HomeMy WebLinkAboutC25-086 MOU_CDPHEMemorandum of Understanding
Colorado Department of Public Health and Environment (CDPHE) No-Cost Agreement
for Rapid Human Immunodeficiency Virus (HIV)/Hepatitis C Virus (HCV) and Syphilis
Testing Distribution Project
Facility Information
Entity: EAGLE COUNTY PUBLIC HEALTH & ENVIRONMENT
Address: 551 BROADWAY, EAGLE, CO 81631
Contact person name and title: 551 BROADWAY, EAGLE, CO 81631
Contact phone: (970) 471-0112
Contact email: rebecca.larson@eaglecounty.us
Project Description:
Increased access and prompt testing of persons with sexually transmitted infections (STIs)
and exposure are critically important in preventing health complications and interrupting
disease transmissions in communities. One-time funds are available to expand the support of
rapid screening for syphilis, HCV, and HIV. This support is made available by offering free
rapid test kits to LPHAs and other covered entities via CDPHE’s Rapid Testing Distribution
Program.
Project Term:
1/1/2025-12/31/2025
Agreement:
Under the terms of this agreement, CDPHE will provide access to no-cost rapid
HIV/HCV/Syphilis tests to partnering entities. Partnering entities are prohibited from
Docusign Envelope ID: 5FC37BC4-F394-4D6F-8488-82724A534669
charging an individual for the cost of the test or billing insurance for any rapid tests
distributed through this program.
Process and Protocol
This protocol is intended to explain the process of ordering HIV/HCV/Syphilis Rapid Tests
purchased by CDPHE for qualifying entities in the State of Colorado. Funding is supported by
the CDC’s Strengthening STD Prevention and Control for Health Departments (PCHD) and
State Opioid Response (SOR). As well as state-funds for syphilis prevention and control. All
HIV testing conducted under this protocol will be considered “supported testing events” and
follow appropriate CDC reporting requirements.
1. Agencies intending to receive rapid tests purchased by CDPHE must submit a
distribution plan prior to placing each order through the CDPHE: Rapid Test Order Form 2.
Agencies must submit both a signed MOU and CLIA waiver with their rapid test order
form.
a. Plans are reviewed within 5 business days of submission. CDPHE will notify the
agency if their distribution plan was approved.
3. All orders will be placed by CDPHE and shipped directly to the agency.
Expectations Standards and Requirements
1. The Agency shall perform STI screening in accordance with current CDC screening
guidelines: https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf 2. The
Agency shall maintain one (1) of the following for STI testing throughout the life of the
project:
a. Valid, non-expired CLIA waiver certificate
b. Valid, non-expired CLIA certificate
3. The Agency shall comply with reporting requirements. The CDPHE Communicable
Reportable Conditions Guidelines: https://www.colorado.gov/pacific/cdphe/report-a
disease
4. The Agency shall submit an attestation form confirming receipt of their rapid test kits
within 5 business days of receipt.
https://docs.google.com/forms/d/e/1FAIpQLSezMeh60DN9qTFcXjh7_a1PhtA99ygbZJ
sLdTvpuKhx0oGICw/viewform?usp=sf_link
5. The Agency shall complete the STI testing and treatment locator survey. Facilities, such
as detention centers, that are unable to offer free testing to the public are excluded.
//cdphe.redcap.state.co.us/surveys/?s=N7RNCD4DKJ9WLTK9.
6. The agency shall complete this aggregate Rapid Test Monthly Reporting Form within 15
days of the following month. Data reporting for this MOU is not meant to replace any
contracted or other data reporting requirements by other projects funded by CDPHE.
Agencies receiving PCHD, High Impact HIV Prevention (HIHP), and Colorado HIV
Alliance for Prevention, Care, and Treatment (CHAPP), will be expected to input client
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level data into the STI/HIV/VH Prevention REDCap project:
https://cdphe.redcap.state.co.us/surveys/?s=TECJAF7RKRKM9AA9.
Contingency of change or loss of funding
The partnering entity acknowledges that funding for this project is based on one-time
funds that are available to the Colorado Department of Public Health and Environment
and there is no guarantee of continued or additional funding beyond the specified
terms. In the event that any of these sources of funding are reduced or eliminated prior
to the end of the term, CDPHE has the right to reduce, suspend or eliminate financial
support for this project. CDPHE shall endeavor to give the partnering entity as much
prior notice as is possible of any such situation.
CDPHE Approvals
Jessica Forsyth, Director
Office of STI/HIV/VH
Garrett Rose, Denver Metro
Supervisor Office of STI/HIV/VH
Chad Jones, Fiscal Manager
Office of STI/HIV/VH
Chelsea Gilbertson,
Director of Procurement and Contracts Section
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Partnering Agency Approvals
Appointed Authority Name and Title
Organization Primacy Contact Name and Title
Docusign Envelope ID: 5FC37BC4-F394-4D6F-8488-82724A534669
2/14/2025
County ManagerJeff Shroll
