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HomeMy WebLinkAboutC16-042 Colorado Department of Human Services - Nurse Family Partnership ProgramCONTRACT AMENDMENT Amendment # 2 Original Contract CMS (CLIN) # Amendment CMS # 15 IHIA 68716 16 IHIA 87025 1) PARTIES This Amendment to the above - referenced Original Contract (hereinafter called the Contract) is entered into by and between Eagle County Government, dba Health and Human Services (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 increases the funding by $4,379 for FYI 6. 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 15IHIA68716; Option Letter #1 CMS 15IHIA77070; Option Letter #2 CMS 161HIA78997; Amendment #1 CMS 16IHIA79377), are modified as follows: a. Original Contract, Page 1 Increase budget by $4,379 from $380,407 to $384,786 for FY2016 The "CONTRACT PRICE NOT TO EXCEED" amount is increased by $4,379 to a new "CONTRACT PRICE NOT TO EXCEED" amount of $758,609. "MAXIMUM AMOUNTA VAILABLE PER FISCAL YEAR" has been amended to FY15: $373,823; $FY16: $384,786. b. Exhibit B —Amendment #1 is hereby replaced by Exhibit B -Amendment #2 — NHVP SFY2015 -16 Mid -Year Revised Budget and 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. APPR +JFEPAS TO FOP Page 1 of 2 Fagl 1-Ilty Attorney's Office ley : cayie County Commissioners' Office C16-042 CMS # 16 MIA 87025 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 Eagle County Government, dba Health and Human Services J -ea h►,c M"Q4ti then Chair, Board of County Commissioners •i..rlC *Sign Date: 2, A /I(", STATE Or COLORADO John W. Hickenlooper, Governor Colorado Department of Human Services Reggie Bicha, Executive Director By. Mary Ann nyder, Director, Office of Early Childhood Date: o.) --// 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 WoodruffNal Gimple Date: &h I'a'761,16 Page 2 of 2 Fxhlblt 9 - Amendment 02 Nurse Home Visiting Program SFY2015 -16 Mid -Year Revised Budget FOR THE PERIOD: JWX 1, 2015 - June 30, 2016 APPLICANT: Eagle County Government, dba Health and Human Services FUNDED CASELOAD: 63 COUNTIES SERVED: Eagle Count Round dollar amounts: Le, 23.73 =24 21.45-23 ORIGINAL FV 15-16 BUDGET Base Salary (Annual) (or approved revised budget if your REVISED FY 15 -16 BUDGET agency has recleved an approved BUDGET budget revision since July 1, 20151 Jul} 11 2015 - June 30, I016 July 1, 2015 to June 30, 2016 811% 100% 100% Wo% 100Y, A. Other C. CpHS A, Other C. CDHS Sources of FUNDING Sources or FUNDING Funding ANIMPL. Funding rNIMPI PERSONNEL COSTS (Detail Expenses) Personnel Services (Title and Name) Nurw SupmWr- JaMe Wahror Base Salary (Annual) Fringe Benefits 51i Effort oa MIS Funding ONI V Total BUDGET REVISED AUDGET X% $45,257; S13,304 $33,735 $23,437 S50,348 532,447 $63,336 534,049 _ $25.575 56,924 811% 100% 100% Wo% 100Y, $47,4991 _$57,172 $82,795 $97,385 �S32,A59 $14.789 542,538 597,937 $71,537 $71,537 S29.O55 50 5o SO SO $- $11.076 SO 5U $O 547,499 S57,172 582,795 597.385 532,459 Huse Home VLsdor I- Joy Ariel reptaced Luz AWla - - - Nuns HameMsitar 2. taVlru Beveridge NuneHam *Hlsltor3- ArwwShPO*U - Program Support Tedwidw - Kelly Mates 1. TOTAL PERSONNEL COSTS --sol $14,789 5312,604 $0 $11,974 $317,310 OPERATING (Detail Expenses) BUDGET REVISED BUDGET Oflicc Operating Expenses 0 a supplies Pens, etc) ^- Client Support Materials Printing & Publications _ _ _ Postal & Shipping Services Communications (long distance. cellular and network service) _ Medical Supplies Outside Services Rc-mrcd model materials 0 c. Keys to Care Givinc. Beginning Rhvihm., etc) $1.136 S2,O15 S1,100 S . so. so so so Su $ Stl 3 so so SO So SO SO 50 SO SO SO $O 50 SO $1,136 $1.500 5444 $1 $2,700 $82 Si $1 S I S374 S 1 Sl S-_)700 _ St S1 _ Si 50 50 SO Computers wl Software Cellular Phones Tablet laplupcornruters for hums visits J 2. TOTAL OPERATING I I SO SO S6,955 SO 50 S6,241 I BUDGET REVISED BUDGET Trairthir and Technical Assistance e Fee p Total Cast Nurse Initial Education Tuition (Joy Ariel) Per NIIV {Per NIIV &- Nuric Education Materials (New So ervisorlRN ONLY) Sup "Per NEW &_ DANCE Education X 1 NHV ( Anne Shainholtz)_ Sup P <r NIIV & DANCE Liccmning X I NHV ( Anna: Shainhaltz) up Program Support Fee PCr Sup _ Profcseional Development PcrNursc Nurse Consultation ;Supervisor $4,2`2': 1 - '1 $543 1 _ S595; 1 _ 555: 3 $7,396 _ 5600 $2,664„ _ $4.272 5543 5595 50 s0 SO $4,272 S0 S0 so S543 $595 $O 5595 _ S220 St _ SO 5165 _ $7,398 S -SO $7,398 $2,400 SO- --so 52,400 E $2,664 Sri _ s0 $2,664 So $0 $13,277 So So $18,03 BC DG: =.1' REVISED BUDGET 5165 Sit S0 sc . TOTAL TRAINING and TECHNICAL ASSISTANCE Equipment (Only list equipment where the price of one item exceeds $5,000, if the price Is less than 55,0110, show the expense under o eratin�). Computers w/ Software Cellular Phones Pableu 1 Mo computers for home visits 5 I 5 I S 51 SO SO $4 SO Sol S0; $0, . TOTAL EQUIPMENT SO SD S3 $01 50 SO -RAVEL (Detail Expenses) BLIDG €T RI,VISE D BUDGET Visit Outreach Mileage NFP Trainor and Mectin� Travel (S isars, Nurses) S. TRAVEL - - -- 1 S:0.5251. 2,183 SD $0 $7.187 S SO $2.180 SO $0 $12,708 so, S9 367 CONTRACTUAL (Include Contractual Services) BUDGE "T REVISED BUDGET ulia Kozusko - Mental Health Consultant S3,F, SO _ 52,104 . CONTRACTUAL SO $0 53.600 $0 So $2,100 TOTAL DIRECT PROGRAM COSTS (Add bud et caf arses 1-6) S111 SK7891 $349,1471 A 511.075 S353,055 Exhlblt B - Amendment 02 Nurse Home Visiting Program Sl~Y2015 -16 Mid -Year Revised Budget FOR THE PERIOD: Juky 1, 2015 - June 30, 2016 _ J APPLICANT. Eacle County Government. dba Health and Human Services I: UNDER CASELOAD;:, 63 l COUNTIES SERVED: Eagle Count, I Round dollar amaunts: Le 21.74 -24 2-,4c 1, n.j. ? 1.14 ORIGINAL I'V 15-16 BUDGET (or approved revised budget iryour REVISED FY 15 -16 BUDGET agency has recieved an approved JuI3 1, 2015 - June 30, 2016 budget revision since July 1, 2015) July 1, 2015 to June 30, 2016 A. Otitrr: ENVIC. CDHS A. Other C. CDIIS Sources nt FUNDING Sources of FUNDING Funding Funding, (NHVP) ADMINSTRATIVE COSTS (Detail Adminizimth a Costs) r w Indirect (irapplicable) BUDGET REVISED BUDGET Indirect Rate at 10% Salaries R Fring e .` 53 [.2601 SO SO 531,731 TOTAL AW11N11STRATIVE COSTS Sol SO` S31,76O So SO! 531,731 TAL PROGRAM COSTS (Direct Pro m +Administrative Casts) 5O Si4,789i $38O,407 SO 511,076 5384,78 n.j. ? 1.14 Exhibit B -Amendment #2 SFY 15 -16 NHVP Mid -Year Budget Revision Narrative Fagic County Government, dba f icalth and Human Services BUDGET NARRATIVE FISCAL YEAR 2015 - 2016 (July 1, 2015 - June 30, 20I6) PERSONNEL SERVICES CATEGORY Jennie Wahrer, Nurse Supervisor, provides oversight. assistance and management for Home Visitors, and community outreach Joy Aricl, LaVinn Beveridge, and Anne Shainholtz, Home Visitors conduct home visits and coordinate visiting schedules with families. Kelly Matis, Program Support Technician provides data input and interpretation services Fringe benefits are actual percentage rate of agency calculated against all salaries Includes nurkers' camp insurance, unemployment insurance, long -term disability, FICA, retirement, wellness program, health, dental, and vision insurance. They arc calculated on a4.tual salaries and vary for each employee. Eagle County is experiencing a 40 1to increase in health insurance costs for 2016. 'Joy ArieI, NHV replaced Lux Avila, NHV. Joy has been on FMLA since Oct 26, 2015 and is expected to return at end of January 2016, hence reduction in her salary Total Personnel Services Category. $317,310 OPERATING CATEGORY Office Operating Expenses Costs are 51,136, includes pens, pencils, paper, markers, folders, toner for copier, photocopy paper, envelopes, stapling materials, paper and binder clips, tape, name badges, labels, and batteries. Client Support Materials Costs are S 1,500 to purchase client support materials for families and for the Nurse Home Visitors to assist in the work they are doing with families beyond NHVP and PIPE handouts Printing & Publications Costs are $444 for client printed materials (facilitators), staff supervision forms, home visit forms, reference publications, Professional Journals, and brochures as deemed necessary by staff. Postal & Shipping Services Costs at S l per year is reserved for postage and shipping costs, Communications at $2,700 this amount covers the cost of cell phone services. Medical Supplies at $82 per year, this covers supplies used for home visiting Outside Services at S per year to cover cost of outside services, Required model materials (i.e. Keys to Care Giving, Beginning Rhythms, etc.) at $1 are to cover NFP required model materials. Cellular phones- 5374 used to purchase new upgraded cell phones for 2 NHV's. Tablet/ laptop computers for home visits at $1 to cover equipment costs. Total Costs Operating Category: $6,241 TRAININGand/or TEGHNICAL ASSISTANCE CATEGORY Items in this category include training costs required to participate as a Nurse Family Partnership provider. $543 for initial education materials. 52400 is for nurses each to participate in ongoing professional development training per individualized training plan, One NHV will be trained in DANCE, and purchase 2 DANCE licenses, Mired a replacement nurse and the new nurse will require the Nurse Initial Education Tuition (Joy Aricl). Nurse Education Materials (New Supervisor/RN ONLY) is requested for initial education materials. DANCE Education for I NFIV ( Anne Shainholtz) will cover DANCE Education for one NHV. DANCE Licensing for 1 NI-IV (Anne Shamlioltz) will provide the amount for required licensing by NFP. Program Support Fee is a cost for continued program support for home visiting. Professional Development covers trainings for home visitors, Nurse Consultation provides consultation fees for consultation support. Total Costs Training and/or Technical Assistance Category: $18,037 EQUIPMENT CATEGORY Amounts origninally requested in equipment were moved to the operating category. Total Costs EQUIPMENT Category: $0 TRAVEL CATEGORY Items in this category include mileage and travel costs for home visiting service delivery, meetings, conferences and trainings. Visit Outreach Mileage costs are $7187 include: county and personal vehicles used when driving to and from home visits, to community meetings to share information about NFP, and for recruitment. County vehicles costs includes replacement cost, fuel, and maintenance 2 county vehicles are used, l is designated solely for NFP use, and I is shared with other HHS staff. Costs are based on past years experience. NFP Training and Meeting Travel (Supervisors, Nurses) at 52180 includes: training conference expenses for one nurse and travel for quarterly supervisor meetings, NFP (Nurse Family Partnership) training is a required training for Home Visitors when they begin with NHVP. This cost covers transportation to training throughout CO, including necessary travel reimbursement and training costs. Quarterly supervisor meetings are meetings HV staff hold with members of partnering agencies to ensure fidelity to the program and program quality. Travel for quarterly meetings includes coverage for mileage to meeting locations. 11-TotalCosts Travel Category: $9,367 Page 3 of 4 Exhibit B - Amendment #2 SFY 15 -16 NHVP Mid -Year Budget Revision Narrative Eagle County Government, dba I lealth and I luman Services BUDGET NARRATIVE FISCAL YEAR 2015 - 2016 (July 1, 2015 -June 30, 2016) [CONTRACTUAL SERVICES CATEGORY Julio Kozusko Mental Health Consultant at $2,100 is used to prouide mental health consultation for home visiting. Total Costs Contractual Services Category: $2,100 ADMiNYSTRATIVE COSTS [ndire.t Rate at 10:'� of total Salaries & Fringe. Total Administrative Costs Category: $31,731 GRAND TOTAL COSTS TO BE BILLED TO CDHS: $384,786 Page 4 of 4