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HomeMy WebLinkAboutAgreement A-23-333 PEI Agreement with CDPH.pdf Agreement No. 23-333 State of California—Health and Human Services Agency r, California Department of Public Health !)COPH } TOMAS J.ARAGbN,M.D.,Dr.P.H GAVIN NEWSOM Director and State Public Health officer Governor March 15, 2023 MCAH Directors and PEI Coordinators NOTICE OF INTENT TO AWARD: ALLOCATION FOR THE PERINATAL EQUITY INITIATIVE PROGRAM (PEI), FISCAL YEAR 2023—2024. The California Department of Public Health, Maternal, Child and Adolescent Health (CDPH/MCAH) Division intends to award your local health department Perinatal Equity Initiative Program (PEI) funding for the administration of the PEI program. This funding is to be utilized solely for the purpose of improving Black infant birth outcomes and reducing Black maternal and infant mortality through the administration of the PEI program. To carry out the program outlined in the SOW and Budget, during the period of July 1, 2023 through June 30, 2024,the CDPH/MCAH Division will reimburse expenditures up to the amounts listed in the attached allocation table. The availability of PEI State General Funds are based upon funds appropriated in the FY 2023-24 Budget Act. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the CDPH/MCAH related programs and adherence to all applicable regulations, policies and procedures. Please ensure that all necessary individuals within your Agency are notified of this intent. If you have any questions, please submit them to PerinatalEquitylnitiatve@cdph.ca.gov within 15 calendar days from the date of this letter. Sincerely, 4t6� C. A Artnecia Ramirez, Assistant Division Chief Maternal, Child and Adolescent Health Center for Family Health California Department of Public Health ,`�11FM11'r, CDPH Maternal, Child and Adolescent Health Division/Center for Family Health �� -'%" MS 8300 • P.O. Box 997420 • Sacramento, CA 95899-7420 (916) 650-0300 • (916)650-0305 FAX 2 Internet Address: www.cdph.ca.gov FY 23-24 Allocation Table Local Health Jurisdiction Allocation 22-23* Allocation 23-24 Alameda $556,851.00 $556,851.00 Contra Costa $581,787.00 $581,787.00 Fresno $595,644.00 $595,644.00 Los Angeles $1,406,286.00 $1,406,286.00 Riverside $512,654.00 $512,654.00 Sacramento $664,016.00 $664,016.00 San Bernardino $980,310.00 $980,310.00 San Diego $484,310.00 $484,310.00 San Francisco $459,560.00 $459,560.00 San Joaquin $548,754.00 $548,754.00 Santa Clara $409,828.00 $409,828.00 *Included for reference only. State of California—Health and Human Services Agency California Department of Public Health !)CDPH Ati;0 0 TOMAS J.ARAGON,MD,DrPH GAVIN NEWSOM Director and State Public Health Officer Governor DATE: March 27, 2023 TO: MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIRECTORS/PERINATAL EQUITY INIATIVE (PEI) COORDINATORS, OR DESIGNEE SUBJECT: FISCAL YEAR 2023-2024 PEI AGREEMENT FUNDING APPLICATION (AFA) ANNOUNCEMENT This letter announces the FY 2023-2024 AFA Process that provides allocation and contract funding updates for the PEI Program. AFA Timeline/Important Dates: Monday, March 27, 2023 Release of the PEI FY 23-24 AFA Notification. AFA forms will be sent via email attachment. Monday, April 10, 2023 AFA Packages Due back to MCAH. If needed, please contact your Contract Manager (CM) for any extensions. Monday, April 24, 2023 MCAH CM/Program Consultant (PC) AFA Package Review and Initial Feedback. AFA Submission: Packages are due via email to MCAHFinAct(aD_cdph.ca.gov by Monday, April 10, 2023. If you have any questions about the AFA process, please contact your contract manager as soon as possible. Agencies will be notified via email when their AFA package is approved, and you are permitted to invoice for services. HcurN CDPH Maternal, Child and Adolescent Health Division/Center for Family Health MS 8300 • P.O. Box 997420 • Sacramento, CA 95899-7420 (916) 650-0300 • (916) 650-0305 FAX o www.cdph.ca.gov rye �accxcrn" MCAH Directors, PEI Project Coordinators, or Designee Page 2 of 2 Invoice Submission: As communicated, to ensure appropriate processing, please use the following invoice naming convention for the signed invoice PDF and Excel files as well as the subject line of the email: Program Name, Agreement Number, Agency Name, Fiscal Year and Invoice Number Example: PEI, 23-01, Alameda, FY 23-24, Inv.# Invoice submission must include: • Signed cover letter on agency letterhead • Signed invoice • Updated invoice information in the Excel Budget Invoice Template Invoice Submission Timeline: Pay Period Duration Due Date Annually 2023-2024 July 1, 2023 — June 30,2024 No Later than October 31,2023 Thank you for your assistance and timely submission of your AFA package and thank you for your participation in the Perinatal Equity Initiative Program. Sincerely, Angelica Jimenez-Bean Section Chief— Contract Management and Allocations Process Maternal Child and Adolescent Health CALIFORNIA DEPARTMENT OF PUBLIC HEALTH MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION FUNDING AGREEMENT PERIOD FY 2023-2024 AGENCY INFORMATION FORM Agencies are required to submit an electronic and signed copy (original signatures only) of this form along with their Annual AFA Package. Agencies are required to submit information when updates occur during the fiscal year. Updated submissions do not require certification signatures. Any program related information being sent from the CDPH MCAH Division will be directed to all Program Directors. PEI 23-10 Update Effective Date: (only required when submitting updates) Federal Employer ID#:- FISCAL ID#: Complete Official Agency Name: County of Fresno Business Address: 1221 Fulton Street, Fresno, CA 93721 Agency Phone: (559) 600-3330 Agency Fax: (559) 455-4705 Agency Website: www.co.fresno.ca.us Page 1 of 2 Please enter the agreement or contract number for each of the applicable programs PEI 23-10 Update Effective Date: (only required when submitting updates The undersigned hereby affirms that the statements contained in the Agreement Funding Application (AFA) are true and complete to the best of the applicant's knowledge. I certify that this Maternal, Child and Adolescent Health (MCAH) program will comply with all applicable provisions of Article 1, Chapter 1, Part 2, Division 106 of the Health and Safety code (commencing with section 123225), Chapters 7 and 8 of the Welfare and Institutions Code(commencing with Sections 14000 and 142), and any applicable rules or regulations promulgated by CDPH pursuant to this article and these Chapters. I further certify that all MCAH related programs will comply with the most current MCAH Policies and Procedures Manual, including but not limited to, Administration. I further agree that the MCAH related programs may be subject to all sanctions, or other remedies applicable, if the MCAH related program violates any of the above laws, regulations and policies with which it has certified it will comply. Original signature of official authorized to commit the Agency to a PEI Agreement Signature line: Name (Print) Sal Quintero Title Chairman of the Board of Supervisors of the County of Fresno Date 7i3 Original Signature of MCAH Director Signature line: Name (Print) Ge Vue Title MCAH Director Date ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors Cou ty of Fresno,State of California By Deputy Page 2 of 2 10 10 10 K f ! k = = k G = § M 2. wl # | \ } j \\ ! ! ! \ k i ! = \ ( ) ( ( q & r ! � ( - \ PEI-23-XX County Exhibit B, Attachment I Budget (Year 1) (07/01/23 through 06/30/24) Personnel Position Title Annual Salary FTE % Annual Cost PEI Coordinator - Health Educator $ 66,402 100% $ 66,402 $ 0 0% $ 0 $ 0 0% $ 0 $ 0 0% $ 0 $ 0 0% $ 0 Total Salaries $ 66,402 Please enter Fringe benefit% 72% Fringe Benefits $ 47,706 Total Salaries and Fringe Benefits $ 114,108 Operating Expenses Travel (mileage, airfare, per diem, lodging, $ 4,000 ( g p g� g, parking,toll bridge fees,taxicab fares and car rental) Training (any non-state sponsored training requires prior program consultant approval) $ 500 Rental Space ( FTE x $0 x sq ft x months = $0-$0(in -Kind)) $ 0 General Expenses (office supplies,telephone, postage, Communications, photocopying, $ 10,000 curriculum and software) $ 0 Total Operating $ 14,500 Capital Expense (major equipment>$5,000) $ 0 Total Capital Expense $ 0 Subawardee Costs Fatherhood Initiative- Fresno County Economic Opportunities Commission $ 183,000 CAB facilitator Reverend Karen Crozier $ 6,000 Doula services- Dutchess of Doula $ 225,000 Public Awareness Campaign-TBD $ 21,000 Total Subcontracts $ 435,000 Other Costs Program Materials $ 4,138 CAB activites,trainings, participation incentives for community members/champions/surveys $ 7,000 Total Other Costs $ 11,138 Indirect Costs (% of Total Salaries and Fringe Benefits) $ 20,898 Please enter Indiect Cost% 18% Total Costs $ 595,644 'Incentives-gift cards must not be used for Alcohol or Tobacco products and an agreement with the vendor must be made indicating that any unredeemed value will be returned to the funded agency within an agreed upon and reasonable timeframe. 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