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HomeMy WebLinkAbout20194943.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #1 FOR NURSE HOME VISITOR PROGRAM (NHVP) AND AUTHORIZE CHAIR TO SIGN 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 #1 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 Human Services, Office of Early Childhood, commencing on August 30, 2019, and ending June 30, 2020, with further terms and conditions being as stated in said contract amendment, and WHEREAS, after review, the Board deems it advisable to approve said contract 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 #1 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 Human Services, Office of Early Childhood, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said contract amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of December, A.D., 2019, nunc pro tunc August 30, 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: deettoo jC'lto;e1 Weld County Clerk to the Board BY: Deputy Clerk to the Board APPROVED AS T unty Attorney Date of signature: 17-/lei/'I Steve Moreno arbara Kirkmeyer, chair i^ EXCUSED Mike Freeman, Pro -Tern p Conway ae.O1 ,I/6--/020 Cc ' HLC TG) 2019-4943 HL0051 oa/2.77Lo 0_,ort+rct c -t- =j #P 3a7a Memorandum TO: Barbara Kirkmeyer, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 22, 2019 SUBJECT: FY19-20 Nurse Home Visitor Program Amendment #1 with the Colorado Department of Human Services For the Board's approval is Amendment #1 to the FY19-20 Nurse Home Visitor Program (NHVP) Contract between the Colorado Department of Human Services, Office of Early Childhood ("CDHS"), 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"). The Nurse Home Visitor Program (NHVP), also known as Nurse Family Partnership (NFP) provides, 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 shown multi -generational positive outcomes that benefit both families and the community as a whole. The purpose of this contract amendment is to revise the budget to combine the nurse home visitors' salaries into one line item rather than having an individual line item for each nurse's salary. The intent is to have one cumulative salary line for these positions to build -in wage flexibility if a new hire is brought -in at a higher salary than the person who left the position, which can happen if the new incoming nurse has more direct or relevant experience, and there is no vacancy savings in that line item. Our current NHVP contract budget is very rigid and requires budget revisions or amendments (and therefore contract amendments) to make changes to each nurse's salary line if wages will exceed what was originally budgeted. This change to the contract will make it much less labor intensive to get full reimbursement for our grant expenditures. The full budget amount of $954,006 will remain the same as will the contract period of July 1, 2019, through June 30, 2020. This Amendment #1 has been reviewed by Assistant County Attorney, Karin McDougal, and it meets with her approval. Furthermore, this amendment was approved for placement on the Board's agenda via pass -around dated November 12, 2019. I recommend approval of this contract amendment with CDHS for the Nurse Home Visitor Program. 2019-4943 H LOOS BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW/ WORK SESSION REQUEST RE: Y1_9-20 Nurse Home Visitor Program Amendment #1 with t e Colorado Department of Human Services DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: November 12, 2019 PERSON REQUESTING: Mark E. Wallace, MD, MPH. Executive Director Brief description of the problem/issue: For the Board's review and approval is Amendment #1 to the FY 19-20 Nurse Home Visitor Program (NHVP) Contract between the Colorado Department of Human Services, Office of Early Childhood ("CDHS"), 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"). The Nurse Home Visitor Program (NHVP), also known as Nurse Family Partnership (NFP) provides, 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 shown multi -generational positive outcomes that benefit both families and the community as a whole. The purpose of this contract amendment is to revise the budget to combine the nurse home visitors' salaries into one line item rather than having an individual line item for each nurse's salary. The intent is to have one cumulative salary line for these positions to build -in wage flexibility if a new hire is brought -in at a higher salary than the person who left the position, which can happen if the new incoming nurse has more direct or relevant experience, and there is no vacancy savings in that line item. Our current NHVP contract budget is very rigid and requires budget revisions or amendments (and therefore contract amendments) to make changes to each nurse's salary line if wages will exceed what was originally budgeted. This change to the contract will make it much less labor intensive to get full reimbursement for our grant expenditures. The full budget amount of $954,006 will remain the same as will the contract period of July 1, 2019, through June 30, 2020. This Amendment #1 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 greater budget flexibility as it relates to salary variability between the skill and experience levels of exiting and incoming nurses. This will result in time and cost savings to WCDPHE, Weld County and CDHS. Declining this amendment will result in the need to continue to execute time consuming budget revisions and/or amendments each time a salary changes between an exiting and incoming nurse which can be very expensive in terms of the time it takes each person who needs to be a part of each revision or amendment process. Recommendation: I recommend approval of this amendment to the FY19-20 Nurse Home Visitor Program continuation contract with CDHS. Sean P. Conway Mike Freeman, Pro -Tern Scott K. James Barbara Kirkmeyer, Chair Steve Moreno Approve Schedule Recommendation Work Session Other/Comments: CONTRACT AMENDMENT #1 SIGNATURE AND COVER PAGE State Agency Colorado Department of Human Services Office of Early Childhood 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 20 TWA 141826 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. The maximum payable for GAE is subject to appropriated funds, not to exceed $50,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. Extension Terms N/A Total for All State Fiscal Years $954,006* Contract Performance Beginning Date August 30, 2019 Current Contract Expiration Date June 30, 2020 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 y: Chair, Weld County Board ofCgftnty Commissioners Date: DEC 0 9 2 D STATE OF COLORADO Jared Polls, Governor Michelle Barnes i e Director By: M An a Snyder, Director, " ice of Early Childhood Date: /V/ 4'f 1 1 In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD 1 11 2tfly Andrea Eurich / Janet Milts Amendment Effective Date: Amendment Contract Number 20 URA 141826 Page 1 of 3 Rev 1/14/19 o?piT - 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 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 educate mothers in providing general care for their children. This amendment amends Exhibits B and C. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. Exhibit B — Budget Exhibit B — Amendment #1, which is attached and incorporated into this Amendment, hereby replaces Exhibit B of the Original Contract. B. Exhibit C — Additional Provisions Exhibit C — Amendment #1, which is attached and incorporated into this Amendment, hereby replaces Exhibit C 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 Amendment Contract Number: 20 IHIA 141826 Page 2 of 3 Rev. 1/14/19 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: 20 MIA 141826 Page 3 of 3 Rev. 1/14/19 Exhibit B - Amendment #1 COLORADO Office of Eari:y. Childhood Depa r! r .F4nx G`g iu nan Services; es; Colorado Department of Human Services Office of Early Childhood BUDGET WITH JUSTIFICATION FORM Contractor Name Weld County Department of Public Health and Environment Budget Period July 1, 2019 - June 30, 2020 Project Name Nurse Home Visitor Program Counites Served Weld County Program Contact Name, Title Phone Email Fiscal Contact Name, Title Phone Email Dana Garvey, RN, BSN, CLC Nurse Home Visitor Supervisor, Community Health Services (970) 400-2405, dgarvey@co.weld.co.us Tanya Geiser Funded Caseload Director, Administrative Services (970) 400-2122, tgeiser@co.weld.co.us 150 Expenditure Categories Personnel Services - Salaried Employees FY 2019-2020 Position Title/ Employee Name Description What is indiuded of Work and in Fringe Benefits Gross or Annual Salary Fringe Percent of Time on Project Total Amount For Project A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Description of Fringe: Medicare at 1.45%; unemployment workers' compensation at 0.08%; PERA at 13.7%; life/AD&D insurance at 0.33%; health insurance at 12.14%; accrual at 4.61%; accrual -holiday at 4.23%; and accrual -sick fringe benefits are 38.93%. at 0.09%; -vacation at 2.3%. Total Percent of Fringe: 38.93% individual Nursing Staff salary not to exceed $83,680 (A Contract Amendment is required if any additional funds are added to the total contract amount) Nursing Staff includes two(2) Nurse Supervisors and six(6) Nurse Home Visitors Overall program implementation and home visiting service delivery $635,293 $0 $0 $635,293 Community Health Director - TBD Provides oversight to ensure fidelity and quality of program delivery and assists the home visitors. $99,224 $38,628 10% $13,785 $0 $0 $13,785 Office Technician 1 - Rosie Varela Martinez Provides assistance in data uploading NHVP, supervisor, and nurse home during funding period is $20.06/hour, and will work approximately 936 and general support visitors. Average average fringe hours. for the hourly wage is $7.81/hour $41,718 $16,241 45% $26,082 $0 $0 $26,082 Office Technician 2 - Mary Saldivar Provides assistance in data uploading NHVP, supervisor, and nurse home during funding period is $22.07/hour, and will work aoproximately 624 and general support for the visitors. Average hourly wage average fringe is $8.59/hour hours. $45,910 $17,873 30% $19,135 $0 $0 $19,135 t Total Personnel Services (including fringe benefits) $694,295 $0 $0 $6948295 Page 1 of 3 Exhibit B - Amendment #1 Supplies & Operating Expenses FY 2019-2020 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue Funding C. CDHS (NHVP) $2,500 Office Operating Expenses (i.e. supplies) Costs cover office supplies and printing which are necessary to perform the critical functions of this program. $0 $0 Client Support Materials Costs include books, educational toys for clients, and items that the team deems necessary for client support. $0 $0 $8,000 Printing & Publications Covers costs for hard copies of documents and forms necessary to maintain model fidelity. $0 $0 $2,000 Postal & Shipping Services Covers costs for shipping requirements. $0 $0 $2,500 Communications (cellular, network services) Costs include 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. $4,000 $0 $0 Medical Supplies Covers costs for medical items purchased for client home visits. $0 $0 $1,000 Outside Services Covers costs associated with the calibration and servicing of scales used during home visits. $0 $0 $500 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 $20,000 2. Total Supplies & Operating Expenses $0 $0 $40,500 Training and Technical Assistance FY 2019-2020 Item Description of Item Per Fee # Total A. Other Sources of Funding B. Medicaid Revenue C. Funding CDHS (NHVP) $8,580 Program Support Fee Required cost for NFP Supervisor $8,580 1 $8,580 $0 $0 DANCE Education Cost covers required NFP training NHV $685 4 $2,740 $0 $0 $2,740 DANCE Licensing Cost covers required NFP training materials NHV $67 1 $67 $0 $0 $67 Nurse Consultation, 1st Supervisor Required cost for NFP Supervisor $3,796 1 $3,796 $0 $0e $3,796 Administrator Education NFP training for Administrator Administrator $585 1 $585 $0 $0 $585 Professional Development Covers cost of additional training for NHVs NHV/Supervisor $600 7 $4,200 $0 $0 $4,200 PIPE Training Covers the cost for the Partners in Parenting 2 -day comprehensive training. This PIPE to provide a foundation for teaching parenting NFP clients. Education (PIPE) training is designed techniques to Per NHV $325 2 $650 $0 $0 $650 CLC training Covers the cost for the Certified Counselor (CLC) 5 -day comprehensive materials, and certification training provides comprehensive education needed to support breastfeeding from birth Lactation training, exam. The CLC lactation NFP clients with to toddler age. Per NHV $695 1 $695 $695 3. Total Training and Technical Assistance $20,618 $0 $0 $21,313 Equipment (Over $5,000 Per Item) FY 2019-2020 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. Funding CDHS (NHVP) No costs in this category will be reimbursed by CDHS. $0 $0 $0 4. Total Equpment $0 $0 $0 Page 2 of 3 Exhibit B - Amendment #1 Travel FY 2019-2020 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Mileage and Training/Travel Expenses 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 $30,607 NFP Supervisor Meetings Covers the cost for three state nurse supervisor meetings $0 $0 $205 NFP Nurse Practice Council Covers the cost for three state nurse practice council meetings $0 $0 $205 5. Total Travel $0 $0 $31,017 Contractors/Consultants (payments to third parties or entities) FY 2019-2020 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Mental Health Consultation for Nurses Covers the cost for monthly maternal/fetal and complex situations with their clients mental health specialist consultation ($120 per month for 12 months). services to help nurses address potentially volatile $0 $0 $1,440 6. Total Contractors/Consultants $0 $0 $1,440 MODIFIED TOTAL DIRECT COSTS (MTDC) $0 $0 $788,565 [not to exceed 10% unless Negotiated Federal Indirect Indirect Costs Cost rate or Negotiated State Indirect Cost rate is attached] FY 2019-2020 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) State Federal Indirect cost rate The CDPHE negotiated indirect cost for WCDPHE is 20.98% of the total direct costs for 2019 $0 $0 $165,441 Total Indirect $0 $0 $165,441 TOTAL $o $0 $954,006 Page 3 of 3 Exhibit C — Amendment #1 ADDITIONAL PROVISIONS 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 CDHSOEC_Invoicing,c ,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. Timely Invoicing - Invoices shall be submitted no later than 45 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 CDFIS__OEC.Invoicing,,c�r,state.co.us. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. De 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. E. 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. 5. PARTICIPATION The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored meetings related to this contract. Page lof3 Exhibit C — Amendment #1 6. SUPPLANTING Payments made to the Contractor under this contract will 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% 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 or decrease 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 will be hired at a higher or lower salary. No increase or decrease within the salary range is authorized without prior written approval from CDHS. 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 CDHS staff This process will 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 CDHS program staff Contractor may request in writing the ability to hire a new nurse or nurse supervisor at a rate higher than 5% above the contracted salary amount without the need for an amendment to the contract. The contractor must abide by the salary range indicated in the budget document as a not to exceed amount. Once approval is given by OEC program staff for the change in the form of a budget revision the contractor is authorized for immediate reimbursement of the new nurse or nurse supervisor salary. The contractor shall continue to collect and keep all payroll and time records for every employee included in the contract budget. This policy applies to nurse and nurse supervisor positions only and not to any other staff included in the contract. This process will 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 CDHS program staff 8. TRAVEL A. Mileage shall not exceed the Federal mileage rate per https://www.gsa.gov/travel-resources or State mileage rate per hops://www.colorado.gov/pacific/osc/travel-fiscal-rule. B. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per https://www.gsa.gov/travel-resources or 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 CDHS. Page 2 of 3 E hat C ® Amendment #1 9. MANDATED REPORT! G 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 CDHS Child Welfare Training System: https://wwwv.coloradocwts.com/mandated-reporter-training. 10. GENERAL ACCOUNTING ENCUM RANC E (GAS;) A. Payment for Nurse Home Visitor Program (NHVP) to all contractors will be made as incurred, in whole or in part, from the total available funds not to exceed 550,000 (FY20), to be utilized for NHVP 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 FY 19-20 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 FYI 9-20 budget such as cell phones, tablets, laptops. Due to staff turnover, sites are to not include potential operational item expenses in their FY 19-20 budgets, but rather utilize the GAE in order to purchase necessary items for new staff 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 state wide 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 GAF, 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. B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. C. Invoices shall be submitted separately for pre -approved expenditures. i. The Contractor shall submit requests for payment to CDHS_OEC InvoicingriD,state.co.us. Page 3 of 3 Contract Form New Contract Request Entity information Entity Name* Entity ID* COLORADO DEPARTMENT OF HUMAN @00003650 SERVICES Contract Name* Contract ID NURSE HOME VISITOR PROGRAM FY19-20 CONTRACT 3272 AMENDMENT #1 Contract Status CTB REVIEW Contract Lead* TGEISER ❑ New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email Department Project I tgeiser@coweld co us Contract Description* NURSE HOME VISITOR PROGRAM FY19-20 CONTRACT AMENDMENT#1 20 IHIA 141826 Contract Description 2 PREVIOUS CONTRACT 20 IHIA 129479 PREVIOUS CONTRACT 19 IHIA 109304 ORIGINAL CONTRACT 15 IHA 68641 Contract Type* GRANT Amount * $954,006 00 Renewable* NO Automatic Renewal NO Grant YES Department HEALTH Department Email CM-Health@meldgov.com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY Al I ORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV COM Grant Deadline Date If this is a renewal enter previous Contract ID 2786 If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Date* 11/27/2019 Due Date 11!23/2019 Will a work session with BOCC be required? NO Does Contract require Purchasing Dept. to be included? NO Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date 12/01/2019 Review Date* 03/01/2020 Renewal Date Termination Notice Period rY Expiration Date • 06/30/2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head TANYA GEISER DH Approved Date 11/25/2019 pr BOCC Approved BOCC Signed Date BOCC Agenda Date 12/02/2019 Originator TGEISER Contact Type Contact Email Finance Approver B CONNOLLY Contact Phone I Contact Phone 2 Purchasing Approved Date Finance Approved Date 11/26/2019 Tyler Ref # AG 120219 Legal Counsel KARIN MCDOUGAL Legal Counsel Approved Date 11/26/2019 Hello