contract by Amendment or Option Letter.
E. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day of the month.
End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior
to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th
shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to
Page 1 of 5 Revision Date 03/01/2023
ao
COLORADO
Department of Early Childhood
Exhibit C — Amendment #7
CDEC Invoicing(a,state.co.us. Final invoices for services prior to June 30th shall be submitted by
September 14th. Invoices received after September 14th may not be paid.
F. The Contractor shall maintain source documentation to support all payment requested pursuant to this
contract. All source documentation shall be provided to the State by the Contractor upon request.
G. It is understood that the State reserves the right to offset funds pursuant to this contract based on the
discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of
funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation
requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute
of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes.
H. The State shall review monthly invoices throughout the fiscal year. If, after a number of months, the State
determines the Contractor is not needing/using the funding allocated for the Contractor's work in the
Contract, the State shall remove these funds from the contract budget by Option Letter for a proportional
reduction of services with prior written notification to the Contractor. This provision does not allow for a
reduction in the rate of pay.
5. PARTICIPATION
The Contractor representative(s) is required to participate in any Department of Early Childhood sponsored
meetings related to this contract.
6. SUPPLANTING
Payments made to the Contractor under this contract shall supplement and not supplant other state, local or
federal expenditures for services associated with this contract.
7. BUDGET CHANGES
Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not
to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to
the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to
the budget related to the budget revision request. The total dollar amount of the contract budget cannot be
changed as a result of the budget revision request. Budget adjustment requests over 10%, adding new expense
lines, and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to
the Indirect Costs portion of the budget are allowable without a formal amendment.
Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual
employee if a position currently listed in the contract becomes vacant and the new incoming employee shall be
hired at a higher or lower salary. No increase within the salary range is authorized without prior written
approval from CDEC. Adding additional staff requires an amendment to the contract. Vacancy savings cannot
be used to change salary amounts for existing personnel without an amendment. Any change to personnel
requires prior written approval from CDEC staff. This process shall never change the Contract Maximum
Amount. Contractor must use available unused funds from either vacancy savings or another category within
the contract. The revision request may not at any time compromise the integrity of the funded program as
determined by CDEC program staff.
Page 2 of 5 Revision Date 03/01/2023
Se
COLORADO
Department of Early Childhood
Exhibit C — Amendment #7
8. TRAVEL
Travel costs must be listed in Exhibit B — Budget under travel including airfare, hotel, mileage and per diem
costs.
A. Mileage shall not exceed the State mileage rate per https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
B. Per Diem shall not exceed State per diem rate for the area of travel per
https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
C. Hotel rates cannot exceed any rate established for conference attendance.
D. Usage of airfare or Out of State Travel requires pre -approval from CDEC.
9. CRITICAL INCIDENT REPORTING
Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency
staff member of any family support program staff funded through the Department of Early Childhood (CDC),
the agency must report in writing the details of the critical incident to the CDEC Program Manager for the
involved family support program. Critical incidents may include, but are not limited to, awareness of an
egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family
support program; involuntary termination of a program staff's employment; criminal allegations involving
program staff and related to his/her employment; negative media attention about the family support program;
any major injury or threat to the security of an agency staff member while on duty and visiting an enrolled child
or family.
10. MANDATED REPORTING
A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters
must report suspected child abuse and neglect to the local county child welfare agency, the local law
enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844-
264-5437).
B. All program staff are required to take the online mandatory reporter training on the Colorado Department
of Human Services (CDHS) Child Welfare Training System: https://www.coloradocwts.com/mandated-
reporter-training.
11. GENERAL ACCOUNTING ENCUMBRANCE (GAE)
A. Nurse Home Visitor General Accounting Encumbrance (NHVP-GAE) shall be utilized as follows:
i. Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in a fiscal year
and they will be permitted to use the GAE to cover costs of NFP required training that was not
included in their budget.
ii. Travel costs associated with NFP training. For example, if a site hires a new Nurse Home Visitor,
and this staff member is required to attend NFP orientation, the site will be able to bill the GAE for
Page 3 of 5 Revision Date 03/01/2023
a 4D
COLORADO
Department of Early Childhood
Exhibit C — Amendment #7
the training registration and travel expenses for the training. Travel costs may include mileage, hotel
accommodations and per diem for the staff member attending the training.
iii. Operational items not included in their budget such as cell phones, tablets, laptops. Due to staff
turnover, sites are to not include potential operational item expenses in their budgets, but rather
utilize the GAE in order to purchase necessary items for new staff.
iv. Transition salaries to pay new staff during the overlap with the staff member leaving in order to
provide time for adequate training. Once the original staff member leaves, the new staff member's
salary would be paid against the existing line in their budget.
v. Translation and interpretation services to serve clients who are deaf or hard of hearing, and those
whose primary language is not English.
B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors.
The State may increase or decrease the total funds encumbered at its sole discretion and without formal
notice to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for
such payments is limited to the encumbered amount remaining of such funds.
C. Invoices shall be submitted separately for pre -approved expenditures.
i. The Contractor shall submit requests for payment to CDEC Invoicing@state.co.us.
12. GIFT CARDS
The Distribution of Gift Cards, where applicable, shall adhere to the following:
A. The contractor agency must have a written Gift Card Distribution Policy in place and this plan must
be approved by the Department of Early Childhood before gift cards may be purchased. The policy
must include maintaining an audit log of gift card purchases and disbursements and a process for
routine reconciliations.
B. The contractor agency's gift card policy must ensure that gift cards cannot be redeemed for cash and
must restrict the recipient from using gift cards for alcohol, firearms, tobacco, lottery tickets, or
entertainment.
C. Gift Cards must be distributed to recipients within five (5) business days of purchase.
D. Gift Cards should be given at the conclusion of an event or upon completion of an activity or
milestone.
E. Contractor agency staff shall have recipients sign a form that includes the following: Date, Name of
Gift Card Recipient, Purpose of Gift Card, Signature of Gift Card recipient acknowledging receipt of
Gift Card and Gift Card Amount.
F. The contractor cannot request reimbursement for the cost of gift cards until distribution of the gift
cards has been made to recipients. Additionally, the contractor must maintain adequate
documentation to show a record of all gift card distributions.
G. The contractor shall be held responsible for inappropriate use of gift cards.
Page 4 of 5 Revision Date 03/01/2023
COLORADO
Department of Early Childhood
15. SAM.GOV REQUIREMENT FOR STATE FUNDED CONTRACTS
Exhibit C — Amendment #7
A. Individuals who are excluded from participation in federal health care programs are also prohibited
from participating in federal government procurement and non -procurement programs according to
title 2 of the Code of Federal Regulations (CFR) 1376.147 and 42 CFR part 1001, which clarifies that
this applies to individuals and entities.
B. Any individual or entity excluded from participation in Medicare, Medicaid, and other Federal health care
programs under Title XI of the Social Security Act, 42 U.S.C. 1320a-7, 1320a -7a, 1320c-5, or 1395ccc, and
implementing regulation at 42 CFR part 1001, will be subject to the prohibitions against participating in covered
transactions, as set forth in this part and part 180, and is prohibited from participating in all Federal Government
procurement programs and non -procurement programs.
C. Contractor shall have a formal written policy regarding SAM.gov checks for all staff upon hiring and
not less than annually including procedures for maintaining records of the evidence of this check.
Page 5 of 5 Revision Date 03/01/2023
Contract Form
New Contract Request
Entity Information
Entity Name* Entity ID*
COLORADO DEPARTMENT OF EARLY ?00004256
CHILDHOOD
Contract Name *
CDEC FY2 3-24 NURSE HOME VISITOR PROGRAM iNHVPI
CONTRACT RENEWAL .7
Contract Status
CTB REVIEW
Contract Description *
CDEC FY2 3-24 NURSE HOME VISITOR PROGRAM AMD `7
Contract Description 2
ORIGINAL STATE CONTRACT 20 IHIA 1 27479, 7 1 2013
Contract Type*
RENEWAL
Amount*
51,262,778.00
Renewable *
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-Healthbo veldgov.corn
Department Head Email
CM-Health-
DeptHeadtiUoseldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTY'ATTORNEY4U WELDG
OV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
6685
If this is part of a MSA enter MSA Contract ID
Contract ID
7149
Contract Lead
AGOMEZ
❑ New Entity?
Parent Contract ID
6685
Requires Board Approval
YES
Contract Lead Email Department Project #
agomeZUt Weldgov.com
Requested BOCC Agenda
Date.
06 26:2023
Due Date
06 22;2023
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On Base
Contract Dates
Effective Date
07.01 2023
Review Date
03x01 2024
Renewal Date
Termination Notice Period Committed Delivery Date
Contact Information
Contact Info
Expiration Date*
06:30:2024
Contact Name Contact Type Contact Email Contact Phone I Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06:'22:2023
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06,'26;'2023
Originator
AGOMEZ
Finance Approver
CHRIS D'OVIDIO
Legal Counsel
KARIN MCDOLIGAL
Finance Approved Date Legal Counsel Approved Date
06'22:'2023 06 22 2023
Tyler Ref #
AG 062623
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