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Home My WebLink About20161028.tiff RESOLUTION RE : APPROVE CONTRACT AMENDMENT #2 FOR NURSE HOME VISITOR PROGRAM 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 #2 for the Nurse Home Visitor 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 Human Services , Office of Early Childhood , commencing upon full execution of signatures , and ending June 30 , 2016 , 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 #2 for the Nurse Home Visitor Program between the County of Weld , State of Colorado , by and through the Board of County Commissioners of Weld County , on behalf of the 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 amendment . The above and foregoing Resolution was , on motion duly made and seconded , adopted by the following vote on the 21st day of March , A . D . , 2016 . BOARD OF COUNTY COMMISSIONERS WELD COUNTY , COLORADO ATTEST : W ' Mike Freeman , Chair Weld County Clerk toAhe Board G ' s Conway , Pro-Tem BY . De uty Clerk to the Board kites Oallegillap Julie A. Cozad 7 1 ‘. EL % / . *aN APPBOVE AST . }4,,u0 ..._ : ' A e \ ,� • r' i c .�� gaga F �.�� 'Pal i! ara Kirkmeyer-V rn unty Attorney E_5 r 4 -� S _ ,N, , . . c *. w\ ` gave Moreno Date of signature : Vp9// (-1 Sfr ski N. / et. pit (0,6,4,-) 2016- 1028 Ato•Vi-e , (0. HL0048 ibRet-- 39 , Memorandum �..•�'� !� TO : Mike Freeman, Chair COM _ N T Y J Board of County Commissioners FROM : Mark E . Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE : March 17, 2016 SUBJECT : Nurse Home Visitor Program Contract Amendment #2 Enclosed for the Board ' s review and approval is a contract amendment to the Nurse Home Visitor Program ( NHVP ) Contract between the State of Colorado acting by and through the Department of Human Services ( CDHS ) , Office of Early Childhood and the Weld County Board of County Commissioners for the Weld County Department of Public Health and Environment' s (WCDPHE ) . At no cost to the client, specially trained registered nurses provide bi - monthly home visits to 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 and encouraged to develop positive maternal/child health practices, an understanding of infant/toddler developmental needs, effective parenting, and maternal economic self-sufficiency . Each year the Health Department is required to complete a mid -year budget revision for this program . Due to staff vacancies during the year the overall budget was reduced ; typically this does not require any sort of contract amendment . However, beginning January 1, 2016, the Health Department' s indirect rate for this grant increased by 2 . 53 %, from 13 . 84% to 16 . 37 % . Due to a request in the budget revision by the Health Department to recover greater reimbursement on its total direct costs for this program , CDHS is requiring a contract amendment to bill the new indirect rate . Overall the contract is decreasing by $ 55 , 340 for a total new contract amount of $ 727, 077 for fiscal year 2015- 2016, but the new budget amount includes the increased indirect reimbursement projections . The contract term remains the same at July 1, 2015 , through June 30, 2016 . I recommend approval of this FY15 - 16 Nurse Home Visitor Program contract amendment . Memorandum TO : Rafaela, Deputy Clerk to the Board Viet N T Y7/ FROM : Skye Turchado 1` Department of Public Health & Environment DATE : March 17, 2016 SUBJECT : Routing Request — BOCC Agenda The following documents have been approved for placement on the Board ' s meeting agenda for the Board ' s final approval and the Chair' s signature . We would like to have these items placed on the Board ' s agenda for Monday, Varcjr,. 2i NEW BUSINESS : 3 Original ( s ) : Nurse Home Visitor Program ( NHVP ) Contract Amendment #2 3 Original (s ) : Women' s Wellness Connection-WISEWOMEN (WWC-WiWo)Task Order Amendment #1 Original ( s ) : Original ( s ) : CONSENT AGENDA : 2 Original ( s ) : Colorado Mosquito Control ( CMC) Contract Agreement Extension/Renewal Original ( s ) : Keywords listed in Tyler that would be helpful to the Health Dept . : Original ( s ) : Nurse Home Visitor : " NHVP" WiseWomen : "WWC-WiWo" , "WIWO" Original ( s ) : Colorado Mosquito Control : "CMC" , "mosquito surveillance" Once signed by the Chair, please return the original , signed documents to my attention . If you have any questions, or if you require anything further in this regard , please let me know . can be reached at Extension 2102 or via email . As always, thank you for all of your help with processing our paperwork with the Board . ra s t CONTRACT AMENDMENT Amendment # 2 Original Contract CMS (CLIN) # Amendment CMS # 15 IHIA 68641 16 IHIA 87817 1 ) PARTIES This Amendment to the above-referenced Original Contract (hereinafter called the Contract) is entered into by and between Weld County Department of Public Health and Environment (hereinafter called "Contractor"), and the STATE OF COLORADO (hereinafter called the "State") acting by and through the Department of Human Services, Office of Early Childhood, (hereinafter called the "CDHS"). 2) EFFECTIVE DATE AND ENFORCEABILITY This Amendment shall not be effective or enforceable until it is approved and signed by the Colorado State Controller or designee (hereinafter called the "Effective Date"). The State shall not be liable to pay or reimburse Contractor for any performance hereunder including, but not limited to, costs or expenses incurred, or be bound by any provision hereof prior to the Effective Date. 3) FACTUAL RECITALS The Parties entered into the Contract for/to provide trained visiting nurses through the Nurse Home Visitor Program (NHVP) 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 decreases the caseload decreasing the funding by $55,340 for FY 16. 4) CONSIDERATION-COLORADO SPECIAL PROVISIONS The Parties acknowledge that the mutual promises and covenants contained herein and other good and valuable consideration are sufficient and adequate to support this Amendment. The Parties agree to replacing the Colorado Special Provisions with the most recent version (if such have been updated since the Contract and any modification thereto were effective) as part consideration for this Amendment. If applicable, such Special Provisions are attached hereto and incorporated by reference herein as Exhibit N/A. 5) LIMITS OF EFFECT This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments thereto, if any, remain in full force and effect except as specifically modified herein. 6) MODIFICATIONS. The Contract and all prior amendments thereto, (Original Contract CMS 15IHIA68641 ; Option Letter # 1 CMS 15IHIA77080; Option Letter #2 CMS 16IHIA79371 ; Amendment # 1 CMS 16IHIA79372), are modified as follows: a. Original Contract, Page 1 Decrease budget by $55 ,340 from $782,417 to $727,077 for FY2016 The "CONTRACT PRICE NOT TO EXCEED" amount is decreased by $55,340 to a new "CONTRACT PRICE NOT TO EXCEED" amount of $ 1 ,472,495. "MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR" has been amended to FY 15: $745,418; $FY 16 $727,077. b. Exhibit B — Amendment # 1 is hereby replaced by Exhibit B - Amendment #2 — NHVP SFY2015- 16 Mid-Year Revised Budget is attached and incorporated into this Amendment. 7) START DATE This Amendment shall take effect on the later of its Effective Date or February 1 , 2016. 8) ORDER OF PRECEDENCE Except for the Special Provisions, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control . The most recent version of the Special Provisions incorporated into the Contract or any amendment shall always control other provisions in the Contract or any amendments. 9) AVAILABLE FUNDS Financial obligations of the state payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, or otherwise made available. O8A, Page 1of2 r. CMS # 16 IHIA 87817 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT * Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect. CONTRACTOR STATE OF COLORADO Weld County Department of Public Health and John W. Hickenlooper, Governor Environment Colorado Department of Human Services Reggie Bicha, Executive Director Mike Freeman Chair, Weld County Board of County Commissioners \C1* Signature By: Mary Anne yder, Director, Office of Early Childhood MAR 2 1 2016 Date: Date: 6 Werfli i.c ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER CRS §24-30-202 requires the State Controller to approve all State contracts. This Amendment is not valid until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE CONTROLLER Robert Jaros, CPA, MBA, JD By: Clint Woodruff/V 1 Gimple Date: 4 aovi Page2 of o/6 /Od RE : NURSE HOME VISITOR PROGRAM CONTRACT AMENDMENT #2 ATTEST : W ' BOARD OF COUNTY COMMISSIONERS Weld C n y Clerk to the Board WELD COUNTY , COLORADO BY : Deputy CI rk to the B d sdillssis Mike Freeman , Chair MAR 2 1 2016 teN‹. 7414•0 \APPROVED ASTO : 4 "ArtA PPROVED AS TO SUBSTANCE : taiatabd 1i ? k rj . °NI \n/V °At 0€(&) ee Controller 1 a Iected Official or Department Head ROVE AS TO FORM : N.4,1 a.3fulA "laft '''e Director of General Services County Attorney 042D4 �/a2I(i )_ Exhibit B - Amendment #2 Nurse Home Visiting Program SFY2015- 16 Mid-Year Revised Budget FOR THE PERIOD: July 1 , 2015 - June 30, 2016 APPLICANT: Weld County Department of Public Health and Environment FUNDED CASELOAD: 125 COUNTIES SERVED: Weld County ORIGINAL FY 15-16 BUDGET (or approved revised budget if your REVISED FY 15-16 BUDGET agency has recieved an approved budget revision since July 1, 2015) July 1, 2015 - June 30, 2016 July 1, 2015 to June 30, 2016 A. Other . Medicaid C. CDHS A. Other . -: &licaid C. CDHS PIMP Sources of . Estimate FUNDING Sources of Estimate FUNDING Funding (NHVP) Funding kI . . _ . . (NHVP) % Effort on CDHS Base Salary Fringe Funding PERSONNEL COSTS (Detail Expenses) (Annual) Benefits ONLY Total BUDGET REVISED BUDGET Personnel Services (Title and Name) 38.93% Nurse Home Visitor 1 - DG $61 ,448 $23,922 100% $85,370 ' $85,370 $0 $38,471 $46,899 Nurse Home Visitor 2 - KH $63,290 $24,639 100% $87,929 $87,929 ' $0 $0 $87,929 Nurse Home Visitor 3 - GH $68,860 $26,807 100% $95,667 $95,667 $0 p $0 $95,667 Nurse Home Visitor 4 - KM (term) $57,940 $22,556 100% $80,496 $80,496 I $0 $0 $20,656 Nurse Home Visitor 5 - ARD $68,860 $26,807 100% $95,667 $95,667 $0 $0 $95,667 Nurse Home Visitor 6 - LD $56,589 $22,030 100% $78,619 $78,6191 $0 $0 $78,619 Program Supervisor - (KW-termed) IV Interim $59,770 $23,268 100% $83,038 $43,921 $39,117 $0 $0 $2,977 Program Manager - (KSS-termed) DD interim Sup $72,524 $28,234 5% $5,038 $5,038 ' SO $0 $8,867 Office Technician - ST $39,785 $ 15,488 50% $27,637 $27,637 $0 $0 $44,218 Office Technician - TC $35,346 $ 13,760 25% $ 12,277 $ 12,277] $0 $0 ~ $2,455 Office Technician - MM $34,331 $13,365 25% $11 ,924 $11 ,924 , $0 $0 $7, 154 Electronic Medical Records Coordinator - CH $ 109,430 $42,601 1 % $ 1 ,900 $1 ,900 $0 $0 $ 1 ,900 Program Supervisor - TBD $27,856 $ 10,844 100% $38,70() $0 $0 $0 $38,700 Program Supervisor/Program Manager - Interim - DD $72,524 $28,234 12%, $12,413 $0 c $0 $0 $ 12,413 Program Supervisor for OTs - IV $35,966 $14,002 5% $2,498 $0 $0 $2,498 1. TOTAL PERSONNEL COSTS $0 $43,921 $621,640 $01 $38,4711 $546,619 OPERATING (Detail Expenses) BUDGET REVISED BUDGET Office Operating Expenses (i.e. supplies, pens, etc) $ 1 ,000 $0 $0 $ 1 ,458 Client Support Materials $ 1 ,465 $0 $0 $2,573 Printing & Publications $2,000 $0 $0 $ 1 ,516 Postal & Shipping Services $1 ,351 $0 $0 $ 1 ,411 Communications (long distance, cellular and network service) $6,000 $0 $0 $6,000 Medical Supplies $200 $0 $0 $937 - Required model materials (i.e. Keys to Care Giving, Beginning Rhythms, etc.) $500 $0 $0 $500 Cellular Phones $0 $0 $0 $300 Tablet/ laptop computers for home visits $0 SO SO $ 1 ,500 2. TOTAL OPERATING $0 $0 $12,516 $0 $0, $16, 195 Training and Technical Assistance Fee # Total Cost 1 BUDGET REVISED BUDGET l Supervisor Initial Education Tuition Per Sup $5,043 new Sup $0 $0 $5,043 F Nurse Education Materials (New Supervisor/RN ONLY) Per NHV & S $543 IHV & Sup $543 $543, $0 $0 $ 1 ,086 DANCE Education Per NHV & S $595 IHV & Sup $ 1 ,785 $ 1 ,785 $0 $0 $ 1 , 190 DANCE Licensing Per NHV & S $55 IHV & Sup $220 $220L $0 $0 _- $ 110 Program Support Fee Per Sup $7,398 new Sup $7,398 $7,398 ' $0 $0 $ 14,796 Professional Development Per Nurse $600 NHVS $ 1 ,500 $ 1 ,500 $0 $0 $3,000 Nurse Consultation _ 1st Supervisor $2,661 _ $2,664 $2,664 $0 $0 $2,664 3. TOTAL TRAINING and TECHNICAL ASSISTANCE $0 $0 $14,110 $0 $0 $27,889 Equipment (Only list equipment where the price of one item exceeds $5,000, if the price is less than $5,000, show the expense under operating). BUDGET REVISED BUDGET No Costs in this Category will be reimbursed by CDHS. $ 11 $0 $011 $0 4. TOTAL EQUIPMENT $0, $0 $3 $0 $0 $0 Page 1 of 4 Exhibit B - Amendment #2 Nurse Home Visiting Program SFY2015- 16 Mid-Year Revised Budget FOR THE PERIOD: July 1 , 2015 - June 30, 2016 APPLICANT: Weld County Department of Public Health and Environment FUNDED CASELOAD: 125 COUNTIES SERVED: Weld County ORIGINAL FY 15-16 BUDGET (or approved revised budget if your REVISED FY 15-16 BUDGET agency has recieved an approved July 1, 201_5 - June 30, 2016 budget revision since July 1, 2015) July 1, 201.5 to June 30, 2016 A. Other t . Medicaid C. CDHS A. Other Medicaid' C. CDHS Sources of 4.. Estimate FUNDING Sources of Estimate FUNDING Funding _. _ (NHVP) Funding a (NHVP) TRAVEL (Detail Expenses) 4 BUDGET REVISED BUDGET il Visit Outreach Mileage $19,0001 $0 SO $21 ,774 NFP Training and Meeting Travel (Supervisors, Nurses) $0 $t) $53 Travel $2,025 $0 $0 $78 . 5. TRAVEL $0 $0 $21,025 $0 $0 $21,905 CONTRACTUAL (Include Contractual Services) BUDGET REVISED BUDGET Mental Health Consultation Sill $0 $0 $600 6. CONTRACTUAL $0 $0 $1 $0 $0 $600 OTHER COSTS (Detail Other Program Costs) BUDGET REVISED BUDGET Electronic Medical Records $ 18,0000 $0 SOU $ 18,000 7. TOTAL OTHER COSTS $0 $0 $18,000 $0 $0 $18,000 TOTAL DIRECT PROGRAM COSTS (Add budget categories 1-6) $0 $43,921 $687,295 $0j $38,471 $631,208 4 ADMINSTRATIVE COSTS (Detail Administrative Costs) OR Indirect (if applicable) BUDGET REVISED BUDGET Indirect Rate at 13.84% (2015) (July-December 2015) $6,079 $95, 122 $0 $2,879 $40,807 Indirect Rate at 16.37% (2016) (January-June 2016) $0 $2,893 $55,062 TOTAL ADMINISTRATIVE COSTS I $0 $6,079 $95,122 $0 $5,772 $95,869 TOTAL PROGRAM COSTS (Direct Program + Administrative Costs) $0 $50,000 $782,417 $0 S44,243 $727,07 Page 2 of 4 a lea Exhibit B - Amendment #2 Weld County Department of Public Health and Environment BUDGET NARRATIVE FISCAL YEAR 2015 - 2016 (July 1 , 2015 - June 30, 2016) INames not fully spelled-out to protect the privacy of our team since these documents are public record. Increases due to projected COLA of 3% for 2016 . Also salary increases for 2015-2016. Changed structure of staffing Office Technicians to ensure that the program's needs are continually and adequately met in the event of unexpected absences/vacancies and/or planned time off We will now have 3 OTs working up to 1 .0 FTE in the program with a varying amount of time spent by each FTE in any given time period. In addition, we have allocated FTE for our , Medical Records Coordinator who is assisting with form set-up in our EMR and technical assistance to NHVP staff for EMR-related issues. Fringe includes medicare, unemployment, wrokers comp, PERA, life insurance, ADD, health insurance, Dental, and PTO. At WCDPHE we have our Office Manager supervise all Office Technicians, including those working directly in programs, to allow for greater flexibility within il the Health Department. Therefore we are requesting that we be allowed to bill for the Office Manager's time spent working directly in the i program. Her work primarily includes ETO database coordination and coordination of the miscellaneous activities the Office Technicians perform for the program. This allows the Nurse Supervisor the focus on the supervisory functions involving the nursing activities. Mid-year i revisions include the removal of a NHV (KM), our supervisor (KW), and our program manager (KSS). Additions include a new line items for ithe NHV OT supervisor (IV), our interim supervisor and program manager (DD), the program supervisor (TBD). In our original budget we planned to bill our estimated Medicaid revenue under KSS but had to change that to DG during the midyear budget revison process. I Total Personnel Services Category:: $546,619 g •:::, •..a.. ,..YY. *•° �. z.. /.0)--1411'.> . ,. .it .,..,,, .s... .J..z r::.w.., .. .... ,.,.. „/... :O71', c. ./„ ,c / .e, u: / J $ . a ,. , 3l'--- 3,..<.. r. c,. ., . ,/, , i. _...,. . ,:...., ,., . .z' ',_. ...._ k [Y r, ;r _ a .. 0 -r4-7-/ a '3,1%;;,c;---;3'-> /r... . .. r. �� ..,. • 1� .... �^ ,s,. 3. .. .. ., _., .:r ., 3 a .,/, < a. .. s r ,.. .. %. . ,. ..:r .,,_[ ,.. 6� ,.. / ,. ,y.. ,. ., s ,. n. ,. r.�'�,3 . ,..,•,... n rx. _, _._ _, e:. r ,o. .r. ,.,. . .:S r . s ..i... �. ,. _ _ n .. ,._ s / .Yi, 2.. n. . u, : ',r 9 H. - ., „r ... -6 .r..... ... .. . .... .... E ,..a. ..w, .. r_. .r .. F .__. :.. >•. ?£ n J � c ,.,.. r✓ _ ..d. ,.; .[ - ��y r ,,r . / ✓:., r. w ✓ >, :/)_ .x.,, . x.,r n . ..i f, x& r l7 '.. vA ., y F+S . .:.- , / . . . .._ x.<r a ' ., / [ ., /2f �2 / _ r/ .,5 xk .< /. aY, rda / R•.. w / < ➢ .:/..... , r / ,. . / [. . .n ✓. . , / f . r• . ,, / b� RY. -v _../. /P.... /< ..C .4..rn . ' .. . .r . , J, ,,,,,,,..../...,ye.. ¢ ,: _. r.. .. . 3. rte. ,/. . _ ./,. .,. ,.._ [.... / .�:/f N,P' / ..t m' •./,.:. b' ��,a�n n ../..�I�� .c � / � dr .¢/ o . . /i ..,.. 'L.._ .. / e / . • ry , .Terh./N<..� ,y .<o'. )A. F_ 4 � p�/49. �.. /( / NOffice operating expenses include supplies necessary to perform the critical functions in this program. Client support materials includes books, eductional toys for clients. Printing & Publications included funding for printed materials needed for the fuction of this program. Postal and Shipping services is used to cover costs for sending hard copy materials to clients. Communication includes cell phone plans that include unlimited texting and air cards for 7 laptop computers. Medical Supplies includes items purchased for NFP client visits. Outside Services at $ 1 is open up the line item to cover costs of external services our site can utilize to operate NFP. Required model materials: $500 one time purchase of model materials required for home visiting. Cellular phone request is requested to purchase a new cell phone for the new program supervisor. Tablet/ laptop computers for home visits is used to purchase tablets/laptop computers for home visitors in order to record data and provide services during home visiting. Total Costs Operatin • Category: $ 16, 195 4 ,,t ,y,„;-,-;:;,-,- „ , / 7 „ , ,�/ .�` ,., i . , , , , , ,, , , �. C ... � [ .;:Anam . ,_.:c /,:./Ji`[ .: i. �p, ,[. .r.<.. G.¢ _ ....r.. >„ r.. W..,(.. , ? £ ...,.: , ,,,. . , .e, .x. Al ,n, > .. .:. ri.... /. ,. ..., ../,:.:, .,.,.ftwur�„ /Yi :'/... ..P., ..,.'. .... /. ,' n:::..,... _ r .,. • ...., ,, .... ...... [ /F >(. ..'G.� .,%. ,v/, /�, �k'r3E✓/,..,r �.J:.. ,..... N'F, Y w .i:,..,, l^;.... ..,.. ...3'....../..,..�. ... - r [ /9:: Supervisor Initial Education Training is used to cover costs for the new supervisor to complete required training. Nurse Education Materials cover the costs for NFP Guidelines and Faciliators DANCE Education covers required training costs for Dyadic Assesmnet of Naturalist Caregiving Experiences tool, DANCE. DANCE Licensing will cover the cost of recertification for nurse home visitors to continue using the Dyadic Assessment of Naturalistic Caregiving Experiences tool, DANCE . Program Support fee covers the fee charged by the Nurse-Family Partnership National Service Office to maintain funding, improve nurse recruitment, provide ongoing training, and expanded assistance for pubic affairs, marketing, and communication. Professional Development funds are used to cover training that is not provided by the NSO or IIK to deepen the skills and expertise of nurses in areas where there is need and/or interest. li Nurse Consultation covers the cost for Invest in Kids to provide routine consultation to the supervisor of our program and advocacy for Colorado NFP nurses. Total Costs Training and/or Technical Assistance Category: $27,889 .,, .,./.. ru[,.. .. ,. . ._3,. .G. <.,.. /, s.: r ,. ..4._ „ •.r..n ,...: /i ....rvn r _... ., a.. /,,..,H. _./, ,7•i;.' nas ✓ //4 /r".:., n/[.:::: H / _!Q NT , r CATEGORY • r • /. ,. No Costs in this Category will be reimbursed by CDHS . Total Costs EQUIPMENT Category: $0 Page 3 of 4 Fxhibit B - Amendment #2 TRAVEL CATEGORY Visit outreach mileage includes mileage and costs associated with travel for service delivery, meetings, conferences and trainings, no per diem or hotel expenditures are included in these costs. NFP Training and Meeting Travel (Supervisors, Nurses) covers mileage for staff trainings. Travel amount at $78 covers mileage not included in NFP Training and Meeting Travel. Total Costs Travel Category:: $21 ,905 g CONTRACTUAL SERVICES CATEGORY ,q. F tf t � N.F/Cif, rf' S .K./� x.Q�>'fS tss��Pd N� � bbk� CATEGORY . : ¢> _ «7On'd/,"br x.Ps�. Mental Health Consultation provides funding for monthly mental health consultations for Nurse Home Visitors. Total Costs Contractual Services Category: $600 >:. ,r. L' e x✓, m ' ..ti *77 • _i. t. > ,r. .�: %tic x x�.x:^" .r' .lx>✓i r,:x/ ?,� 9 Y Y` `L�` . _...xe r .,3- . r ^:>3..: ,. . ✓,t.... ...,,.... _ ,r kavr. '>' r . a, . .x. s. .+nS.. a.ti x ... , .... t < . v. 4x'. ... ,... :....:,x✓ r ., ,<: . ..;... .83 .. . ... ./::... ' ..>£� /, s¢w,w .�... >f": . 'ffk x .„ ' ./., k.: . <. ( y,..,-:', r, : .o .., i..9a <,.a. . S <.. , < r, rig < > visan�� e T . ,._ . r. ! .... ,., S. _,r 9' .,. Y s ., £ .., GJ .fr:,.8.. ,. ,. .._.,. ..,x v1/44z> . <F. . a.f. ., u ...w _� ,'�sx,/� '�5 ,.^« :�>6 ,. :[. . ' ...ls.r & 2,.y .< ,:.,. _.5,%. /.:. /. a.... x .P.;. "�' � ..r..c?�y » _. 'k 4L.r�f;--.' ,...Ln. .. .. _ — ... xc_..._. •_.__ _ r . g... . /,. p �AT3IS3'/.Hf'Pv.:� 31d,��..Sa�>S,....2E$.°wt::,"'d�dL2✓.-aY �/,.Y'.G/r.�..,.:<, ,..>�.�.,�Uun9."Ji.. ...M,n Y>/.:?4.-.v -, s.-r"4t . ,.rt/�',,..,S',e-...>. _R�' 7n" �= I Computer and data processing expenses related to maintenance & upgrades to the Electronic Medical Records data base, EMR licenses, operation and tech support. Total Other Category: $ 18,000 . r H✓ . 4. ✓. x'r.,.., 1....,w & . r; t ..es.K r .fr as"/ / a _S..... _- ..a :..2:.. :. ... •..$ ;.d - a.. .� K .x !::'r6e.-4tro<.° ,N. r.:`" < ,., r 1P a, 3,?f .. / rxir . ,,:..,>,. .,.._s/ _, < .,.. x _,. ..: . .j. , , <. ; . .; z ,,. .. , <.:. /... ,,., ,. fur.. ,.. s.. m . .x r ,...:�v x H... .. r s.,.a. �..� .w ,. va ,i ,,. f ,. r,- �.., .. :.. �,� .. .,,< ;.r. �' o >M�. �w ✓ , t,r.., i _...e lt....,. Ke.,....:,. r :K .K'r, S�.,., :<.fi ..« .Y r'> ..o,. Cam.^,. ..G.:, ! >,.',..,,.x. r .,,' ,...>. .,._5 Xr t.. ,- :.......... . .... ._.,. ,,.£.. ..._. ,.,,...._.wa.:,.✓ .:. Pik <»., -c .f_: �/��:.r A Y1�. .,G„ .o AD I I TRATIVE COSTS � z . �. : < . . .. � � � . ..x. .,. M_N S r , r>,< . fi�rr_<�� s e. � �/r qxf• .../,..N/ . . ,:: t'o -.,?. ' x8...5.:,,-2 6,,.>,w> n sy . b ,..,_,« ,/:,,.:". K.<%xy_ / cy. / wu ;• >_ .% s. >.,... t .. ,r.-- . . .:,:e.-.. x�4 >fA�rF ...e✓>__G<.. R_.. ._..fs .�... T ....., >,� Weld is requesting to be able to change the indirect rate for 2016 to our CDPHE negotiated indirect rate. Our rate for 2015 was 13 .84%; for 2016 it is 16.37%. Total Administrative Costs Category: $95,869 I GRAND TOTAL COSTS TO BE BILLED TO CDHS: $727,077 Page 4 of 4 Hello