HomeMy WebLinkAbout20231634.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR TUBERCULOSIS PREVENTION AND
CONTROL PROGRAM, AND AUTHORIZE CHAIR TO SIGN AND SUBMIT
ELECTRONICALLY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Task Order Contract for the
Tuberculosis Prevention and Control Program 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 Public Health and
Environment, commencing July 1, 2023, and ending June 30, 2024, with further terms and
conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said contract , a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Task Order Contract for the Tuberculosis Prevention and Control
Program 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 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 and submit said contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 12th day of June, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: di,a4,O w , z ;
,,k
Weld County Clerk to the Board
BY: o ' IL\00-16
Deputy Clerk to the Boar
AP OVED FORM:
County Attorney
Date of signature: tf l 23/ ZOZ3
Lori Saine
man, Chair
,c
Pro-Tem
tt K. James
Cc:I-AL
07/12/23
2023-1634
H L0056
Cipkvad-
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: CDPHE FY23-24 TUBERCULOSIS PREVENTION AND CONTROL CONTRACT
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: May 23, 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 a contract between the
Colorado Department of Public Health and Environment ("CDPHE") and the Board of County
Commissioners for the County of Weld, State of Colorado, on behalf of the Weld County Department
of Public Health and Environment ("WCDPHE").
This contract amendment is for the continuation of the Tuberculosis (TB) Prevention and Control
Program to assist in preventing and controlling TB in Weld County. The term for this task order contract
is from July 1, 2023, through June 30, 2024, in the amount of $50,000, all of which is State funding.
Additional funding from the Directly Observed Therapy and Diagnostic Blanket funds will be granted
as necessary for the treatment of active TB disease and for contact investigations. 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):
With the approval of the Board, this contract allows for continued funding for TB control and
prevention activities in Weld County. These activities include QuantiFERON blood testing, skin testing,
chest x-ray interpretation, contact investigations, Class B TB activities for newly arriving immigrants,
treatment for latent tuberculosis infection and active tuberculosis disease and serving as a resource
for community education/outreach regarding TB prevention and control.
If the Board declines approving this contract, WCDPHE will not receive external funding to provide
the public health core service of TB control and prevention in Weld County and these services would
then become 100% county funded.
Recommendation: I recommend approval of this contract with CDPHE.
Approve Schedule
Reco endation Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin Ross
Lori Saine
2023-1634
u/12 t.. -00( f)
DocuSign Envelope ID: FF626B9C-992C-451C-B9BD-2D49A30C918F
TASK ORDER
State Agency
State of Colorado for the use & benefit of the
Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver CO 80246
Contractor
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street
Greeley CO 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
Master Task Order Contract Number
23 FAA 00051
Task Order Number
2024*0008
Task Order Performance Beginning Date
The later of the Task Order Effective Date or July 1, 2023
Task Order Maximum Amount
Initial Term
State Fiscal Year 2024 $50,000.00
Task Order Expiration Date
June 30, 2024
Except as stated in §2.D., the total duration of this Contract,
including the exercise of any options to extend, shall not
exceed 5 years from its Performance Beginning Date.
Pricing/Funding
Price Structure: Cost Reimbursement, Monthly Invoicing
Funding Source:
State $50,000.00
Miscellaneous:
Authority to enter into this Contract exists in:
C.R.S. 25-1.5-101 - C.R.S. 25-1.5-113
Law Specified Vendor Statute (if any): N/A
Procurement Method: Exempt
Solicitation Number (if any): N/A
State Representative
Peter Dupree
Program Manager
Tuberculosis Program
Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
peter.dupree@state.co.us
Contractor Representative
Tanya Geiser
Finance and Administration Director
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
tanya.geiser@co.weld.co.us
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
Exhibit A, Additional Provisions
Exhibit B, Statement of Work
Exhibit C, Budget
Contract Purpose
This project serves to provide diagnostic, patient education and treatment services for individuals with suspected/known
latent TB infection (LTBI) and those classified with Class A and Class B TB status or who are suspected of having active
TB. Also for individuals who are identified as newly arrived refugees, asylees and other high risk persons with LTBI.
Task Order Number: 2024*0008
Page 1 of 3
Version 02.24.2022
020,2,3 -/I0,5,4
DocuSign Envelope ID: FF626B9C-992C-451 C-B9BD-2D49A30C918F
In accordance with §4.B of the Master Task Order Contract referenced above, Contractor shall complete the following
Project:
1. PROJECT DESCRIPTION
Contractor shall complete the Project described in Exhibit B Statement of Work (SOW) that is attached hereto and
incorporated herein ("the SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted
in accordance with the Master Task Order Contract unless specifically defined differently in this Task Order. The
Statement of Work and Budget are incorporated herein, made a part hereof and attached hereto as Exhibit B - Statement
of Work and Exhibit C - Budget.
2. PAYMENT
The State shall pay Contractor the amounts shown in Exhibit C - Budget that is attached hereto and incorporated herein,
in accordance with the requirements of the Statement of Work and the Master Task Order Contract. The State shall not
make any payment for a State Fiscal Year that exceeds the Task Order Maximum Amount shown above for that State
Fiscal Year.
3. PERFORMANCE PERIOD
Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated
above. Contractor shall not perform any Work described in the Statement of Work prior to the Task Order Performance
Beginning Date or after the Task Order Expiration Date stated above.
4. TASK ORDER EFFECTIVE DATE:
The Effective Date of this Task Order is upon approval of the State Controller or July 1, 2023, whichever is later.
Task Order Number: 2024*0008
Page 1 of 3 Version 02.24.2022
DocuSign Envelope ID: FF626B9C-992C-451C-B9BD-2D49A30C918F
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized to execute this
Contract and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
Environment
DocuSigned by:
j/iSA• itttabutl,Vln.
�EDF870A1A7D4FC
DocuSigned by:
ckik
F_ ��2o44s7oe4zcnoot,
B S1 nature
Y� g
Lisa McGovern
By: Signature
Mike Freeman
Name of Executive Director Delegate
Procurement & Contracts Section Director ft
Name of Person Signing for Contractor
Title of Executive Director Delegate
BOCC Chair
2023-06-12
Title of Person Signing for Contractor
Date:
2023-06-12
Date:
In accordance with (24-30-202, C.R.S., this Option is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
DocuSigned by:Robert Jaros, CPA, MBA, JD
Starke
8CA0 48A
By: Signature
Jannette Scarpino
Name of State Controller Delegate
Chief Financial Officer
Title of State Controller Delegate
2023-06-13
Effective Date:
--Signature Page End --
Task Order Number: 2024*0008 Page 3 of 3
Version 02.24.2022 4,3S-
DocuSign Envelope ID: FF626B9C-992C-451C-B9BD-2D49A30C918F
EXHIBIT A
ADDITIONAL PROVISIONS
To Master Task Order Contract Dated 06/29/2022 Task Order Routing Number: 23 FAA 00051
These provisions are to be read and interpreted in conjunction with the provisions of the Master Task Order
Contract specified above.
1. Invoicing Provisions:
To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made part of
this Contract by reference. CDPHE will provide technical assistance in accessing and completing the form. The
CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five
(45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in
accordance with this Statement of Work and Budget.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the
scanned invoice with the Excel workbook containing the Expenditure Details page to: Pete Dupree, TB Program
Manager and Public Health Epidemiologist, peter.dupree@state.co.us
Final billings under the Contract must be received by the State within a reasonable time after the expiration or
termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective
expiration or termination date of the Contract.
Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as required
by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
2. Time Limit For Acceptance Of Deliverables.
Evaluation Period. The State shall have thirty (30) calendar days from the date a deliverable is delivered
to the State by the Contractor to evaluate that deliverable, except for those deliverables that have a
different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the
Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of 1) the date the
deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at
the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time
frame shall apply to all deliverables except for those deliverables that have a different time negotiated by
the State and the Contractor in writing pursuant to the State's fiscal rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable,
the Contractor shall have a reasonable period of time, not to exceed thirty (30) calendar days, to correct
the noted deficiencies. If the Contractor fails to correct such deficiencies within thirty (30) calendar days,
the Contractor shall be in default of its obligations under this Task Order Contract and the State, at its
option, may elect to terminate this Task Order Contract or the Master Contract and all Task Order
Contracts entered into pursuant to the Master Contract.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements
unless approved in writing by the appropriate federal agency.
3. Time Limit For Acceptance Of Deliverables:
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EXHIBIT A
a. Evaluation Period. The State shall have forty-five (45) calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that
have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the
Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of: 1) the date the
deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at
the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time
frame shall apply to all deliverables except for those deliverables that have a different time negotiated
by the State and the Contractor in writing pursuant to the State's fiscal rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30) calendar
days, to correct the noted deficiencies.
4. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
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EXHIBIT B
STATEMENT OF WORK
To Original Contract Number: 2024*0008
These provisions are to be read and interpreted in conjunction with the provisions of the contract
specified above.
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description: This project serves to implement a Tuberculosis (TB) preventive health
service program to decrease widespread incidence of TB disease via pass -through funds to the
Local Public Health Agencies (LPHAs) experiencing an elevated burden of TB infection and TB
disease. TB remains the primary infectious disease killer in the world, only surpassed during the
current pandemic by deaths from COVID-19. The Colorado Department of Public Health and
Environment (CDPHE) is funded by state general fund dollars and the Centers for Disease Control
and Prevention (CDC) to address the potentially life -threatening TB illness, which is spread
through the air from one person to another, impacts the lungs and any other part of the body, and
can cause serious sickness and even death in humans. The Division of Disease Control and Public
Health Response (DCPHR) supports TB health service activities as a part of the mandatory Class
A and B medical testing process for Refugees entering the United States. The project seeks to
screen, test, and treat TB infection (LTBI) and prevent onward transmission of the TB bacterial
infection by offering appropriate treatment to all at elevated risk for TB infection and onward
progression to TB disease as well as those presumptive for or with confirmed TB disease. The
project also seeks to offer guidance and resources to help confirmed TB disease patients through to
completion of appropriate TB disease treatment. The funds exist to reduce rates of illness, and
increase use of the Tuberculosis Data Base (TBdb) among LPHAs caring for patients statewide.
The project will collect vital statistics, and enable the technological capability needed to track and
evaluate patient cases. The program seeks to identify latent TB illness in at -risk patients including
close contacts to pulmonary TB patients through active surveillance, provide free TB medications,
and reimburse LPHAs managing or ruling -out patients for Medicaid rate diagnostic testing
recommended by the TB program. The project will improve the ability to evaluate TB cases, and
bolster access to data for the medical community. A key program goal is to connect at -risk
individuals including Refugees born in endemic areas to appropriate medical care, control
epidemiologic outbreaks, and protect the health of the residents of Colorado.
III. Definitions:
1. Active surveillance: Active disease surveillance is the process of actively searching for
information through clinical testing and data management. For the purposes of this
contract, active surveillance means the monitoring of testing class B1 and B2 Refugee
patients, and entering relevant data to the TBdb system.
2. AFB smear: Acid -Fast Bacilli; a rapid test used to detect infectious mycobacteria
3. Asylee: Individuals who, on their own, travel to the United States and subsequently apply
for and receive a grant of asylum.
4. CDPHE: Colorado Department of Public Health and Environment
5. Chest X-ray: a type of high-energy radiation that can go through the body and onto film,
making pictures of areas inside the chest, which can be used to diagnose disease.
6. Class A: defines Refugee applicants who have medical conditions that render a person
inadmissible and ineligible for a visa or adjustment of status.
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EXHIBIT B
7. Class Bl: : Immigrant with an abnormal chest X -Ray with evidence of TB, and/or the
individual has a history of treatment for active TB disease.
8. Class B2: The individual was diagnosed with latent TB infection (LTBI). These are
typically children whose Tuberculin Skin Test result was positive and Chest X-ray was
normal.
9. DOT: Directly Observed Therapy is a process where a trained health care worker or other
designated individual (excluding a family member) provides the prescribed TB drugs and
watches the patient swallow every dose.
10. HIV: Human Immunodeficiency Virus - Human immunodeficiency virus is a virus that
attacks the body's immune system. If HIV is not treated, it can lead to AIDS (acquired
immunodeficiency syndrome). Learning the basics about HIV can keep you healthy and
prevent HIV transmission. TB is the primary killer of people with AIDS globally.
11. IGRA: Interferon gamma (y) release assay is a whole blood TB test.
12. LEP: Limited English proficiency (Over -the -Phone Interpretation (OPI) - lets you
communicate with Limited -English Proficient (LEP) individuals using a phone
interpreter. People use phone interpreters when they don't have an onsite interpreter, and
to make phone calls to people who speak limited English.
13. LTBI: Latent Tuberculosis Infection commonly referred to as TB infection
14. OPI: Over -the -phone interpretation
15. Refugee: Any person who is outside his or her country of nationality or habitual
residence and is unable or unwilling to return to or seek protection of that country due to
a well-founded fear of persecution based on race, religion, nationality, membership in a
particular social group, or political opinion
16. Pulmonary disease: A type of disease that affects the lungs and other parts of the
respiratory system. Pulmonary sites of TB disease is the primary public health concerns
as TB is spread through the inhalation of airborne bacilli.
17. RVCT: Report of Verified Case of Tuberculosis; a CDC surveillance report
18. Screening: the act of performing a test on a patient or patient's sputum, blood, urine, etc.,
to look for evidence of a disease. For the purposes of this contract, screening involves the
testing and identification of at -risk persons including class B1 and B2 Refugees with
LTBI, HIV, pulmonary disease, and those without health insurance.
19. Service area: The jurisdiction (typically one or more counties) for with the LPHA is
responsible.
20. Spirometry: A test that can help show how well lungs are working.
21. Tuberculosis (TB): An infectious bacterial disease characterized by the growth of
nodules (tubercles) in the tissues, especially the lungs.
22. TB -18: CDPHE Tuberculosis Surveillance and Case Management Report
23. TBdb system: CDPHE Tuberculosis Data Base
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Task Order Number: 2024*0008
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EXHIBIT B
IV. Work Plan:
Goal #1: Support public health disease control and intervention through the provision of public health monitoring. Prevent
and control tuberculosis infection and active TB disease throughout the Contractor's jurisdiction.
Objective #1: No later than the expiration date of the contract, improve tuberculosis prevention and control through the
provision of TB health services and active surveillance.
Primary Activity #1
The Contractor shall locate all patients with suspected or confirmed TB.
Sub -Activities #1
1. The Contractor shall provide TB health screening for the following patient groups:
a. Refugee Class B1
b. Refugee Class B2
c. All other persons found to be at elevated risk for TB infection or TB disease
2. The Contactor shall provide the following medical screening services to each
patient:
a. Medical evaluation
b. Tuberculin skin test or IGRA (IGRA is preferred)
c. Chest X-ray
d. Three spontaneous sputum specimens for AFB smear to determine the
biological culture of cells on consecutive days
3. The Contractor shall administer TB disease testing to all patients to identify
individuals with LTBI.
a. The Contractor shall administer LTBI testing to 95% of patients identified with
elevated risk.
b. The Contractor shall document 95% of confirmed LTBI cases.
c. The Contractor shall administer the following LTBI evaluation methods to all
patients:
i. Chest x-rays
ii. Chest x-ray interpretations
4. The Contractor shall test patients for HIV.
a. The Contractor shall administer HIV antibody tests to 95% of B1 and B2
Refugee patients.
b. The Contractor shall administer HIV antibody tests to 95% of all patients
presumptive for or with confirmed TB infection or TB disease.
c. The Contractor shall identify patients with HIV.
d. The Contractor shall inform those individuals whom refuse HIV testing of the
risks associated with HIV/TB co -infection.
e. The Contractor shall document HIV testing results for all patients in TBdb.
5. The Contractor shall monitor patients for adverse reactions from TB drugs.
6. The Contractor shall monitor patients for other clinical concerns.
7. The Contractor shall offer limited English proficiency services to patients who do
not speak English.
a. The Contractor shall provide translation services in the patient's preferred
language.
i. The Contractor shall offer in -person, certified translation services.
ii. The Contractor shall offer Over -the -Phone Interpretation (OPI) services.
Primary Activity #2
The Contractor shall ensure that all contacts to newly identified infectious TB cases
are identified, investigated, and receive appropriate evaluation.
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Task Order Number: 2024*0008
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EXHIBIT B
Sub -Activities #2
1. The Contractor shall provide, or arrange for the following for individuals with
newly identified suspected or confirmed TB, as well as patients with LTBI:
a. Chest x-rays
b. Chest x-ray interpretations
2. The Contractor shall provide, or arrange for, the treatment of patients, including
DOT, and ensure the completion of therapy for all TB patients.
3. The Contractor shall provide, or arrange for, an HIV antibody test for all persons
with LTBI with HIV risk factors including those who originate from an HIV -
endemic area.
4. The Contractor shall inform all individuals whom refuse HIV testing of the risks
associated with HIV/TB co -infection.
5. A minimum of once a month, the Contractor shall evaluate patients face-to-face
who are on LTBI treatment.
6. Throughout LTBI treatment, the Contractor shall monitor patients for adverse
reactions or other clinical concerns.
7. The Contractor shall ask all TB clients about current health insurance enrollment
and offered materials on how to become insured if not currently insured.
8. The Contractor shall complete a preliminary Tuberculosis Contact Investigation
Record for all pulmonary TB patients.
Primary Activity #3
The Contractor shall participate in an electronic TB surveillance process (TBdb or
other designated TB database).
Sub -Activities #3
1. The Contractor shall enter data for each patient tested, treated, and cared for into
the TBdb.
a. The Contractor shall report each data element specified in the "Report of
Verified Case of Tuberculosis (RVCT) for all patients who test positive for
LTBI.
b. The Contractor shall enter laboratory results for each patient tested for LTBI.
c. The Contractor shall enter laboratory results for each patient tested for HIV.
d. The Contractor shall enter laboratory results for each patient tested for
pulmonary TB disease.
e. The Contractor shall enter into TBdb other clinical concerns identified during
testing.
f The Contractor shall enter current medical insurance enrollment status
information.
2. The Contractor shall complete a preliminary Tuberculosis Contact Investigation
Record (TB -18) for all presumptive or confirmed TB disease and LTBI patients.
a. The Contractor shall complete a Class B tuberculosis Follow Up worksheet for:
i. Class B1 patients
ii. Class B2 patients
3. The Contractor shall complete the Semi-annual Progress Report that includes the
following information:
a. Number of patients screened, tested and treated with LTBI.
i. All report info should be de -identified. The Contractor shall identify patients
by TBdb number only.
ii. The Contractor shall include medical insurance information for insured
patients.
iii. The Contractor shall identify patients without medical insurance.
b. Number of Class B1 Refugees with confirmed LTBI
c. Number of Class B2 Refugees with confirmed LTBI
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EXHIBIT B
d. Number of Class B1 patients confirmed with HIV
e. Number of Class B2 patients confirmed with HIV
e. Number of Class B1 patients with TB disease
f. Number of Class B2 patients with TB disease
g. Number of patients with adverse reactions
h. Other clinical concerns identified per patient
i. Number of uninsured patients guided to medical insurance resources
j. Number of patients that used the OPI interpretation services
Primary Activity #4
The Contractor shall offer printed resource and referral materials to clients that direct
them to the nearest community Medicaid and Connect for Health Colorado
enrollment location(s), including online enrollment options.
Sub -Activities #4
1. The Contractor shall discuss current health insurance enrollment status with each
client for the purposes of becoming insured if not currently insured.
a. The Contractor shall ask all TB patients about current health insurance
enrollment status, including Medicaid and offer resource materials no later
than the last business day of each month.
b. The Contractor shall document that all TB patients were asked about
current health insurance enrollment and offered materials no later than the
last business day of each month.
Standards and
Requirements
1. The content of electronic documents located on CDPHE and non-CDPHE
websites and information contained on CDPHE and non-CDPHE websites may
be updated periodically during the purchase order term. The Contractor shall
monitor documents and website content for updates and comply with all updates.
2. CDPHE will provide access to the CDPHE TBdb system to the Contractor.
a. CDPHE will register the Contractor.
i. CDPHE will provide user log -in to the Contractor.
3. CDPHE will provide written notification to the Contractor a minimum of 30
calendar days of the arrival of:
a. Class B1 Refugees
b. Class B2 Refugees
4. The Contractor shall initiate treatment with patients in accordance with CDC
guidance found at the following links, incorporated and made part of this Contract by
reference:
https://www.cdc.gov/tb/topic/treatment/ltbi.htm and
https://www.cdc.gov/tb/topichreatment/tbdisease.htm
5. The Contractor shall complete the appropriate treatment as stated in the CDPHE
TB Manual. The CDPHE TB Manual is available on the State of Colorado website
https://www.colorado.gov/pacific/cdphe/colorado-tb- manual and is incorporated and
made part of this Contract by reference.
6. The Contractor shall include all data elements identified in the "Report of Verified
Case of Tuberculosis (RVCT)", found at: RVCT, incorporated and made part of this
contract by reference.
a. The Contractor shall complete 100% of all RVCT fields no later than the end date
of this contract.
7. The Contractor shall guide each patient to following insurance resource websites:
a. lAps://www.colorado.gov/pacific/hcpf/how-to-apply, and
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EXHIBIT B
b. http://connectforhealthco.com/resources/person-help/, incorporated
and made
information for
using the
part of this Contract by reference.
8. The Contractor shall provide CDPHE with the medical insurance
those patients who have medical insurance.
9. The Contractor shall complete the Semi-annual Progress Report
following website:
https: //drive. google.com/file/d/0B0tmPQ67k3NVbk8xemFPN3FpWU0/view,
incorporated and made part of this Contract by reference.
10. The Contractor shall arrange for the placement of patients who
a. The Contractor shall contact CDPHE TB Program for
patients who need isolation.
b. The Contractor shall contact CDPHE to request reimbursement
CDPHE for those costs incurred by the Contractor in
11. The Contractor shall administer LTBI testing to 95% of patients
elevated risk using the Colorado risk assessment tool. This link is
require isolation.
assistance with
from
isolating a patient.
identified with
incorporated and
Contact
of each contact
Program after
and made part of this
made part of this Contract by reference.
12. The Contractor shall complete a preliminary and final Tuberculosis
Investigation Record for all pulmonary TB patients after initiation
investigation:
a. Tuberculosis Contact Investigation Record to the CDPHE TB
initiation of each contact investigation. This link is incorporated
Contract by reference.
Expected Results of the Activity
1. Sustained TB disease testing for all at -risk persons identified in Colorado.
2. Sustained identification of at -risk persons with LTBI.
3. Increased identification of presumptive or confirmed TB patients with HIV.
4. Increased identification of Refugees with pulmonary TB disease.
5. Increased identification of persons at -risk for TB with other medical concerns.
6. Sustained and correct use of the TBdb case management database.
7. Improved adherence to national standards that govern health services for
Refugees and others with TB disease.
8. Increased medical insurance information provided to Refugees and other
uninsured persons.
Measurement of Expected
Results
1. Increase HIV antibody tests to 95% of all patients.
2. Document 95% of confirmed LTBI cases.
3. Data contained in the CDPHE TBdb.
4. Data contained in the TB -18 Tuberculosis Surveillance and Case Management
Report.
5. Data contained in the Semi-annual Progress Reports.
_�.. . �._ )-.�
1
Completion letion Date
Deliverables
1. The Contractor shall submit the TB health services point of
contact to the CDPHE Contract Monitor via email.
No later than ten
(10) days after the
start date of the
contract
2. The Contractor shall submit the Semi-annual Progress
Reports to the CDPHE Contract Monitor via email.
No later than one
(1) month after the
July -Dec and Jan -
June reporting
Page 6of7
Task Order Number: 2024*0008
Ver.01.11.19
DocuSign Envelope ID: FF626B9C-992C-451C-B9BD-2D49A30C918F
EXHIBIT B
periods, and by the
end date of the
contract
V. Monitoring:
CDPHE's monitoring of the Contract for compliance with performance requirements will be conducted
throughout the Contract period by the CDPHE Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include monthly reports and
invoices and other fiscal and programmatic documentation as applicable. The Contractor's performance
will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance
Evaluation will be conducted at the end of the life of the contract.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to
determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must
be completed. The action(s) and time line for completion will be documented in writing and agreed to by
both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor
must email a request to the CDPHE Contract Monitor and receive approval for a new due date. The State
will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s)
is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance
resolution plan, the State may exercise its rights under the Terms and Conditions of this Contract.
Page 7 of 7
Task Order Number: 2024*0008
Ver. 01.11.19
DocuSign Envelope ID: FF626B9C-992C-451C-B9BD-2D49A30C918F
EXHIBIT C
Budget
To Original Contract Number: 2024*0008
Weld County Department of Public Health and Environment — Prevention and Control
Description
TB Prevention & Control
State
Funding Source
Amount
$50,000.00
$50,000.00
Total
Task Order Number: 2024*0008 Page 1 of 1
Contract Form
New Contract Request
Entity Information
Entity ID*
AA00001926
New Entity?
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH ,_`ENVIRONMENT
Contract Name* Contract ID
CDPHE TUBERCULOSIS CONTROL PROGRAM FY23-24 TASK 7040
ORDER CONTRACT
Contract Status
CTB REVIEW
Contract Lead*
KJAKUS-HOTCHKISS
Contract Lead Email
kjakus-
hotc h ki s s ewe ld g ov. com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
TASK ORDER CONTRACT FOR THE TUBERCULOSIS TREATMENT & CONTROL PROGRAM FY23-24 WITH CDPHE
Contract Description 2
2024*0008; PREVIOUS TASK ORDERS: 2022'3280A4, 20219673A3, 2020°3598A2, 2020'.013441, 19 FHHA 109285
Contract Type*
TASK ORDER
Amount*
$50,000.00
Renewable*
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-Health:lveldgov.com
Department Head Email
CM-Health-
DeptHeadmweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM -
C OU NTYATTO RN EYW WELDG
OV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
5896
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date"
06:07;2023
Due Date
06x'03:2023
Will a work session with 13OCC 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
Octave
Contract Dates
Effective Date
07,01 2023
Review Date"
03;0112024
Renewal Date
Termination Notice Period Committed Delivery Date
Contact Information
Contact Info
Contact Name
Purchasing
Expiration Date
06;'30,"2024
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06/05/2023
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06F12/2023
Originator
KJAKUS-HOTCHKISS
Finance Approver
CHERYL PATTELLI
Legal Counsel
BRUCE BARKER
Finance Approved Date Legal Counsel Approved Date
06;06/2023 06/06/2023
Tyler Ref #
AG 061223
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