HomeMy WebLinkAboutSTATE DPH-Prevention Forward Program_A-22-550 A-21-087 A-22-184.pdf COU Y Count of Fresno Hall of Records, Room301
2281 Tulare Street
o Fresno,California
Board of Supervisors 93721-2198
O 1836 O Telephone:(559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
November 29, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco,and Vice Chairman Sal Quintero
Agenda No. 50. Public Health File ID: 22-1164
Re: Approve and authorize the Chairman to execute a retroactive second Amendment to revenue
Agreement with the California Department of Public Health,to provide prevention and self-management
support services to high burden/underserved adult populations diagnosed or at risk for Type 2
Diabetes, effective April 22,2021 through June 29, 2023, and decreasing the maximum by$355 to a
total of$156,042
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No. 22-550
County of Fresno Page 51
co
`0 r) Board Agenda Item 50
O 1$56 O
FRT�`'�
DATE: November 29, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute a retroactive second Amendment to revenue
Agreement with the California Department of Public Health,to provide prevention and
self-management support services to high burden/underserved adult populations diagnosed or at
risk for Type 2 Diabetes, effective April 22, 2021 through June 29, 2023, and decreasing the
maximum by$355 to a total of$156,042.
There is no additional Net County Cost associated with the recommended action. The recommended
amendment reduces Budget Year 2 by$355, thereby reducing the maximum compensation to$156,042.
Budget Year 2 was revised to actual expenditures, shifting the remaining unspent funds to Year 3, and
revisions to amend the Scope of Work (SOW)was necessary to extend the timeline/deliverables due dates
into Year 3. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended amendment, the Department would not have the updated
SOW or the necessary funding to complete the remaining scheduled activities and risk future funding
reductions for non-compliance.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to July 1, 2021, due to the funding adjustments to both Year 2
and Year 3 of the agreement. COVID-19 interruptions made it impossible to complete all the budgeted
activities during Year 1 and Year 2 resulting in unspent funds. Shifting the unspent funds to the current FY
2022-23 will allow sufficient revenue to offset expected costs. The recommended Amendment was
received from the California Department of Public Health (CDPH)on October 20, 2022 and is being brought
to your Board in accordance with the agenda item processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended
amendment is funded by the CDPH for local Prevention Forward Program interventions, provided by the
Centers for Disease Control and Prevention (CDC).
The purpose of the recommended amendment was to reduce Year 2 budget by$355, therefore decreasing
the maximum compensation amount to$156,042. Unspent funds reduced year 2 budget and increased year
3 as follows:
County of Fresno page 1 File Number.22-1164
File Number:22-1164
Year 1: April 22, 2021 -June 30, 2021 $25,736 (no change)
Year 2: July.1, 2021 -June 30, 2022 $22,004 (decrease$69,999)
Year 3: July 1, 2022-June 29, 2023 $108,302 (increase $69,644)
Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2022-23
Adopted Budget.
DISCUSSION:
On March 23, 2021, the Board approved revenue agreement No. 21-087 (State agreement No. 20-10704)
with the CDPH for the Department to provide chronic disease prevention and self-management support
services to local programs and organizations that serve adults diagnosed or at risk for Type 2 Diabetes.
On May 3, 2022,the Board approved a first amendment to shift unspent Year 1 funds to Year 2 and extend
the timelines to match the new budget totals. A new activity was also added to increase Comprehensive
Medication Management services to help increase patient coordination with non-physician care team
members.
The recommended amendment reduces Budget Year 2 (July 1, 2021 through June 30, 2022) by$355,
decreasing the maximum compensation to$156,042. Unspent funds from Budget Year 2 were shifted to
Year 3 (July 1, 2022 through June 30, 2023)and the timeline dates were extended to match the revised
budget dates of Year 3 to allow for the completion of all activities. The Prevention Forward Program will
continue to work with partner organizations to increase chronic disease support services and improve
patient intervention management systems. This team-based care process is an approach for our local
communities to increase their knowledge, skills, and opportunities to prevent or control Type 2 Diabetes.
REFERENCE MATERIAL:
BAI#43, May 3, 2022
BAI #45, March 23, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment A2 with CDPH
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number.22-1164
Agreement No. 22-550
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID:4265-2010704-A2
STANDARD AGREEMENT-AMENDMENT
STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number
CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED PAGES 20-1 0704 A2
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
California Department of Public Health
CONTRACTOR NAME
County of Fresno
2.The term of lhls Agreement is:
START DATE
April 22,2021
THROUGH END DATE
June 29,2023
3.The maximum amount of this Agreement after this Amendment is:
$156,042.00 One Hundred Fifty-Six Thousand Forty-Two Dollars and Zero Cents
4.The parties mutually agree to this amendment as follows.All actions noted below are by this reference made a part of the Agreement and
incorporated herein:
I.Purpose of amendment: This amendment reduced funds from Budget Year 2-A,in the amount of$355.00,thereby decreasing the maximum contract
amount to$156,042.00.Shifts Budget Year 2-A remaining balance of unspent funds in the amount of $43,052.67 to Year 3,as identified in Exhibit B,
Attachment III,Budget Year 3, Shifts Budget Year 2 unspent funds in the amount of $26,601.44 to Year 3,as identified in Exhibit B,Attachment III,
Budget Year 3. Amends the Scope of Work by extending Timeline/Deliverables dates.
Il.Certain changes made in this amendment are shown as: Text additions are displayed in bold and underline. Text deletions are displayed as strike
through text(i.e.,Strike).
III.Exhibit A,Scope of Work,20-10704 Al is hereby replaced in its entirety and shall now read Exhibit A,A2,Scope of Work,20-10704 A2.
IV.Exhibit A,Attachment I,20-10704 Al is hereby replaced in its entirety and shall now read Exhibit A,Attachment I,20-10704 A2.
V.Exhibit B,Budget Detail and Payment Provisions,20-10704 Al is hereby replaced in its entirety and shall now read Exhibit B,A2,Budget Detail and
Payment Provisions,20-10704 A2.
VI. Exhibit B,Attachment III,Budget Year 3,replaced in its entirety,and shall now read Exhibit B,Attachment Ill,Budget Year 3,20-10704 A2.
All other terms and conditions shall remain the some.
IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno
CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP
1221 Fulton Street Fresno CA 93721
PRINTED NAME OF PERSON SIGNING TITLE
Brian Pacheco, Chairman of Board of Supervisors of the County
C)[ AUTHORIZED SIGNATURE DATESIGNED
ArnJl,. 1 11zq/2-z
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
Coun of Fr sno,State of California
By Deputy
Page 1 of 2
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID:4265-2010704-A2
STANDARD AGREEMENT-AMENDMENT
STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number
CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED PAGES 20-10704 A2
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
California Department of Public Health
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
1616 Capitol Avenue,Suite 74.262,MS 1802,PO Box 997377 Sacramento �CA 95899
PRINTED NAME OF PERSON SIGNING TITLE
Jeannie Galarpie Chief,Contracts Management Unit
CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED
12/09/2022
CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL APPROVED EXEMPTION(If Applicable)
DEC 22 2022
EE:abs
OFFICE OF LEGAL SERVICES
DEPT.OF GENERAL SERVICES
Page 2 of 2
County of Fresno
20-10704 A4A2
Page 1 of 18
Exhibit A
Scope of Work
1. Service Overview
Pursuant to California Health and Safety Code Sections 131058 and 131085 the County of
Fresno, Department of Public Health (Contractor) will provide prevention and self-management
support to high burden/underserved adult populations diagnosed or at risk for Type 2 Diabetes
(diabetes).
Contractor services will increase chronic disease support services to target population health
status and improve patient intervention management systems through Health Information
Technology (HIT), Health Information Exchange (HIE), and Electronic Health Records (EHR).
Increase and improve referrals for nationally recognized lifestyle change and chronic disease self-
management programs. Service coordination, such as, meetings, consultations and reporting
scope of work activities will be conducted with public health and safety priorities. Service
coordination will be conducted using social distancing measures throughout the duration of the
Coronavirus pandemic, such as, virtual online platforms, telehealth, conference phone calls,
computer assisted coordination and emails.
The Centers for Disease Control and Prevention (CDC), CFDA number 93.426, Grant Number
NU58DP006540, funding awarded to the CDPH for Contractor Local Assistance provides
California Prevention Forward (PF) interventions; including required objectives and strategies as
described in the Scope of Work and in compliance with the CDC Grant.
2. Service Location
The services shall be performed at applicable facilities and/or remotely in the County of Fresno
as prescribed in the Scope of Work.
3. Service Hours
The services shall be provided during normal Contractor workdays, 8 am — 5 pm, Monday
through Friday, except official holidays.
4. Project Representatives
A. The project representatives during the term of this agreement will be:
California Department of Public Health Fresno County Department of Public
Lisa Pulido Health
Telephone: (916) 552-9948 Melanie Ruvalcaba, Program Manager
Fax: (916) 552-9729 Telephone: (559) 600-6449
E-mail: Lisa.Pulido@cdph.ca.gov Fax: (559) 600-7687
E-mail: mruvalcaba(a)-fresnocountyca.gov
County of Fresno
20-10704 A4A2
Page 2 of 18
Exhibit A
Scope of Work
B. Direct all inquiries to:
California Department of Public Health Fresno County Department of Public
Chronic Disease Control Branch Health
Attention: Lisa Rawson Office of Health Policy and Wellness
jess+ca-Nunez de vharra Attention: Melanie Ruvalcaba, Program
P.O. Box 997377, MS 7208 Manager
Sacramento, CA 95899-7377 1221 Fulton Street
Fresno, CA 93721
Telephone: (916) 522-98779900
Fax: (916) 552-9729 Telephone: (559) 600-6449
E-mail: lisa.rawsonp_cdph.ca.gov Fax: (559) 600-7687
ess'Go N iRezdeYbarFa2(iDGdph Ga gev E-mail: mruvalcaba@fresnocountyca.gov
u�ivwv � vu��u��w vu N��.a�u�(v r
C. All payments from CDPH to the Contractor shall be sent to the following address:
Remittance Address
,Contractor: [County of Fresno
Attention Bruna Chavez, DPH Business Manager
'PO Box 11800
Fresno, CA, 93775
559-600-6438
559-600-7687
dphboap@fresnocountyca.gov
D. Either party may make changes to the information above by giving written notice to the other
party. Said changes shall not require an amendment to this agreement.
5. Services to be Performed are in the Exhibit A, Attachment I, Scope of Work Below:
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County of Fresno
20-10704 A4A2
Exhibit B
Budget Detail and Payment Provisions
1. Invoicing and Payment
A. In no event shall the Contractor request reimbursement from the State for obligations entered into
or for costs incurred prior to the commencement date or after the expiration of this Agreement.
B. For services satisfactorily rendered, and upon receipt and approval of the invoices, CDPH agrees to
compensate the Contractor for actual expenditures incurred in accordance with the Budget Line
Item amounts specified in Attachment I, II, II-A and III of this Exhibit.
C. Invoices shall include the Agreement Number, CDCB Address, and shall be submitted
electronically, not more frequently than quarterly, in arrears to:
CDCBlnvoices(a)_cdph.ca.gov
California Department of Public Health
Chronic Disease Control Branch
P.O. Box 997377, MS 7208
Sacramento, CA 95899-7377
The State, at its discretion, may designate an alternate invoice submission address. A change in
the invoice address shall be accomplished via a written notice to the Contractor by the State and
shall not require an amendment to this agreement.
D. Invoices shall:
1) Be prepared using the CDPHC/CDCB approved template, which will be provided by the
CDPH/CDCB Contract Manager. Invoices must include contractor letterhead and be signed by
an authorized official, employee or agent certifying that the expenditures claimed represent
activities performed and are in accordance with Exhibit A.
2) Invoices must be submitted to CDPH electronically only, according to naming convention (refer
to 9., C. below) Hard copies are not required and will not be accepted.
3) Identify the billing and/or performance period covered by the invoice.
4) Itemize costs for the billing period in the same or greater level of detail as indicated in this
agreement. Subject to the terms of this agreement, reimbursement may only be sought for
those costs and/or cost categories expressly identified as allowable in this agreement and
approved by CDPH.
5) Bear the Contractor's name, as shown on the Agreement.
6) Show an invoice date reflecting when the invoice was prepared.
7) Submitted electronically, no later than five (5) days after the invoice date.
8) Show the Agreement number assigned by CDPH.
9) Show the Contractor's remittance address.
10)Electronic invoices must be submitted to read on the subject line as follows: Contract Number,
Vendor Name, State Fiscal Year, Invoice Number
E. Amounts Payable
The amounts payable under this agreement shall not exceed $ .00$156,042.00, as
indicated in Attachment 1,11, II-A and III of this Exhibit.
Page 1 of 4-3
County of Fresno
20-10704 A4A2
Exhibit B
Budget Detail and Payment Provisions
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered
under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be
of no further force and effect. In this event, the State shall have no liability to pay any funds
whatsoever to Contractor or to furnish any other considerations under this Agreement and
Contractor shall not be obligated to perform any provisions of this Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program,
the State shall have the option to either cancel this Agreement with no liability occurring to the State
or offer an agreement amendment to Contractor to reflect the reduced amount.
3. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government Code Chapter
4.5, commencing with Section 927.
4. Timely Submission of Final Invoice
A. Final undisputed invoice shall be submitted for payment no more than sixty(60) calendar days
following the expiration or termination date of this agreement, unless a later or alternate deadline is
agreed to in writing by the program contract manager. Said invoice should be clearly marked "Final
Invoice", indicating that all payment obligations of the State under this agreement have ceased and
that no further payments are due or outstanding. The State may, at its discretion, choose not to
honor any delinquent final invoice if the Contractor fails to obtain prior written State approval of an
alternate final invoice submission deadline.
B. The Contractor is hereby advised of its obligation to submit to the state, with the final invoice, a
completed copy of the "Contractor's Release (Exhibit H)".
5. Expense Allowability/ Fiscal Documentation
A. Invoices, received from the Contractor and accepted for payment by the State, shall not be deemed
evidence of allowable agreement costs.
B. Contractor shall maintain for review and audit and supply to CDPH upon request, adequate
documentation of all expenses claimed pursuant to this agreement to permit a determination of
expense allowability.
C. If the allowability of an expense cannot be determined by the State because invoice detail, fiscal
records, or backup documentation is nonexistent or inadequate according to generally accepted
accounting principles or practices, all questionable costs may be disallowed, and payment may be
withheld by the State. Upon receipt of adequate documentation supporting a disallowed or
questionable expense, reimbursement may resume for the amount substantiated and deemed
allowable.
6. Recovery of Overpayments
A. Contractor agrees that claims based upon the terms of this agreement or an audit finding and/or an
audit finding that is appealed and upheld, will be recovered by the State by one of the following
options:
Page 2 of 4-3
County of Fresno
20-10704 A4A2
Exhibit B
Budget Detail and Payment Provisions
1) Contractor's remittance to the State of the full amount of the audit exception within 30 days
following the State's request for repayment;
2) A repayment schedule which is agreeable to both the State and the Contractor.
B. The State reserves the right to select which option as indicated above in paragraph A will be
employed and the Contractor will be notified by the State in writing of the claim procedure to be
utilized.
C. Interest on the unpaid balance of the audit finding or debt will accrue at a rate equal to the monthly
average of the rate received on investments in the Pooled Money Investment Fund commencing on
the date that an audit or examination finding is mailed to the Contractor, beginning 30 days after
Contractor's receipt of the State's demand for repayment.
D. If the Contractor has filed a valid appeal regarding the report of audit findings, recovery of the
overpayments will be deferred until a final administrative decision on the appeal has been reached.
If the Contractor loses the final administrative appeal, Contractor shall repay, to the State, the over-
claimed or disallowed expenses, plus accrued interest. Interest accrues from the Contractor's first
receipt of State's notice requesting reimbursement of questioned audit costs or disallowed
expenses.
7. Advance Payments
No advance payment is allowed under this Contract.
8. Travel and Per Diem Reimbursement
Any reimbursement for necessary travel and per diem shall, unless otherwise specified in this
Agreement, be at the rates currently in effect, as established by the California Department of Human
Resources (Cal HR). If the Cal HR rates change during the term of the Agreement, the new rates shall
apply upon their effective date and no amendment to this Agreement shall be necessary. No travel
outside the state of California shall be reimbursed without prior authorization from the CDPH. Verbal
authorization should be confirmed in writing. Written authorization may be in a form including fax or
email confirmation. Refer to CaIHR website.
9. Invoice Reporting Requirements and Billing Instructions
A. Quarterly Invoice Schedule - Contractor shall submit electronic quarterly invoice in accordance with
the following schedule:
Quarter Dates Due
1 07/01 thru 09/30 11/1
2 10/01 thru 12/31 2/1
3 01/01 thru 03/31 5/1
4 04/01 thru 6/30 8/30
B. Contractor shall have the right to issue a supplemental invoice for expenditures incurred after
quarter four (4) final invoice has been submitted to recover in full all actual costs, as specified in the
executed Exhibit B, Budget Attachment(s)for this agreement.
Page 3 of 4-3
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Amendment II to Agreement Between the County of Fresno and the
California Department of Public Health
Amendment Name: CDPH Prevention Forward for Type 2 Diabetes (State Agreement
No. 20-10704-A2)
Fund/Subclass: 0001/10000
Organization #: 56201556
Revenue Account #: 4380
ti coU� County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
(g Board of Supervisors 93721-2198
O� i83 O Telephone:(559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
November 29, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco, and Vice Chairman Sal Quintero
Agenda No. 50. Public Health File ID:22-1164
Re: Approve and authorize the Chairman to execute a retroactive second Amendment to revenue
Agreement with the California Department of Public Health,to provide prevention and self-management
support services to high burden/underserved adult populations diagnosed or at risk for Type 2
Diabetes, effective April 22,2021 through June 29,2023,and decreasing the maximum by$355 to a
total of$156,042
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No. 22-550
County of Fresno Page 51