HomeMy WebLinkAbout20221718.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #4 FOR NURSE HOME VISITOR PROGRAM
(NHVP) AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Contract Amendment #4 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, 2023, 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 #4 for the Nurse Home Visitor Program (NHVP)
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment,
and the Colorado Department of Early Childhood, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to electronically sign and submit said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 20th day of June, A.D., 2022, nunc pro tunc July 1, 2019.
BOARD OF COUNTY COMMISSIONERS
WE I..,p COUNTY, COLORADO
ATTEST: .di,tvt) Gl J2.A
Weld County Clerk to the Board
BY.
Deputy Clerk to the B
Scott K James, Chair
APP: e ED AS • " OR )_
County At orney�`
Date of signature:
Lori Sain
man, Pro -T
cc:H..41'6)
7Ag/22
2022-1718
HL0054
Oo,i-Mc- bid- C900Z
Memorandum
TO: Scott James, Chair
Board of County Commissioners
FROM: Mark Lawley, Executive Director
Department of Public Health &
Environment
DATE: June 13, 2022
SUBJECT: FY22-23 Nurse Home Visitor
Program (NHVP) Contract
Amendment #4 with the Colorado
Department of Early Childhood
For the Board's approval is the FY22-23 Nurse Home Visitor Program (NHVP)
Contract Amendment #4 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 $1,074,436 to cover activities performed beginning July 1, 2022 and ending June
30, 2023.
Assistant Weld County Attorney, Karin McDougal, has reviewed this contract
amendment and has determined that its terms are acceptable.
The Board approved placement of this contract amendment on the Board's agenda
via pass -around dated June 8, 2022.
I recommend approval of this FY22-23 Nurse Home Visitor Program continuation
contract with the Colorado Department of Early Childhood.
2022-1718
cm/20 HLOO5c1-
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: FY22-23 Nurse Home Visitor Program (NHVP) Contract Amendment #4 with the Colorado
Department of Early Childhood
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: June 8, 2021
PERSON REQUESTING: Mark Lawley, Executive Director
Brief description of the problem/issue:
For the Board's review and approval for placement on the agenda is the FY22-23 Nurse Home Visitor
Program (NHVP) Contract Amendment #4 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 maternallchild 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 $1,074,436 to cover
activities performed beginning July 1, 2022, and ending June 30, 2023.
This Agreement has been reviewed by Assistant County Attorney, Karin McDougal, and it meets with her
approval.
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 FY22-23 Nurse Home Visitor Program continuation
contract with the Colorado Department of Early Childhood.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James, Chair
Steve Moreno
Lori Saine
leYNC-
Karla Ford
From:
Sent:
To:
Cc:
Subject:
Attachments:
Approve - thanks!
** Sent from my iPhone **
Scott James
Thursday, June 9, 2022 9:05 AM
Karla Ford
Perry Buck; Lori Saine
Re: Please Reply - PASS -AROUND: CDEC FY22-23 Nurse Home Visitor Contract Amd #4
image001 jpg; 2022-06-08 CDEC NFP FY22-23 Renewal PassAround.doc; CDHS FY23
Nurse Home Visitor Contract Amd #4.pdf
Scott K. James
Weld County Commissioner, District 2
1150 0 Street, P.O. Box 758, Greeley, Colorado 80632
970.336.7204 (Office)
970.381.7496 (Cell)
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning
the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Jun 9, 2022, at 9:45 AM, Karla Ford <kford@weldgov.com>wrote:
Please advise if you approve recommendation. Thank you.
Karla Ford 1
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 0 Street, P.Q. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford&weldgov.com :: www.weldgov.com
**Please note my working hours are Monday -Thursday 7:00a.m,-5:00p.m.**
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to
which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received
this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying,
distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named
recipient is strictly prohibited.
1
Karla Ford
From:
Sent:
To:
Cc:
Subject:
Attachments:
I approve
Sent from my iPhone
Perry Buck
Thursday, June 9, 2022 9:09 AM
Scott James
Karla Ford; Lori Saine
Re: Please Reply - PASS -AROUND: CDEC FY22-23 Nurse Home Visitor Contract Amd #4
image001 jpg; 2022-06-08 CDEC NFP FY22-23 Renewal PassAround.doc; CDHS FY23
Nurse Home Visitor Contract Amd #4.pdf
On Jun 9, 2022, at 11:05 AM, Scott James <sjames@weldgov.com>wrote:
Approve - thanks!
** Sent from my iPhone **
Scott K. James
Weld County Commissioner, District 2
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
970.336.7204 (Office)
970.381.7496 (Cell)
Confidentiality Notice: This electronic transmission and any attached documents or other writings
are intended only for the person or entity to which it is addressed and may contain information that is
privileged, confidential or otherwise protected from disclosure. If you have received this communication
in error, please immediately notify sender by return e-mail and destroy the communication. Any
disclosure, copying, distribution or the taking of any action concerning the contents of this
communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Jun 9, 2022, at 9:45 AM, Karla Ford <kford@weldgov.com>wrote:
Please advise if you approve recommendation. Thank you.
Karla Ford
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
1
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
COLORADO
Department of Early Childhood
CONTRACT AMENDMENT #4
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
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, CO 80631
Amendment Contract Number
23 QAAA 175017
Current Contract Maximum Amount
Initial Term
State Fiscal Year 2020 $954,006*
*An appropriation for NHVP General Accounting
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 $995,911*
*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 $1,074,436*
*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).
Total for All State Fiscal Years $3,979,651
Contract Performance Beginning Date
July 1, 2019
Current Contract Expiration Date
June 30, 2023
Signature Page begins on next page 4
Amendment Contract Number: 23 QAAA 175017 Page 1 of 4
CDEC V.1 Rev. 03/15/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
lea
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 Depai tment of Public Health and Environment
DocuuSigned by:
LCI". ll*"
Colorado
Signed:
STATE OF COLORADO
Jared Polis, Governor
Department of Early Childhood
DocuSignedd by:
�SA r,AS(tABy:
air,`wel 'L°oAunty Board of County Commissioners
6/20/2022
Date:
Printed Name:
Title:
F11A9t 078dA4C6...
Lisa Castiglia
CFO, Office of Early Childhood
Date: 6/20/2022
In accordance with §24-30-202 C.R.S., this Amendment
By:
is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
e-DocuSigned by:
I iwr 11.41. ianWOw
Andrea: ur cr'ianet Miks
Amendment Effective Date:
/ Toni Williamson
6/21/2022
-- Signature and Cover Pages End --
Amendment Contract Number: 23 QAAA 175017 Page 2 of 4
CDEC V.1 Rev. 03/15/2022
k2.2 -f 7/s'
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
COLORADO
Department of Early Childhood
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this
Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or July 1, 2022, whichever is later and shall
terminate on the termination of the Contract.
4. PURPOSE
In accordance with the provisions of this contract and its exhibits and attachments, the Contractor
shall: Provide trained visiting nurses to help educate mothers on the importance of nutrition and
avoiding alcohol and drugs, including nicotine, and to assist and education mothers in providing
general care for their children. This Amendment shall extend the contract expiration date,
increase funds for services to be provided in SFY23, increases funds for the NHVP GAE, and
amends Exhibits A, B and C.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. Extend the Contract Expiration Date from June 30, 2022 to June 30, 2023.
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 SFY23 by $1,074,436 and Increases the Maximum
Amount for All State Fiscal Years from $2,905,215 to $3,979,651.
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: 23 QAAA 175017 Page 3 of 4
CDEC V.1 Rev. 03/15/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
COLORADO
Department of Early Childhood
C. Exhibit A — Statement of Work
Exhibit A — Amendment #4, 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 #4, which is attached and incorporated by this Amendment, shall
be added to Exhibit B — of the Original Contract.
E. Exhibit C — Additional Provisions
Exhibit C — Amendment #4, which is attached and incorporated by this Amendment, shall
replace Exhibit C — Amendment #3 of the Original Contract.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 23 QAAA 175017 Page 4 of 4
CDEC V.1 Rev. 03/15/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
Exhibit A — Amendment #4
Scope of Work
Nurse Home Visitor Program
These provisions are to be read and interpreted in conjunction with the provisions of the Amendment
specified above.
I. Project Description:
In order to implement the Nurse Home Visitor Program (NHVP) efficiently and effectively and to
promote the successful partnerships between state public entities and the private sector, responsibility for
the program is divided between the Colorado Department of Early Childhood, which shall be responsible
for financial administration of the program, and a health sciences facility at the University of Colorado,
which shall be responsible for programmatic, clinical and technical support, monitoring and evaluation,
including data collection, for the program. It is the intent of the general assembly that the state department
and the health sciences facility work collaboratively to share information in order to promote efficient and
effective program implementation; however, neither entity is responsible for the other entity's statutorily
prescribed duties.
II. Performance Requirements/Deliverables:
1. The Contractor, in accordance with the terms and conditions of the Contract and this Exhibit, shall
perform and complete, in a timely and satisfactory manner, all activities and services related to the fiscal
management of the Colorado Nurse Home Visitor Program as set forth in CRS 26-6.4-107.2(a.5). The
fiscal management provided by the contractor for the program must be deemed by the State to be
acceptable and in good faith.
For fiscal management to be "acceptable" it must comply with all, but not limited to, the items listed
below, which are incorporated and made part hereof by reference.
0 Colorado Nurse Home Visitor Program Act, as described in § 26-6.4.101, C.R.S.
❑ Colorado Nurse Home Visitor Program Fiscal Compliance Requirements
❑ Rules Concerning the Nurse Home Visitor Program
❑ State of Colorado Fiscal Rules
❑ Generally Accepted Accounting Principles
2. The Contractor shall complete in a satisfactory manner and by the indicated date, all activities stated in
the Areas Requiring Performance Improvement Plan or Funding Conditions in the NHVP Application
Review Summary which shall be monitored by the health sciences facility.
3. The Contractor shall participate in meetings or trainings as requested by the State, including attendance
by the Contractor's Nurse Supervisor and fiscal staff at the NHVP grantee workshop; and the Contractor
must cover all costs as applicable.
4. The Contractor shall provide the nurse home visitor services in accordance with the grantee application
and the budget, Exhibit B.
5. Funding adjustments may be executed during the term of this Contract in accordance with Additional
Provisions, Exhibit C. The total amount of funding for the term of this Contract may not exceed the Total
Amount Requested from the CDEC as provided in the attached Budget, Exhibit B.
6. Contractor shall submit Medicaid reimbursement requests for all eligible clients. Department of Health
Care Policy and Financing (HCPF) oversees the submission of Medicaid reimbursement requests for
compliance with HCPF procedures.
Page 1of2
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
Exhibit A — Amendment #4
7. Contractor shall refer families participating in any and all programs in its agency such as the Special
Supplemental Program for Women, Infants and Children (WIC), Healthy Communities, Immunization
Clinics, Health Care Program for Children with Special Health Care Needs (HCP), etc. to appropriate
enabling and direct care service programs in the community. Contractor shall provide all pregnant women
in need of resources for prenatal medical care information about programs such as WIC, PNP, etc. as
needed provide all individuals seeking reproductive health services with information about pregnancy
planning, preconception health, the consequences of unintended pregnancies, and referrals to
comprehensive family planning services; 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.
8. Contractor shall notify the State within thirty (30) days of a change of the NHVP Nurse Supervisor or
fiscal staff and shall require any new NHVP Nurse Supervisor and fiscal staff working on NHVP services
to participate in Fiscal Orientation within forty-five (45) days of employment.
9. In order to fulfill model requirements as an implementation site for the Nurse -Family Partnership home
visiting program, Contractor shall comply with all elements of the Nurse Home Visitor Program
Application Review Summary which is submitted to and monitored by the University of Colorado.
III. Monitoring:
The monitoring of this contract for compliance with fiscal performance requirements is based in part on a
fiscal risk assessment conducted prior to contracting, contractor fiscal and programmatic performance
during the contract period and contractor compliance with contractual terms and conditions during the
contract period. Monitoring will be conducted by the Program Manager (State Representative) and
methods used will include review of documentation reflective of performance, including reimbursement
requests and other 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.
IV. Resolution of Non -Compliance:
The Contractor will be notified in writing within 30 calendar days of discovery of a compliance issue.
Within 45 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 Program Manager (State Representative) 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 Remedies section of the General
Provisions of this contract.
V. Performance Measures and Monitoring
1. Fiscal performance monitoring by the State for this contract includes without limitation using the
following criteria:
❑ Contractor maintains a caseload commensurate with funding allocation throughout the contract period.
❑ Contractor's cost reimbursement requests will be accurate and submitted on time (within 60 days of the
last day of the month for which you are requesting reimbursement) and will be accurate (line items in
the reimbursement request will align with line items in your approved budget).
Page 2 of 2
Exhibit B - Amendment #4
DocuSign Envelope ID: BFF93F9E-113E-481 C -92A0-732436599974
&Tci
Department of Early Childhood
COLORADO
Colorado Department of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Contractor Name
Weld County Department of Public Health
and Environment
Budget Period
July 1, 2022 - June 30, 2023
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 & Contracting
970-400-2122
tgeiser@weidgov.com
Funded Caseload
150
Expenditure Categories
Personnel Services - Salaried Employees
SFY 2023
Position Title
Description of Work and Fringe
Cross 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 $99,762 (A Contract Amendment is required if any additional funds are added to the total contract amount)
Nursing Staff includes 1 Nurse Supervisors
and 6 Nurse Home Visitors
Overall Program implementation and home visiting service delivery
$731,937
$0
$0
$731,937
Non Nursing Staff
Chief Nursing Officer
Provides oversight to ensure fidelity and quality of
program delivery and assists the home visitors. Fringe
includes: Medicare, unemployment, workers
compensation, PERA, life/AD&D insurance, health
insurance, accrual -vacation, accrual -holiday, accrual -sick
$149,513
$58,983
5%
$10,425
$0
$0
$10,425
Public Health Services Director
Provides oversight to ensure fidelity and quality of
program delivery and assists the home visitors. Fringe
includes: Medicare, unemployment, workers
compensation, PERA, life/AD&D insurance, health
insurance, accrual -vacation, accrual -holiday, accrual -sick
$120,915
$47,701
2%
$3,372
$0
$0
$3,372
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.
$48,519
$19,141
45%
$30,447
$0
$0
$30,447
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.
$53,019
$20,916
55%
$40,664
$0
$0
$40,664
lb. Non Nursing Staff Total
$84,908
$0
$0
$84,908
1. Total Personnel Services (including fringe benefits)
$ 816,845
$ -
$ -
$ 816,845
Supplies & Operating Expenses
FY 2023
Item
Description of Item
A. Other
Sources of
B.
Medicaid
Revenue
C. CDEC Funding
(NHVP)Funding
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 (phones, 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
$7,500
Medical Supplies
Covers costs for medical items purchased for client home visits.
$0
$0
$500
Technology (laptops, computers, tablets)
Covers costs associated with the calibration and servicing of scales used during home visits.
$0
$0
$750
Electronic Medical Records (approx
$1667 per month)
Covers computer and data processing expenses related to EMR maintenance and upgrades, EMR licenses, and
EMR operation and technical support (outside technical support). EMR is a technology driven norm in the
medical community and it enables us to progress from double charting to single charting in an electronic format.
$0
$0
$17,800
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
$37,750
Training and
Technical Assistance
SFY 2023
Item
Description of Item
Total
A. Other
Sources of
Funding
B.C.
Medicaid
Revenue
CDEC Funding
(NHVP)
Program Support Fee- All Teams
NSO Annual Program Support Fee For All Teams
$20,616
$0
$0
S20,616
NSO Education Fees
Required NSO fees for new nurses, supervisors and/or administrators
$0
$0
$0
$0
Dance Education & Licensing
Required Dance licencing and education fees
$1,165
$0
$0
$1,165
Professional Development
All other professional development for NHVP team
$4,200
$0
$0
$4,200
3. Total
Training and Technical Assistance
$25,981
$0
$0
$25,981
Page 1 of 2
Exhibit B - Amendment #4
DocuSign Envelope ID: BFF93F9E-113E-481 C -92A0-732436599974
Equipment (Over $5,000 Per Item)
SFY 2023
Name
Description of Item
A. Other
Sources of
Funding
B.C.
Medicaid
Revenue
CDEC Funding
(NHVP)
No costs shall be reimbursed in this category by CDEC
$0
$0
$0
4. Total Equpment
$0
$0
$0
Travel
SFY 2023
Item
Description of Item
A. Other
Sources of
Funding
B.C.
Medicaid
Revenue
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
$0
$21,540
NFP Supervisor Meetings
Covers the cost for three state nurse supervisor meetings
$0
$0
$205
NFP Nurse Practice Council Meetings
Covers the cost for three state nurse practice council meetings
$0
$0
$205
5. Total Travel
$0
$0
$21,950
Contractors/Consultants (payments to third parties or entities)
SFY 2023
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 (12 months)
$0
$0
$1,500
6. Total Contractors/Consultants
$0
$0
$1,500
TOTAL DIRECT COSTS
$0
$0
$904,026
MODIFIED TOTAL DIRECT COSTS (MTDC)
Uniform Guidance § 200.68 - 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. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and
fellowships, participant support costs and the portion of each subaward in excess of $25,000. REMOVE PROGRAM SUPPORT FEES.
$0
$0
$883,410
Indirect Costs
SFY 2023
Item
Description of Item
A. Other
Sources of
Funding
B
Medicaid
Revenue
C. CDEC Funding
(NHVP)
State Federal Indirect cost rate
19.29% Rate based on MTDC
$0
$0
$170,410
Total Indirect
$0
$0
$170,410
TOTAL
$0
$0
$1,074,436
"Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 = 1.0
Page 2 of 2
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
4C
COE<
COLORADO
Department of Early Childhood
ADDITIONAL PROVISIONS
Exhibit C — Amendment #4
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 CDHS OEC Invoicing@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 40 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 04/01/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
a.
COLORADO
Department of Early Childhood
Exhibit C — Amendment #4
CDHS OEC Invoicing(astate.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.
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.
8. TRAVEL
A. Mileage shall not exceed the State mileage rate per https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
Page 2 of 5 Revision Date 04/01/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
COLORADO
Department of Early Childhood
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.
Exhibit C — Amendment #4
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 (CDEC),
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
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.
Page 3 of 5 Revision Date 04/01/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
a
COLORADO
Department of Early Childhood
Exhibit C — Amendment #4
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. Please refer to Page 1 for the amount available under the GAE for the current year.
C. It is understood each contractor shall obtain prior written approval from CDHS prior to incurring any
costs related to NHVP GAE funds. It is further understood and agreed that the maximum amount of
funds available statewide for the current fiscal year will be divided between all of the NHVP contracts.
The State shall not be liable for any costs incurred without obtaining prior approval for the expenditure
of NHVP GAE funds. The NHVP program manager will approve GAE expenditures on a case -by case
basis and the state intermediary must concur that they believe the expenditure to be necessary to
improving the program. NHVP program manager must approve the expenditure in writing.
i. Please refer to Page 1 for the amount available under the GAE for the current year.
D. 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.
E. Invoices shall be submitted separately for pre -approved expenditures.
i. The Contractor shall submit requests for payment to CDHS OEC_Invoicing@state.co.us.
13. 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.
Page 4 of 5 Revision Date 04/01/2022
DocuSign Envelope ID: BFF93F9E-113E-481C-92A0-732436599974
COLORADO
Department of Early Childhood
Exhibit C — Amendment #4
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 5 of 5 Revision Date 04/01/2022
Entity information
Entity Name* Entity ID k
COLORADO DEPARTMENT OF EARLY ',E7:00004256
CHILDHOOD
[1.1 New Entity?
Contract Name * Contract ID
NURSE HOME VISITOR PROGRAM FY22-23 CONTRACT 6002
AMD4
Contract Status
CTB REVIEW
Contract Lead *
KJAKUS-HOTCHKISS
Contract Lead Email
kjakus-
hotchkiss? eldgov.co€n
Parent Contract ID
Requires Board Approval
YES
Department Project
Contract Description*
NURSE HOME VISITOR PROGRAM FY22-23 CONTRACT WITH COLORADO DEPT OF EARLY CHILDHOOD
23 QAAA 1 7501 7
Contract Description 2
PREVIOUS CONTRACTS {WITH CDHSI 22 IHIAA 16824521, IHIA 160161, 20 IHIA 129479, 19 IHIA 109304, 15 IHA 6£641'.
Contract Type*
CONTRACT
Amount*
$1,074.435.00
Renewable*
NO
Automatic. Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-Healthgweldgov,com
Department Head Email
CM-Health-
Oep t H e a d2.we l d g ov. cony
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORN EY:MELDG
OV'.COM
Grant Deadline Date
if this is a renewal enter previous Contract ID
4847
if this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda.
Date*
rr11 (�yry
06 1 2 V'' ;�� 2.0 2 2
Due Date
0611512822
Will a work session with SOCC 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
OnBase
Contract Dates
Effective Date
07 U1 2022
Termination Notice Period
Contact Inforia
Contact Info
Contact Name
Purchasing
Review Date*
03/‘31:2023
Committed Delivery Date.
Contact Type Contact Email
Renewal Date
Expiration Date *
06 30/2023
Contact Phone 1Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
OH Approved Date
06` 14/2022
Final Approval
SOCC Approved
SOCC Signed Date
BOCC Agenda Date
06/20,2022
Originator
KJAKUS-HOTCHKISS
Finance Approver
CHERYL PATTELLI
Legal Counsel
BRUCE BARKER
Finance Approved Date Legal Counsel Approved Date
06,14,'2022 06 14/'2022
Tyler Ref #
AG 062022
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