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Agenda 10/12/2010 Item #16D 4 Agenda Item No. 1604 October 12, 2010 Page 1 of 8 EXECUTIVE SUMMARY Recommendation to accept the Rural Health Outreach Special Congressional Initiative from the United States Department of Health and Humau Services in the amount of $594,000 and approve the necessary budget amendment to recognize the revenue. OBJECTIVE: To accept the Rural Health Outreach Special Congressional Initiative from the United States Department of Health and Human Services and approve the required budget amendment. This grant application was approved by the Collier County Board of County Commissioners on July 27, 2010 item 1604. CONSIDERATIONS: The Housing, Human and Veteran Services (HHVS) Department was recently awarded a Federal Special Congressional Initiative on behalf of the Physician Led Access Network (PLAN). In the fall of 2009, staff of HHVS met with representatives of The Ferguson Group to discuss and present a project questionnaire on a proposed project for health care access for the uninsured in partnership with a local not for profit provider, the Physician Led Access Network (PLAN). This current appropriation was approved as part of the Omnibus Appropriations Bill for Fiscal Year 2010 (PL 111-80). The Housing, Human and Veteran Services Department received an official Notice of Grant Award for this program with an effective date of September I, 2010 and end date of August 31, 2012. The purpose of the Outreach Focused Special Congressional Initiative program is to improve health care access to the uninsured in !Ural areas by increasing marketing, education and outreach. Funds will be used to increase access by implementing a new Primary Care Services Program that will include financial assistance for laboratory services, phannacy access and the implementation and licensing of a new electronic database tracking system that will allow PLAN and other participating community health providers to identify, serve and track those who qualify for indigent healthcare and other social services. Collier County will negotiate a separate contract witb PLAN to administer tbis program, PLAN is the community-based referral network that coordinates volunteer medical care for eligible low-income, uninsured adults in need of health services in Collier County. Led by local physicians, it is a community partnership that brings together physicians, community clinics, hospitals, diagnostic and laboratory facilities, and other healthcare providers through an integrated delivery system of volunteer care. PLAN is an initiative launched by the Collier County Medical Society. In 2009, PLAN served 480 residents and provided over 2,400 specialty physician visits/procedures for services valued at over $3.1 million dollars. Collier County Housing, Human and Veteran Services will serve as the Fiscal Entity and grant coordinator for this funding. There is no match required and no general fund dollars will be expended, - FISCAL IMPACT: No general funds will be expended on this project. Agenda Item No. 1604 October 12, 2010 Page 2 of 8 GROWTH MANAGEMENT IMPACT: There is no growth management impact due to this request. LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the contract with PLAN on a future agenda. Accordingly, this Office has no issue with respect to the legal sufficiency of this request, which is appropriate for Board action. - JEW RECOMMENDATION: Staff recommends that the Board of County Commissioners accept the Rural Health Outreach Special Congressional Initiative and approve the necessary budget amendment. Prepared by: Terri Daniels, Accounting Supervisor, Housing, Human and Veteran Services Agenda Item No. 1604 October 12, 2010 Page 3 of 8 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: Item Summary: 16D4 Meeting Date: Recommendation to accept the Rural Health Outreach Special Congressional Initiative from the United States Department of Health and Human Services in the amount of $594,000 and approve the necessary budget amendment to recognize the revenue. 10/12/20109:00:00 AM Prepared By Terri A. Daniels Supervisor ~ Accounting Date Public Services Division Human Services 9/27/20101:03:08 PM Approved By Marcy Krumbine Director - Housing & Human Services Date Public Services Division Human Services 9/27/2010 2: 16 PM Approved By Kathy Carpenter Executive Secretary Date Public Services Public Services Admin. 9/29/2010 3:42 PM Approved By Marla Ramsey Administrator - Public Services Date Public Services Division Public Services Division 9/30/201012:01 PM Approved By Marlene J. Foard Grant Development & Mgmt Coordinator Date Administrative Services Division Administrative Services Division 9130/2010 1 :46 PM Approved By Jennifer White Assistant County Attorney Date County Attorney County Attorney 9130120102:28 PM Approved By OMS Coordinator Date County Manager's Office Office of Management & Budget 10/1/20109:19 AM Approved By Jeff Klatzkow County Attorney Date 10/1/20101:25 PM Approved By Sherry Pryor Office of Management & Budget Management! Budget Analyst, Senior Date Office of Management & Budget 1015/20105:08 PM Approved By Mark Isackson Office of Management & Budget Agenda Item No. 1604 October 12, 2010 Page 4 of 8 Management/Budget Analyst, Senior Date Office of Management & Budget 1015120105:10 PM ,~ 1. DATE ISSUED: 12. PROGRAM CFDA: 93.888 DEPARTMENT OF HEALTH AND HUMA1OlJl6/1/li'El,''-, 2'010 08/24/2010 HEALTH RESOURCES AND SERVICES ADMINIST~~"fiIil1$ of 8 3. SUPERCEDES AWARD NOTICE dated: <MRSA excePllhatanyaddilionSOfRlstriClionSPfllviouslyimrrnsed,ernaininellectunless specifically rescinded 4a. AWARD NO.: I~b. GRANT NO.: /5. FORMER GRANT NO.: 1 D1ARH20098-01-00 D1ARH20098 6. PROJECT PERIOD: NOTICE OF GRANT AWARD AUTHORIZATION (Legislation/Regulation) FROM: 09/01/2010 THROUGH: 08/31/2012 Public Health Service Act, Title Ill, Section 330A 7. BUDGET PERIOD: Section 711(b) of the Social Security Act, 42 U.S.C. 912(b) FROM: 09/01/2010 THROUGH: 08/31/2012 Public Health Service Act, Section 330A (e) (42 U.S.C. 254c), and the Consolidated Appropriations Act of 2008, Public Law 110-161 8. TITLE OF PROJECT (OR PROGRAM): Rural Health Outreach Special Initiative 9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR) Collier County Marcy Krumbine 3301 Tamiami Trail East Collier County Naples, FL 34112-4961 3301 Tamiami Trail East Naples, FL 34112-4961 11. APPROVED BUDGET: (Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE [X] Grant Funds Onty a. Authorized Financial Assistance This Period $ 594,000.00 [] Total project costs including grant funds and all other financial b. Less Unobligated Balance from Prior Budget Periods participation 1. Additional Authority $ 0.00 ii. Offset $ 0.00 a. Salaries and Wages: $ 163,500.00 c. Unawarded Balance of Current Year's Funds $ 0.00 b. Fringe Benefits: $ 40,875.00 d Less Cumulative Prior Award(s) This Budget $ 0.00 c. Total Personnel Costs: $ 204,37500 Period d. Consultant Costs: $ 0.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $ 594,000.00 e. Equipment: $ 0.00 ACTION f. Supplies: $ 31,954.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the availability of g. Travel: $ 6,590.00 funds and satisfactory progress of project) h. Construction/Alteration and Renovation: $ 0.00 II YEAR I TOTAL COSTS J i. Other: $ 174,500.00 II Not Applicable J j. Consortium/Contractual Costs: $ 176,581.00 14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash) k. Trainee Related Expenses: $ 0.00 a. Amount of Direct Assistance $ 0.00 I. Trainee Stipends; $ 0.00 b. Less Unawarded Balance of Current Year's $ 0.00 m. Trainee Tuition and Fees: $ 0.00 Funds n. Trainee Travel: $ 0.00 c. Less Cumulative Prior Awards(s) This Budget $ 0.00 o. TOTAL DIRECT COSTS; $ 594,000.00 Period p. INDIRECT COSTS; (Rate; % of S&WITADC) $ 0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS $ 0.00 q. TOTAL APPROVED BUDGET: $ 594,000.00 ACTION i. Less Non-Federal Resources: $ 000 ii. Federal Share: $ 594,000.00 15. PROGRAM INCOME SUBJECT TO 45 CFR Part 74.24 OR 45 CFR 92.25 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES: A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A] Estimated Program Income: $ 0.00 16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING: a. The grant program legistabon cited above. b. The grant program regulatoon cited aoo"". c. This award notice including terms and conditions, If any, noted below under REMARKS. d. 45 CFR Par! 74 or 45 CFR Part 92 as applicable. In the e""nt thefe are oonnidillg Of oIherwlse inoonslstent pOlicies applicable to lh egrant, IhellboveorderofprecedenCflshali prevail. Acceptance oflhe 9 rant terms and condilions is ad<nowledged by lI1e granlee when tunds aro drewn 0 rotherwlse obtaIned from the !Irant paymenl sj'Slem REMARKS: (Other Terms and Conditions Attached [X] Yes [] No ) Electronically signed by Helen Harpold, Grants Management Officer on: 08/24/2010 17. OBJ. CLASS: 41.51 118. CRS.EIN: 1596000558A1 119. FUTURE RECOMMENDED FUNDING: . SUBPROGRAM SUB ACCOUNT FY -CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. CODE CODE 10-3704190 93.888 D1ARH20098AO $ 594,000.00 $ 0.00 N/A N/A Page 1 NOTICE OF GRANT AWARD (Continuation Sheet) Agenda Item No. 1604 October 12, 2010 !:~~~}~~;ber:1 D1A~H2~-~~.~.~~~~~~~~/24/2010 Page 6 018 -~ 1___ HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NGA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 1 O-digit grant number from box 4b of this NGA. After you have completed the initial registration steps (i.e., created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating email addresses and submitting certain deliverables electronically. Visit https:llgrants.hrsa.gov/webexternalllogin.asp to use the system. Additional help is available online and/or from the HRSA Call Center at 1-877-464-4772. Terms and Conditions Failure to comply with the special remarks and condition(s) may result in a draw down restriction being placed on your Payment Management System account or denial of future funding. Standard Terms: 1. All discretionary awards issued by HRSA on or after October 1,2006, are subject to the HHS Grants Policy Statement (HHS GPS) unless otherwise noted in the Notice of Award (NoA). Parts I through III of the HHS GPS are currently available at http://ftp.hrsa.gov/grants/hhsgrantspolicystatement.pdf. Please note that the Terms and Conditions explicitly noted in the award and the HHS GPS are in effect. 2. The HHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds, including but not limited to State and local governments, shall clearly stale the percentage of the total costs of the program or project which will be financed with Federal money, the dollar amount of Federal funds for the project or program, and percentage and a dollar amount of the total costs of the project or program that will be financed by nongovernmental sources. 3. Recipients and sub-recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti-kickback statute (42 U.S.C. 1320a - 7b(b) and should be cognizant of the risk of criminal and administrative liability under this statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, in part, that whoever knowingly and willfully: (A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind, in return for referring (or to induce such person to refer) an individual to a person for the furnishing or arranging for the furnishing of any item or service, OR (6) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase, lease, or order, any goods, facility, services, or item ....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care program, shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for not more than five years, or both. 4. Items that require prior approval from the awarding office as indicated in 45 CFR Part 74.25 [Note: 74.25 (d) HRSA has not waived cost-related or administrative prior approvals for recipients unless specifically stated on this Notice of Grant Award] or 45 CFR Part 92.30 must be submitted in writing to the Grants Management Officer (GMO). Only responses to prior approval requests signed by the GMO are considered valid. Granlees who take action on the basis of responses from other officials do so at their own risk. Such responses will not be considered binding by or upon the HRSA. In addition to the prior approval requirements identified in Part 74.25, HRSA requires grantees to seek prior approval for significant rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal share exceeds $100,000, cumulative transfers among direct cost budget categories for the current budgel period NOTICE OF GRANT AWARD (Continuation Sheet) Agenda Item No. 1604 October 12, 2010 ~~ge~~------- @atelssued: 08/24/2010 _pag~o Award Number: 1 D1ARH20098-01~00 -~---~--~-- exceed 25 percent of the total approved budgel (inclusive of direct and indirect costs and Federal funds and required matching or cost sharing) for that budget period or $250,000, whichever is less. For example, under a grant in which Ihe Federal share for a budget period is $200,000, if the total approved budgel is $300,000, cumulative changes within that budgel period exceeding $75,000 would require prior approval). For recipients subject to 45 CFR Part 92, this requirement is in lieu of that in 45 CFR 92.30(c)(1 )(ii) which permits an agency to require prior approval for specified cumulative transfers wilhin a grantee's approved budget. [Note, even if a grantee's proposed rebudgeting of costs falls below the significant rebudgeting threshold identified above, grantees are still required to request prior approval, if some or all of the rebudgeting reflects either a change in scope, a proposed purchase of a unit of equipment exceeding $25,000 (if not included in the approved application) or other prior approval action identified in Parts 74.25 and 92.30 unless HRSA has specifically exempted the grantee from Ihe requirement(s).] 5. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is administered by the Oivision of Payment Management, Financial Management Services, Program Support Center, which will forward instructions for obtaining payments. Inquiries regarding payments should be directed to: ONE-DHHS Help Desk for PMS Support at 1-877-614-5533 or PMSSupport@psc.hhs.gov. For additional information please visit the Oivision of Payment Management Website at www.DPM.PSC.GOV. 6. The DHHS Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their names if they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C. 20201, Email: Htips@os.dhhs.gov or Telephone: 1-800-447-8477 (1-800-HHS-TIPS). 7. Submil audits, if required, in accordance with OMB Circular A-133, to: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 457-1551, (800)253-0696 toll free http://harvester.census. gov Isac/facconta. htm 8. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that people with limited English proficiency can meaningfully access health and social services. A program of language assistance should provide for effective communication between the service provider and the person wilh limited English proficiency to facilitate participation in, and meaningful access to, services. The obligations of recipients are explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html. 9. This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Prolection Act of 2000,as amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.htm. If you are unable to access this link, please contact the Grants Management Specialist identified in this Notice of Grant Award to obtain a copy of the Term. Reporting Requirements: 1. Oue Oate: Within 90 days of Budget End Date The grantee must submit a Federal Financial Report (FFR), within 90 days after the budget period end date. This report should refiect cumulative reporting, within the projecl period, and must be submitted using the Electronic Handbook (EHB). Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions. NGA Email Address(es): marcykrumbine@colliergov.net;sryan@hrsa.gov Note: NGA emailed to these address(es) Contacts: Program Contact: For assistance on programmatic issues, please contact Lilly Smetana at: HRSA/OA/ORHP 5600 Fishers Lane RM 9A-42 NOTICE OF GRANT AWARD (Continuation Sheet) Agenda Item No. 1604 October 12, 2010 f~:~:i~~Olber 1il1~RH~O~~1~6-U:d ~8/2~/20-10----P-age_ 8 01 8 ------.-------..-------- Rockville, MD 20857-0001 Phone: (301 )443-6884 Email: Ismetana@hrsa.gov Division of Grants Management Operations: For assistance on grants administration issues, piease contact Susan Ryan at: HRSA/OFAM/DGMO/HSB 5600 Fishers Lane RM 11 A-17 Rockville, MD 20857-0001 Phone: (301 )594-4268 Email: sryan@hrsa.gov Fax: (301 )594-4073 If description of your Condition or Reporting Requirement specified in the NGA does not include the statement "Please upload the required documentation into Ihe HRSA Electronic Handbooks" then the responses to reporting requirements and conditions must be mailed to the attention of the Office of Grants Management contact indicated above. All correspondence should include the Federal grant number (item 4 on the award document) and program title (item 8 on the award document). Failure to follow this guidance will result in a delay in responding 10 your request.