Consent 10.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 05/07/2013
- Title:
- IGA# ADHS13-041535, Immunization Program, 5yr Renewal
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature NOT Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
0
NAME
of PRESENTER:
of PRESENTER:
n/a
TITLE
of PRESENTER:
of PRESENTER:
n/a
Mandated Function?:
Federal or State Mandate
Source of Mandate
or Basis for Support?:
or Basis for Support?:
ADHS
You will use this Agenda Item template if your item involves a Grant (whether a new or renewal grant). You also must attach the Grant Approval Form to the item before Finance will approve it. Select the SPECIAL LINKS on your left-hand menu and Click on "Grant Approval Form". Then complete the form, save it and attach it to your item (on the Attachments tab).
Information
Agenda Item Text:
Approve the renewal of IGA# ADHS13-041535, Immunization Program, between the Arizona Department of Health Services and Cochise Health & Social Services, funded annually, with an anticipated maximum billable amount of $86,273, for salary/fringe benefits of $50,000 plus additional reimbursable activities at a per unit assigned value, for the five year period of 1/1/13 – 12/31/17.
Background:
CHSS has received funds for its Immunization Program since 1993 to deliver immunization services to County residents. The State provides the vaccine to us free of charge. The grant funds pay for management, staffing, and operating costs of this program.
Our services, which are free for all uninsured or underinsured children effective 10/1/2012, include: immunizing children against vaccine preventable diseases during the course of their childhood, maintaining their vaccination records in accordance with state and national requirements, and assisting school age children with required vaccinations in order to meet school registration and advancement requirements. The Public Health Nurses at all five Health Department locations conduct regular clinics weekly (which are heavily attended), in addition to monthly evening clinics, year round. Schedules have been expanded in two locations to included additional half day clinics as needed.
The subsequent IGA amendments of this agreement will provide a price sheet which denotes reimbursement rates per unit of service or activity with detailed ceiling amounts depending on market forces related to the cost of vaccine. The total expected amount available for payment during this grant year ($86,273) is not expected changed. This agreement adds to the scope of work by including twenty activities such as visiting schools and childcare centers whose immunization rates are below nation averages. The price sheet adds additional rates to include onetime school IDR submittal at$ 250.00 per submittal and $25.00 per follow up visit, and case management follow up for perinatal hepatitis B. The scope of work is open from 1/1/2013 through 12/31/2013 and is renewable through 2017. The agreement will increase the rates slightly but exact amounts cannot be determined until individual schools IDR’s are reviewed and schools have been contacted.
Our services, which are free for all uninsured or underinsured children effective 10/1/2012, include: immunizing children against vaccine preventable diseases during the course of their childhood, maintaining their vaccination records in accordance with state and national requirements, and assisting school age children with required vaccinations in order to meet school registration and advancement requirements. The Public Health Nurses at all five Health Department locations conduct regular clinics weekly (which are heavily attended), in addition to monthly evening clinics, year round. Schedules have been expanded in two locations to included additional half day clinics as needed.
The subsequent IGA amendments of this agreement will provide a price sheet which denotes reimbursement rates per unit of service or activity with detailed ceiling amounts depending on market forces related to the cost of vaccine. The total expected amount available for payment during this grant year ($86,273) is not expected changed. This agreement adds to the scope of work by including twenty activities such as visiting schools and childcare centers whose immunization rates are below nation averages. The price sheet adds additional rates to include onetime school IDR submittal at$ 250.00 per submittal and $25.00 per follow up visit, and case management follow up for perinatal hepatitis B. The scope of work is open from 1/1/2013 through 12/31/2013 and is renewable through 2017. The agreement will increase the rates slightly but exact amounts cannot be determined until individual schools IDR’s are reviewed and schools have been contacted.
Department's Next Steps (if approved):
Your approvals are respectfully requested.
Impact of NOT Approving/Alternatives:
Noncompliance with the IGA scope of work, and cessation of the Immunization Program for Cochise County children.
To BOS Staff: Document Disposition/Follow-Up:
BOS Signature is not required. A fully executed copy will be sent to the Clerk of the Board for filing purposes.
Fiscal Impact
- Fiscal Year:
- 2013-2017
- One-time Fixed Costs? ($$$):
- Ongoing Costs? ($$$):
- County Match Required? ($$$):
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 55,189
- Source of Funding?:
- ADHS
Fiscal Impact & Funding Sources (if known):
This is a grant funded, fixed-price program through the Arizona Department of Health Services in the anticipated amount of $86,273. The net county subsidy is as follows:
Budgeted Salaries/EREs: $100,919
A-87 OH @ 46.98%: $47,412
5% Small-Grant OH: $4,314
Net County Subsidy: $43,098
Budgeted Salaries/EREs: $100,919
A-87 OH @ 46.98%: $47,412
5% Small-Grant OH: $4,314
Net County Subsidy: $43,098