HomeMy WebLinkAbout20201884.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT AMENDMENT #2 FOR TUBERCULOSIS
PREVENTION AND CONTROL PROGRAM AND AUTHORIZE CHAIR TO SIGN AND
ELECTRONIC SUBMITTAL
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 Task Order Contract Amendment #2 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, 2020, and ending June 30, 2021, 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 Task Order Contract Amendment #2 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 sign and electronically submit said amendment.
cc : HL(TG)
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2020-1884
HL0052
TASK ORDER CONTRACT AMENDMENT #2 FOR TUBERCULOSIS PREVENTION AND
CONTROL PROGRAM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 22nd day of June, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: deddet) .440•
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APP D AS
Count = torney
Date of signature: 06 /25 /2G
Mike Freeman, Chair
Steve%PGlorenck Pro -Tern
Scat K. James
Kevin D. Ross
2020-1884
HL0052
el-y,r, /DI' o3%D
Memorandum
TO: Mike Freeman, Chair
Board of County Commissioners
FROM: Mark Lawley
Deputy Director
Department of Public Health & Environment
DATE: June 9, 2020
SUBJECT: FY21 Tuberculosis Prevention & Control
Program Task Order Contract Amendment
#2 with CDPHE
For the Board's approval is a Task Order Contract Amendment #2 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 task order 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, 2020, through June 30, 2021, in the amount of $52,500, 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 contract
investigations.
Assistant County Attorney, Karin MacDougal, has reviewed the terms of this contract and
determined them to be acceptable.
The Board approved placement of this contract amendment on the Board's agenda via pass -around
dated June 5, 2020.
I recommend approval of this TB Prevention and Control Program task order contract with
CDPHE.
2020-1884
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1--/L .00.5:2„
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE(S)
State Agency:
Original Contract Number:
Colorado Department Of Public Health and Environment
19 FHHA 109285
4300 Cherry Creek Drive South
Denver, Colorado 80246
Contractor:
Amendment Contract Number:
Board of County Commissioners of Weld County
2020*3598 Amendment#2
1150 "O" Street
Greeley, Colorado 80631
For the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, Colorado 80631
Contract Performance Beginning Date:
Current Contract Expiration Date:
July 1, 2018
June 30, 2021
CONTRACT MAXIMUM AMOUNT TABLE
Document
Contract
Number
Federal
Funding
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Type
Amount
Original
19 FHHA
$7,5000.00
$45,000.00
$0.00
07/01/2018-
$52,500.00
Contract
109285
06/30/2019
Contract
2020*134
$0.00
$53,000.00
$0.00
07/01/2019-
$53,000.00
Amendment #1
Amendment #1
06/30/2020
Option Letter
2020*134
$7,500.00
$0.00
$0.00
09/01/2019-
$7,500.00
#1
Option Letter
12/31/2019
#1
Contract
2020*3598
$0.00
$52,500.00
$0.00
07/01/2020-
$52,500.00
Amendment #2
Amendment #2
06/30/2021
Current Contract Maximum
$165,500.00
Cumulative Amount
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.
Page 1 of 3
Amendment Contract Number: 2020*3598 Amendment #2 Ver 27.01.20
DocuSign Envelope ID: F2AEF10C-C87F-4O87-A045-F9B22BFCC0A7
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
LDocuSigned by:
A:LiLt, Frwmak,
FndAC�7JlFd2AFdA7
By: Signature
Mike Freeman
Name of Person Signing for Contractor
Chair, Commissioners
Title of Person Signing for Contractor
Date:
2020-06-22
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
c---DocuSigned by:
bisa �1 G�bv<t Vtn
L-2 - rUA iA7D3ru... _
By: signature
Lisa McGovern
Name of Executive Director Delegate
Procurement & Contracts Sec
Title of Executive Director Delegate
Date:
2020-06-22
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert J ro3;` IT MBA, JD
r74 -44m..14.
�"-- 368F8AFC06514C4...
By: Signature
Travis Yoder
Name of State Controller Delegate
Controller
Title of State Controller Delegate
2020-06-24
Contract Effective Date:
-- Signature and Cover Pages End --
Page 2 of 3
Amendment Contract Number: 2020*3598 Amendment #2
Ver 27.01.20
ti on Diret
c7 %2O — /2FY
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 under the State
Controller Signature. 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 under the State Controller Signature or July 1, 2020,
whichever is later and shall terminate on the termination of the Contract or June 30, 2021, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement 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.
The Parties now desire to renew for an additional term and change current Contract Maximum Total for the
following reason: to renew.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount
shown on the Signature and Cover Page for this Amendment.
B. 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.
C. The Parties now agree to modify Exhibit F, Statement of Work, of the agreement. Exhibit F,
Statement of Work, is deleted and replaced in its entirety with Exhibit F, Statement of Work, attached to this
Amendment, for the following reason: to renew.
D. The Parties now agree to modify Exhibit H, Budget, of the agreement. Exhibit H, Budget, is deleted and
replaced in its entirety with Exhibit H, Budget, attached to this Amendment, for the following reason: to
renew.
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.
Page 3 of 3
Amendment Contract Number: 2020'3598 Amendment #2 Ver 27.01.20
EXHIBIT F
STATEMENT OF WORK
To Original Contract Number: 19 FHHA 109285
Amendment Contract Number: 2020*3598 Amendment #2
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 provide diagnostic, patient education and treatment services
for individuals with suspected/known latent Tuberculosis (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.
III. Definitions:
1. AFB smear — Acid -Fast Bacilli; a rapid test used to detect infectious mycobacteria
2. Asylee -- individuals who, on their own, travel to the United States and subsequently apply for and
receive a grant of asylum.
3. CDPHE — Colorado Department of Public Health and Environment
4. Class A — Pulmonary TB, the applicant has an abnormal chest radiograph suggestive of
active TB disease, and one or more sputum smears positive for acid -fast bacteria
5. Class B1 — Immigrant with an abnormal CXR with evidence of TB, and/or the individual has a
history of treatment for active TB disease.
6. Class B2 — The individual was diagnosed with latent TB infection (LTBI). These are typically
children whose TST result was positive and CXR was normal.
7. DOT — Directly Observed Therapy
8. HIV— Human Immunodeficiency Virus
9. IGRA — interferon gamma (y) release assay (whole blood TB test)
10. LEP — limited English proficiency (Over -the -Phone Interpretation (OPI) provider only)
11. LTBI — Latent Tuberculosis Infection
12. OPI — over -the -phone interpretation
13. PO — Purchase Order
14. 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
15. RVCT — Report of Verified Case of Tuberculosis
16. TB — Tuberculosis
17. TB -18— CDPHE's TB surveillance form
18. TBdb — CDPHE Tuberculosis Data Base
19. TST — Tuberculin Skin Test
IV. Work Plan:
Goal #1: 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, the Contractor shall assist in supporting tuberculosis
prevention and control activities throughout the agency's jurisdiction.
Primary Activity #1
The Contractor shall locate all patients with suspected or confirmed TB.
Page 1 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver. 01.11.19
EXHIBIT F
Sub -Activities #1
1. The Contractor shall provide, or arrange for, chest x-rays and interpretations for
individuals with suspected or confirmed TB.
2. The Contractor shall provide interpretations for individuals with suspected or confirmed
TB, as necessary.
3. The Contractor shall collect specimens for mycobacteriology testing on all persons
suspected of having TB.
4. The Contractor shall arrange for the transportation of the specimens to the CDPHE
laboratory for testing.
5. The Contractor shall arrange for the placement of patients who require isolation.
a. The Contractor shall contact CDPHE TB Program for assistance.
b. The Contractor shall contact CDPHE to request reimbursement from CDPHE for
those costs incurred by the Contractor in isolating a patient.
6. The Contractor shall provide, or arrange for, the treatment of patients with suspected or
confirmed active TB, including DOT.
7. The Contractor shall ensure patients' adherence to TB treatment.
8. The Contractor shall inform those individuals whom refuse testing of the risks associated
with HIV/TB co -infection.
9. A minimum of once a month, the Contractor shall monitor those persons with suspected
or confirmed active TB disease by in -person assessment.
a. The Contractor shall evaluate those persons with suspected or confirmed active TB
disease by in -person assessment.
10. As needed, the Contractor shall offer limited English proficiency services via an
accredited Over -the -Phone Interpretation (OPI) provider to be reimbursed using TB
DOT/Diagnostic reimbursement invoice template by the CDPHE TB Program at a rate
not to exceed $0.75/minute.
a. The instructions are incorporated and made part of this Contract by reference and is
available on the following website under the Over -the -phone (OPI) section,
https://www.colorado.gov/pacific/cdphe/tb-lpha.
Primary Activity #2
The Contractor shall ensure that all contacts to newly identified infectious TB cases are
identified, investigated, and receive appropriate evaluation.
Sub -Activities #2
1. The Contractor shall provide, or arrange for the following for individuals with newly
identified infectious, suspected, confirmed, and LTBI TB cases:
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 infected patients.
3. The Contractor shall provide, or arrange for, an HIV antibody test for all persons with
LTBI with HIV risk factors or who originate from an HIV -endemic area.
4. The Contractor shall inform all individuals whom refuse testing of the risks associated
with HIV/TB co -infection.
5. A minimum of once a month, the Contractor shall monitor and evaluate persons with
LTBI during treatment.
6. The Contractor shall ask all TB clients about current health insurance enrollment and
offered materials to become insured if not currently insured.
7. The Contractor shall complete a preliminary Tuberculosis Contact Investigation Record.
a. The instructions are incorporated and made part of this Contract by reference and
is available at the following link, Tuberculosis Contact Investigation Record to the
CDPHE TB Program after initiation of each contact investigation.
Primary Activity #3
The Contractor shall provide or arrange for newly arrived refugees, asylees and other eligible
individuals with Class B TB designation to complete a TB screening.
Page 2 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver.01.11.19
EXHIBIT F
Sub -Activities #3
1. A minimum of 30 calendar days of the Contractor's receipt of written notification from
CDPHE of the arrival of a Class B immigrant or refugee, the Contactor shall provide, or
arrange for a TB screening that includes the following:
a. medical evaluation
b. tuberculin skin.test or IGRA
c. chest radiograph
d. three spontaneous sputum specimens for AFB smear and culture collected on
consecutive days
2. Upon completion of testing and examination, the Contractor shall complete, sign, and
date the CDC 75.17 form or Class B tuberculosis Follow Up worksheet, and return it
within ninety (90) days to:
Colorado Department of Public Health and Environment
Tuberculosis Program
Attn: Class B Coordinator
4300 Cherry Creek Drive South
Denver, CO 80246
Primary Activity #4
The Contractor shall identify, investigate, and evaluate persons with a high risk of LTBI.
Sub -Activities #4
1. The Contractor shall offer an HIV antibody test to 100% of persons with LTBI and
provide, or arrange for, HIV antibody test with a test result rate >80%.
a. The Contractor shall record 80% of all HIV antibody testing result rates
for LBTI patients into the CDPHE TBdb.
b. The Contractor shall record 95% of all HIV testing result rates among
suspect and confirmed cases of active TB disease, and enter that information
into the CDPHE TBdb.
2. The Contractor shall offer an HIV antibody test to 100% of persons diagnosed
with active TB disease.
a. The Contractor shall provide an HIV antibody test for those clients with a
test result rate >95%, regardless of their age or the apparent absence of risk
factors for HIV infection.
3. A minimum of once a month, the Contractor shall monitor and evaluate persons
with LTBI during treatment for all such patients.
4. For those persons identified with LTBI or active TB, the Contractor shall initiate
treatment in accordance with CDC guidance found at the following links,
incorporated and made part of this Contract by reference:
https://vvww.cdc.gov/tb/topic/treatment/Itbi.htm;
https://www.cdc.gov/tb/topic/treatment/tbdisease.htm
Primary Activity #5
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 #5
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 guide each client to following websites:
https://www.colorado.gov/pacific/hcpf/how-to-apply and
http://connectforhealthco.com/resources/person-help/, incorporated and
made part of this Contract by reference.
b. The Contractor shall ask all TB clients about current health insurance
enrollment status, including Medicaid and offer resource materials no later
than the last business day of each month.
c. The Contractor shall document that all TB clients were asked about
current health insurance enrollment and offered materials no later than the
last business day of each month.
Page 3 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver. 01.11.19
EXHIBIT F
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 Contract term. The Contractor shall monitor documents and website
content for updates and comply with all updates.
2. 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.
3. CDPHE shall provide templates and instructions for any additional information requests.
Report forms are subject to revision and the Contractor agrees to use the most recent
version.
4. The Contractor shall increase the percentage of persons that complete LTBI treatment to
meet the state objective of 84% by the last day of the contract term and maintain or
improve on that rate thereafter.
5. The Contractor shall develop reports of suspected or confirmed active TB disease results,
and include the following information:
a. reason for initiating
b. patient name
c. date of birth
d. country of birth
e. date arrived in U.S.
f. demographic information
g. locating information
h. provider information
i. TB risk factors
j. results of diagnostic testing
k. results of mycobacteriology including susceptibility results
1. dates of infectious period
m. treatment information
n. changes in patients' status
o. diagnosis
p. any other information as appropriate
6. For those persons identified with LTBI or active TB, the Contractor shall report to
CDPHE:
a. patient name
b. date of birth
c. country of birth
d. date arrived in the U.S.
e. demographic information
f. locating information
g. provider information
h. TB risk factors
i. results of diagnostic testing
j• treatment information
k. any other information deemed appropriate by the Contractor
7. The Contractor shall complete tests including the following:
a. smears for acid -fast bacilli, (using concentrated fluorescent method)
b. isolation of mycobacteria (using rapid methods)
c. identification of Mycobacterium tuberculosis complex (MTB) (using rapid
methods)
d. susceptibility testing (isoniazid, rifampin, ethambutol, and pyrazinamide) on
isolates of MTB.
Page 4 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver. 01.11.19
EXHIBIT F
8. The CDPHE TB Program will notify the Contractor of all newly arrived Class B TB
immigrants/refugees via a CDC 75.17 form which is incorporated herein by this
reference, or Follow-up worksheet which is incorporated herein by this reference, made a
part of this Contract, and available on the following website:
https://www.colorado.gov/pacific/cdphe/tb-btb-arrivals
9. The Contractor shall record 95% of all HIV antibody testing result rates among suspect
and confirmed cases of active TB disease, and enter that information into the CDPHE
TBdb.
a. The Contractor shall record 95% of all HIV antibody testing result rates among
suspect and confirmed cases of active TB disease into the CDPHE TBdb no later than
the day before TB treatment begins, and no later than the end date of this Contract.
9. The Contractor shall record 80% of all HIV antibody testing result rates for LBTI patients
into the CDPHE TBdb.
a. The Contractor shall record 80% of all HIV antibody testing result rates for LBTI
patients into the CDPHE TBdb no later than the end date of this Contract.
10. The Contractor shall provide culturally appropriate patient education and information
pertaining to TB treatment and the follow-up plan.
11. The Contractor shall provide services in patient's preferred language using medical
interpretation resource.
12. The Contractor shall report to CDPHE via (CDPHE TBdb) or via Tuberculosis
Surveillance and Case Management Report (TB -18) when a TB patient completes
treatment, moves, or transfers out of the Contractor's service area.
a. The Contractor shall complete 100% of all TB -18 and RVCT CDPHE TBdb
fields no later than the last business day of each month, and by the end date of this
contract.
13. The Contractor shall discuss current health insurance enrollment and offer materials
with the client for the purposes of becoming insured if not currently insured.
a. The Contractor shall ask all TB clients about current health insurance enrollment
including Medicaid, and offer resource materials no later than the last business
day of each month.
14. The Contractor shall provide or arrange for treatment and ensure completion of therapy.
15. The Contractor shall provide a final report via email or CDPHE TBdb to the TB
Program's Data Coordinator when a contact investigation is completed.
16. The Contractor shall provide all other necessary laboratory testing and medical
evaluation services to identify TB.
17. The Contractor shall report all known HIV antibody test results to CDPHE.
18. The Contractor shall report information via web -based TB case/contact management
system (CDPHE TBdb) or via "Tuberculosis Surveillance and Case Management
Report" (TB 18), which is incorporated herein by this reference, made a part of this
Contract and is available at the following link: TB -18.
19. For confirmed cases of TB, the Contractor shall include all data elements identified in
the "Report of Verified Case of Tuberculosis (RVCT)", which is incorporated herein by
this reference, made a part of this Contract and is available at the following link:
RVCT and is incorporated and made
part of this contract by reference.
20. The Contractor shall use the CDPHE Laboratory for testing.
21. The CDPHE Laboratory will, at no charge to the Contractor, supply specimen containers
and perform the above testing for the Contractor.
22. The Contractor shall order TB medications through the CDPHE TB Program.
23. The Contractor shall provide CDPHE with the medical insurance information for those
patients who have medical insurance.
24. The Contractor shall provide consultation services, as needed, to providers in its
service area regarding TB reporting, screening, treatment, and follow-up.
25. The Contractor shall comply with TB specimen shipping guidelines. See TB Sputum
Collection Kit and Shipping Instructions
https://drive.google.com/file/d/0B0tmPO67k3NVRXRPLVIVY1ZScEE/view which is
Page 5 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver.01.11.19
EXHIBIT F
incorporated and made part of this Contract by reference.
26. The Contractor shall provide printed resource, referral and Medicaid and Connect for
Health Colorado enrollment materials for clients with Limited English Proficiency
(LEP).
a. Contractors that routinely offer enrollment services on -site are exempt from this
requirement because the services provided go beyond this minimum requirement.
27. The Contractor shall use LEP, Over -the -Phone Interpretation (OPI) to communicate
with clients telephonically or in -person (when a live in -person interpreter is not warranted).
a. The Contractor shall provide a monthly reimbursement DOT/Diagnostic/OPI
invoice according to the following criteria:
i. The monthly DOT/Diagnostic invoice must be provided
with supporting documentation confirming use is TB -related.
ii. The Contractor shall request monthly DOT/Diagnostic reimbursement no
later than the last business day of each month.
28. The Contractor shall complete the Semi -Annual Progress Report per the following
criteria:
a. The Semi -Annual Progress Reports must cover July -December and January -
June.
b. The Contractor shall complete the Semi -Annual Progress Report using the
following website:
https://drive.google.com/fi le/d/0B0tmPQ67k3N V bk8xemFPN3 Fp W U0/view
which is incorporated and made part of this Contract by reference.
29. The Contractor shall use information on enrollment resources, referral
outreach and promotional materials is available at
https://coloradopeak.secure.force.com/CPCLA which is incorporated
locations, LEP and
and made a part of
insurance, CDPHE
the department for
and Connect
their agencies. At a
and referral materials
Health Colorado
materials must be
locate the nearest
available:
and made
to attend the latest
period, and allow all
Baseline within 3
this Contract by reference.
30. In order to facilitate and improve client access and enrollment in health
is asking all state contractors and sub -recipients who contract with
direct patient care clinical service programs to provide Colorado Medicaid
for Health Colorado information to clients presenting for services at
minimum, CDPHE Contractors must offer clients printed resource
that direct them to the nearest community Medicaid and Connect for
enrollment location(s), including online enrollment options. These
available for clients with limited English proficiency (LEP). To help
enrollment locations in the community, the following websites are
https://www.colorado.gov/pacific/hcpf/how-to-apply
http://connectforhealthco.com/resources/person-help/, and are incorporated
part of this Contract by reference.
31. The Contractor shall allow all existing staff designated to TB activities
CDPHE Baseline TB 101 training at least once during the contract
new staff designated to TB activities to attend this training TB 101
months of hire, and during the contract period.
Expected Results of the
Activity
1. New TB cases shall be diagnosed, documented and treated.
2. Patients with existing or newly diagnosed TB or LTBI shall be treated, as appropriate.
3. Newly arrived refugees, asylees and other eligible individuals with Class B TB
designation receive treatment.
Measurement of Expected
Results
1. Data contained in the CDPHE TBdb.
2. Data in Semi -Annual Progress Reports.
r 5 rinW
, P.., 7 / l' j c f 11
Completion Date
Deliverables
1. The Contractor shall submit the Semi -Annual Progress Report
covering July -December and January -June to the CDPHE Contract
Monitor via email.
No later than seven
(7) and 13 months
after execution of
this contract
Page 6 of 7
Amendment Contract Number: 2020*3598 Amendment #2
Ver. 01.11.19
EXHIBIT F
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
Amendment Contract Number: 2020*3598 Amendment #2
Ver. 01.11.19
EXHIBIT H
Weld TB Prevention and Control
To Original Contract Routing Number: 19 FHHA 109285
Weld County Deaartment of Public Health and Environment — Prevention and Control
Description
Funding Source
Amount
TB Prevention & Control
State
$52,500
DOT, Diagnostic, and OPI
encumbrances as needed
State
As available
Total
$52,500
Amendment Contract Number: 2020*3598 Amendment #2 Page 1 of 1
Contract Form
Entity Information
New Contract Request
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID*
@00001926
Contract Name*
TUBERCULOSIS CONTROL PROGRAM FY20-21 TASK
ORDER CONTRACT AMENDMENT #2
Contract Status
CTB REVIEW
❑ New Entity?
Contract ID
3710
Contract Lead*
TGEISER
Contract Lead Email
tgeiser@coweld co.us
Parent Contract ID
Requires Board Approval
YES
Department Project if
Contract Description*
TASK ORDER CONTRACT AMENDMENT #2 FOR THE TUBERCULOSIS CONTROL PROGRAM FY20-21
2020*3598A2
Contract Description 2
PREVIOUS TASK ORDERS: 2020'0134A1; 19 FHHA 109285
Contract Type*
CONTRACT
Amount*
$52,500.00
Renewable*
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-Health@weldgay.com
Department Head Email
CM -Health-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELD
GOV.COM
Requested BOCC Agenda
Date*
06/15/2020
Due Date
06/11/2020
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
Grant Deadline Date
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
07/01/2020
Review Date*
04/15/2021
Renewal Date
Termination Notice Period
Committed Delivery Date Expiration Date*
06/30/2021
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06/11/2020
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06/17/2020
Originator
TGEISER
Contact Type Contact Email
Finance Approver
BARB CONNOLLY
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Finance Approved Date
06/15/2020
Tyler Ref #
AG 061720
Legal Counsel
KARIN MCDOUGAL
Legal Counsel Approved Date
06/15/2020
Submit
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